QMAP Online Course Step 2 All Practice Quizes Unit 1-7

What is the purpose of the Colorado QMAP Training Medication Administration Course? *

To teach unlicensed staff to safely administer medications.

What does it mean to be a Qualified Medication Administration Person (QMAP)? *

To have passed the QMAP course and be listed on the State of Colorado's QMAP database.

The State of Colorado requires a certain level of understanding of both English and Math in order to be a QMAP. *

True

What is the correct definition of Qualified? *

Qualified means you have passed and are able to perform specific tasks.

What is the correct definition of Certified? *

Certification is a designation by a professional organization after meeting specified criteria.

What is the correct definition of Licensed? *

Licensure is a designation provided by a state agency upon completion of a program of study.

Upon successful completion of this online course what is the next step? *

Attend a Testing Session either in person or via Zoom.

Successful completion of the online course, and testing session certifies the student to give medications. *

False

QMAPS may make judgment calls, perform assessments or evaluation of clients once they pass the online course and the testing session. *

False

Immediately upon passing the In-Person, or Zoom testing session, the QMAP may pass medications. *

False

Open the Key Concept Study Guide. Place the headings below in the same order as they appear in the Key Concept Study Guide.

The Seven Rights & The Six Components

Passing Medications | The Three P's

Common Abbreviations

Terminology

Translating & Transcribing Physician Orders | Practice

Dosage Calculation Practice

MAR Documentation

Which of the following settings may QMAPs NOT practice in? *

Hospitals

Why is it important to verify the client's identity before administering medication? *

To prevent medication errors

According to the World Health Organization (WHO), what percentage of preventable harm in medical care is caused by medication errors? *

50%

What are the Seven Rights of Medication Administration?

The Right Client

The Right Time

The Right Medication

The Right Dose

The Right Route

The Right Documentation

The Right to Refuse

Which route involves using a nebulizer to deliver medications? *

Inhalation

What are the Four Routes that a QMAP can use to administer medications?

Ingestion, Inhalation, Application & Insertion

What should you instruct clients to do after you administer inhaled medications? *

Rinse their mouth with water and spit, or brush their teeth.

Match each option below with the role of the QMAP *

Monitoring- Observing to ensure a client took medication

Administering- Assisting a client to place a medication in their mouth

Self Admin - No documentation required, may remind client

Your Facility has received a medication order for Potassium Chloride 10 mEq QD at 12PM. Choose the correct "window" in which the medications may be administered from the list below. *

11:30 AM - 12:30 PM

You are to administer 10 mg Propranolol PO TID. You have Propranolol LA 10 mg tablets. You may administer this medication. *

False

Where does an SL tablet go? *

Underneath the tongue.

There is no requirement for daily documentation of self-administered medications. *

True

It is a medication error when a client refuses a medication. *

False

You would not need this course in order to monitor a client injecting insulin. *

True

It is not necessary to wear gloves when applying topical medication. The drug will not absorb into the QMAP. *

False

This Online QMAP Course qualifies you to administer medications through a G-Tube, or IV port. *

False

A QMAP may change the dial on an insulin pen for a client who cannot see clearly. *

False

What is the best method to identify a client when administering medications? *

Photograph on the chart

A QMAP may assess whether a client needs a PRN medication. *

False

Where does a buccal medication go? *

Between the cheek and gum.

Under what circumstances may a QMAP administer medications through a client's gastrostomy tube? *

Never.

When should controlled substances and narcotics be counted?

Each shift change.

When the medication leaves the Facility

When the medication arrives at the Facility.

What is the purpose of knowing the basics about the medications you administer? *

To safely care for your clients.

What are the contraindications of a medication? *

Circumstances under which the medication should not be given.

What are reputable sources of information on medications?

PDR

Medication Package Insert

Drug Handbook

Pharmacist

What is the purpose of medication administration? *

To prevent, treat, diagnose, and restore normal bodily functions, and achieve a therapeutic effect.

What are some examples of semisolid medications?

Creams

Suppositories

What is the difference between generic and trade names? *

Generic names are universal after the patent expires, while trade names are specific to the manufacturer holding the patent.

What is the difference between local and systemic effect of medications? *

Local effect means the drug affects only one specific area of the body, while systemic effect means the drug affects the whole body.

What is the definition of psychotropic medication? *

Any medication capable of affecting the mind, emotions, and behavior.

Can a QMAP administer PRN psychotropic medications? *

Yes if the resident can clearly ask for it and understand its effects, and there is an order on the chart.

What is informed consent? *

Agreeing to take medication with understanding of its effects.

How should controlled substances and narcotics be stored? *

Under Double Lock.

What are controlled substances? *

Chemicals with a legally recognized potential for abuse.

An up to date Nurse's Drug Reference Guide is an acceptable resource to look up medications. *

True

What form of medication is placed under the tongue in the front of the mouth? *

Sublingual

What does it mean if a medication has a systemic effect? *

The medication has an effect throughout the entire body.

Information about possible drug diversion won't remain on your background check if charges are dismissed. *

False

What form of medication comes in a cloudy liquid that separates upon standing and must be shaken before administering? *

Suspension

Drug diversion does not need to be reported to your supervisor unless you know for sure. *

False

The Generic name of a drug is used by any company to sell a drug after the original manufacturer's patent has expired. *

True

QMAPs do not need to know the side effects and adverse reactions of medications they give. As long as there is an appropriate physician order it is safe to administer the medication. *

False

What form of medication is a sustained time released capsule? *

Spansule

What form of medication is placed between the cheek and the gum? *

Buccal.

How long does it take for most sublingual tablets to dissolve? *

3-5 Minutes

Over-The-Counter medications do not require a written order to administer. *

False

What can happen if a QMAP intentionally fails to follow the standard of practice or Facility's policy? *

The QMAP may lose their job and be reported to the state.

What should a QMAP do first, immediately after a documentation error? *

Line through the error on the MAR, initial the line, document details on the back of the MAR and immediately notify the supervisor.

Which of the following are considered medication errors?

Medication administered late. Medication not administered because a client was out of the facility on a day trip. Administering over-the-counter medication without an order.

A QMAP created a new MAR by copying the previous month, including discontinued medications. Is this an error? *

Yes

How long does a Facility have to report a medication error to the appropriate regulatory agency? *

24 hours

Zach QMAP goes into his client's room to administer her AM medications. The client refuses two of the scheduled medications. Zach circles his initials on the MAR and documents on the back of the MAR that the client refused, and that he notified his supervisor. Is this situation considered a medication error? *

No

What should a QMAP do first, immediately after a medication error? *

The first thing a QMAP should do immediately after a medication error is circle their initials on the MAR, document details on the back of the MAR and immediately notify the supervisor.

What must be present for a QMAP to administer medication of any kind? *

A written medication order with all six components from a licensed provider.

What are the six necessary components of a medication order?

Medication Name

Physician or Provider Signature

Route

Date

Client Name

Dose

A blank in the MAR documentation indicates a medication error. *

true

Proper procedure is to mark out days where a medication won't be administered by placing an X in the correct box on the MAR. *

true

When making a new MAR at the beginning of the month, proper procedure is to copy from the previous month's MAR. *

False

It is acceptable to document all the medications you passed at once, after completing your rounds. *

False

The QMAP gives a PRN medication, and notes in the drug reference guide the onset is 30 minutes after administration. When should the QMAP go back to document the client's response to the medication? *

30-60 minutes after administration

A QMAP is writing out a new MAR for the month. They accidentally transcribe the fourteenth medication order incorrectly. What is the correct procedure? *

Line through the error, initial it, highlight the row in yellow, explain the error on the back of the MAR, and transcribe the order correctly on the next line.

QMAPs only need to document medications they administer. There is no need to document medications that are not administered as scheduled. *

False

You are about to administer PM medications to your client and you notice the Facility has run out of the medication. Is this a medication error, and what is the proper procedure? *

Yes, this is a medication error. The QMAP should circle their initials, document on the back of the MAR, and immediately notify their supervisor.

A QMAP goes into the medication room to prepare medications for a client. She sees the locked narcotic box out on the counter. What kind of error is this? *

This is a medication error since the narcotic box was not double locked!

When storing narcotics, it is acceptable to store them in a locked box inside an unlocked cabinet or unlocked refrigerator. *

False

What are acceptable alternatives when a locked central location is not available?

Acceptable alternatives when a locked central location is unavailable include a closed and locked file drawer in administrative area inaccessible to clients and a closed and locked drawer in the client's room.

A QMAP intentionally didn't wash their hands while preparing medications. Fortunately, no harm resulted, but the QMAP could still be reported to the State! *

true

If there is a designated medication refrigerator and the refrigerator is in a locked room then the medications do not need to be stored in locked containers. *

true

Non-prescription medications are not subject to the same standards of storage as prescription medications. *

False

When is it ok to store medications with cleaning materials such as sanitizing wipes? *

Never

What is the definition of an MRB? *

An MRB is a compartmentalized container designed to hold medications for distribution according to a time element such as morning and evening.

Place the steps below in the correct order to fill an MRB. *

Wash hands, sanitize workstation, consider wearing gloves.

Perform Three Comparisons - Checking Label against MAR and Orders

Using an organized system, transfer medications to the MRB. - Doing the three checks.

Count or estimate the number of pills remaining in the bottle.

Zach QMAP receives a new order to administer escitalopram 25mg qd in the AM. The client has an MRB for his medications. What is the correct procedure? *

Stop using the MRB, refill it using the new order, update and re-affix the label to the back of the MRB, then administer the medication.

A client administers Zolpidem 10mg, Trazodone 50mg, & Atorvastatin 20mg from her MRB every night at bedtime while the QMAP monitors. The MRB has a label with all necessary components. Which of these medications does the QMAP need to document on the MAR?

Trazodone

Atorvastatin

Zolpidem

Narcotics and controlled substances may be placed in an MRB. *

False

What must be on an MRB label?

Route of Administration

Medication Quantity

Medication Dosage

Time of Administration

Medication Name

Client Name

How many days worth of medications should remain in the container after filling an MRB before notifying the supervisor? *

10 days, or as insurance allows.

Which of the following medications should not be placed in an MRB?

Albuterol Inhaler

What is the maximum length of time in days that MRBs can be filled and used by a QMAP? *

14 days

You go to administer the HS medications from your client's MRB. You notice that the PM medications for today remain in the MRB. Is this a medication error, and what should you do? *

Yes, this is a medication error. The QMAP should immediately notify the supervisor and document the error on the back of the MAR..

Zach QMAP receives an order to start administering trazodone 50mg QD HS to his client. The client uses an MRB. After refilling the MRB with the new medication and updating the label, Zach QMAP discovers it is now too big to fit on the MRB. Can he still use the MRB to administer medications? *

In order for a QMAP to use an MRB the full label must fit on the back.

What is the single most important measure to prevent contamination and the spread of infection? *

Handwashing

According to the CDC, what do standard precautions include? *

Hand hygiene, use of personal protective equipment (PPE), safe injection practices, safe handling of potentially contaminated equipment or surfaces, respiratory hygiene and cough etiquette, safe management of blood and body fluids, safe management of waste.

When should medications be prepared? *

At the time of administration.

Place the options below into the correct order for when the three checks are performed. *

When you PULL the medication.

When you POUR or PREPARE the medication.

When you PUT AWAY the medication.

Place the options below into the correct order to administer medications. *

Perform the Three Checks

Bring medications to the client, or have the client come to administration area, ensuring privacy as needed.

Identify the client using a photograph on the chart and an open ended question.

Explain the procedure and allow for the Right to Refuse

Administer the Medications

Document on the MAR

What is the minimum number of times the QMAP should Check the medication label against the MAR and Medication Orders? *

Three times.

Under what circumstances can oral medications be mixed with food (like applesauce) or drink?

When there is a written order on the chart.

When the client requests or consents to mixing the medications with food or drink.

What should you do before and after giving oral medications? *

Offer a drink of water.