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A caregiver with training in insulin administration may
a. Perform oral suctioning on a stable diabetic
b. Administer insulin to a stable diabetic
c. Apply topical wound care medication to a stable diabetic
d. Note new insulin orders for a diabetic individual
b. Administer insulin to a stable diabetic
The _______________ is responsible for all certified staff in an Assisted Living Facility.
a. Manager/designee
b. Doctor
c. Resident's family
d. Board of Director
a. Manager/designee
Jose's doctor order reads lorazepam 1 mg every morning and at 4:00pm, and 3 mg every bedtime. At 8:00am you give lorazepam 4mg. The first step you should take is to
a. Do nothing. An extra 3 mg of medication will have little or no effect on him.
b. Change his other doses so the total dosage for the day remains the same.
c. Immediately call your facility manager/designee.
d. Fill out a medication error form.
c. Immediately call your facility manager/designee.
The factor most likely to contribute to a medication error happens when
a. Controlled substance are administered
b. Certified staff administer medications late in the evening
c. Certified staff are distracted
d. Side effects occur after beginning a new medication
c. Certified staff are distracted
A medication occurrence exists when
a. Two methods of identification are used to verify the right individual
b. The pharmacy label matches the medication sheet
c. The medication is given two hours after the scheduled time
d. Documentation is completed after the individual takes the medication
c. The medication is given two hours after the scheduled time
Some medications are controlled due to their
a. Strength
b. Therapeutic value
c. Expense
d. Potential for abuse
d. Potential for abuse
Narcotics are
a. Countable substances
b. Controlled clinicals
c. Controlled digoxin
d. Conducted Levaquin
a. Countable substances
When the manager is not in the facility, the keys to the
controlled substance cabinet should be with the
a. Person giving the medication
b. Manager/Designee on call
c. Individual resident
d. Pharmacist
a. Person giving the medication
Standard of universal precautions
a. Are used by all staff only for residents with infections
b. Are used by all staff when caring for all residents
c. Means wear gloves to give any type of personal care
d. Means wear gowns and masks to give care
b. Are used by all staff when caring for all residents
When is it necessary to wash your hands?
a. Before using the restroom
b. After administering medications to an individual
c. Between administering medications to the same individual
d. While signing out medications
b. After administering medications to an individual
The least restrictive alternative to a physical restraint is a
a. Self-releasing belt
b. Lap buddy
c. Geri chair
d. Side rail
a. Self-releasing belt
A resident refused to take the medication.
To document the refusal on the medication sheet,
you should
a. Darken the entire box for time and date
b. Write and then circle your initials in the box for time and date
c. Place a diagonal line through in the box for time and date
d. Write and then circle x in the box for time and date
b. Write and then circle your initials in the box for time and date
Documentation of fasting blood sugar and insulin administration results should be recorded
a. At the end of your shift
b. Immediately after each procedure
c. Immediately after the medication pass
d. At the same time for all your individuals
b. Immediately after each procedure
After giving Jim his medication, Mona writes her initials in the wrong box on the medication sheet. She should
a. "white out" the error and fill in the correct box
b. Draw a line through the error, initial it, and fill in the correct box
c. Fill in medication sheets in pencil in the future so errors can be erased
d. Nothing as long as the number of pills is correct
b. Draw a line through the error, initial it, and fill in the correct box
Issues that involve a conflict of values are called
a. Service plan issues
b. Legal issues
c. Ethical issues
d. Medical issues
c. Ethical issues
TPR refers to
a. Temperature, pulse, and respirations
b. Total patient responsibility
c. Time period of reference
d. The patient's right
a. Temperature, pulse, and respirations
One common trade name for a laxative is
a. Advair
b. Peri-Colace
c. Actonel
d. Dilaudid-HP
b. Peri-Colace
An individual with a history of depression refuses her regular scheduled medications. The appropriate action for certified staff is to
a. Contact the family to notify them of the refusal
b. Contact the manager or designee to report the refusal
c. Crush the medications and mix them in food to disguise them
d. Discard the medication and document the waste appropriately
b. Contact the manager or designee to report the refusal
Of the six rights of medication administration, which are the most important?
a. Right individual, right medication, right route
b. Right individual, right medication, right time
c. Right individual, right medication, right dose
d. They are all equally important
d. They are all equally important
When do you check the rights of medication administration
a. When you take the medication from the cabinet
b. When ordering the medications
c. When in another individual's room
d. During administration of medications
d. During administration of medications
After administering a steroid inhaler you should
a. Check the resident's blood pressure
b. Have the resident rinse their mouth
c. Check the weight of the resident
d. Have the resident rinse and swallow
b. Have the resident rinse their mouth
Mr. Jones is taking one Darvocet every 4 hrs as needed for elbow pain. He advises you he is having a headache and requests his Darvocet. You should check his vitals and
a. Give him one Darvocet
b. Report the symptoms
c. Give him two Darvocet
d. Call the doctor
b. Report the symptoms
To give medication safely, you must
a. Line everyone up in order before administering
b. Pre-pour medication before administering
c. Prepare medications for one person at a time
d. Call out the name of one person at a time
c. Prepare medications for one person at a time
The physician ordered erythromycin 250mg. The unit dose is 500mg per scored tablet. You should administer
a. No tablets
b. ¼ of a tablet
c. ½ a tablet
d. 2 tablets
c. ½ a tablet
After an individual receives nose drops, the individual should be instructed to
a. Slightly tilt his/her head back
b. Slightly tilt his/her head forward
c. Breathe deeply for a few minutes
d. Blow his/her nose after a few minutes
a. Slightly tilt his/her head back
The duration of action for insulin means
a. The time the individual to be active after taking insulin
b. How long the individual will be on insulin
c. The time period between doses of insulin
d. How long the effects of the insulin will last
d. How long the effects of the insulin will last
Which one of the following oral preparations is most rapidly absorbed
a. Enteric-coated tablets
b. Powders
c. Capsules
d. Liquids
d. Liquids
Magnesium based antacids can cause
a. Diarrhea
b. Constipation
c. Nausea
d. Vomiting
a. Diarrhea
The slowest form of medication absorption occurs when the medication is given
a. Subcutaneously
b. Intramuscularly
c. Orally
d. Intravenously
c. Orally
An individual might take Advil or Naprosyn for
a. Arthritis
b. Breast cancer
c. Vaginal infection
d. Emphysema
a. Arthritis