Assisted Living Medication Training Exam Newest Questions and Answers (Verified Answers), Exams of Training and Development

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Assisted Living Medication Training Exam

Newest Questions and Answers (Verified Answers)

1. A resident may store & consume her/his own medications if: A. the resident doesn't have a diagnosis of dementia B. the family signs a statement which is maintained in the resident's chart C. never D. there is written physician approval Ans: D. there is written physician approval
2. A resident has diabetes. Which of the following sets of systems should the caregiver expect to be associated with this condition? A. low blood pressure, low body temperature, low pulse B. excessive thirst, excessive hunger, excessive urination C. slow heart rate, intolerance to cold, fatigue D. excessive perspiration, rapid heartbeat, bulging eyes Ans: B. excessive thirst, excessive hunger, excessive urination

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3. which of the following reduces risk of a medication error? A. transcribing information incorrectly onto the MAR B. checking the medication label with the MAR C. relying on your expertise & experience in remembering the medications your resident takes D. borrowing medications from a resident to give to another resident Ans: B. check- ing the medication label with the MAR
4. Orthostatic hypertension, confusion, drowsiness & nausea are all examples of A. adverse drug reactions B. medication synergistic effects C. medication use D. benefits of taking medications Ans Ans: A. adverse drug reactions
5. which statement best describes your responsibility as a med aide? A. med aides are only responsible for giving medications B. med aides are responsible for ensuring medications are not left unattended C. med aides are responsible for ensuring medications & supplies are avail- able

3 / 13 D. med aide are responsible for monitoring the resident for change in status Ans: C. med aides are responsible for ensuring medications & supplies are available

6. PRN medications may:

4 / 13 A. never be used in an assisted living community B. only be administered by physician C. be used under special guidelines specified by state regulations D. only be given after a registered nurse has given the first dose Ans: C. be used under special guidelines specified by state regulations

7. a routine medication is given: A. as requested by the resident B. on a regular scheduled basis C. only by a registered nurse D. without worrying about proper techniques Ans: B. on a regular scheduled basis
8. injections may: A. never be used in an assisted living community B. only be administered by physician C. be used under special guidelines specified by state regulations D. only be given after a registered nurse has given the first dose Ans: C. be used under special guidelines specified by state regulations
9. a resident may refuse medication:

5 / 13 A. unless she has dementia & doesn't know what medications to take B. only with permission of the family C. anytime D. only when the medication is PRN Ans: C. anytime

10. what must be included when documenting the use of a PRN medication? A. the time the medication was given B. the dose of medication given C. the residents response to the medication D. all of the above Ans: D. all of the above
11. If a resident refuses a medication, what should you write on the MAR? A. just initial it as you normally would in blue or black ink B. circle your initials, then explain on the back of the MAR C. leave the space blank & circle it D. have a co-worker double-sign that the resident refused Ans: B. circle your initials, then explain on the back of the MAR
12. your resident, mrs. jones is taking hydrochlorothiadzide 25 mg. this is important medication for the treatment of her blood pressure. you ran out of

6 / 13 his medication because the family didn't drop off the prescription yesterday. you don't have any to give this morning. you should: A. call he son & tell him he's not taking proper care of his mom's refills B. notify the resident's physician C. give her an extra dose of her other blood pressure medication D. borrow a dose from another resident who takes the same medication Ans: B. notify the resident's physician

13. you received a stat order at 2:00 pm for an antibiotic. you should: A. fax the order immediately to the pharmacy B. notify the next shift that there is an expected med delivery C. call the pharmacy to be sure the order was received D. all the above Ans: D. all the above
14. mr. fritz' new order reads: " Atenolol 25 mg by mouth every morning." you have on hand his original Atenolol which is 12.5mg. how many tablets will you give to match his new order? A. 2 tablets B. one half tablet C. 3 tablets D. 1 tablet Ans

7 / 13 Ans: A. 2 tablets

15. they physician has ordered "ibuprofen 200mg, give 2050 mg every night at bed time." the tablets you have on hand are 200mg. what is your best action with this order? A. carefully cut one tablet in half and in half again using a pill cutter. then give the quarter tablet along with 10 tablets to equal the correct dose B. ask your supervisor to cut the tablet in half and in half again, as she has more experience and then give the 10 tablets to equal the dose C. refuse to give the medication, since you cannot cut coated un-scored tablets D. contact the doctor to verify the dose as this is a high dose Ans: D. contact the doctor to verify the dose as this is a high dose
16. when preparing a resident's medication, how many times should you check the label? A. 1 time B. 3 times

8 / 13 C. 2 times D. 6 times Ans: B. 3 times

17. if a resident refuses his medication it is best to: A. gently force the resident's mouth open using a gloved hand B. don't bother to give the medication, as it will only upset him more C. try to determine the reason the resident does not want to take the medica- tion D. ask the family why they think the resident does not want to take the medication Ans: C. try to determine the reason the resident does not want to take medication
18. if you make a medication error what should you do? A. do not panic B. immediately report the error to your supervisor C. make sure the physician is contacted and orders are followed D. All the above Ans: D. All of the above
19. which of the following is not one of the 5 rights of giving medications? A. right name B. right time

9 / 13 C. right color D. right dose Ans: C. right color

20. when may an expired medication may be given? A. if it is expired less than 7 days B. if it is over the counter medication C. if the resident says it is okay D. an expired medication may never be given Ans: D. an expired medication may never be given
21. which of the following is NOT one of the five rights of medication assis- tance? A. right resident B. right room C. right dose D. right time Ans: B. right room
22. when giving eye drops:

10 / 13 A. hold the medication dropper 8 - 10 inches above the eye B. hold the dropper above the conjuctival sac C. gently rest the dropper on the eye, so no medication is missed D. hold the dropper above the upper eye lid Ans: B. hold the dropper above the conjuctival sac

23. a PRN medication is given to the resident: A. as needed, according to physician orders B. every morning and evening C. every other day D. whenever the resident wants it Ans Ans: A. as needed, according to physician orders
24. the six (6) rights of medication administration are: A. the right: resident, drug, response, time dose and documentation B. the right: medication, drug, dose, time, documentation and resident C. the right: resident, drug, dose, time, route and documentation D. the right: resident, generic name, strength, quantity, method, and tech- niques Ans: C. the right: resident, drug, dose, time, route and documentation
25. the sequence for assisting with inhalers is: A. breathes in, presses inhaler, holds, and breathes out

11 / 13 B. breathes out, presses inhaler as he is breathing in, holds, and breathes out C. presses inhaler, breathes in, and breathes out D. breathes out, holds, presses inhaler, holds, and breathes in Ans: B.breathes out, presses inhaler as he is breathing in, holds, and breathes out

26. when is it permissible to leave a medication cup with a resident and walk away? A. it is never ok to leave a medication cup with a resident B. if the resident agrees to take the medication within a half an hour C. if the resident's family is present D. if the resident has a private room Ans Ans: A. it is never ok to leave a medication cup with a resident
27. when preparing to administer medications: A. only pour one resident's medication at a time B. check the six rights three times C. verify the label with the MAR three times D. all the above Ans: D. all the above

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28. BID is a common abbreviation for: A. once a day B. twice a day C. three times a day D. at bed time Ans: B. twice a day
29. before assisting a resident with medication you must A. have a physician order B. conduct a service planning meeting C. perform a head to toe assessment D. get permission from the nurse Ans Ans: A. have a physician order
30. it is important to wear gloves when assisting with topical medications: A. because it reassures residents that it is a clean procedure B. because you could absorb the medication you are handling if it touched your skin C. because gloves are worn at all times when working with medications D. because topical medication administration is a sterile procedure Ans: B. because you could absorb the medication you are handling if it touched your skin

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31. when a medication is discontinued it must be destroyed or returned to the pharmacy, depending upon your facility protocol. what statement best describes destruction? A. one staff member may complete the destruction, as long as he or she is trained medication aide B. two staff members must witness and document the destruction C. medications are expensive and if the family wants to take medication, it is permissible, as long as you document the amount of discontinued medication the family is picking up D. destruction must be done by a physician Ans: B. two staff members must witness and document the destruction
32. when assisting the medications, the main reason you do not leave the medication unattended is because: A. it could cause the resident to become agitated B. the medications could get dirty C. the resident may not take the medication D. medications are expensive Ans: C. the resident may not take the medication

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33. which of the following may be an example of an adverse drug reaction? A. fatigue B. confusion C. dizziness D. all of the above Ans: D. all of the above
34. OTC is an abbreviation for: A. an urgent drug order B. on the coumadin C. over the counter D. out of treatment category Ans: C. over the counter
35. the abbreviation for teaspoon is: A. TBS B.gm C. tsp D. ml Ans: C. tsp
36. an order is written for metoclopramide 10mg three times a day. the solution of metoclopramide on hand is 5mg/ml. how many milliliters per dose should the resident receive?

15 / 13 A. 5 ml B. 10ml C. 15ml D. 20ml Ans: B. 10ml

37. you have received an order for a liquid medication, but you are not sure how much to give to equal the number of mg ordered. your supervisor is not in the building. what would you do? A. do your very best to calculate and err on the side of giving too little rather than too much B. hold order until tomorrow and there is appropriate supervision C. call the pharmacy and ask for the assistance from a pharmacist D. go to online and search for the answer Ans: C. call the pharmacy and ask for the assistance from a pharmacist
38. the physician has ordered a liquid medication for your resident. when measuring the medication it is best to use:

16 / 13 A. a plastic medication cup with graduated measurements B. a tablespoon from a kitchen, since the resident is most familiar with this C. an eye dropper D. a measuring cup from the kitchen Ans Ans: A. a plastic medication cup with graduated measurements

39. when assisting a resident to apply a transdermal patch, you should: A. use glue to hold it in place B. remove the old patch first C. pierce the underside of the patch to be sure the medication is delivered to the skin D. cleanse the area where the patch will be applies with betadine first to prevent an infection Ans: B. remove the old patch first
40. when working as a med aide you must: A. follow state regulations B. follow your facility systems for documentation C. follow instructions from your supervisor D. all of the above Ans: D. all of the above
41. unless otherwise indicated by the health care prescriber, medications may be given:

17 / 13 A. between 1 hour before to one hour after the scheduled time B. only at the exact time and sate that is written on the MAR. withing two hours before or after the scheduled time that is written on the MAR D. whenever you feel like giving them and how it works out in the medication administration schedule. Ans Ans: A. between 1 hour before to one hour after the sched- uled time

42. having more than one resident's medications out at a time for pouring: A. is not safe and must never be done B. may be done as long as you are following a neat orderly system C. helps ensure efficiency and that all meds are given on time D. is OK if there is another med aid working with you Ans Ans: A. is not safe and must never be done
43. it is best to use what type of pen when writing on the MAR: A. permanent marker B. red pen

18 / 13 C. black pen D. felt-tip marker Ans: C. black pen

44. the medication label and the MAR are compared: A. when moving the medication from the storage area B. when pouring medication C. when returning the medication to the storage area D. All the above Ans: D. all the above
45. a resident suffers from a chronic obstructive pulmonary disorder (COPD). which of the following can the CG expect as a result of this? A. the CG can expect to adjust the resident's oxygen level periodically B. the CG can expect that the resident will be anxious about not being able to breathe C. the CG can expect that with proper treatment, the resident's COPD will be reversed D. the CG can expect that the resident's ability to walk will decline Ans: B. the CG can expect that the resident will be anxious about not being able to breathe
46. if you have an uneasy feeling about the medications you are about to give a resident, it is best to:

19 / 13 A. give it anyway, you are experiencing something called "new med aide jitters" B. consult with your supervisor C. ask the resident if the meds seem correct D. call the resident's family Ans: B. consult with your supervisor

47. at the start of your shift you walk into a room of a resident that self-admin- isters their medication and find a med cup filled with pill on the night stand what do you do next? A. remind them to take it B. remove the pills from he room and report to your supervisor C. throw it in trash D. do nothing because they self administer Ans: B. remove the pills from he room and report to your supervisor
48. when opening a new vial of insulin the first thing you do is to... A. roll it gently in your hands B. put it in the refrigerator

10 / 13 C. write the date on the label D. return it to the pharmacy Ans: C. write the date on the label

49. insulin is best absorbed when injected into A. the thigh B. the arm C. the neck D. the abdomen 2 inches from the belly button Ans: D. the abdomen 2 inches from the belly button
50. type 1 diabetes is an A. autoimmune disease B. old people's disease C. imaginary name D. identical disease to type 2 diabetes:
51. which of the following observations about restorative care should be reported to the manager? a. whether family is visiting b. how much tv the resident watches c. whether the resident uses the call light more than twice a day d. signs of depression Ans: D. signs of depression
52. which of the following statements is true of a caregiver role in restorative

10 / 13 care? a. if a resident takes too long in doing a task himself, the CG should do it for him b. the CG should combine short steps into a longer list to keep the resident motivated c. the CG should recognize that set backs occur & reassure the resident d. the CG should let the resident know when he is not making progress as quickly as the CG expected Ans: C. the CG should recognize that set backs occur & reassure the resident

53. regular activity and exercise help improve a. interaction between the resident & his roommate b. the resident's spiritual fulfillment c. the resident's family's opinion of the facility d. the quality and health of the skin Ans: D. the quality and health of the skin

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54. where should the CG be when helping a visually-impaired resident walk?- : the CG should be beside & slightly in front of the resident
55. when a resident can walk, he or she is:: ambulating
56. abduction is:: moving a body part away from the midline of the body
57. bending a body part is called:: flexion
58. passive range of motion exercises are done:: when a resident cannot move on her own
59. which of the following terms refers to the type of ROM exercises that a resident does on his won, without any help from the CG Ans>> active range of motion (AROM) exercise
60. immobile residents should be re-positioned every hours Ans>> two
61. which of the following is an example of a prosthesis Ans>> an artificial eye to replace an eye that has been lost
62. which of the following is a guideline for assisting with bladder or bowel retraining Ans>> CGs should encourage residents to drink plenty of fluids
63. which of the following body parts is included in passive range of motion (PROM) exercises Ans>> finger
64. how many times should each range of motion exercise be performed for each body part Ans>> at least three times
65. which of the following canes has four rubber-tipped feet: quad cane

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66. how should a resident use a cane to aid ambulation Ans>> place the cane about 6 inches in front of his stronger leg
67. what should a CG do if a resident's walker seems to short for the resident to use properly Ans>> the CG should inform the manager
68. which of the following should a caregiver do if a resident is confused Ans>> stay calm & provide a quiet environment
69. confusion may be caused by: UTI urinary tract infection
70. the ability to think logically and clearly is called: cognition
71. which of the following statements is true of Alzheimer's disease (AD) Ans>> - skills a person has used over a lifetime are usually kept longer
72. when a resident with AD is frightened, the CG should: check her body language to make sure she is not tense or hurried
73. when a resident with AD shows memory loss, the CG should: repeat herself using the same words
74. if a resident with AD has lost most of verbal skills, the CG should: use touch smiles, and laughter
75. if a resident with AD is incontinent, the caregiver should: mark the bathroom with a sign or picture

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76. if a resident with AD has problems with bathing, the CG should: schedule the bathing when the resident is least agitated
77. one way for a caregiver to help a resident with AD with eating is to: use dishes without pattern and a simple place setting
78. if a resident with AD has problems with dressing, the CG should: lay out clothes in the order they should be put on
79. a helpful way for a CG to respond to hallucinations is to: reassure a resident who is upset or worried
80. *a caregiver can respond to sun downing by: setting a bedtime routine and keeping it
81. when a schedule with AD perseverates, the caregiver should: answer the questions each time they are asked
82. if a resident with AD shoes violent behavior, the caregiver should: remove triggers
83. when a resident with AD cannot understand basic instructions, it's a good idea to use: short words, pictures and gestures
84. which of the following would be the best way for a CG to respond to inappropriate sexual behavior: take the resident to a private area
85. when a resident with AD pillages and hoards, the CG should: provide a rummage drawer
86. when is usually reality orientation a good idea for residents with AD Ans>> early stages of AD
87. which of the following statements is true of using validation therapy Ans>> a CG makes no attempt to reorient the resident to actual circumstances

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88. which of the following is a type of therapy that involves having residents with Alzheimer's disease and talk about the past: reminiscence therapy
89. infection prevention is: a set of methods used to prevent from traveling from one part of the body to another
90. what happens if one of the links in the chain of infection is broken Ans>> the spread of disease is stopped
91. a CG will come into contact with microorganisms: every time the CG touches something
92. which of the following is a considered a mucous membrane Ans>> lining of the mouth
93. transmission of pathogens can occur through contact, which results from touching the infected person or his secretions: direct
94. under standard precautions, body fluids include: urine
95. standard precautions means: treating all blood, body fluids & mucous mem- branes as if they were infected