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MCT Final Exam, Academic Program, Academic Year 2026 – Study Guide and Practice Questions Six Rights of Medication Administration - ANS✔✔ -right person -right meds -right dose -right time -right route/method -right documentation/charting 5 safety principle - ANS✔✔ check for allergies wash hands never hide med error only use cup once only sign for what you gave 3 Way Check - ANS✔✔ must match: HCP order (PMOF) pharmacy label MAR How many times do we perform 3 way check before administering the med - ANS✔✔ 3 times :
- removing med out of med cabinet
- after removing but before pouring into cup
- after opening/prepare but before administering
4 basic rules for medication administration - ANS✔✔ 1. unlicensed person can adminster medication only after completing MTTP
- only the registered nurse may delegate the medication administration
- all medication must have a healhcare profession (HCP) order or PMOF and pharmacy label
- all over the counter meds must have PMOF and prescription label 8 components of the medication administration cycle - ANS✔✔ 1. obsserve changes
- report chages/ observation (report nurse)
- assist w. HCP visit
- medication is obtain
- med is store correctly
- med adminsiter correctly
- med = ensure its taken
- med = documented promptly/correctly what are reasons that med are used in relation to diseases and illness - ANS✔✔ to cure to prevent to reduce/relieve to manage ( mostly this ) what types of thing can we do to ensure personal rights/privacy/dignity - ANS✔✔ address indidvidual by name dont hang signs on the wall with thier names/info offer privcy have right to refuse med
physcial change - ANS✔✔ bowel habits urinary patten appetite change in walking actviti of dailiy living weight gain/loss behavioral change - ANS✔✔ nonverbal cues ex: pacing, irritable, hitting, yelling somatic med - ANS✔✔ at least yearly psychiatric/behavior modifying med - ANS✔✔ 90 days schedule II/controlled substances reordered - ANS✔✔ 30 days three categories that must be reported - ANS✔✔ emergency medical condition (call 911/rn/supercvisor) non emergency (call nurse/supervisor) other physical or behavioral changes some doucments you have to take on any med appt - ANS✔✔ - medical appt record -photo ID
- insurance card HCP/PMOF/Doctor's order labs/test results
refill - ANS✔✔ number of times the med can be resupplied by pharmacy w.o a reorder reorder - ANS✔✔ order must be signed by HCP HCP provide some samples of med for individual, what needs to be obtain from HCP: - ANS✔✔ HCP order/pmof label for sample med 3 things important to remebr baout pharmacy - ANS✔✔ - all med should come from same pharmacy -a pharmacist = valuable memebr of the team -pharmacist is an excellent resource for info about drug/drug and drug/food interactions /side effects most common routes of med adminsitration : - ANS✔✔ oral /topical forms of med - ANS✔✔ tablets, capsules, liquid, ointment, suppository patches MAR - ANS✔✔ medication administration record times when its necessary to dispose/not admisntier med - ANS✔✔ - expired -contaminated -discontinued -refused *only nurse cna dispose of controlled substance
side effect of siezure meds - ANS✔✔ -drowsiness -sedation -lack of coorditnation, unsteady, gait, trmeor, dizziness -nasuea vomitting -incease in siezure activity how do we measure to see if an indiviudal's med is in the therapeatic raange
- ANS✔✔ monitor blood levels what are some reason why an increase in seizures coudl occur? - ANS✔✔ med level too low drug interaction illness/med problem *could be combo of all these DDA's basic rule for over the counter med - ANS✔✔ must have a pmof/pharmacy label how often do over the counters need to be reordered? - ANS✔✔ at least yearly for somatic can non medicated otc be used without an HCP order - ANS✔✔ yes, but msut be recommened by the RN, CM, DN and have written instructions in the nursing care plan example of non medicated over the counter with nurse reccomenedation - ANS✔✔ lotion, mouthwash, sunscreen, shampoo, chapstick
should over the counter PRN med be stored with routine med? - ANS✔✔ no , be store in locked cabinet some things CMTs shoudl be aware of concering OTCs - ANS✔✔ inactive/active ingredients side effcts usage/indivations storage info 3 teaspoon equals - ANS✔✔ 1 tablespoon Ac means to give meds - ANS✔✔ Before meals Pc means to give medication - ANS✔✔ After meals bid means to give - ANS✔✔ 2 times a day Tid means to give - ANS✔✔ 3 times a day hs or qhs means to give meds - ANS✔✔ At hour of sleep bedtime (hr before sleep ) Sublingual means to give med - ANS✔✔ Under the tongue PRN means to give - ANS✔✔ As needed when necessary Qday means to give meds - ANS✔✔ 1 time a day (everyday)
