Medication Administration Practices, Exams of Nursing

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MEDICATION AIDE FINAL EXAM 2025

QUESTIONS AND DETAILED CORRECT

ANSWERS (VERIFIED ANSWERS) | A+

GRADE

A fellow Medication Aide going on break hands you a crushed pill and asks you to administer it to a resident. What of the following responses is required from you as a MA? A. To give the medication right away B. To ask your fellow medication Aide what the medication is and to administer it if it is the correct medication C. To politely refuse to do the other Medication Aides work and to let him or her give the medication when he or she returns from break D. To refuse to give the medication because it cannot be properly identified. Correct Answer D. To refuse to give the medication because it cannot be properly identified. An MA reviews the Medication Administration Record and notices that an error has occurred. A resident was given the wrong medication. The MA's first action should be to what? A. Inform the resident B. Call a lawyer C. Inform the nurse or supervisor D. Call the physician Correct Answer C

Many medications have side effects. Which of the following is a side effect that the Medication Aide should watch for when giving an antidysrhythmic medication? A. Increased energy B. Fatigue C. Low heart rate D. High Blood Pressure Correct Answer C One important way to note if a resident's behavior is different from the norm is by doing what? A. Asking the resident whether this behavior is usual for him of her B. Being familiar with the resident's normal behavior C. Asking the supervisor about each residents normal behavior D. Checking with the CNA who cared for the resident last week Correct Answer `B Match the following terms with the correct definitions: A. Drug diversion 1. A topical medication that is semisolid and has an oily base B. Homeostasis 2. The body in a steady state C. Ointment 3. Taking a residents drug for an MA's own use D. Siezure 4. Another name for a convulsion Correct Answer A: 3 B: 2 C:1 D: Match the following abbreviations with their corresponding terms: A. MAR 1. Metered dose inhaler

B. PO 2. By mouth C. MDI 3. Congestive heart failure D. CHF 4. Medication Administration Record Correct Answer A:4 B:2 C:1 D: Dosages are calculated by weight for which group of patients? A. Small adults B. Very large adults C. Children D. The elderly Correct Answer C A medication is given for anxiety but causes the resident to become more anxious; this is called a(n) _____________ effect? A. Idiosyncratic B. Paradoxical C. Antagonist D. Agonist Correct Answer B A couple of antipsychotic medications are known to have causes of muscle pain and muscle breakdown. This type of drug reaction is known as what? A. Idiosyncratic B. Paradoxical C. Antagonist D. Agonist Correct Answer A When the drug naloxone is administered to block the effect of an opioid narcotic, the drug action is known as which type?

A. Idiosyncratic B. Antagonist C. Agonist D. Pradoxical Correct Answer B Requip is a medication used to decrease restless leg syndrome and as a treatment for Parkinsonism by mimicking dopamine in the brain. What type of drug is Requip? A. Idiosyncratic B. Antagonist C. Agonist D. Paradoxical Correct Answer C Levothyoxine (Synthroid) should be administered early in the morning, on an empty stomach, and the resident: A. will need to wait 3 to 4 hours before eating or drinking anything B. Should not eat for at least 1 hour but may drink soda or milk C. Should wait 15 minutes before eating D. Should wait at least 30 minutes before drinking or eating Correct Answer D All medication orders must be complete and written in a specific format. This format includes all the following except for what? A. Patients name B. Name of the drug C. Pharmacists signature D. Dose

E. Route of administration F. Time frequency for the medication to be given G. Signature of the healthcare provider who wrote the medication prescription Correct Answer C. Pharmacist signature "Give ibuprofen for pain every 6 hours as needed." What component of this physician order is missing? A. The route B. The dose C. The frequency D. The condition Correct Answer B. The dose Place the preparation steps for medication administration in correct order. A. Wash hands B. Read order on Medication Administration Record C. Check label on prepackaged medication as it is removed from the drawer D. Gather Medication Administration Record E. Check the label again and compare to Medication Administration Record. F. Gather equipment G. Detach correct prepacked dose from cart or bottle and place in a medicine cup H. Check the label a third time after remaining prepackaged medication is returned to the drawer Correct Answer A, F, D, B, C, E, H, G

The medication Aide is preparing to administer morning medications to residents. What is one important safety rule? A. Never leave an unattended cart unlocked B. Always make sure that all medications are out of sight of other residents C. Provide liquid to swallow medications D. Check to make sure that the medication carts have charts available to make corrections as needed Correct Answer A Storing medications is an important responsibility for the medication aide. Which of the following actions demonstrates the correct storing of a medication? A.Medications with similar names are stored close together. B. Mr and Mrs Jones medications are in the same medication bin C. All medications are stored in their own packaged containers D. Once medications are opened, they are all kept in the cart, regardless of the directions on the packaging. Correct Answer C The MA is about to administer a medication, but the resident requests that the MA leave the medication on the counter for him or her to take later. What is the correct course of action for the MA? A. Leave the medication as requested by the resident B. Advise the nurse or supervisor that the resident refused to take the medicaiton

C. Inform the resident that it is against institutional policy to leave the medication, and instruct the resident to call when he or she is ready to take the medication D. Call the doctor and inform him or her that the resident is refusing to take the prescribed medication. Correct Answer C A medication aide (MA) is not usually allowed to administer a drug If it is the first time a resident takes it If the drug is for a heart condition If the drug is for a chronic illness If a doctor has not provided written approval for the medication aide to do so Correct Answer If it is the first time a resident takes it Which of the following is an example of drug- disease interaction? A person with hypertension has elevated blood pressure after taking an OTC cold medication. A person with depression has a change in mood after starting a new medication. A person who has been taking a medication for a long time finds that it is less effective. A person who takes medication for hypertension sometimes has a low blood pressure measurement. Correct Answer A person with hypertension has elevated blood pressure after taking an OTC cold medication.

A nebulizer or inhaler does this to a drug so that it may be inhaled and reach the lungs: Aerosolizes it Dissolves it Concentrates it Injects it Correct Answer Aerosolizes it Not shaking a liquid medication that requires shaking is an example of Diversion Physical Abuse Negligence Fraud Correct Answer Negligence Which of these is a topical medication? A powder that is stirred into liquid and swallowed A liquid that is emptied into a machine and made into a mist to be inhaled A fine spray that is administered through the nostrils An ointment that is applied to the skin Correct Answer An ointment that is applied to the skin If a resident's MAR indicates that the pulse rate should be counted before administering a medication, how often does the MA need to count and document the resident's pulse rate? Every time that medication is administered

Once a day, when the medication is first administered When the resident looks tired or seems unresponsive When the resident looks anxious or hyperactive Correct Answer Every time that medication is administered Which of the following is an example of respecting a resident's right to participate in her own care? Making sure the resident takes every medication on the MAR no matter what Respecting the resident's right to refuse a medication Giving a resident privacy when she has visitors Promptly reporting any medication errors Correct Answer Respecting the resident's right to refuse a medication The therapeutic dose of a medication is high enough to be ___________ and low enough to avoid _____________. Toxic; effectiveness Effective; toxicity Tolerated, side effects Administered, anaphylaxis Correct Answer Effective; toxicity Why should healthcare workers not put a zero (0) after a decimal when writing whole numbers? Because it saves time to skip writing the zero Because it takes up less room on residents' charts Because it is an inaccurate way to write numbers

Because it could cause a number to be read incorrectly Correct Answer Because it could cause a number to be read incorrectly Which of these factors seriously affects the way a drug is used in the body? Whether it is a generic or name brand drug The age of the person taking the drug The eye color of the person taking the drug How long a person remains seated after taking the drug Correct Answer The age of the person taking the drug A type of liquid medication that contains drug particles that are not completely dissolved is a Syrup Elixir Solution Suspension Correct Answer Suspension Which of the following medications may be very dangerous if discarded incorrectly? Fentanyl patch Lansoprazole tablets Scopolamine patch Hydrocortisone suppository Correct Answer Fentanyl patch

Which of the following foods is known to cause interactions with many different drugs? Potato chips Chicken Grapefruit Avocado Correct Answer Grapefruit A drug's indication is the ___________ it is taken. Route by which Time Reason Number of days Correct Answer Reason What needs to be documented when a PRN medication is administered? The MA's assessment of the resident The reason the medication is being administered and who assessed the resident/ authorized administration The length of time since the medication was last administered The date and time of administration only Correct Answer The reason the medication is being administered and who assessed the resident/ authorized administration Which of these could be an example of nonverbal communication of medication refusal?

The resident sighs when an MA brings in her morning medications. The resident uses a communication board to spell out the word "No." The resident accidentally drops the souffle cup when the medication aide hands it to her. The resident shakes her head and refuses to take the souffle cup when the medication aide tries to hand it to her. Correct Answer The resident shakes her head and refuses to take the souffle cup when the medication aide tries to hand it to her. With whom can a medication aide share information about a resident's medications? With the resident's son or daughter, whether or not the resident approves With anyone who works in a healthcare setting With the resident and members of the care team With any trusted perso Correct Answer With the resident and members of the care team Which of the following medications requires careful counting and entry in a special log? Acetaminophen Hydrocodone Lisinopril Warfarin Correct Answer Hydrocodone

What does it mean for a nurse to delegate the task of medication administration? The nurse is trusting the medication aide to assess when a resident needs a medication. The nurse is transferring responsibility to the medication aide to perform the specific task of administering a drug according to instructions in the MAR. The nurse is allowing the medication aide to plan administration of a drug with the resident's doctor. The nurse is allowing the resident to tell the medication aide directly what drugs she needs and when. Correct Answer The nurse is transferring responsibility to the medication aide to perform the specific task of administering a drug according to instructions in the MAR. Which of the following is allowed for a medication aide? Receiving medication orders by phone Assessing a resident's need for a PRN medication Administering an established oral medication Calculating a medication dose based on a resident's weigh Correct Answer Administering an established oral medication Objective information is based on ___________ and subjective information is based on ___________. Observed facts; reported experiences Reported experiences; observed facts Opinions; data

Measurements; research Correct Answer Observed facts; reported experiences Which of these are always listed in the "rights" of medication administration? Right resident, right medication, and right route Right resident, right medication, and right practitioner Right resident, right medication, and right facility Right resident, right time, and right attitude Correct Answer Right resident, right medication, and right route When an MA is administering a medication, he has never administered before, what should he do? Tell a nurse he cannot administer it because he is not familiar with it Learn more about it using a trusted reference source Ask the resident why the medication was prescribed Ask another medication aide to tell him about it Correct Answer Learn more about it using a trusted reference source What is the purpose of reporting all medication errors, even if there is no harm to a resident? It allows the person who made the error to be punished appropriately. It alerts the residents and their families that the facility is not safe. It can help improve processes and increase safety.

It is city law in all American cities. Correct Answer It can help improve processes and increase safety. Which system is the standard system for measurement in healthcare? Household Apothecaries' Standard Metric Correct Answer Metric All the following are types of oral medication except for what? A. Powders B. Lotions C. Syrups D. Coated Tablets Correct Answer B. Lotions All the following are topical medications except which of the following? A. Ointments B. Foams C. Gels D. Syrups Correct Answer D. When a medication is ordered to be given sublingually, it is given how? A. By mouth B. Placed in the cheek C. Placed under the tongue

D. Instilled in the nasal cavity Correct Answer C When a medication is ordered to be given in the buccal cavity, it is given how? A. by mouth b. placed in the cheek pocket c. placed under the tongue D. instilled in the nasal cavity Correct Answer b. When a medication is ordered to be given PO, it is given how? A. by mouth B. placed in the cheek C. Placed under the tongue D. instilled in the nasal cavity Correct Answer A When patients are taking metronidazole (Flagyl), they should avoid which of the following? A. Fatty foods B. Sweetened beverages C. Alcohol beverages D. Salty foods Correct Answer C A common medication for thyroid problems levothyroxine (Synthroid). Which of the following adverse effects can this medication cause? A. Fast heart rate B. Slow heart rate C. Low blood pressure D. High Blood Pressure Correct Answer A

The most common side effect of the diabetic drug metformin is what? A. Low blood sugar B. Diarrhea C. Sleepiness D. Change in PH Correct Answer B What medication is often prescribed for a patient who has depressive disorder symptoms? A. Amitriptyline B. Promethazine C. Proprandol D. Rifampin Correct Answer A Which of the following are used to classify medications? A. Actions or indications B. Side effects C. Contraindications D. Interactions Correct Answer A Antibiotics need to be given on time for all the following reasons except for what? A. To maintain the blood level B. To keep the infection from coming back C. To prevent the overgrowth of another infection D. To cause the infection to go away quickly Correct Answer C Which of the following is the action of an antiviral? A. Prevents the virus from making more virus B. Kills the virus

C. Subdues the virus so that the body's own defenses can take care of it D. Increases killer T cells to destroy the virus Correct Answer A Diuretics are ordered first for high blood pressure for all the following reasons except which one? A. They have the fewest side effects B. They work the best C. They work the most quickly D. They decrease urination Correct Answer D Diuretics are medications that are primarily prescribed for a patient who has which of the following conditions? A. Swelling of the feet and ankles B. low sodium levels in the blood C. Low blood pressure D. Feelings of light-headedness upon standing Correct Answer A True or False: Residents have the right to refuse to take medications. Correct Answer True Which of the following may cause a medication error? A. Giving a resident their pain medication as requested B. Following the "rights" of medication administration C. Being familiar with the medications D. Talking with colleagues while administering medications Correct Answer D

Why is it important for you as a Medication Aide to introduce yourself to the residents? A. For residents to know who is in charge B. To build relationships with the residents C. For the residents to be able to call you if needed D. To adhere to proper etiquette Correct Answer B. To build relationships with the residents You are asked by the Certified Nursing Assistant (CNA) to give a resident his pain medication. You know your responsibility as the Medication Aide is to see that this request is followed up by asking for further clarification from whom? A. The resident B. Anther CNA C. The manager D. The residents roommate Correct Answer A. The resident The MA may appropriately complete which of the following actions? A. Administering Medication B. Ordering Medications C. Assessment of the resident's condition D. Evaluating the effectiveness of medications Correct Answer A. Administering Medication The Medication Aide is responsible for administering what? A. Only the medications learned in school B. Medications under the direct supervision of a nurse

C. Medications by all routes D. Expired Medications Correct Answer B. Medications under the direct supervision of a nurse Before giving a medication, the label is checked for all the following except what? A. Dosage B. Expiration Date C. Name D. Cost Correct Answer D. Cost There are six "rights" of medication administration. They include all of the following except for what? A. Right Dose B. Right Medication C. Right Patient D. Right Place E. Right Time Correct Answer D. Right Place Metoclopramide (Reglan) is given when? A. 1 hour before meals B. 30 minutes before meals C. 1 hour before meals and at bedtime D. 30 minutes before meals and at bedtime Correct Answer D A resident is prescribed a new antihypertensive medication know as a beta-blocker. After three days on the medication, the residents heart rate is 54 and he complains of wheezing. Which of the following is the best

action for the MA to take regarding medication administration of the beta-blocker? A. Wait until bedtime to give the next dose B. Hold the next dose and report it to the nurse C. Give the medication and report to the nurse D. Call the physician and report the residents response. Correct Answer B Which of the following is not a side effect of phenytoin (Dilantin)? A. Confusion B. Hyperactivity C. Sleepiness D. Rash Correct Answer C The reaction to antihyperglycemic medication that causes a person to shake and feel nervous is known as what? A. Hyperglycemia B. Hypothyroidism C. Hypoglycemia D. Hyperthyroidism Correct Answer C Which of the following actions could lead to a battery charge? A. A resident asks you to stop a procedure. You inform him or her that you have been instructed by his or her physician to complete the procedure. You complete the procedure over the objections of the resident. B. You explain a procedure to a resident and do the procedure after asking permission

C. You stop a procedure when asked to do so by the resident D. At his or her request, you give medication to calm the resident so the procedure can be performed. Correct Answer A An MA can be charged with negligence when he or she administers the correct: A. Medication B. Medication to the right person C. Medication to the right person in the wrong way D. Medication to the right person in the right way Correct Answer C A nursing assistive personnel such as a MA-C or CNA: A. is a licensed nurse B. may practice in the same way as a nurse C. cannot be charged with negligence D. can work within their job description Correct Answer D What is the average daily dose of the oral hypoglycemic agent glyburide (Glucotrol)? A. 5mg to 10mg TID B. 2.5mg to 20mg BID C. 2.5mg to 20mg QID D. 2.5mg to 20mg QD Correct Answer D Diazepam is a medication used for anti-anxiety and seizure control. Diazepam is a controlled substance. To which class/schedule does diazepam belong? A. Class I

B. Class II C. Class III D. Class IV Correct Answer D Clarinex is a medication that is available as an over-the- counter drug. The drug's action is to reduce what? A. Allergy symptoms B. Stomach upset C. Pain from arthritis D. Gas Correct Answer A Who are you supervised by as a CMA? Correct Answer the nurse One of the roles as a CMA is to report _______ and ________ that appear life threatening Correct Answer signs and symptoms The nurse asks the CMA to perform a task that is in your job description, but you have not done it before. The CMA should tell the nurse you have not done it before and _____ ___ _____. Correct Answer ask for help True or False: the nurse can delegate any task to the CMA Correct Answer False An invasion of privacy occurs if the CMA ______ a residents right to not have his or her _____ , _____, or __________ ______ made public without giving consent. Correct Answer violates name, photo, private affairs

Schedule II drugs may lead to severe_____________ or__________ dependence Correct Answer psychological or physical What is subjective information? Correct Answer Something a person cannot or did not observe. EX: pain How many minutes should the CMA wait before taking an oral temperature after a resident has eaten? Correct Answer 15 - 20 minutes Three things the CMA should do when taking a persons weight Correct Answer 1. Tell the resident what you are doing

2. Weigh the resident at the same time each day
3. Balance the scale at zero before weighing the resident If a drug is ordered for 1700, what time should it be given? Correct Answer 5 PM The CMA should record medication as being given to the resident ________ giving the drug. Correct Answer after A side effect is Correct Answer an unintended reaction to a drug The rate of absorption of medications depends on the _____ of ______________, blood ______ through the_________ where the drug is given, and how well the

drug can ________. Correct Answer route of administration blood flow through the tissue how well the drug can dissolve Who should explain to a resident why the dosage of a drug has been changed? Correct Answer the nurse Older persons are at risk for drug interactions or drug toxicity because of? Correct Answer chronic illness A ________ order is given at once and only one time. Correct Answer STAT If a resident has a headache and the nurse decides to give a drug this is an example of a _____ order. Correct Answer PRN The abbreviation of q.d. is on what list? Correct Answer do not use Standard drug administration times help make sure drugs are given _____ and __ ____. Correct Answer safely and on time A drug ordered t.i.d. should be given how many times a day? Correct Answer 3 times A drug ordered p.c. is given when? Correct Answer after meals