MED CERT EXAM 92 Questions with Verified Answers
(T/F) A medication error documentation must be completed before the end of the shift by the person who
... [Show More] made or discovered the error - CORRECT ANSWER TRUE
(T/F) In the state of CT, medical doctors, pediatricians, psychiatrists, physician assistants, advanced practice registered nurses and dentists are all considered licensed practitioners - CORRECT ANSWER TRUE
(T/F) A licensed practitioner's order (prescription) is required for all medications administered - CORRECT ANSWER TRUE
The most common signs of asthma attack are (5) - CORRECT ANSWER Difficulty breathing, shortness of breath, coughing, wheezing, and chest tightness
(T/F) Every time you remove a controlled medication for administration you must document that on the controlled medication count sheet - CORRECT ANSWER TRUE
Medications used to suppress cough are - CORRECT ANSWER Antitussives
(T/F) Always place a cotton ball, tissue or gauze in the ear after administration of ear medication - CORRECT ANSWER FALSE
(T/F) Staff do not have to be med admin certified to be trained in emergency medications, therefore, emergency medications must be stored in a secure location that is easily accessible to all trained staff but away from all youth - CORRECT ANSWER TRUE
DCF med admin certified staff MUST consult directly with the LP before administration of any psychotropic PRN medications - CORRECT ANSWER TRUE
These meds are used to treat abnormal muscle movements associated with antipsychotic medications - CORRECT ANSWER Anticholinergics
Explain how to administer a transdermal patch: (4) - CORRECT ANSWER 1. Remove the old patch before applying the new one. 2. It should be applied to clean, intact, dry skin that is not infected, scarred, callused or tattooed. 3, Change application sites to avoid skin irritation. 4. Peel backing off the patch, press onto the skin and apply pressure to assure that it sticks to the skin.
You must hold the medication and immediately contact the chain of command when you notice the following from the youth (6) - CORRECT ANSWER Drooling/difficulty swallowing, muscle stiffness especially in the mouth or neck area, Tics and twitches, Fever, Changes in how the youth walks or move, confusion or increased sedation.
Dispensing - CORRECT ANSWER The act of placing a medication into a container, labeling the container and giving the container for someone else to administer
(T/F) Guidelines for destroying non-controlled meds are different than those for controlled medications - CORRECT ANSWER TRUE
To reduce fever you will use: - CORRECT ANSWER Antipyretic
According to the DCF med admin program, if/when you discover a discrepancy in the controlled med count you must: (2) - CORRECT ANSWER Contact the chain of command and follow your agencies' policies and procedures. 2. Document and forward the report of the incident to DCF
(T/F) DCF med cert staff are not trained or certified to administer rectal or genital medications. If prescribed the youth must be able to self administer or a LP must be available to administer the meds - CORRECT ANSWER TRUE
Describe the correct storage practices for refrigerated meds: (3) - CORRECT ANSWER The temp of the refrigerator must be kept at 36-46 degrees. A locked, immobile box may be installed in the regular refrigerator. Only DCF med admin and licensed staff may have the key to the med box. 3. The refrigerator must be locked and accessible to DCF med admin or licensed staff
(T/F) The FDA requires a generic drug to have the same basic components as the trade name drug - CORRECT ANSWER TRUE
(T/F) PRN orders can be vague and there is no need for a detailed description of when to administer the medication - CORRECT ANSWER FALSE
When a trade name medication is prescribed but the pharmacy dispensed the generic version you must: (1) - CORRECT ANSWER Hold the medication and contact the chain of command for directions
Identify what you must know about a medication before you administer it (6) - CORRECT ANSWER Medication's name, use/action, controlled or noncontrolled, usual dosage, side effects, precautions/special considerations
Translate these abbreviations - CORRECT ANSWER QD: Everyday
BID: 2x a day
TID: 3x a day
QID: 4x a day
HS: At Bedtime
PRN: As needed
AC: Before a meal
PC: After a meal
PO: By mouth
NPO Not my mouth
NKA: No known allergies
NKDA No known drug allergies
NTE: Not to exceed
When this type of medication is prescribed blood pressure and pulse must be monitored periodically - CORRECT ANSWER Cardiovascular medications
Medication storage keys must be: (1) - CORRECT ANSWER Carried by the medication certified or licensed staff responsible for medication administration for that shift at all times
These meds kill lice - CORRECT ANSWER Pediculocides
In regards to medication refusal: (2) - CORRECT ANSWER 1. It is the youth's right to refuse medication. 2.. Report any refusal to chain of command/follow instructions
Meds may be administered: - CORRECT ANSWER One hour before until one hour after the scheduled time
When a med is given on an empty stomach, the medication should be given: - CORRECT ANSWER One hour before a meal or two hours after a meal
The following are acceptable tools for measuring medications: (3) - CORRECT ANSWER Calibrated measuring cup, medication syringe, calibrated measuring spoon
(T/F) The DCF med cert person responsible for an error will have their certification suspended, there is no need to notify the DCF med admin program - CORRECT ANSWER FALSE
To clean an infected eye you will: (6) - CORRECT ANSWER Wash hands and wear gloves, use a clean disposable washcloth, gauze or cotton ball moisten in warm water, Never use the same area of the washcloth for more than one wipe, wipe the infected eye gently from the inner corner to the outer corner. Remove gloves wash hands and put on clean gloves before handling the medication.
Before administering a medication you must contact the chain of command when: (7) - CORRECT ANSWER -There is no LP's order for the medication or you can't perform the Rule of Three
-The licensed practitioner's order on the pharmacy label is not legible
-Medication is not stored and or safeguarded properly
-Any of the five rights are violated
-The medication looks unfamiliar to you or the youth
-The youth refuses to take the medication
-A youth has a sudden change in physical or mental condition.
(T/F) No medication can be crushed without a licensed practitioner's or pharmacist approval. - CORRECT ANSWER TRUE
(T/F)Anaphylaxis is a severe, potentially life threatening allergic reaction. - CORRECT ANSWER TRUE
(T/F) In order to effectively manage asthma you should have a clear asthma management plan for all youth in your care who are diagnosed with asthma - CORRECT ANSWER TRUE
(T/F) The route of administration will affect how quickly a medication will relieve the symptoms. Oral medication might take 30-60 min to help. - CORRECT ANSWER TRUE
Medication administration certified staff cannot take verbal medication orders, any changes to an order must be: - CORRECT ANSWER Available to you in writing from the licensed practitioner
LP's order reads: Haldol 5mg. Concentration: 5mg. How many tablets will you administer? - CORRECT ANSWER 1 tablet
Lithium 450mg. Concentration: 150mg/tab. How many tablets will you administer? - CORRECT ANSWER 3 tablets
(T/F) It is not required to wash hands before and after medication administration and between each child you administer the medication to - CORRECT ANSWER FALSE
These drugs are used to treat a range of medical conditions caused by bacteria - CORRECT ANSWER Antibiotics
What is the correct way administer nasal spray? - CORRECT ANSWER Ask the youth to blow his/her nose gently to clear nostrils. Remove cap and shake the bottle. While plugging one nostril, place the tip of the sprayer into the other nostril and ask the youth to breathe through his/her nose as the spray is administered. Have the youth exhale through his/her mouth after the spray is administered. Discourage the youth from blowing his/her nose for 5 mins
(T/F) You must administer the inhaler according to the technique taught by the youth's healthcare professional. - CORRECT ANSWER TRUE
How many DCF med cert or licensed staff do you need to destroy non-controlled medications? - CORRECT ANSWER 2
(T/F) Frequent hand washing is the best way to prevent the spread of infection - CORRECT ANSWER TRUE
This group of medications is used to relieve symptoms of allergic reactions - CORRECT ANSWER Antihistamines
(T/F) Internal medications must be kept separate from external topical medications - CORRECT ANSWER TRUE
List the steps of the DCF Medication Administration procedure - CORRECT ANSWER 1. Approach the task in a calm manner
2. Wash hands before and after med admin
3. Assemble appropriate equipment
4.Perform the rule of three
5. Pour the correct dose of medication
6. Identify the correct youth
7. Administer the medication utilizing the proper technique
8. For oral medication perform a mouth check
9. Document
10. Return the medication to the locked area and clean up
The MAR must include the following: (5) - CORRECT ANSWER The month and the year for which it's being used, the 5 rights, the medication's start date, any special considerations and instructions.
All incident report or medication error forms must contain the following: (5) - CORRECT ANSWER 1. The date and time of incident
2.The staff involved
3.The youth's name and the medication involved in the incident
4.Who was contacted and the status of the youth
5. An objective description of what happened and immediate actions taken to ensure the safety and well being of the youth
Describe the physical changes in the lungs of people with asthma. (3) - CORRECT ANSWER Bronchial constriction
Inflammation
Increased mucus
The DCF Medication Administration procedure is a ten step process that must be followed: - CORRECT ANSWER Every time you administer medication to a youth in your care
The Five Rights are: - CORRECT ANSWER -The right time
-The right dose
-The right route
-The right youth
-The right medication
To administer eye ointment you will - CORRECT ANSWER Have the youth tilt his/her head backwards, ask the youth to look up and away and gently pull down the lower eyelid using the side of your finger exposing the lower eyelid. Beginning in the outer corner of the eye, place a thin ribbon of the ointment into the lower lid and have the youth close his/her eyes for a few minutes. If other eye medication is ordered, wait 10 minutes before giving the second medication
The equation for correct amount to give: - CORRECT ANSWER Dose/Concentration X Unit = Amount to give
Identify the components of a licensed practitioner's order: (4) - CORRECT ANSWER The five rights, signature, date, and special instructions
(T/F) You can use white out to erase a documentation error - CORRECT ANSWER FALSE
(T/F) Taste, smell, color, consistency, of a medication and/or parental approval can affect a youth's compliance with taking medications. - CORRECT ANSWER TRUE
If a youth needs medical attention as a result of a medication error, DCF requires the following: (3) - CORRECT ANSWER The youth's parents or guardian should be notified
The social worker should be notified
A copy of the incident report must be forwarded to the DCF risk management within one business day of the event.
Some of the examples of medical attention are: (3) - CORRECT ANSWER The licensed practitioner orders special monitoring of the youth. The licensed practitioner orders an adjustment to the youth's medication because of the error
The youth was sent to a hospital emergency room
(T/F) You should not accept the controlled medication keys unless the controlled medication count was performed with the person handing the keys to you - CORRECT ANSWER TRUE
Liquid medication must be measured very carefully to avoid over/under medicating a youth. In order to do that you must do the following: (4) - CORRECT ANSWER Always used calibrated measuring tools that come with the medication and those approved by your facility. The medication cup must be place on a flat surface at eye level. Never use household utensils to administer medications. Hold the bottle with the label facing upward.
To relieve pain you will use - CORRECT ANSWER Analgesics
The three documents necessary for safe medication administration are: - CORRECT ANSWER The LP's order, the pharmacy level, and the MAR
The Rule of Three is: - CORRECT ANSWER Comparing the LP's order, the pharmacy label and the MAR with the Five Rights every time you administer the medication
When should an LP's order be questioned? (3) - CORRECT ANSWER When directions are not clearly stated
When dose is not clearly stated.
What times of administration are not clearly stated.
Drug to drug interaction is defined as: - CORRECT ANSWER The effects of one medication are changed by the presence of another medication in the body. May occur whenever there is more than one medication in the youth's system.
These medications are controlled medications that may suppress the appetite therefore you should monitor weight and food intake: - CORRECT ANSWER Stimulants
Dispensing is the same as medication administration - CORRECT ANSWER FALSE
(T/F)If you find that a medication error has occurred, your first responsibility to assure the safety and well being - CORRECT ANSWER TRUE
(T/F) DCF regulation requires that all medication orders be reviewed every 90 days by an LP who knows the outh has assessed his/her current needs. - CORRECT ANSWER TRUE
Asthma rescue medications: - CORRECT ANSWER Are quick acting: used during an asthma attacks
(T/F)When you are caring for a youth with asthma you don't need to know what triggers his/her asthma - CORRECT ANSWER FALSE
(T/F) When you are caring for a youth with asthma you don't to know what triggers his/her asthma - CORRECT ANSWER FALSE
To prevent damaging the ear canal or the eardrum you will never insert cotton swabs into the ear canal - CORRECT ANSWER TRUE
(T/F) The presence of food in the stomach affects how medication is absorbed. Food can change the effect of the medication. - CORRECT ANSWER TRUE
(T/F) Registered nurses, licensed practical nurses and medication administration staff cannot dispense medication - CORRECT ANSWER TRUE
To administer ear medication you will: - CORRECT ANSWER Position the youth with the ear to be treated upward and straighten the ear canal by gently pulling the ear lobe down and back. Place the prescribed number of drops in the ear and have the youth remain with affected ear upward for 10 min. If medication is ordered for both ears wait 10 min before asking the youth to switch position
BID - CORRECT ANSWER 2x a day
TID - CORRECT ANSWER 3x a day
QID - CORRECT ANSWER 4x a day
QD - CORRECT ANSWER Everyday
HS - CORRECT ANSWER At bedtime
PRN - CORRECT ANSWER As needed
AC - CORRECT ANSWER Before meal
PC - CORRECT ANSWER After meal
PO - CORRECT ANSWER By mouth
NPO - CORRECT ANSWER Not by mouth
NKA - CORRECT ANSWER No known allergies
NKDA - CORRECT ANSWER No known drug allergy
NTE - CORRECT ANSWER Not to exceed [Show Less]
