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WorksheetsMedication Administration Class
Total questions: 29
Worksheet time: 54mins
What must you do when any NEW medications are delivered by the pharmacy?
Take a picture and text them to your house nurse based on the nursing schedule
Enter the medications into the MAR yourself
Store the medications in the client’s room and wait for instructions
Set on the counter for someone else to notify nurse
Who are the only people who can edit the MAR?
Nurses
Direct support staff
House managers
Pharmacists
Which actions are required after completing your med pass?
Do a double-check yourself
Click Save before finishing
Skip documentation to save time
Have another staff double check
When should the controlled medication log be filled out?
Immediately after the medication has been popped
Before you begin your med pass
After the client has taken the medication with no side effects
We are not allowed to pass controlled medications
What should you do for urgent medical emergencies?
Call 911 and notify the nursing team ASAP
Text the house nurse and wait for a callback
Document in the MAR first, then call for help
Notify administration before calling 911
For any PRN (as needed) medication or treatment, what is the FIRST step required?
Contact the RN first based on the nursing schedule
Administer the medication immediately
Ask your lead to approve the medication
Enter the PRN into the MAR without notification
After the RN confirms the PRN medication/treatment, what should you do next?
Administer it to the client immediately
Wait until someone is available to give the medication
Schedule it for the next day
Document first, then decide whether to give it
When documenting a PRN in Therap’s MAR, what must be written in the comment box at the time of administration?
The need or why you're giving the medication/treatment
Who else has had that medication today
The time your shift started
The next scheduled medication
What is mandatory after giving a PRN?
Assess the client and document the follow-up in the MAR
Call the pharmacy to report use
Discard any remaining doses
Giving extra doses of the medication
Which documentation phrase indicates the PRN was ineffective?
Effective with relief
Helpful with relief
Not helpful, client still complaining of pain. Informed and notified RN
Resolved without intervention
If a PRN is not effective or helpful, what should you do?
Contact nursing for further guidance
Give another dose without consulting anyone
Close the MAR entry and end documentation
Wait until the next scheduled med pass
When should you click "Save" on the MAR?
Only when you are done administering all medications
Before you start med administration
During med administration to record each dose
After the next shift begins
When should On Hold (OH) be used? Select the scenario that best matches
When vital signs are outside the doctor-ordered parameters
When the client refuses to take their medication
When a dose is missing from the MAR
When a medication is administered as scheduled
When should Refused (R) be used?
When client refuses or declines to take their medication
When it is too late to administer the medication
When nursing has instructed staff to hold the medication
When the medication is unavailable to be given
Which situation calls for Missed (M)?
When it is too late to administer the medication
When client is on pass to family house
When vital signs are outside ordered parameters
When the client is hospitalized
When should LOA (leave of absence) be used? Choose the best example
When the client is hospitalized
When vital signs are outside ordered parameters
When a client refuses the medication
When a dose is deleted
Missed (M) can also be used in which scenario?
When the medication is not available in the home
When nursing instructs a dose to be held
When the client refuses the dose
When the dose was already administered
When is "Leave of Absence" NOT to be used on the MAR?
When clients receive medications at ARC day programs
When clients are at a day program that is not an ARC day program
When clients are on pass to family house
When clients are hospitalized or in a SNF
What does "Administered" mean?
The medication is physically given to the client and visually observed to be swallowed
The medication is prepared and left in a medication cup to take when the client is ready
The medication is offered but the client declines
The client has the medications in their hands and instructed to take their pill
When is "Missed" used?
When the client misses the medication because it is too late to administer
When the medication is not available to be given (med not in the home)
When the client is sent out via 911 to the hospital before med pass time and misses their scheduled meds
All of the above
When is "Refused" used?
When the client declines to take the medication after it is offered after 3 attempts
When the dose is delayed until the next med pass
When the medication is unavailable in the home
When the client is transported to the hospital via 911 before med pass
When is "LOA" used?
When client is out on pass to their family's house
When client is admitted to the hospital or in a SNF
When the client will receive their medications at a day program that is NOT an Arc Day Program
All of the above
When is "OH" (On Hold) used?
When client can't take the meds because their vital signs are outside of the doctor's ordered parameters
When client is unable to take the meds due to health issues (i.e., diarrhea, unable to swallow, vomiting, etc).
When nursing has instructed you to hold the med (i.e., clarifying a dose, etc)
All of the above
What is the first step in preparing for medication administration?
Remove medications from lock box
Clean and sanitize med area
Bring client to the med room
There is nothing to prepare.
What is the earliest time you can administer a medication due at 4pm?
3:00AM
4:30PM
3:00PM
4:00PM
Controlled Medications are stored in a separate double locked box container with separate keys
Gloves should be worn when applying topicals
You can apply topicals to any part of the body that looks like it needs it
When administering a CONTROLLED medication for the first administration from a NEW blister pack which bubble is to be popped?
Bubble 1
Bubble unlabeled
Pick whatever bubble you want
Bubble 31
