CRMA Course - Maine



CRMA Final Exam

Directions:

• The Final Exam must consist of enough questions to have 100 answers. The base test contains 60 questions with answers.

• The instructor will select questions to add 40 more questions with answers to this exam. The total number of answers will be 100.

• Be sure to count your answers for the total number of points to equal 100 points.

• To select questions, highlight the question, copy the question, and paste the question into the new document to create “your” final exam.

• If a “Retake Final Exam” is needed, select different questions and/or change the order of the questions you select so that the Retake Final Exam does not have all the same questions as the original Final Exam.

• The instructor is to use 16 of the matching abbreviations below. The selection is up to the instructor.

• Remember: These exams are to be monitored and are not “open book” or “take home” exams.

CRMA Final Exam

Cut and paste your exam in a word document with the answer and print your answer key.

Next delete the answer and print another copy to be given to the student as the exam.

Short Answer:

Directions: Answer each of the following in the space provided.

1. If you have a question regarding a pharmacy label, who is the best person to call for clarification?

Ans: The pharmacy that dispensed the medication

2. Name one of the two injectable medications that a CRMA can be taught to administer as specifically stated in Section 7 (Medication Section) of the Rules?

Ans: Insulin, Bee sting kits (epinephrine)

A person has an order for Cimetidine 1 tab PO TID ac. You give one tablet at 9 A.M. Breakfast is served at the facility at 7:30 A.M.

3. Is this an error? _____________

4. Why or why not? _____________

Ans: Yes, because it was not given before meals as specified

List four types of resources available to you regarding questions about medications?

5. ______________

6. ______________

7. ______________

8. ______________

Ans. PDR, Pill book, Drug reference book, Pharmacist (and any other resources that the instructor might have mentioned)

9. An example of a side effect might be: ______________.

Ans: Nausea, vomiting, diarrhea or any other side effect taught by the instructor

List the eight (8) rights of medication administration.

10. ________________

11. ________________

12. ________________

13. ________________

14. ________________

15. ________________

16. ________________

17. ________________

Ans: Right patient, Right drug, Right dose, Right route, Right time, Right to know, Right to refuse

18. How many times do you check the medication label against the MAR?

Ans: 3

19. What is an apical pulse?

Ans: A pulse that is heard over the apex of the heart

20. You have had an individual return from the doctor’s office and s/he has an order for a medication which you are not familiar with, what are you going to do?

Ans: Look the medication up in a drug reference book, contact the RN consultant if available, call the pharmacist, and/or fax the practitioner for further explanations

List four out of the five methods for taking a person’s temperature:

21.______

22.______

23.______

24.______

Ans: Orally, Axillary, Tympanic, Rectally and Temporal

Medications marked “FOR EXTERNAL USE ONLY” shall be kept

25.____________

from any medications to be taken:

26.____________.

Ans: away from/separate and internally

27. Name a licensed person who can accept a telephone order:

Ans: Pharmacist, RN, LPN, Doctor, NP, PA

A CRMA started working in a new facility. S/he is preparing evening medications. S/he is looking for Celebrex 100mg PO at HS. S/he searches and does not find it. S/he finds Endocet and decides that it must be another name for Celebrex. S/he prepares it and gives it to the person.

28. Is this an error? ______

Ans: Yes

29. If so, what should s/he have done to prevent this error?

Ans: The CRMA should have looked up the drug in a drug book, or called the facility RN, or called the administrator, or checked with another CRMA, or called the pharmacist.

True and False:

Directions: Write “T” for true and “F” for false in the space provided for each of the following:

| T_____ |Always report any refused medications or medication errors. |

|T_____ |When administering medications, always use the medication administration record. |

|T_____ |Topical medications should always be stored separately from oral medications. |

|F_____ |Grapefruit juice is the best liquid to use to aid in swallowing pills. |

|T_____ |“Not writing your initials on the medication record after administering a medication” is one example of a |

| |medication error. |

|F_____ |When giving more than one liquid medication, it is best to mix them in one cup for ease in administering. |

|F_____ |It is a good idea to memorize all medications so that they can be passed more quickly. |

|F_____ |If you forget to sign the medication record, it is okay to ask someone else to sign your initials. |

|F_____ |Always use pencil so you can erase if you make a mistake when signing the medication record. |

Matching:

Directions: Write the correct answer in the space provided.

1. Match the following words or phrases with the correct abbreviation or symbol.*

|J_____ Gram |Rectal |

|B____ Morning |Am |

|O_____Ointment |Bid |

|R_____ Every |BP |

|W____ Tablespoon |č |

|F____ Cubic Centimeter |cc |

|V_____Every 4 hours |c/o |

|C____ Twice a day |D/C or d/c |

|N____ Nothing by mouth |gtts |

|H____ Discontinue |Gm |

|Y____ Teaspoon |HS |

|U____ Every other day |Mg |

|T____ Four times a day |Ml |

|A____ PR |NPO |

|Q____ As necessary |Oint |

|L____ Milligram |po |

|S____ Every day |PRN |

|Z____ V/S |q |

|D____ Blood Pressure |QD |

|I_____ Drops |Qid |

|E____ With |Qod |

|X____ Three times a day |q4h |

|P____ By mouth |Tbsp |

|M____ Milliliter |Tid |

|G____ Complain of |Tsp |

|K____ Hour of sleep |Vital Signs |

Multiple Choice:

Directions: Circle the correct answer for each of the following.

You are preparing medications for a person using a new MAR for the day. You see that the previous three doses of a medication are still in the drawer. You should FIRST:

A. Give the dose as ordered.

B. Ask the person if s/he received the previous doses.

C. Send the extra doses back to the Pharmacy.

D. Check to see why the previous doses were not given.

Ans: D

55. You arrive in John’s room with the Tylenol he requested for a headache. You find him in the bathroom. You are very busy and do not have time to wait for him to come out. You should:

A. Tell him you will return and take the medication with you.

B. Ask him to come out of the bathroom immediately.

C. Ask his roommate to give him the Tylenol.

D. Leave the medication in his room since Tylenol is a nonprescription drug.

Ans: A

56. The signs of skin inflammation are swelling, warmth to the touch, and:

A. Redness

B. Paleness

C. Wrinkling

D. Smoothness

Ans: A

57. When the body excretes more water than it takes in, the result is:

A. Edema

B. Ph balance

C. Dehydration

D. Uremia

Ans: C

58. Which item tells you something about the medication order?

A. Q 2h.

B. 50mg.

C. 2 tablets.

D. All of the above

Ans: D

59. According to Assisted Housing Program regulations, what classification of medications must be double locked:

A. Schedule V

B. Schedule II

C. Schedule III

D. Schedule IV

Ans: B

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