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WALTON CARETHE GROVE CARE HOMEMEDICATION ADMINISTRATIONPERSONNEL EXAMINATIONMULTIPLE CHOICE QUESTIONSIdentify the letter of the choice that best completes the statement or answers the question.1. When administering eye medications it is essential that the Nurse observe medical asepsis and:a) Sterile techniqueb) Universal precautionsc) Sanitary techniqued) Good technique2. When washing hands, hands should be kept in what position to avoid contaminating a clean area?a) Above the elbow levelb) Below the elbow levelc) Even with the elbowsd) It doesn’t matter 3. One of the easiest and most important ways to prevent infection is:a) Avoidance of suspected infected residentsb) Refusing to shake handsc) Wearing a maskd) Hand washing4. A pathogen may be transmitted through:a) The airb) Direct contactc) Contact with contaminated equipment, water or foodd) All of these5. Gloves should be worn under which of the following conditions?a) Contact with body fluidsb) Contact with contaminated materialc) When you have any openings in your skind) All of these6. Universal precautions are used when:a) The Nurse comes into contact with any body fluidsb) The Nurse comes into contact with objects that could be contaminatedc) The Nurse meets new residents for the first timed) Both a and b7. The Nurse should wash his/her hands:a) Before and after resident contactb) Before starting the shiftc) If he/she comes into contact with body fluidsd) Both a and c8. A pathogen requires one of these to escape from its reservoir:a) Hostb) Sterile environmentc) Portal of exitd) Portal of entry9. Why is it important for the Nurse to know the dosage form and route of administration for any specific medication?a) This is not critical because it is evident by looking at the medicationb) The most important thing is that the resident gets the medication, regardless of the route of administrationc) Some routes of administration don’t work as well as othersd) The same medication may come in different forms, requiring different routes of administration10. Why should the Nurse always follow the correct procedures for medication administration each time medication is given even though the resident may have been taking the same medication for a long period of time?a) A change may have been made in the medication or dosageb) The Nurse may have accidently opened the wrong medicationc) The pharmacist may have dispensed the medication incorrectlyd) All of these11. The counting of controlled substances must:a) Be done once every 30 daysb) Must be done every two weeksc) Be done according to applicable regulations and company policyd) Be done on a yearly basis12. The primary purpose of medication is to:a) Achieve the best desired or beneficial effectb) Make the resident feel that you are trying to help themc) Totally eliminate unwanted side effectsd) To make the pharmacy money13. At the beginning of each shift the Nurse must:a) Recall the medication schedule from the previous shift worked b) Ask the departing shift what the medication schedule isc) Review the resident’s MAR chartsd) Plan to administer medications to residents in alphabetical order14. When preparing to administer eye medications the Nurse must:a) Wash his/her hands and put on glovesb) Put on gloves and a sterile maskc) Put on a sterile mask and gownd) Draw the medication into the eye dropper15. Controlled drugs are:a) Designated as controlled substancesb) Have a high potential for abusec) Require special storage and reporting requirementsd) All of the above16. Common drug interactions include:a) Reaction with certain foodsb) New or different unwanted effectsc) Decrease in the effect of one or more drugsd) All of these 17. During the count of controlled drugs, it is discovered that there is one extra pill, the Nurse should:a) Do nothing, there is not a shortageb) Call the Matronc) Take the extra pill homed) Flush the extra pill down the toilet 18. When assisting a resident to take oral medications, be sure the tablet or capsule is placed:a) Far back into the mouthb) Under the tonguec) In the middle of the tongued) Anywhere in the mouth19. When administering ear drops, how far should the dropper be inserted into the ear canal?a) One Inchb) Half of an inchc) The dropper should not be inserted into the ear canal at alld) As far as possible20. After placement of a rectal suppository, the resident’s rectal area should be:a) Powderedb) Bathed and driedC) Left undisturbedD) Bandaged 21. If a resident is having trouble swallowing an oral medication the Nurse may:a) Crush the medicationb) Check with the GP to determine if there is another form of the medication for the resident that would be easier to swallowc) Dissolve the medication in juiced) Coat the medication in Vaseline for easier swallowing22. A vaginal pessary is deposited in the vagina by the use of:a) The index fingerb) An applicatorc) A tongue depressord) A blunt object to avoid injury23. When is it appropriate to give one resident’s medication to another resident?a) When the prescriptions are identical b) Neverc) Within 10 days of the expiration dated) If the medication is an elixir24. If a resident is taking an extended release form of an oral medication:a) Each dose should be taken wholeb) The medication should not be broken or crushedc) The resident should be instructed not to chew the medication d) All of these25. How does the Nurse determine that a medication is to be administered topically?a) By the residents wishesb) By the MARc) By the availability of time to do itd) By instructions in the policies and procedures manual26. When administering inhalants the route of medication is:a) The respiratory systemb) The skinc) The digestive systemd) The urinary tract27. What is the most appropriate position for the resident when receiving a rectal suppository?a) Lying on the backb) Lying on the stomachc) Lying on the sided) Standing with legs spread apart28. Immediately after the resident has inhaled the medication from an inhaler the Nurse should instruct the resident to:a) Breathe out forcefullyb) Rinse his/her mouth with salt waterc) Attempt to cough up secretionsd) Hold the medication in as long as possible29. The Nurse gave a resident their sleeping pill at 9am instead of 9pm the Nurse should first:a) Give the resident coffee to keep the resident awakeb) Call the Matron to report the errorc) Call the GP to report the errord) Complete the necessary documentation to report the error30. When administering medications which of the following must be documented?a) Medication administeredb) Resident refusal to take medicationc) The amount of medication administered in the case of a prescribed variable dose d) all of the above31. The Nurse comes to work and the Nurse from the previous shift has prepared the medication by putting it in medicine pots, explaining that she had plenty of time and wanted to help out. The oncoming Nurse should:a) Tell her thanks, that really helpsb) Give the medication to the residents and document correctlyc) Look at the colour and number of pills to make sure they are correctd) Explain that you cannot give medications that you did not prepare yourself.32. When a resident refuses to take a prescribed medication, the Nurse must follow:a) The home’s policy and proceduresb) The National Pharmaceutical guidelines for the administration of medicationsc) The NMC code of practice for the giving of medicationsd) The Nurse’s best judgement33. Infection control standards requires health care workers to a) Wash their hands at least six times a dayb) Consider the body fluids of all residents potentially contaminated with communicable blood borne organismsc) Wear gloves only when handling blood and urined) Isolate all suspected infected residents34 To ‘delegate’ means to:a) To assign a responsibility of a task to someone elseb) To act alone, without supervision or accountabilityc) To be forbidden to do somethingd) To complete a favour for someone35. The medical abbreviation for ‘once a day’ is:a) bdb) odc) tdsd) qds36. All of the following drugs are antihistamines except:a) Piritonb) Clarithromycinc) Claritind) Benadryl37. Which of the following is an anticoagulant?a) Diazepamb) Paracetamolc) co-codamold) Warfarin38. What is the most serious side effect of an anticoagulant:a) bleedingb) vomitingc) leg crampsd) headache39. Which of the following is an anti-psychotic agent?a) Promazineb) Lanoxinc) Betadined) Amoxicillin40. Which of the following terms best describes the approach a Nurse should take with a resident that has refused to take prescribed medications?a) Disgust b) Disbeliefc) Tactd) Force41. Prescription drugs are designated as:a) Schedule i of iib) Controlled or scheduled and non controlledc) Over the counterd) Vitamins42. What type of drug may a pharmacist substitute for a brand name drug?a) Back-upb) Genericc) Totally differentd) Topical43. Medication administered ‘po’ is given:a) Subcutaneouslyb) Orallyc) Rectallyd) Topically44. The term for the blood pressure measurement taken when the heart relaxes is: (bottom number)a) Diastolicb) Systolicc) Heart outputd) Heart input45. Blood pressure readings are considered normal when they fall between the ranges of:a) 90/60 – 140/90b) 120/70 – 160/80c) 90/60 – 120/80d) 190/90 - 200/110 46. Blood pressure reading that consistently stay below the normal range indicate:a) A weak heartb) Hypotensionc) Hypertensiond) Nothing to worry about47. In which of the following positions would the resident’s arm be placed when taking a blood pressure?a) The arm below the heart with palm upb) The arm above the heart with the palm downc) Arm level with the heart with the palm upd) The arm level with the heart with the palm down48. When taking a blood pressure, the brachial artery is located:a) At the wristb) The inner aspect of the elbowc) The shoulderd). The neck49. Vital signs are measured to:a) Indicate that a resident is receiving adequate attentionb) To detect changes in normal body functionsc) To determine how a resident is responding to treatmentd) Both b and c50. The normal respiration range for an adult is:a) 12 – 20 breaths per minuteb) 20 – 30 breaths per minutec) 30 – 40 breaths per minuted) 10 – 15 breaths per minute51. How long should the nurse wait after a resident has consumed a hot or cold drink before taking an oral temperature?a) 5 minutesb) 15 minutesc) 30 minutesd) 60 minutes52.Axillary temperatures are takena) Under the armb) Behind the earsc) Behind the kneesd) By placing the thermometer in the bend of the elbow and bending the arm toward the shoulder.53. Which pulse is located on the thumb side of the wrista) Apicalb) Primaryc) Radiald) Secondary54. Blood pressure reading that stay consistently above the normal range indicate:a) A strong heartb) Hypotensionc) Hypertensiond) Nothing to worry aboutJulie E Johnson30/07/2011 ................
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