ALF Medication Management Principles 3

Question 1

A med aide notices a resident on warfarin has new, unexplained bruising on both arms. The MOST appropriate action is to:

Accepted Answer

Report the observation promptly to the nurse or prescriber for evaluation

Answer

Unexplained bruising may indicate warfarin toxicity or bleeding risk and requires prompt clinical evaluation.

Question 2

Which of the following PRN order examples is complete enough for unlicensed staff to assist with in most states?

Accepted Answer

Acetaminophen 500 mg by mouth every 6 hours as needed for headache, not to exceed 3,000 mg in 24 hours

Answer

A complete PRN order specifies drug, dose, route, frequency, indication, and maximum daily amount.

Question 3

During a facility audit, the administrator finds expired medications in the med room. The correct handling is to:

Accepted Answer

Segregate them for disposal or destruction according to state regulations and facility policy

Answer

Expired medications must be removed from stock and disposed of per state law and facility policy, with documentation.

Question 4

A resident who self-administers medications begins showing memory decline and missed doses. The administrator's BEST response is to:

Accepted Answer

Arrange a re-assessment of the resident's self-administration capability

Answer

A change in condition triggers a re-assessment to determine whether the resident still qualifies for self-administration.

Question 5

Which situation represents 'borrowing' medications, a prohibited practice in assisted living?

Accepted Answer

Giving Resident A a dose from Resident B's supply because A's refill has not arrived

Answer

Administering one resident's prescription to another resident is prohibited borrowing and constitutes a medication error.

(ALF) Assisted Living Facility Administrator Certification Practice Test