MACE Medication Knowledge 2 — Questions and Answers
Question 1: A patient is prescribed warfarin. Which food should the medication aide instruct the patient to consume consistently rather than avoid entirely?
- Grapefruit juice
- Vitamin K-rich leafy greens (Correct answer)
- Dairy products
- High-fiber cereals
Correct answer: Vitamin K-rich leafy greens
Patients on warfarin should keep vitamin K intake consistent rather than eliminating it, as sudden changes alter INR levels.
Question 2: Which drug class is most commonly associated with causing a dry, persistent cough as a side effect?
- Beta-blockers
- Calcium channel blockers
- ACE inhibitors (Correct answer)
- Thiazide diuretics
Correct answer: ACE inhibitors
ACE inhibitors cause bradykinin accumulation in the lungs, leading to a characteristic dry cough.
Question 3: A resident refuses their scheduled medication. What is the correct first action for the medication aide?
- Crush and hide it in food
- Document the refusal and notify the nurse (Correct answer)
- Persuade the resident until they accept
- Skip documentation since it was not given
Correct answer: Document the refusal and notify the nurse
Resident refusals must be documented and reported to the supervising nurse immediately.
Question 4: Which route of administration provides the fastest onset of drug action in an emergency?
- Sublingual
- Oral
- Intravenous (Correct answer)
- Transdermal
Correct answer: Intravenous
Intravenous administration delivers medication directly into the bloodstream for the fastest onset.
Question 5: A medication aide notices a patch from the previous day is still on the resident before applying a new one. What should they do?
- Apply the new patch over the old one
- Remove the old patch, then apply the new one to a different site (Correct answer)
- Leave both patches on to maintain therapeutic levels
- Report to the pharmacist before doing anything
Correct answer: Remove the old patch, then apply the new one to a different site
The old transdermal patch must be removed and disposed of properly before applying the new patch at a different site.
Question 6: Which of the following is a sign of digoxin toxicity that a medication aide should immediately report?
- Mild headache
- Yellow-green visual disturbances (Correct answer)
- Dry mouth
- Increased urination
Correct answer: Yellow-green visual disturbances
Yellow-green halos or visual disturbances are a classic sign of digoxin toxicity requiring immediate medical attention.
Question 7: Which abbreviation on a medication order means the drug should be given at bedtime?
- AC
- PC
- QHS (Correct answer)
- PRN
Correct answer: QHS
QHS (or HS) stands for 'hora somni,' meaning at bedtime.
MACE Medication Knowledge 2
A patient is prescribed warfarin.
Which food should the medication aide instruct the patient to consume consistently rather than avoid entirely?