MTM Medication Safety & Error Prevention 3

Question 1

A pharmacist performing MTM discovers a patient takes methotrexate daily instead of weekly for rheumatoid arthritis. This type of error is classified as:

Accepted Answer

Wrong dose frequency error

Answer

Methotrexate for RA is dosed weekly; daily administration constitutes a wrong-frequency (schedule) error and can cause fatal toxicity.

Question 2

Which element of the Institute for Safe Medication Practices' 'Key Elements of the Medication Use System' is addressed by requiring pharmacist counseling at dispensing?

Accepted Answer

Patient information

Answer

Patient information encompasses ensuring the patient understands their medications, which pharmacist counseling directly addresses.

Question 3

A nurse administers IV potassium chloride undiluted as a bolus due to a missing 'MUST DILUTE' auxiliary label. Which contributing factor category does the missing label represent?

Accepted Answer

Labeling and packaging failure

Answer

Absent or inadequate auxiliary labels are a labeling and packaging failure that is a recognized contributing factor to high-alert medication errors.

Question 4

In the context of medication reconciliation, which transition of care has the highest risk for unintentional medication discrepancies?

Accepted Answer

Discharge from hospital to skilled nursing facility

Answer

Hospital discharge to skilled nursing facilities is a high-risk transition because multiple care teams hand off simultaneously and medication lists are frequently incomplete or discordant.

Question 5

According to the FDA MedWatch program, which of the following is a mandatory reporter of serious adverse drug events?

Accepted Answer

Drug manufacturers

Answer

Drug manufacturers are legally required (mandatory) to report serious adverse events to FDA via MedWatch; health professionals and patients report voluntarily.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Medication Safety & Error Prevention 3