MACE - Exam Prep Medication Administration and Reporting Questions and Answers

Question 1

A resident on a new blood pressure medication reports feeling dizzy. Which of the following is the MOST appropriate immediate action for the Medication Aide?

Accepted Answer

Instruct the resident to sit or lie down and then report the symptom to the nurse.

Answer

The resident's safety is the top priority. Dizziness can be a sign of hypotension (low blood pressure) and increases the risk of falls. Having the resident sit or lie down immediately mitigates this risk. Reporting the symptom to the supervising nurse is crucial for proper assessment and potential intervention.

Question 2

When documenting the administration of a PRN (as-needed) medication for pain, what information is essential to record in the Medication Administration Record (MAR)?

Accepted Answer

The reason for administration and the resident's response to the medication.

Answer

For PRN medications, it is critical to document not only that the medication was given but also the reason (e.g., resident reported pain level of 7/10) and the subsequent effectiveness or response (e.g., resident reported pain decreased to 3/10 after 30 minutes). This provides a complete clinical picture for the healthcare team.

Question 3

A Medication Aide discovers that a medication error occurred on the previous shift (e.g., a dose was documented but not given). What is the correct procedure to follow?

Accepted Answer

Report the finding to the supervising nurse immediately.

Answer

Upon discovering any medication error, the Medication Aide's primary responsibility is to report it to the supervising nurse immediately. The nurse will then assess the resident and determine the appropriate course of action, which includes following the facility's policy for error reporting and documentation. The aide should not independently correct documentation or administer a missed dose without direction.

Question 4

Which of the following is a key component of the 'Right Route' in the rights of medication administration?

Accepted Answer

Verifying that an oral tablet is not crushed when it is a long-acting formulation.

Answer

The 'Right Route' ensures the medication is given via the prescribed pathway (e.g., oral, topical, inhalation). A critical part of this is knowing which oral medications cannot be crushed, such as sustained-release, long-acting, or enteric-coated tablets, as crushing them can dangerously alter their absorption rate.

Question 5

A resident refuses to take their prescribed morning medications. What is the Medication Aide's most appropriate response?

Accepted Answer

Respect the resident's right to refuse, document the refusal, and report it to the nurse.

Answer

Residents have the right to refuse medication. The Medication Aide must respect this right. The proper procedure is to document the refusal in the MAR according to facility policy (e.g., circling the initials and writing on the back) and promptly report the refusal and any stated reason to the supervising nurse.

MACE - Exam Prep Practice Test

MACE - Exam Prep Practice Test

MACE - Exam Prep Medication Administration and Reporting Questions and Answers