QMAP Administering Controlled Substances 2

Question 1

What is the primary purpose of the controlled substance count at shift change?

Accepted Answer

To verify the physical count matches documentation and detect diversion

Answer

To determine if more medication needs to be ordered

Answer

To check expiration dates

Answer

To update the prescriber on remaining supply

Question 2

A resident has a PRN Schedule II pain medication. They request it 2 hours after the last dose, but the order says every 4 hours. What should the QMAP do?

Accepted Answer

Explain the timing requirement and notify the supervising nurse

Answer

Give a half dose

Answer

Administer since the resident is in pain

Answer

Document that the resident refused to wait

Question 3

Which of the following is an example of controlled substance diversion?

Accepted Answer

A staff member taking a resident's pain medication for personal use

Answer

Administering at the prescribed time

Answer

Documenting administration on the MAR

Answer

Counting substances at shift change

Question 4

When wasting an unused portion of a controlled substance, what is required?

Accepted Answer

A witness must observe and co-sign the documentation

Answer

The QMAP can waste it alone

Answer

The unused portion should be saved

Answer

It should be returned to the pharmacy

Question 5

What information must be recorded each time a controlled substance is administered?

Accepted Answer

Date, time, resident name, medication, dose, and administering staff signature

Answer

Only date and resident name

Answer

Only medication name and dose

Answer

Just initials on the MAR

Question 6

Under which DEA schedule are medications with the highest abuse potential and no accepted medical use?

Accepted Answer

Schedule I

Answer

Schedule II

Answer

Schedule III

Answer

Schedule V