QMAP Administering Controlled Substances 3

Question 1

A QMAP notices a discrepancy in the controlled substance count during shift change. What should they do FIRST?

Accepted Answer

Immediately notify the supervisor without altering documentation

Answer

Report immediately without altering documentation, as this could be evidence of diversion.

Question 2

How should controlled substances be physically stored in a residential care facility?

Accepted Answer

In a separately locked container within the locked medication area with limited key access

Answer

Controlled substances require double-lock: a separately locked container inside the locked medication storage area.

Question 3

Which is a common sign of opioid overdose?

Accepted Answer

Extremely slow or stopped breathing with pinpoint pupils

Answer

The classic triad: respiratory depression, pinpoint pupils (miosis), and decreased consciousness.

Question 4

A prescriber changes a resident from Schedule II to Schedule IV medication. How does this affect documentation?

Accepted Answer

Schedule IV may have slightly reduced requirements depending on state and facility policy

Answer

While all controlled substances need accountability, Schedule IV may have somewhat less stringent requirements depending on regulations.

Question 5

What is the purpose of a perpetual inventory log for controlled substances?

Accepted Answer

To provide a continuous running count of every transaction so the current balance is always known

Answer

A perpetual inventory records every transaction with a running balance so the exact count is documented at all times.

QMAP - Qualified Medication Administration Person Practice Test