QMAP - Qualified Medication Administration Person Medication Administration Routes 1 — Questions and Answers
Question 1: Which medication administration route involves placing a tablet or liquid under the tongue to dissolve?
- Buccal
- Sublingual (Correct answer)
- Oral
- Intranasal
Correct answer: Sublingual
Sublingual administration places medication under the tongue, where it absorbs rapidly through the mucous membranes directly into the bloodstream, bypassing the digestive system.
Question 2: A resident is ordered an oral medication. Which of the following actions is correct when administering it?
- Crush all oral tablets before giving them
- Ensure the resident is sitting upright or has the head of bed elevated (Correct answer)
- Mix the medication into the resident's meal without informing them
- Administer the medication while the resident is lying flat
Correct answer: Ensure the resident is sitting upright or has the head of bed elevated
Residents should be upright or have the head of bed elevated when taking oral medications to reduce the risk of aspiration, which can cause serious respiratory complications.
Question 3: Which route of administration delivers medication directly into the nostril?
- Inhalation
- Sublingual
- Intranasal (Correct answer)
- Buccal
Correct answer: Intranasal
Intranasal administration delivers medication directly into the nasal passages, where it can be absorbed through the nasal mucosa for either local or systemic effects.
Question 4: A resident has a medication ordered as a 'topical ointment for the left forearm.' What does this mean?
- The medication is applied to the skin surface on the left forearm only (Correct answer)
- The medication is injected into the left forearm muscle
- The medication should be swallowed and will act on the forearm internally
- The ointment should be placed under the tongue
Correct answer: The medication is applied to the skin surface on the left forearm only
Topical medications are applied directly to the skin surface at a specific location. The order specifies the left forearm, so the ointment must only be applied to that site.
Question 5: Which form of medication is typically used for vaginal administration?
- Enteric-coated tablet
- Suppository or cream (Correct answer)
- Sublingual tablet
- Transdermal patch
Correct answer: Suppository or cream
Suppositories and creams are the common forms used for vaginal administration. They are designed to dissolve or spread within the vaginal canal to deliver medication locally.
Question 6: When administering ear drops, what should the QMAP do to straighten the ear canal in an adult resident before instilling the drops?
- Pull the earlobe downward and forward
- Pull the outer ear upward and backward (Correct answer)
- Press firmly on the tragus (the small flap in front of the ear opening)
- Tilt the resident's head toward the affected ear
Correct answer: Pull the outer ear upward and backward
In adults, gently pulling the outer ear (pinna) upward and backward straightens the ear canal, allowing drops to reach the eardrum more effectively.
QMAP - Qualified Medication Administration Person Medication Administration Routes 1
Which medication administration route involves placing a tablet or liquid under the tongue to dissolve?