Scope of Practice and Supervision Requirements Flashcards
6 cards from real QMAP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Scope of Practice and Supervision Requirements flashcards as text
A QMAP is asked to crush a medication and mix it into food without a physician's order to do so. What should they do?
Answer: Refuse and notify the nurse, as crushing requires a specific physician's order and some medications cannot be crushed
Crushing medications requires a specific physician's order, and some medications (extended-release, enteric-coated) must never be crushed as it alters their safety and efficacy.
Which situation requires the QMAP to contact the supervising nurse BEFORE administering a scheduled medication?
Answer: The resident's blood pressure reading is outside the parameters specified in the medication order
Vital sign parameters in a medication order (e.g., hold if BP < 90/60) must be checked and reported to the nurse if out of range before administration.
A QMAP receives a verbal medication order directly from a physician by phone. What should they do?
Answer: Do not accept verbal orders — only a licensed nurse can receive verbal physician orders; notify the nurse
QMAPs are not authorized to receive verbal physician orders; only licensed nurses can accept and transcribe verbal orders.
What should a QMAP do if a resident's family member insists that a medication not on the MAR be given to the resident?
Answer: Politely decline, explain that only ordered medications can be administered, and notify the supervising nurse
QMAPs may only administer medications that are properly ordered and listed on the MAR; family requests do not override the requirement for a physician's order.
A QMAP is new to a facility and is unsure of a specific medication protocol. What is the best course of action?
Answer: Consult the facility's policies and procedures and ask the supervising nurse for clarification before proceeding
When uncertain, QMAPs should consult facility-specific policies and seek nurse guidance to ensure safe and compliant medication administration.
Which of the following best explains why QMAPs must document medication administration immediately after giving a dose?
Answer: To provide an accurate, real-time record that prevents accidental double dosing and ensures continuity of care
Immediate documentation after each dose ensures the MAR accurately reflects what was given, preventing double dosing and supporting safe care continuity.