RCA Medication Management Oversight 3

Question 1

A nurse discovers a controlled substance count discrepancy at the end of a shift. What is the FIRST required action?

Accepted Answer

Report the discrepancy to the charge nurse and initiate a formal investigation

Answer

Controlled substance discrepancies must be immediately reported to supervisory staff and investigated per DEA and facility policy to rule out diversion.

Question 2

Which of the following BEST describes a 'high-alert medication' as defined by the Institute for Safe Medication Practices (ISMP)?

Accepted Answer

Drugs that bear a heightened risk of causing significant patient harm when used in error

Answer

ISMP defines high-alert medications as those that carry a disproportionate risk of causing serious harm when involved in a medication error.

Question 3

An order reads 'metoprolol 50 mg PO BID.' The 'PO' refers to which route of administration?

Accepted Answer

By mouth (oral)

Answer

PO is Latin for 'per os,' meaning by mouth, indicating the medication should be taken orally.

Question 4

Under The Joint Commission (TJC) standards, which is a required element of a complete medication order?

Accepted Answer

Drug name, dose, route, frequency, and indication

Answer

TJC requires medication orders to include at minimum the drug name, dose, route, frequency, and clinical indication to ensure safe dispensing and administration.

Question 5

Which tool is recommended by ISMP to standardize the expression of medication doses and reduce transcription errors?

Accepted Answer

Adopting error-prone abbreviation lists and avoiding prohibited shorthand

Answer

ISMP's list of error-prone abbreviations identifies shorthand like 'U' (mistaken for '0' or '4') that should be avoided to prevent dosing errors.

(RCA) Relativity Certified Administrator Practice Test

(RCA) Relativity Certified Administrator Practice Test

RCA Medication Management Oversight 3