Question 1

The Triple Check: To ensure the correct medication is being used, the medication order must be checked and the medication verified ____________prior to administration.

Accepted Answer

The medication order/ the medication should be verified three times prior to administration:
1. When removing the med from storage.
2. When preparing/measuring the medication.
3. Before returning the medication or administering it to the patient.

Question 2

Patient Identification: When recording a medication entry or preparing to administer a drug, the patient must be verified using at least ____________

Accepted Answer

The patient must be verified using at least two patient identifiers.

Question 3

Inappropriate Method:

Accepted Answer

Assuming Patient's Identity

Question 4

Appropriate Method:

Accepted Answer

Asking Patient to Verify Their Name and Date of Birth

Question 5

The Final Step:

Accepted Answer

Document the medication administration immediately after giving the medication.

Question 6

Medication Errors:

Accepted Answer

Report the medication error immediately according to facility policy and document it appropriately. Do not attempt to hide or alter the record.

Question 7

Right Route:

Accepted Answer

Administer the medication by the correct route ordered by the provider.

Question 8

Right Provider:

Accepted Answer

Verify that the medication is ordered by the authorized/correct healthcare provider.

Question 9

Right Documentation:

Accepted Answer

Document the medication administration accurately, including the required information such as medication, dose, route, and time.

Question 10

Right Dose:

Accepted Answer

Administer the exact dose prescribed.

Question 11

Legal 
Requirement

Accepted Answer

The provider's signature is a mandatory element of a medication order/prescription.

Question 12

Dispense as 
Written 
(DAW)

Accepted Answer

Only the medication specifically prescribed/brand-name medication may be given; no generic substitution is permitted.

Question 13

Special 
Instructions

Accepted Answer

Bisphosphonates such as alendronate (Fosamax) require the patient to remain upright for at least 1 hour after administration.

Question 14

Sublingual:

Accepted Answer

Medication is placed under the tongue and absorbed through the mucous membranes.

Question 15

Buccal:

Accepted Answer

Medication is placed between the cheek and gum and absorbed through the mucous membranes.

Question 16

Suppository:

Accepted Answer

A solid medication inserted into the rectum or vagina, where it dissolves and is absorbed.

Question 17

Registry Benefits:

Accepted Answer

Allows healthcare providers to track a patient's immunizations, determine which vaccines have been received, and identify vaccines that may be due.

Question 18

Required Documentation:

Accepted Answer

Document the vaccine name, date administered, dose, route/site, lot number, expiration date, manufacturer, and administering healthcare professional, as required.

Question 19

The Role of Lot Numbers:

Accepted Answer

Lot numbers allow a vaccine to be identified and traced, especially if there is a recall or adverse event.

Question 20

Heart Attack

Accepted Answer

Classic signs include pain in the chest.

Question 21

Stroke (CVA)

Accepted Answer

The strongest indicator is weakness or paralysis/numbness on one side of the body.

Question 22

Hyperglycemia / 
DKA

Accepted Answer

A key diagnostic symptom is fruity-smelling breath.
Other classic DKA findings include excessive thirst/urination, nausea/vomiting, abdominal pain, and deep/rapid breathing.

Question 23

Heat Exhaustion

Accepted Answer

Patients may experience heavy/profuse sweating, weakness, dizziness, nausea, headache, and cool/clammy skin.

Question 24

Diaphoresis

Accepted Answer

Profuse sweating puts the patient at risk of losing a large amount of fluid and electrolytes.

Question 25

Frostbite/Freezing

Accepted Answer

The body parts most commonly damaged are the fingers, toes, ears, nose, and cheeks.

Question 26

Subtle Condition:

Accepted Answer

A condition in which the signs and symptoms are mild or not immediately obvious

Question 27

Severe Injury:

Accepted Answer

A serious injury that may be life-threatening or require immediate medical attention.

Question 28

Emotional Reaction:

Accepted Answer

A person's psychological/emotional response to a stressful, frightening, or traumatic event.

Question 29

The A-B-Cs of CPR:

Accepted Answer

The A-B-Cs of CPR:
- A — Airway
- B — Breathing
- C — Circulation

Question 30

Components:

Accepted Answer

CPR consists primarily of chest compressions and rescue breaths when appropriate.

Question 31

Infant-Specific CPR:

Accepted Answer

Use two fingers for chest compressions when performing single-rescuer infant CPR, with compressions delivered at the appropriate depth and rate according to current CPR guidelines.

Question 32

CPR Integration:

Accepted Answer

Begin CPR immediately and use the AED as soon as it becomes available. Follow the AED's prompts.

Question 33

Safety Precautions:

Accepted Answer

Make sure no one is touching the patient when the AED is analyzing the rhythm or delivering a shock. Keep the patient away from water and ensure the chest is appropriately prepared for pad placement.

Question 34

Adults and Children (Over 1 year):

Accepted Answer

Perform abdominal thrusts (Heimlich maneuver) for a conscious person with a severe airway obstruction.

Question 35

Infant Obstruction (Initial Step):

Accepted Answer

Give 5 back slaps followed by 5 chest thrusts.

Question 36

Unresponsive Infant:

Accepted Answer

Begin CPR, checking the mouth for a visible object each time the airway is opened; remove an object only if it is visible.

Question 37

Managing EMS Calls:

Accepted Answer

Call 911/emergency medical services, provide the location and patient's condition, and follow the facility's emergency procedures.

Question 38

Patient Expiration:

Accepted Answer

Follow the facility's established postmortem procedures, notify the appropriate personnel/family as directed, and document appropriately.

Question 39

Crash Cart Supplies:

Accepted Answer

Crash carts should contain emergency medications, airway equipment, CPR equipment, AED/defibrillation equipment, and other necessary emergency supplies.

Question 40

Critical Planning Step:

Accepted Answer

Identify patients who require assistance with evacuation, including those who are immobile or dependent on medical equipment.

Question 41

Operational Key:

Accepted Answer

Have a clear emergency evacuation plan with assigned responsibilities and communication procedures.

Question 42

1. Explain the protocol for verifying a patient's identity before administering medication. What specific type of questioning should be avoided?

Accepted Answer

Use at least two patient identifiers, such as the patient's full name and date of birth. Compare the information with the patient's medical record.

Avoid yes/no questioning, such as, “Are you Jane Doe?”

Question 43

2. Compare and contrast the sublingual and buccal routes of administration.

Accepted Answer

Sublingual: Medication is placed under the tongue.

Buccal: Medication is placed between the cheek and gum.

Both allow medication to be absorbed through the oral mucous membranes and can provide relatively rapid absorption.

Question 44

3. A patient is suspected of having a heart attack. According to many providers, what is the recommended immediate pharmacological intervention?

Accepted Answer

Aspirin, typically chewed, may be recommended for a suspected heart attack when appropriate and when there are no contraindications. Emergency medical services should be activated immediately.

Question 45

4. What are the three specific times a medical professional must check a medication order to ensure accuracy?

Accepted Answer

1. When removing the medication from storage.
2. When preparing/measuring the medication.
3. Immediately before administering it to the patient.

Question 46

5. List the information that must be recorded in a patient's chart following an immunization.

Accepted Answer

Record information such as:
- Vaccine name
- Date administered
- Dose
- Route
- Injection site
- Manufacturer
- Lot number
- Expiration date
- Name/credentials of the person administering the vaccine

Question 47

6. Describe the correct physical positioning for an infant when attempting to clear an obstructed airway.

Accepted Answer

Position the infant face-down with the head lower than the chest, supporting the head and neck. Give 5 back slaps, then turn the infant face-up and give 5 chest thrusts. Repeat as needed.

Question 48

7. In the context of CPR, what does the acronym "A-B-C" represent?

Accepted Answer

A — Airway
B — Breathing
C — Circulation

Question 49

8. If a provider includes the notation "DAW" on a prescription, how does this affect the pharmacist's ability to provide a generic substitute?

Accepted Answer

DAW means “Dispense as Written.” The pharmacist cannot substitute a generic medication for the prescribed product.     Exam 1 Study Guide

Question 50

9. What is the primary danger associated with diaphoresis in an emergency patient?

Accepted Answer

The primary danger is excessive loss of fluid and electrolytes, which can contribute to dehydration and potentially shock.

Question 51

10. What are the two essential components of an effective emergency evacuation plan in a healthcare setting?

Accepted Answer

A clear evacuation plan/procedure, including routes and responsibilities.
Effective communication and coordination, including knowing which patients need assistance.

EXAM 1 STUDY GUIDE

Exam 1 Study Guide for Class CLS-111

"Know" box contains:
Time elapsed:
Retries: