Mrs. Johnson is 76 years old. She has HTN, glaucoma, AODM and a G-tube. She is comatose following a CVA three months ago. Her medications include:

Vasotec (enalaptril) 10 mg QD per G-tubeGlucophage (metformin) 500 mg BID per G-tubeSurfak (docusate calcium) 125 mg BID per G-tubePilocar (pilocarpine Hcl) gtts 1 gtt OU BIDNeosporin oint Apply QID to affected area

1. Pharmacology is the study of:A. PharmacistsB. PharmaciesC. Medication AdministrationD. Medications and their effects

2. Mrs. Johnson’s Glucophage is ordered BID. She should receive this medication:A. Three times a dayB. Once a dayC. Four times a dayD. Two times a day

3. To treat glaucoma, Mrs. Johnson is given:A. SurfakB. VasotecC. GlucophageD. Pilocar

4. To prepare Mrs. Johnson’s medications for administration through the G-tube, you should:A. Be certain the tablets are smaller than the tubeB. Crush the tablets and mix with applesauceC. Break the tablets in halfD. Medication Aides can NOT administer medications through a G-tube

5. When administering Mrs. Johnson’s Pilocar, you should: A. Mix it with water and have her drink it slowlyB. Place medication inside her lower eyelidC. Apply it to the skin around her eyeD. Spray the Pilocar into her eye

6. You document Mrs. Johnson’s medications:A. At the end of your shiftB. At the end of your med passC. After administering her medicationsD. Before beginning your med pass

7. Mrs. Johnson has a minor skin tear. Before applying Neosporin ointment you should:A. Remove torn skin with scissorsB. Soak the wound with alcoholC. Place a guaze square over the woundD. Medications can NOT apply this medication

8. Mrs. Johnson has glaucoma, which affects her:A. jointsB. eyesC. kidneys

QUIZ: case studies

D. liver

Mr. Carson is 68 years old. He suffers from seizures, dementia, rheumatoid arthritis, and UTI. His medications include:

Depakene (valproic acid) 250 mg TID poVoltaren (diclofenac sodium) 50 mg QID poBactrim suspension (trimethoprim-sulfamethoxazole) 10 ml Q12H poAtivan (lorazepam) 1 mg HS po

9. Most medications are metabolized by the:A. KidneysB. LiverC. Tear ductsD. Pancreas

10. Mr. Carson’s medications are ordered po. This means you will administer his medications:A. By mouthB. Whenever necessaryC. After mealsD. IM

11. Which of Mr. Carson’s medications is an anticonvulsant:A. VoltarenB. BactrimC. DepakeneD. Ativan

12. Adverse effects of Voltaren include: A. Gastrointestinal bleedingB. Increased appetiteC. Elevated pulse and blood pressureD. Constipation

13. When preparing Mr. Carson’s Bactrim suspension, you should:A. Dilute the suspension in 8 oz of waterB. Shake the bottle before pouringC. Estimate the amountD. Pour 5 ml into a calibrated cup

14. You know Voltaren:A. May be better tolerated with foodB. Should be given on an empty stomachC. Should be given only after taking the resident’s blood pressureD. Is better tolerated when crushed

15. The nurse asks you to initial the MAR after she administered Mr. Carson’s medications. You should:A. Do as the nurse requestsB. Ask another Medication Aid to do the documentationC. Tell the nurse you are not allowed to document medications that you do not administerD. Documents the medication, then report the nurse to the administrator

16. A term used to describe a group of symptoms related to a decline in thinking skills is:A. DementiaB. PsychosisC. Mental retardationD. Depression