1.
Which of the following should be considered a medical emergency?
Correct Answer
B. You hear a sound indicating that someone has accessed the AED
Explanation
Hearing a sound indicating that someone has accessed the AED should be considered a medical emergency because it suggests that someone nearby may be experiencing a cardiac arrest or other life-threatening condition that requires immediate medical attention. The AED (Automated External Defibrillator) is a device used to deliver an electric shock to the heart in order to restore its normal rhythm. Therefore, if someone has accessed the AED, it implies that there is a critical situation that requires urgent intervention.
2.
The school nurse is not in the building. A student comes to the office who is continuously coughing. What question should you ask first?
Correct Answer
C. Do you have asthma?
Explanation
The question "Do you have asthma?" should be asked first because it directly addresses the possible underlying cause of the student's continuous coughing. If the student does have asthma, they may require immediate medical attention or medication. Asking about a drink of water or sitting and resting may not address the root cause of the coughing, while asking how long they have had the cough may be relevant but not as urgent as determining if they have asthma.
3.
A student needs to take their inhaler. The nurse is not in the building. What do you do?
Correct Answer
I. A,B,C,D,E
Explanation
In this scenario, the student needs to take their inhaler and the nurse is not available. To ensure the correct administration of medication, the following steps should be taken:
A) Go to the nursing office with the student to seek assistance or guidance.
B) Open the medication book and look for the student's medication order and medication administration (MAR) sheet to verify the correct dosage and instructions.
C) Perform the 5 rights of medication administration, which includes the right patient, right medication, right dose, right route, and right time.
D) Unlock the medication cabinet and obtain the medication as prescribed.
E) Have the student take the medication as instructed, which in this case is both puffs of medication back to back without waiting between puffs. Therefore, the correct answer is A,B,C,D,E.
4.
Which of the four items are needed to accept medication for administration at school.- Doctors order form (Hold Harmless- signed by physician, parent) (Permission To Retain Form-signed by the physician, parent, and student)
- The medication in the original pharmacy container. If OTC, in the original box with student’s name
- The information on the container must match the written order.
- The medication must be locked up after accepting it.
Correct Answer
D. All the above
Explanation
To accept medication for administration at school, all four items mentioned in the options are needed. The first item is the doctor's order form, which should be signed by both the physician and the parent, indicating their permission. The second item is the permission to retain form, which should be signed by the physician, parent, and student. The third item is the medication itself, which should be in its original pharmacy container or, if it is an over-the-counter medication, in the original box with the student's name. Lastly, the information on the container must match the written order. Additionally, it is mentioned that the medication must be locked up after accepting it. Therefore, all the above options are required for accepting medication at school.
5.
You must have a student verbally tell you their full name every time you give medication.
Correct Answer
A. True
Explanation
It is essential to have a student verbally tell you their full name every time you give medication to ensure accuracy and avoid any mistakes. Verifying the student's identity through verbal confirmation helps prevent medication errors and ensures that the medication is being administered to the correct person. This practice is a crucial safety measure in healthcare settings to ensure the well-being and health of the students.
6.
How many times must you read the medicine label on the medication bottle?
Correct Answer
C. Three times
Explanation
It is important to read the medicine label on the medication bottle three times. This is because reading the label multiple times ensures that you have a clear understanding of the instructions, dosage, and any potential warnings or side effects associated with the medication. Reading it once may not be sufficient to fully comprehend the information, and reading it more than three times may be unnecessary and time-consuming. Therefore, three times strikes a balance between ensuring comprehension and efficiency.
7.
You do not need to check the medication and dose written on the doctor’s orders with the medication label on the bottle?
Correct Answer
B. False
Explanation
It is important to check the medication and dose written on the doctor's orders with the medication label on the bottle to ensure that the correct medication and dose are being administered to the patient. Failing to do so can result in medication errors and potential harm to the patient. Therefore, the statement is false.
8.
A parent hands you a bottle of medication and tells you that her child will have to take this during school. The school nurse is out sick. What do you do?
Correct Answer
F. A,C,D
Explanation
In this scenario, the correct answer is to hand the medication bottle back to the parent (option A) and explain that you need physician orders signed by the doctor and parent to be able to give medication at school (option C). Additionally, it is also advisable to explain to the parent that they should turn in the order form and medication at one time to avoid any confusion or errors (option D). By following these steps, the school ensures that proper procedures are followed and that the child's safety and well-being are prioritized.
9.
Who should be informed when a medication error occurs?
Correct Answer
C. The parent, the school nurse, and the administrator/principal.
Explanation
When a medication error occurs, it is important to inform both the parent and the school nurse. The parent needs to be notified so that they are aware of what happened and can take any necessary actions, such as seeking medical attention or adjusting the medication schedule. The school nurse should also be informed as they are responsible for the student's health and well-being during school hours. Additionally, it is important to inform the administrator/principal as they need to be aware of any incidents that occur within the school and may need to take further action or implement changes to prevent future errors.
10.
Check the steps needed to document that you gave a medication.
Correct Answer(s)
A. Find the Medication Administration Record in the medication book.
B. Find the student’s MAR for the medication you are giving.
C. In the appropriate box for the correct date, write the time and your initials in the box.
D. Sign in the signature block at the bottom of the page.
Explanation
The correct answer is a step-by-step process for documenting the administration of medication. It starts by finding the Medication Administration Record (MAR) in the medication book, then locating the student's MAR for the specific medication being given. Next, the time and initials are written in the appropriate box for the correct date on the MAR. Finally, the person administering the medication signs in the signature block at the bottom of the page. This ensures that the medication administration is properly documented and tracked.
11.
What are the five rights of medication administration? Select all possible options
Correct Answer(s)
A. Right Student
C. Right medication
D. Right dose
E. Right time
F. Right route
Explanation
The five rights of medication administration are crucial guidelines for ensuring safe and effective medication administration. These rights include administering the medication to the right student, giving the correct medication, administering the appropriate dose, administering it at the right time, and using the correct route of administration. By following these five rights, healthcare professionals can minimize the risk of medication errors and ensure that patients receive the correct treatment.