EMERGENCY MEDICATION ADMINISTRATION EXAM

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Employee ID Number *

The supervising RN of unlicensed school personnel does not have to be present in the same building, but at least available by phone for consultation.

TRUE

FALSE

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KRS 156.502 allows anyone to delegate medication administration to unlicensed school personnel.

TRUE

FALSE

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When accepting the delegation to perform medication administration in school setting, the unlicensed school employee performs this function under the supervision of the delegating physician, RN, or APRN. *

TRUE

FALSE

Proof of successful completion of the medication administration training course provided by the Kentucky Department of Education is only valid for the current school year. *

TRUE

FALSE

Which would you do first if you are unclear about administering a medication?

Ask the student

Ask the parent

Refrain from administering the medication until the supervising school nurse is contacted

Ask the school teacher

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Before administering any medication at school, there must be a written authorization from the student's parent or guardian.

TRUE

FALSE

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Except for emergency medication specified in an emergency care plan, all medication should be kept in an appropriately labeled, secure, locked container or cabinet.

TRUE

FALSE

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Disposal of unused medication or expired medication that isn't picked up by the parent/guardian may be:

Poured down the sink

Flushed in the toilet

Mixed with glue or cat litter before disposing

Reused the next school year

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Changes in a prescribed medication such as change in medication, dose, time and/or frequency require a new authorization form and a new prescription bottle (or label if applicable) from the pharmacy indicating the prescription change.

TRUE

FALSE

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Parents may not request changes to prescribed medication without the school nurse first contacting the prescribing physician.

TRUE

FALSE

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Medications to be administered on field trips may be repackaged and the instructions written on the package so that the original bottle with pharmacy's prescription label is left safely at the school

TRUE

FALSE

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When a student refuses a medication, you should notify the supervising school nurse/parent as soon as possible.

TRUE

FALSE

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A "PRN" medication means a medication should be given:

Once a month

Daily

On an "as needed basis"

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A student vomits after taking medication. You should report to the supervising school nurse:

Students name and age

Medication dose

Time interval between medication administration and vomiting

All the above

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Extended, sustained or slow release medication should never be crushed or broken. *

TRUE

FALSE

Gloves should be worn when administering eye, ear and buccal medications. *

TRUE

FALSE

After the student has taken the oral medication, it is very important to make sure they have swallowed the medication by: *

Asking the student to open their mouth and raise their tongue

Watch for swallowing motion

None of the above

A common problem in using an inhaler medication is: *

Forgetting to shake the canister

Not waiting long enough between puffs

Not taking the medication as prescribed

All the above

Before preparing to administer medication, you should: *

Weigh the student

Wash your hands

Take the student's temperature

Liquid medications should be poured away from the label: *

Because you may spill on the counter

To prevent smearing of the medication label

To make sure it is the right medication

Liquid medication should be measured at eye level to assure a proper dose. *

TRUE

FALSE

A student is prescribed two liquid medications. You should do all except: *

Measure the liquid using a marked medicine cup for each medication

Mix the two liquid medications in the same cup

Hold the bottles with the label facing your palm

Measure the dose at eye level

What two identifiers should be used to identify the student prior to administering a medication? *

Student states their name and identified by another student or peer

Student photograph and student states their name

Parent authorization and student photograph

Which of the following essential information should be included on the student's Medication Administration Record? *

Name of student and home address

Student's name, name of medication, dose, route and time to be given; and any allergies

Parent's name and address

When administering Narcan Nasal Spray or Valtoco Nasal Spray, always prime the nasal spray before administering. *

TRUE

FALSE

The six rights of medication administration include all except: *

Right student

Right medication

Right storage

Right dose

Right route

Right time

Right documentation

If medication has been given and not documented, there is the risk of a medication error because there is a potential for: *

Under dosing the student

Overdosing the student

Documenting on the wrong student

You may record medication administration prior to giving the medication. *

TRUE

FALSE

Narcan (Naloxone) is not a substitute for emergency medical care. Repeated doses may be necessary. *

TRUE

FALSE

What is Diabetes? *

Inability to produce insulin

The result of eating too much sugar

A contagious disease

The result from eating too much "junk" food

Hypoglycemia is another term used for a low blood sugar level. *

TRUE

FALSE

When may glucagon be prescribed to be administered?

When the student doesn't feel well

When the student has a fever

When the student is unable to take food or liquid by mouth

When a student complains of being very thirsty

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How is a glucagon administered *

Under the arm

Rectally

Under the tongue

By injection

What would you do first if a student became unconscious and needed emergency medication administered? *

Call a parent

Designate someone to call 9-1-1

Call the school nurse

Call the student's physician

Anaphylaxis may be caused by: *

Insect bites or stings

Foods

Medications

All the above

Signs and symptoms of anaphylaxis include: *

Itchy skin and hives

Swelling or flushing of the lips, throat, and tongue

Wheezing, shortness of breath, coughing, hoarseness and/or loss of consciousness

All the above

The recommended injection site for an Epipen auto-injector is the: *

Right arm

Abdomen

Outer thigh

Buttocks

The EpiPen must be held firmly in the thigh muscle for at least one minute. *

TRUE

FALSE

Clothing must be removed before using the EpiPen auto injector. *

TRUE

FALSE

After administering an EpiPen, the effect of the epinephrine will only last 10 to 15 minutes. *

TRUE

FALSE

After using the EpiPen auto-injector you should: *

Dispose of the used EpiPen in the trash can

Send the used EpiPen to the emergency facility with the student

Dispose of the used EpiPen in the sharps container

Send the used EpiPen home with the student

Seizures may last a few seconds to a few minutes *

TRUE

FALSE

All seizures are a medical emergency and require Diazepam (Diastat or Valtoco), Midazolam (Nayzilam) or Klonopin to be given as soon as possible. *

TRUE

FALSE

A student should not be restrained during a seizure. *

TRUE

FALSE

Never place an object in the student's mouth during a seizure. *

TRUE

FALSE

One first aid measure during a convulsive seizure is to turn the student to one side

TRUE

FALSE

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Unlicensed school personnel may be delegated and trained by an RN to administer emergency seizure medications. *

TRUE

FALSE

Which emergency drug may be prescribed to treat a severe allergic reaction to peanuts (anaphylaxis)? *

Glucagon

Diastat

EpiPen

For school personnel who have been delegated and trained to administer medications according to KRS 156.502, school districts should have policies and procedures on medication administration readily accessible *

TRUE

FALSE

Local school district policies and procedures should provide information on topics such as: *

Storage of medication

How to dispose of unused medication

Administration of medication on a field trip

All the above

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