and All Correct Answers 2025-2026
Updated.
Monitoring medication being taken by a client means: - Answer Reminding a specific
individual client to take medication at the time ordered
Delivering a container of medication lawfully labeled to a specific client, if needed
Observing a specific individual client to make sure s/he took medications
Making a written record of each medication, with the note "monitored"
Notifying the authorized practitioner if the resident refuses or is unable to comply with the
practitioner's instructions regarding the medication.
Note: Regulations do not require successful completion of a QMAP course if staff only
"monitors" and does not "administer" medications to the client.
Administering medication to a client: - Answer Assisting a client in the ingestion, application,
inhalation, or
Insertion of a rectal or vaginal medication according to written directions of an authorized
practitioner
Handing staff-prepared medications to a client
Making a written record of each medication administered, including both prescription and over
the counter drugs
Self-administration of medication by a client: - Answer "Self-administration" means the
ability of a person to take medication independently without any assistance from another It is
okay to make a general "reminder" to self- administering clients.
The client is completely responsible for taking his/her own medications. Staff is not involved
other than to ensure safety of other clients and encourage notification of updated
There is no requirement for daily documentation of self-administered
There should be a note on the plan of care at least once yearly, updated as appropriate,
documenting the facility's knowledge of medications being self-administered.
If a facility administers some medications and a client self-administers some medications the
facility must have written physician approval for each self-administered medication.
7 rights of medication administration - Answer right client
right time
right medication
right dose
, right route
right documentation
right to refuse
Wrong doings:
wrong Medicine: giving Tagamet instead of Tegretol
wrong Dose: giving 1 tab of 250 mg instead of ordered 500 mg (2 tabs)
wrong Route: giving eye drops in the ear - Answer NOTE: If a specific time is given on
physician order, a "window" of ½ hour before and ½ hour after the stated time must be
followed. If no time is specified on physician order, a facility may choose to use "am" and "pm"
or assign a specific time for administration; if this is done, the window does not apply. The
facility should institute a medication policy defining what AM times are and what PM times are.
4 routes of giving medication
1. Ingestion - Answer oral tablets, capsules or liquids lozenges (in the mouth, not
swallowed)sublingual tablets (under the tongue, not swallowed) Note: QMAPs are allowed to
utilize the barrel of a syringe to administer oral medications.
4 routes of giving medication
2. Application - Answer skin ointments, gels, lotions, liniments skin sprays or aerosols throat
gargles transdermal skin patches eye ointment or drops ear drops nose drops or nasal sprays
4 routes of giving medication
3. Inhalation - Answer respiratory = inhaling medications
4 routes of giving medication
4. Insertion - Answer Insertion rectal suppositories vaginal suppositories or creams
QMAPs are NOT allowed to: - Answer A QMAP is NOT allowed to administer medications
through any kinds of tubes, including a gastrostomy tube (which is a tube placed through the
abdomen), or a nasogastric tube (which is a tube placed through the nose, and into the
stomach).