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Section 1: Role, Scope, & Legal/Ethical Responsibilities (15 questions)
Q1: A medication aide is asked by a family member to give an extra dose of pain
medication because the patient "seems uncomfortable." What is the correct action?
A. Give the extra dose to keep the patient comfortable
B. Explain that only the licensed nurse can accept requests for medication changes and
report the request to the supervising nurse [CORRECT]
C. Tell the family member to call the doctor directly
D. Document the extra dose as a PRN administration
Correct Answer: B
Rationale: On the MAP Certification exam, remember that medication aides cannot
accept medication requests from family members or patients—all changes must come
through the licensed prescriber and delegating nurse. Your job is to report the concern,
not make clinical decisions about dosing.
Q2: A medication aide witnesses another aide diverting controlled substances. What is
the first action?
A. Confront the other aide privately
B. Report immediately to the licensed nurse or supervisor [CORRECT]
C. Wait to see if it happens again before reporting
D. Document it in the patient's chart
,Correct Answer: B
Rationale: Diversion of controlled substances is a serious offense that threatens patient
safety and legal compliance. The correct action is immediate reporting to the
supervising nurse—delaying or handling it privately could put patients at risk and expose
you to liability.
Q3: Which task is within the medication aide's scope of practice?
A. Taking verbal orders from a physician
B. Administering oral medications per MAR after verification [CORRECT]
C. Initiating PRN medication orders independently
D. Performing medication reconciliation at admission
Correct Answer: B
Rationale: Medication aides can administer oral, topical, eye/ear drops, and inhaled
medications per the MAR after proper verification. They cannot take verbal orders,
initiate PRN medications without specific parameters, or perform medication
reconciliation—these are licensed nurse functions.
Q4: A patient refuses their morning blood pressure medication. What is the correct
sequence of actions?
A. Leave the medication at the bedside and document as given
B. Attempt to educate, notify the licensed nurse, document the refusal with time and
reason, and follow up per facility policy [CORRECT]
C. Insist the patient take it for their own good
D. Give it later without telling anyone
Correct Answer: B
,Rationale: Patients have the right to refuse medication. The medication aide's role is to
attempt gentle education, immediately notify the supervising nurse, and document the
refusal objectively with date, time, and reason. Never force, coerce, or leave medications
unattended.
Q5: Which ethical principle supports respecting a patient's decision to decline
treatment?
A. Beneficence
B. Autonomy [CORRECT]
C. Non-maleficence
D. Justice
Correct Answer: B
Rationale: Autonomy means respecting the patient's right to make informed decisions
about their own body and treatment, including the right to refuse medication. While
beneficence (doing good) and non-maleficence (doing no harm) are important,
autonomy specifically addresses self-determination.
Q6: A medication aide is delegated medication administration by an RN. Who retains
accountability for the overall care?
A. The medication aide
B. The delegating RN retains accountability; the aide is responsible for safe
administration [CORRECT]
C. The facility administrator
D. The physician
Correct Answer: B
, Rationale: In delegation, the delegating licensed nurse retains accountability for the
decision to delegate and the overall patient outcome, while the medication aide is
responsible for performing the delegated task safely and correctly. This is a core
concept for the MAP exam.
Q7: Which documentation is required when a medication is held per physician order?
A. No documentation needed since it was ordered
B. Document "held per order" with the specific reason, time, and notification to nurse
[CORRECT]
C. Document as "refused by patient"
D. Skip the entry and document at end of shift
Correct Answer: B
Rationale: All medication omissions require documentation—whether refused, held per
order, or unavailable. The MAR must show the reason, time, and that the supervising
nurse was notified. This maintains the legal record and ensures continuity of care.
Q8: A medication aide discovers they made an error and gave medication to the wrong
patient. What is the first step?
A. Wait to see if the patient has adverse effects
B. Immediately notify the licensed nurse and supervisor [CORRECT]
C. Try to retrieve the medication from the patient
D. Document it as given to the correct patient to avoid trouble
Correct Answer: B
Rationale: Immediate disclosure to the licensed nurse is mandatory for patient safety.
The nurse will assess the patient, notify the physician if needed, and initiate appropriate