MAP CERTIFICATION TEST LATEST REAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS|ALREADY GRADED A+
Question 1
Which of the following is NOT one of the "Rights of Medication Administration"?
A) Right medication
B) Right client
C) Right room
D) Right time
E) Right dose
Correct Answer: C) Right room
Rationale: The standard "Rights of Medication Administration" typically include Right
Medication, Right Client, Right Dose, Right Route, Right Time, and Right Documentation, and
sometimes Right Reason and Right Response. "Right room" is not a standard right.
Question 2
Before administering any medication, the first step is always to:
A) Document the medication administration.
B) Gather all necessary supplies.
C) Wash your hands thoroughly.
D) Check the medication's expiration date.
E) Open the medication packaging.
Correct Answer: C) Wash your hands thoroughly.
Rationale: Hand hygiene is the critical first step to prevent the spread of infection before
handling medications or touching a client.
Question 3
A medication order reads: "Tylenol 325 mg PO Q4H PRN fever >101°F." The client's
temperature is 100.5°F. What should the staff person do?
A) Administer the Tylenol immediately.
B) Administer half the dose of Tylenol.
C) Withhold the medication.
D) Call the prescriber for clarification.
E) Document that the medication was refused.
Correct Answer: C) Withhold the medication.
Rationale: The medication is ordered "PRN fever >101°F." Since the client's temperature is
100.5°F, it does not meet the specified condition for administration.
Question 4
When administering an oral tablet, the staff person should:
,A) Crush all tablets for easier swallowing.
B) Ensure the client is in an upright position.
C) Place the tablet on the back of the client's tongue.
D) Mix the tablet with a large amount of food.
E) Have the client lie down after administration.
Correct Answer: B) Ensure the client is in an upright position.
Rationale: Administering oral medications with the client in an upright position (e.g., sitting)
helps prevent aspiration.
Question 5
After administering a medication, the staff person should document the administration:
A) At the end of the shift.
B) Immediately after administration.
C) Only if the client has an adverse reaction.
D) When the prescriber requests it.
E) Before administering the medication.
Correct Answer: B) Immediately after administration.
Rationale: Timely and accurate documentation immediately after medication administration
ensures that the record is current and reflects the actual timing of the dose.
Question 6
A medication label states "For External Use Only." This medication should be administered via
which route?
A) Oral
B) Topical
C) Rectal
D) Ophthalmic
E) Sublingual
Correct Answer: B) Topical
Rationale: "For External Use Only" indicates the medication is intended for application to the
skin or mucous membranes externally, which is a topical route.
Question 7
What should be done if a client refuses to take a prescribed medication?
A) Force the client to take the medication.
B) Document the refusal and notify the appropriate personnel.
C) Hide the medication in their food.
,D) Skip the dose and do not document.
E) Tell the client they cannot have other privileges.
Correct Answer: B) Document the refusal and notify the appropriate personnel.
Rationale: Clients have the right to refuse medication. The refusal must be documented, and
the nurse/supervisor/prescriber must be notified to determine the next course of action.
Question 8
When storing medications, controlled substances must be:
A) Stored with all other medications.
B) Kept in a locked cabinet separate from other medications.
C) Stored in the client's room for easy access.
D) Left unsecured on a counter.
E) Disposed of immediately after use.
Correct Answer: B) Kept in a locked cabinet separate from other medications.
Rationale: Controlled substances have specific legal requirements for storage and security,
typically requiring a double-locked system or a locked container separate from other
medications.
Question 9
Which of the following is a symptom of a mild allergic reaction to a medication?
A) Anaphylaxis
B) Hives or rash
C) Severe respiratory distress
D) Hypotension
E) Swelling of the throat
Correct Answer: B) Hives or rash
Rationale: Hives (urticaria) or a rash are common manifestations of a mild allergic reaction.
The other options are signs of severe, potentially life-threatening reactions.
Question 10
To accurately identify a client before administering medication, the staff person should:
A) Ask the client, "Are you Mr. Smith?"
B) Check the client's room number.
C) Compare the MAR with at least two client identifiers (e.g., name and date of birth).
D) Look at the picture in the chart.
E) Ask another staff person to identify the client.
, Correct Answer: C) Compare the MAR with at least two client identifiers (e.g.,
name and date of birth).
Rationale: Using at least two client identifiers (e.g., full name, date of birth, photo ID) and
comparing them to the Medication Administration Record (MAR) is the safest and required
method to ensure the right client.
Question 11
A medication error occurs. What is the immediate priority for the staff person?
A) Document the error on the MAR.
B) Complete an incident report.
C) Assess the client for adverse effects.
D) Notify the prescriber.
E) Inform the client's family.
Correct Answer: C) Assess the client for adverse effects.
Rationale: The client's safety is always the immediate priority. Assessing the client for any
potential adverse effects or harm from the error is the first crucial step.
Question 12
When administering ear drops to an adult client, the earlobe should be pulled:
A) Down and back.
B) Up and back.
C) Straight back.
D) Down and forward.
E) Up and forward.
Correct Answer: B) Up and back.
Rationale: To straighten the ear canal in an adult for ear drop administration, the earlobe
should be pulled up and back. For children, it's typically down and back.
Question 13
Which information is essential to confirm on the medication label before preparing a dose?
A) The client's room number.
B) The name of the pharmacy.
C) The medication name, strength, and expiration date.
D) The prescribing physician's phone number.
E) The cost of the medication.
Correct Answer: C) The medication name, strength, and expiration date.
CORRECT ANSWERS|ALREADY GRADED A+
Question 1
Which of the following is NOT one of the "Rights of Medication Administration"?
A) Right medication
B) Right client
C) Right room
D) Right time
E) Right dose
Correct Answer: C) Right room
Rationale: The standard "Rights of Medication Administration" typically include Right
Medication, Right Client, Right Dose, Right Route, Right Time, and Right Documentation, and
sometimes Right Reason and Right Response. "Right room" is not a standard right.
Question 2
Before administering any medication, the first step is always to:
A) Document the medication administration.
B) Gather all necessary supplies.
C) Wash your hands thoroughly.
D) Check the medication's expiration date.
E) Open the medication packaging.
Correct Answer: C) Wash your hands thoroughly.
Rationale: Hand hygiene is the critical first step to prevent the spread of infection before
handling medications or touching a client.
Question 3
A medication order reads: "Tylenol 325 mg PO Q4H PRN fever >101°F." The client's
temperature is 100.5°F. What should the staff person do?
A) Administer the Tylenol immediately.
B) Administer half the dose of Tylenol.
C) Withhold the medication.
D) Call the prescriber for clarification.
E) Document that the medication was refused.
Correct Answer: C) Withhold the medication.
Rationale: The medication is ordered "PRN fever >101°F." Since the client's temperature is
100.5°F, it does not meet the specified condition for administration.
Question 4
When administering an oral tablet, the staff person should:
,A) Crush all tablets for easier swallowing.
B) Ensure the client is in an upright position.
C) Place the tablet on the back of the client's tongue.
D) Mix the tablet with a large amount of food.
E) Have the client lie down after administration.
Correct Answer: B) Ensure the client is in an upright position.
Rationale: Administering oral medications with the client in an upright position (e.g., sitting)
helps prevent aspiration.
Question 5
After administering a medication, the staff person should document the administration:
A) At the end of the shift.
B) Immediately after administration.
C) Only if the client has an adverse reaction.
D) When the prescriber requests it.
E) Before administering the medication.
Correct Answer: B) Immediately after administration.
Rationale: Timely and accurate documentation immediately after medication administration
ensures that the record is current and reflects the actual timing of the dose.
Question 6
A medication label states "For External Use Only." This medication should be administered via
which route?
A) Oral
B) Topical
C) Rectal
D) Ophthalmic
E) Sublingual
Correct Answer: B) Topical
Rationale: "For External Use Only" indicates the medication is intended for application to the
skin or mucous membranes externally, which is a topical route.
Question 7
What should be done if a client refuses to take a prescribed medication?
A) Force the client to take the medication.
B) Document the refusal and notify the appropriate personnel.
C) Hide the medication in their food.
,D) Skip the dose and do not document.
E) Tell the client they cannot have other privileges.
Correct Answer: B) Document the refusal and notify the appropriate personnel.
Rationale: Clients have the right to refuse medication. The refusal must be documented, and
the nurse/supervisor/prescriber must be notified to determine the next course of action.
Question 8
When storing medications, controlled substances must be:
A) Stored with all other medications.
B) Kept in a locked cabinet separate from other medications.
C) Stored in the client's room for easy access.
D) Left unsecured on a counter.
E) Disposed of immediately after use.
Correct Answer: B) Kept in a locked cabinet separate from other medications.
Rationale: Controlled substances have specific legal requirements for storage and security,
typically requiring a double-locked system or a locked container separate from other
medications.
Question 9
Which of the following is a symptom of a mild allergic reaction to a medication?
A) Anaphylaxis
B) Hives or rash
C) Severe respiratory distress
D) Hypotension
E) Swelling of the throat
Correct Answer: B) Hives or rash
Rationale: Hives (urticaria) or a rash are common manifestations of a mild allergic reaction.
The other options are signs of severe, potentially life-threatening reactions.
Question 10
To accurately identify a client before administering medication, the staff person should:
A) Ask the client, "Are you Mr. Smith?"
B) Check the client's room number.
C) Compare the MAR with at least two client identifiers (e.g., name and date of birth).
D) Look at the picture in the chart.
E) Ask another staff person to identify the client.
, Correct Answer: C) Compare the MAR with at least two client identifiers (e.g.,
name and date of birth).
Rationale: Using at least two client identifiers (e.g., full name, date of birth, photo ID) and
comparing them to the Medication Administration Record (MAR) is the safest and required
method to ensure the right client.
Question 11
A medication error occurs. What is the immediate priority for the staff person?
A) Document the error on the MAR.
B) Complete an incident report.
C) Assess the client for adverse effects.
D) Notify the prescriber.
E) Inform the client's family.
Correct Answer: C) Assess the client for adverse effects.
Rationale: The client's safety is always the immediate priority. Assessing the client for any
potential adverse effects or harm from the error is the first crucial step.
Question 12
When administering ear drops to an adult client, the earlobe should be pulled:
A) Down and back.
B) Up and back.
C) Straight back.
D) Down and forward.
E) Up and forward.
Correct Answer: B) Up and back.
Rationale: To straighten the ear canal in an adult for ear drop administration, the earlobe
should be pulled up and back. For children, it's typically down and back.
Question 13
Which information is essential to confirm on the medication label before preparing a dose?
A) The client's room number.
B) The name of the pharmacy.
C) The medication name, strength, and expiration date.
D) The prescribing physician's phone number.
E) The cost of the medication.
Correct Answer: C) The medication name, strength, and expiration date.
