Medication Administration Records: Types, Completion, and Legal Implications

Question 1

Which of the following must be included on a medication administration record (MAR)?

Accepted Answer

Patient's name and date of birth

Accepted Answer

Medication name, dose, and route

Accepted Answer

Nurse's signature and time of administration

Answer

Patient's consent for medication administration

Question 2

You're reviewing a patient's medication administration record and notice a difference between the prescribed dose and the dose actually given. What's the most appropriate action?

Accepted Answer

Immediately tell the nurse or doctor about the difference and record it.

Answer

Record the difference and continue giving the medication as ordered.

Answer

Ignore the difference and assume it was a mistake.

Answer

Give the medication based on the doctor's verbal instructions.

Question 3

Which of the following are key elements that must be included in medication administration records?

Accepted Answer

Patient's name

Accepted Answer

Medication dose

Answer

Doctor's signature

Answer

Patient's diagnosis

Question 4

Which of the following is NOT a consequence of inaccurate or incomplete medication administration records?

Accepted Answer

Improved patient outcomes, as accurate records facilitate better communication and decision-making.

Answer

Medication errors, leading to potential harm to patients.

Answer

Delayed or incorrect treatment, compromising the patient's health outcomes.

Answer

Legal liability for healthcare professionals, as inaccurate records can be used as evidence in legal proceedings.

Question 5

Which of the following is **not** an essential component of a comprehensive medication administration record?

Accepted Answer

Reason for administering the medication

Answer

Patient's name and identification

Answer

Medication name, dosage, and route of administration

Answer

Date, time, and signature of the healthcare professional administering the medication

Question 6

Which of the following is a legal requirement for administering medication in the United Kingdom?

Accepted Answer

Signature of the administering healthcare professional

Answer

Oral consent from the patient

Answer

Signed consent from the patient

Answer

Observation of the medication administration

Question 7

What is the primary purpose of a Medication Administration Record (MAR)?

Accepted Answer

To document the administration of medications to patients

Answer

To maintain a record of the patient's medication history

Answer

To list the patient's known allergies

Answer

To record the patient's vital signs

Question 8

Which of the following are essential elements that must be included in a Medication Administration Record (MAR)?

Accepted Answer

Patient's name

Accepted Answer

Date and time of administration

Accepted Answer

Dosage and route of administration

Answer

Physician's signature

Question 9

Which of the following is typically NOT included in a medication administration record?

Accepted Answer

Patient's verbal or written consent

Answer

Patient's full name and date of birth

Answer

Medication name, dosage, and route of administration

Answer

Healthcare professional's signature and time of administration

Question 10

Who is primarily responsible for completing a medication administration record?

Accepted Answer

The nurse or healthcare professional who administers the medication

Answer

The patient

Answer

The pharmacist

Answer

The doctor who prescribed the medication

Question 11

Who is responsible for maintaining the Controlled Drug Register (CDR)?

Accepted Answer

The designated controlled drug officer

Answer

The pharmacist

Answer

The nurse in charge of the ward

Answer

The medical director

Question 12

The primary legal document used to record the administration of medications is the:

Accepted Answer

Medication Administration Record (MAR)

Answer

Medication Order Sheet

Answer

Patient Medication Profile

Answer

Prescriber's Chart

Question 13

Which of the following information must be included on the MAR?

Accepted Answer

Patient's name, medication name, dose, route, time administered, and signature of the healthcare professional

Answer

Patient's diagnosis

Question 14

Who is ultimately responsible for ensuring the accuracy and completion of the MAR?

Accepted Answer

Registered nurse or healthcare professional administering the medication

Answer

Patient or their representative

Answer

Prescribing physician

Question 15

Which of the following is a potential legal consequence of inaccurate or incomplete MAR documentation?

Accepted Answer

Negligence, potential medication errors, and harm to patients

Answer

Delayed treatment

Answer

Increased workload for healthcare professionals

Question 16

What is the primary difference between a Medication Order Sheet and a MAR?

Accepted Answer

The Medication Order Sheet contains the physician's orders, while the MAR records the actual administration of medications

Answer

Both documents are used to administer medications

Question 17

What type of ink should be used when completing the MAR?

Accepted Answer

Permanent, indelible ink

Answer

Water-soluble ink

Answer

Black or blue ink

Answer

Pencil

Question 18

What is the appropriate action to take if an error is made on the MAR?

Accepted Answer

Draw a single line through the error, sign and date the correction, and document the reason for the change

Answer

Erase the error and rewrite the correct information

Question 19

How often should the MAR be reviewed?

Accepted Answer

Regularly throughout the day and as needed

Answer

Only when a medication error occurs

Answer

Only at the end of each shift

Answer

Not at all

Question 20

Which of the following is an example of a controlled substance?

Accepted Answer

Morphine

Answer

Warfarin

Answer

Salbutamol

Answer

Ibuprofen

Question 21

Which of the following is NOT a type of medication administration record used in healthcare settings?

Accepted Answer

Medication Prescribing Record

Answer

Controlled Drug Record

Answer

Medication Chart

Answer

Medication Administration Form

Question 22

When completing a Medication Administration Record (MAR), it is crucial to include:

Accepted Answer

Patient's full name, medication name, dosage, route, time, date, and signature of the healthcare professional.

Answer

Patient's date of birth, medication strength, and batch number.

Answer

Patient's allergies, weight, and height.

Question 23

What is the primary purpose of a Controlled Drug Register?

Accepted Answer

To strictly account for controlled drugs, preventing theft, misuse, and ensuring appropriate administration.

Answer

To provide a record of medication errors and incidents.

Answer

To document all medications administered to patients.

Question 24

What are the potential consequences of failing to document medication administration accurately and timely?

Accepted Answer

Medication errors, patient harm, legal liability, and compromised patient safety.

Answer

Increased workload for healthcare professionals.

Answer

Delayed patient discharge.

Question 25

Which of the following best describes the "Five Rights" of medication administration?

Accepted Answer

Right patient, right medication, right dose, right route, right time.

Answer

Right documentation, right storage, right indication, right assessment, right evaluation.

Answer

Right healthcare professional, right patient education, right monitoring, right communication, right follow-up.

Question 26

What is the primary role of the pharmacist in medication administration?

Accepted Answer

To review and approve medication orders, provide drug information, and monitor patient response to medication therapy, ensuring medication safety and effectiveness.

Answer

To prescribe medications to patients.

Answer

To physically administer medications to patients.

Question 27

What should a healthcare professional do if they make an error during medication administration?

Accepted Answer

Report the error immediately to the appropriate authority, document it clearly, and take steps to prevent similar errors in the future.

Answer

Ignore the error and hope it goes unnoticed.

Answer

Alter the documentation to conceal the error.