MACE Exam Format, Timing & Scoring

This is correct. Sublingual medications are designed to be absorbed through the rich blood supply under the tongue and must dissolve completely on their own. Drinking water immediately after a sublingual medication washes it down the throat, preventing the intended absorption through the oral mucosa. Placing a tablet between the cheek and gum describes buccal administration, not sublingual. Chewing a sublingual tablet destroys the medication's delivery mechanism and causes it to be swallowed rather than absorbed correctly.

This is correct. When there is a discrepancy between the MAR and the pharmacy label, the aide must stop, withhold the medication, and notify the nurse to resolve the issue. While the math is correct, a Medication Aide cannot independently alter the administration based on a conflicting label. The MAR and label must match exactly. Following the label instead of the MAR without clarification results in a medication error (wrong dose given). Relying on the resident's memory to resolve a medication discrepancy is unsafe and outside the scope of practice.

This is correct. Sitting fully upright (90 degrees) with a slight chin tuck narrows the airway opening, significantly reducing the risk of aspiration. Tilting the head back opens the airway and increases the likelihood that pills or liquids will enter the trachea (aspiration). Capsules should not be crushed without specific orders/pharmacist approval, and a full glass of thin liquid is dangerous for someone with dysphagia. Giving multiple pills at once increases the risk of choking and aspiration; pills should be given one at a time.