Deck 9: Institutional Pharmacy Practice

Question 1

All of the following statements are true regarding investigational drug use except:

A) A logbook must be maintained for each investigational drug
B) All steps must be performed by a pharmacist
C) All medication must be returned to the sponsor upon completion of the study
D) Investigational drugs must be separately stored from other drugs

Answer 1

All steps must be performed by a pharmacist

Question 2

eMAR stands for:

A) Excellent medical administration recording
B) Exceptional medication administration recording
C) Electronic medication administration record
D) Electronic medication activity record

Answer 2

Electronic medication administration record

Question 3

Computerized physician order entry (CPOE) is being promoted because it:

A) Is no longer necessary to decipher illegible handwriting
B) Is more expensive
C) Checks for drug interactions and contraindications
D) A and C

Answer 3

A and C

Question 4

Currently, most hospitals use:

A) Individual patient cassette drawers
B) Automated dispensing systems
C) Combination of A and B
D) Robots

Question 5

Policies and procedures manuals contain information regarding all of the following except:

A) Employees' weekly schedules
B) Emergency situations
C) Daily work routines and responsibilities
D) Mandatory trainings

Question 6

Which of the following is(are) reason(s) to repackage bulk medications into unit-doses in the hospital pharmacy?

A) Some medications do not come in unit-doses from the manufacturer.
B) Repackaging may be less expensive.
C) Repackaging prevents errors.
D) A and B.

Question 7

What is used for patient identification in hospital order entry in lieu of the patient's address and telephone number?

A) Room number
B) Insurance number
C) Medical record number
D) Birth date

Question 8

Which abbreviation implies an emergency situation?

A) ASAP
B) PRN
C) Stat
D) SO

Question 9

A hospital pharmacy that is not open 24 hours a day has which of the following options for filling after-hours medication orders?

A) Allow limited access to medications by specific nursing personnel.
B) Have an on-call pharmacist.
C) Have an off-site pharmacy that can deliver medications.
D) All of the above.

Question 10

Which type of medications bypass the digestive system but are intended for systemic action?

A) Enteral
B) Oral
C) Topical
D) Parenteral

Question 11

Which of the following criteria is(are) used to distinguish between types of hospitals?

A) Size
B) Profit or non-profit
C) Types of services provided
D) All of the above

Question 12

A prescription written for administration in a hospital is called a(n) ______________ order.

A) hospital
B) prescription
C) medication
D) institutional

Question 13

The Pyxis company currently makes a(n):

A) Automated dispensing system
B) Safe system
C) Automated packaging machine
D) All of the above

Question 14

An ASAP order:

A) Takes precedence over all other orders
B) Should be delivered within 5 to 15 minutes
C) Should be quickly processed
D) Can mean the difference between life and death

Question 15

The Centers for Medicare and Medicaid Services (CMS) regulates and administers:

A) Children's Health Insurance Program (CHIP)
B) Health Insurance Portability and Accountability Act (HIPAA)
C) Department of Health and Human Services (HHS)
D) A and B

Question 16

Satellite pharmacies:

A) Are used in all hospitals
B) Are staffed by only technicians
C) Expedite order preparation and delivery
D) All of the above describe satellite pharmacies

Question 17

A standing order:

A) Needs to be filled as quickly as possible
B) Is a protocol for a treatment that can be used in a specific situation
C) Is a patient's regularly scheduled medication
D) Is only used in an emergency

Question 18

Parenteral medications:

A) Bypass the digestive system
B) Are usually intended for systemic action
C) Are commonly considered to be injections
D) All of the above describe parenteral medications.

Question 19

The most important benefit of using the eMAR system is:

A) Less paperwork
B) Less time spent with the patient
C) Less money
D) Overall improved communication benefitting patient care

Question 20

Accreditation by The Joint Commission (TJC) is required to:

A) Open a pharmacy
B) Fill a controlled substance prescription
C) Accept Medicare and Medicaid payments
D) Accreditation is required for all of the above

Question 21

Who requires hospitals to make all medications patient-dose specific?

A) ASHP
B) TJC
C) NABP
D) USP

Question 22

After a medication is used from a crash cart the pharmacy technician must _________.

A) retrieve the crash cart from the floor
B) refill the medications used
C) check the expiration dates of medications in the crash cart
D) all of the above

Question 23

What does a Code Blue mean in the hospital?

A) Bomb threat
B) Hazardous material spill/release
C) Medical emergency for an adult
D) Medical emergency for a pediatric patient

Question 24

All of the following are benefits of using an automated dispensing system (ADS) except:

A) Decreases errors
B) Saves money
C) Decreases patient wait time
D) Simplifies inventory control

Question 25

CADM means :

A) Complementary alternative drug monitoring
B) Complementary alterative drug medication
C) Computerized adverse drug monitoring
D) Computerized adverse drug event monitoring

Question 26

Which of the following is(are) true about controlled substances in the institutional setting?

A) Controlled substances must always be signed in and out of the pharmacy.
B) The pharmacy technician verifies the beginning and final count.
C) The pharmacy technician must perform a complete inventory of the pharmacy stock at the beginning of each day.
D) All of the above statements are true.

Question 27

What dosage forms are found in Crash or code carts?

A) Oral suspensions
B) Creams
C) Suppositories
D) Injectable medications

Question 28

The Pyxis MedStation utilizes __________.

A) Fingerprint scans
B) Passwords
C) Swipe cards
D) All of the above

Question 29

A(an) ____ pharmacy technician works in a small specialty pharmacy that supplies a specific area of the hospital.

A) supply
B) inventory
C) satellite
D) patient

Question 30

Which term refers to a set of standards or guidelines within which a facility functions?

A) Laws
B) Ethics
C) Dogma
D) Protocol

Question 31

A Pharmacy and Therapeutics Committee is made up of:

A) Pharmacists
B) Nurses and physicians
C) Administrative personnel
D) All of the above

Question 32

USP <797> regulations state that compounding should take place within an ______ or better clean room.

A) International Standards Organization (ISO) Class 1
B) ISO Class 2
C) ISO Class 8
D) ISO Class 9

Question 33

The aseptic technique is a(n):

A) Method to prevent contamination
B) Important preparation for all intravenous (IV) medications
C) Delivery system for medication orders
D) A and B

Question 34

What is the meaning of CCU?

A) Critical care unit
B) Coronary care unit
C) Cardiac care unit
D) Clinical cardiac unit

Question 35

Supplies of medication on hand in certain units of a hospital are called ____________ stock.

A) Nursing
B) Unit
C) Floor
D) Patient

Question 36

Stat orders should be filled within _____ minutes.

A) 5
B) 10
C) 15
D) 20

Question 37

The hospital department that stores backup stock for the pharmacy is called:

A) Pharmacy supply
B) Pharmacy closet
C) Central stock
D) Central supply

Question 38

Which of the following is considered to be a closed system?

A) Horizontal flow hood
B) Vertical flow hood
C) Glove box
D) Biological safety cabinet (BSC)

Question 39

All of the following are examples of medications found in a crash cart except:

A) Adult
B) Geriatric
C) Neonatal
D) Pediatric

Question 40

HEPA stands for:

A) High-efficiency pressurized air
B) High-efficiency particulate air
C) Highly effective particulate air
D) Highly effective pressurized air