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Worksheets106 Final Exam
Total questions: 100
Worksheet time: 51mins
__ was a well-known surgeon who wrote about using carbolic acid to kill germs in Antiseptic Principle of the Practices of Surgery.
Fleming
Pasteur
Baxter
Lister
The first line of defense against the spread of microorganisms is hand-washing, according to the
USP
ASHP
CDC
NCCLVP
An example of a positive antibiotic is a(n)
staphylococci
diplococci
aminoglycosides
both staphylococci and aminoglycosides
Compounding sterile preparations began in the early 1960s.
True
False
The basic defense mechanism for our bodies is called normal flora.
True
False
It is important to wash your hands and forearms up to your elbows before entering the clean room.
True
False
Once the pharmacy personnel properly wash their hands, they can immediately begin compounding sterile preparations.
True
False
With proper aseptic technique IV medications needed for home health therapy can be made at the patient's home.
True
False
Patient education should always be stressed, especially in a home health care setting.
True
False
Medications may be given parenterally when
a patient has difficulty swallowing or when a patient is vomiting
a medication must be absorbed quickly
a patient is unconscious
all of the above
The most common method of administrating parenteral medications is
through a central line
through a peripheral line
through an epidural
through an intrathecal line
Which of the following medications must be given parenterally because of destruction by stomach acids?
Augmentin
Vancomycin
Heparin
All of the above
Devices and supplies provided for home infusion therapy include all of the following except
Sharp container
IV tubing
Transfer sets
all of the above are provided for home infusion therapy
Which of the following is an example of a medication that is usually too concentrated to be given through a peripheral line?
chemotherapy
heparin
insulin
none of the above
What route of administration is the fastest option for parenteral medications?
intracardiac
intravenous
intramuscular
intrathecal
A(n) __ can be given in an existing IV line or IV access device.
intramuscular injection
subcutaneous injection
IV push
intracardiac injection
Pumps used for pain therapy or diabetes management can be implantable.
True
False
It is imperative for the technician to include all of the supplies needed for the IV therapy so the patient can receive treatment.
True
False
Any condition that a drug should not be used is called a(n)
contraindication
indication
allergy
adverse reaction
Undesirable yet unexpected effects that are not widely known or reported are known as
side effects
toxic effects
adverse drug reactions
allergies
Which of the following is the second step involved in pharmacokinetics?
excretion
absorption
distribution
metabolism
The NDC number identifies the specific
drug, expiration date, and manufacturer
drug, package size, and expiration date
drug, manufacturer, package size
manufacturer, expiration date, and package size
The age variables of a child are between the ages of
2 and 12 years
1 and 12 years
3 and 13 years
2 and 15 years
Which of the following reference material would be the best choice to look up an incompatibility between ampicillin IV and heparin?
USP-NF
Trissel's Handbook on Injectable Drugs
PDR
Red Book
The primary enzyme responsible for metabolism is cytochrome P450.
True
False
The liver and kidneys are not fully developed in pediatric patients. This allows metabolism and excretion to occur more slowly than it does in adults.
True
False
As aging occurs, elderly patients experience many differences in the pharmacokinetics process.
True
False
What terms is used to describe a solution containing the concentration of dissolved substances closest to the red blood cells?
hypertonic
hypotonic
isotonic
none of the above
Medications that are added to the final fluid are known as
admixtures
particulate matter
additives
isotonic fluids
Drugs may need to be given the time to dilute before added back to back. This is attributable to what factor?
buffer capacity
complexation
order of mixing
IV solution
Acidic solutions have a pH
around 7
between 8 and 14
between 0 and 9
between 0 and 6
Storage information can be found in which reference?
Trissel's Handbook on Injectable Drugs
package insert
electronic databases
all of the above
This IV fluid contains primary electrolytes found in the plasma.
5% dextrose
0.9% sodium chloride
Lactated Ringer
10% dextrose
Fluid that is too acidic or too alkaline can cause pain or discomfort when entering the body.
True
False
The package insert of a medication sometimes states the storage requirements for the medication.
True
False
Color changes or particulate matter do not always form immediately.
True
False
How many grams of drug are in 600 mL of a 1:350 solution?
0.5g
0.6g
1.7g
2g
An electrolyte is available as 15mM/5mL. How many milliliters are needed to fill an order for 21mM?
8.08 units
0.88 units
8.8 units
88 units
U-100 insulin is used for a patient who needs 0.9mL. How many units will he receive?
90 units
99 units
100 units
111 units
A 1-L bag is running 130mL/hr. How many 1-L bags are used for a 24 hour time period?
3 bags
4 bags
7 bags
8 bags
A patient is receiving 750 mg of vancomycin in 500 mL of NS over a period of 7 hours. What is the flow rate in milliliters per hour?
50mL/hr
61mL/hr
80mL/hr
71mL/hr
If 1200 mL is to be infused at a rate of 100 mL/hr, how long will it last?
10 hours
8 hours
12 hours
11 hours
The amount of medication in a particular volume of fluid is called the dose.
True
False
If an error with an IV medication reaches the patient, it is quick and easy to reverse the effects.
True
False
If the label on a vial states that 9.7 mL of diluent needs to be added to the powder to make a final volume of 10 mL, then the powder volume is 0.7 mL.
True
False
You can clean a laminar flow hood with the following
70% alcohol
cleaning solution containing alcohol
10% alcohol
all of the above
Needle size is determined by
The size of the barrel
the volume of fluid it can draw up in it
gauge and length
none of the above
Choose the statement below that best describes the airflow pattern through a laminar flow hood.
Room air is drawn in through pre filter and then through HEPA filter and over the work surface area in parallel lines.
Room air is channeled through the HEPA filter, which removes the bacteria; then air moves through a prefilter and over the work area
Room air is drawn through the prefilter, which removes relatively large contaminates; then air goes through a HEPA filter, which randomly blows over the work area.
None of the above best describes the airflow pattern through a laminar flow hood
Certain guidelines must be followed while preparing IVs. These guidelines are mandated by
ASHP
USP 797
NCCLVP
CSP
A __ should be used on a syringe when drawing from an ampule.
filter device
second syringe
cotton swab
none of the above
__ is designed to prevent the spread of infectious diseases during aseptic preparations.
PEC
PPE
DCA
CSP
Touch contamination is the most common form of contamination.
True
False
The HEPA filter should be cleaned with alcohol on a daily basis.
True
False
Tamper-evident seals are used to indicate a medication has been added and ensure that there is no breach of the sterile container before administration to the patient.
True
False
LAFW and BSC are examples of a(n)
IPA
DCA
PPE
HEPA
During IV preparation, items are to be kept __ inches from the back and all sides of the hood.
6
3
2
4
All of the following are steps that should be taken in the buffer area except
spray hands with disinfect
perform calculations
don sterile gloves
clean the LAFW
After disinfecting all critical sites with alcohol, the technician must wait at least
1 minute
10 seconds
45 seconds
none of the above
The accurate way to read the measurement of a syringe is
the top of the rubber part of the plunger
the top of the point on the plunger
the bottom of the rubber part of the plunger
none of the above
When withdrawing medication from an ampule, you must tilt the ampule at least
90 degrees
45 degrees
15 degrees
20 degrees
All medications that need to be reconstituted must be shaken after the diluent is added.
True
False
Before performing any aseptic manipulations, you should always perform proper hand washing and garbing inside the buffer area.
True
False
When reconstituting a medication, the technician should add the correct diluent to the manufacturer's recommendations.
True
False
Proteins are necessary for all the following except
replacing cells
tissue growth
cell repair
organ function
When using an automated compounder, the amount for each ingredient is measured by
volume
weight
both a and b
none of the above
__ is an example of a fat source used in parenteral solutions.
aminosyn
dextrose
liposyn
normal saline
When making a three-in-one solution, the following are the components needed:
liposyn, dextrose, amino acids
dextrose, sterile water, micronutrients
sterile water, amino acids, dextrose
none of the above
All of the following are goals for parenteral nutrition except
to promote wound healing
to increase weight loss
to prevent malnutrition
to replace nutritional deficits
Which of the following are advantages to using a compounding machine, as opposed to the gravity method, when preparing TPNs?
There is less touch contamination
compounding machines have better accuracy than the gravity method
compounding machines are faster than the gravity method
all of the above
Which of the following is not an electrolyte?
magnesium sulfate
potassium chloride
insulin
calcium gluconate
Hypometabolic states are conditions that require additional energy to heal.
True
False
A dextrose solution with the volume of 3000 mL provides 1500 calories.
True
False
Which of the following statements are true about chemotherapy agents?
chemotherapy agents are different from antineoplastic agents
chemotherapy agents damage healthy cells
chemotherapy agents are only given to elderly patients
chemotherapy agents have very few risks
Testing of specific techniques should be given at least
quarterly
biannually
every 6 months
annually
A closed container that should be used to expel excess drug is called a(n)
EEC
CSP
PPE
CSTD
The chemotherapeutic agents that attach side chains to the proteins within the cancer cells and interfere with their functions are called
alkylating agents
hormone agents
miscellaneous agents
antimetabolic agents
BSCs should only be cleaned if a spill occurs.
True
False
Handling hazardous or cytotoxic agents is the same as any IV admixture.
True
False
The air in a BSC should be 100% vented to the outside air through HEPA filtration.
True
False
Chemotherapy agents are used to either destroy cancer cells or control their growth with minimal effect to normal cells.
True
False
Cytotoxic agents are antineoplastic agents that kill diving cells.
True
False
A peripherally inserted central catheter can be used for __ before being changed.
72 hours
24 hours
1 to 2 weeks
5 to 10 days
One type of IV line is known as the PICC line. PICC stands for
physician-inserted central catheter
patient-inserted central catheter
peripherally inserted central catheter
none of the above
Which of the following infusion pumps is used primarily for enteral feedings?
syringe pumps
ambulatory pumps
volumetric pumps
peristaltic pumps
The SASH method should be used for flushing IV lines. The "A" is for
aspirate the patient
ask the patient if he or she is comfortable
administer medication
administer the flush
An implantable infusion device, such as a Hickman or Broviac, may be needed for
chemotherapy
pain therapy
antiinfective therapy
TPN therapy
According to the __ Safe Medical Devices Act of 1990, all medical devices must be tracked.
FDA
Joint Commission
CDC
DEA
Change in temperature does not have any effect on the stability of a sterile preparation.
True
False
The only role of the pharmacy technician in a home health care setting is to prepare the IV for transport to patient home.
True
False
Chemotherapy medications should be transported in protective containers.
True
False
Along with a quality assurance program, __ should be in place to ensure that personnel are trained.
CSPs
SOPs
USPs
ISOs
All of the following are examples of how contamination may occur except
improper hand washing
interruption of first air flow
selecting the incorrect medication
beginning manipulations before allowing the LAFW to be on for 30 minutes
One way to prevent medication errors is to
follow exactly what the label says, even if there is a question
double check the calculations
prepare the medication the way you feel comfortable doing so
prepare the medication how you interpret it
An example of a low risk level compounded sterile preparation is
preparing TPN
a PCA cassette
single transfer from a vial to bag
none of the above
Organizations that offer continuing education for technicians are all of the following except
ASHP
All BOPs
PTCB
Power-Pak C.E.
A set of procedures, including environmental controls, personnel training, and validation of technique, is known as
CSPs
BOPs
BUDs
SOPs
According to the__, all personnel who prepare CSPs are responsible for understanding the practices and precautions, for exercising the proper procedures, and for the quality of the final product to prevent harm.
ASHP
FDA
USP 797
SOP
The specific standards regarding the environmental conditions to ensure sterility are set by
USP
SOP
ASHP
CSP
Physicians, nurses, and pharmacists are the only individuals who should be involved with QA programs
True
False
The most common error that can occur while compounding sterile preparations is
microbacterial
nonsterility
a and b
none of the above
