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WorksheetsMedication Error and Safety 1 Quiz
Total questions: 42
Worksheet time: 21mins
Certain classes of medications require special handling. All the following are correctly matched to the special requirements EXCEPT ________.
the counting tray should be wiped down using isopropyl alcohol when a sulfa drug is dispensed
the counting tray should be wiped down using isopropyl alcohol when a penicillin drug is dispensed
the counting tray should be wiped down using isopropyl alcohol when blood pressure medications are dispensed
the technician should wear gloves when chemotherapeutic or hazardous agents are dispensed
A patient requires that acyclovir (Zovirax) be administered intravenously rather than by mouth. Which of the patient’s five rights does this example fall under?
The right dose
The right dosage form
The right route
The right time of administration
Which of the following describes a dispensing error?
Incorrect transcription by the pharmacist receiving a call
Incorrect strength of medication
Incomplete medication name
Quantity and refills omitted
Which of the following describes a prescribing error?
The prescription is interpreted incorrectly.
The prescription is transcribed incorrectly.
The pharmacist incorrectly counsels the patient.
The prescription contains an incomplete medication name.
All of the following describe an administration error EXCEPT ________.
oral medications given intravenously
enteral formulas administered parenterally
ear medications being placed in the eye
incorrect strength of medication
A physician calls in a prescription to the community pharmacy for amoxicillin capsules but fails to indicate the number of capsules. This would be considered a(n) ________.
prescribing error
dispensing error
administration error
situation when no error has occurred
A prescription calls for a 2-week supply of antibiotic suspension. The pharmacy fills the prescription with only a 1-week supply. This would be considered a(n) ________.
prescribing error
dispensing error
administration error
situation when no error has occurred
A prescriber writes a prescription for gentamicin (Garamycin) eye drops to be used 2 GTTS OS BID. The pharmacy prepares a label that reads: “Instill 2 drops into the left eye twice daily.” This would be described as a(n) ________.
prescribing error
dispensing error
administration error
situation when no error has occurred
A nurse prepares and administers a vaccination labeled for IM use. He administers this injection subcutaneously. This describes a(n) ________.
prescribing error
dispensing error
administration error
situation when no error has occurred
A psychiatric patient “cheeks” a medication, hiding it in his cheek and then spitting it out later. What medication error has occurred?
Improper storage
Wrong time error
Compliance error
Unauthorized drug error
A hospitalized patient asks a certified nursing assistant (CNA) if she can get a couple of aspirin to help with her headache. The CNA says she has some in her purse and gives them to the patient. What error has occurred?
Improper storage
Wrong time error
Compliance error
Unauthorized drug error
Which medication error term is correctly matched with its definition?
Unauthorized drug error: A medication being stored at room temperature when it should have been refrigerated
Wrong time error: Medication administered outside the scheduled time frame
Compliance error: Medication administered to a patient from an unauthorized prescriber
Improper storage: Patient does not adhere to prescribed regimen
All the following are workplace conditions that would make an error more likely EXCEPT ________.
pharmacy staff members multitasking
difficult-to-read medication labels
multiple checks by multiple pharmacy staff members
similar medication labels of the same font size and color
Which of the following abbreviations would be appropriate and safe for a physician to use?
SC (subcutaneous)
SL (sublingual)
SQ (subcutaneous)
None of these abbreviations should be used.
The abbreviations AU and OU should not be used because they can be misinterpreted. What do AU and OU mean?
Right ear and right eye
Left ear and left eye
Right ear and left eye
Both ears and both eyes
Although generic drug suffixes and prefixes help identify a medication belonging to a certain class, they can also be easily confused for one another. Which of the following medications is not an adrenergic antagonist (beta blocker)?
propranolol
albuterol
metoprolol
labetalol
All of the following drugs on are on the high-alert medication list EXCEPT ________.
analgesics
anesthetics
antiarrhythmics
antithrombotics
All the following drugs cannot be crushed EXCEPT ________.
regular-release dosage form tablet
slow-release dosage form
enteric-coated dosage form
extended-release dosage form
Certain medications need to be used with caution in elderly adults. The correct rationale is matched to the medication in each case below EXCEPT ________.
thiazolidinediones cause heart failure
benzodiazepines cause drowsiness
oral decongestants cause drowsiness
aspirin increases the likelihood of gastric or duodenal ulcers
Which of the following pieces of information is considered counseling?
Name of medication
Dosage form
Route of administration
Duration of therapy
All the following information would be found in a package insert EXCEPT ________.
prescriber name
clinical pharmacology
contraindications
warnings
Package inserts are provided to patients taking all of the following types of medication EXCEPT ________.
metered-dose inhalers
oral contraceptives
blood pressure medication
estrogen products
Which of the following is not associated with medication error tracking?
FDA
APhA
ISMP
FAERS
What is a disadvantage of electronic prescribing?
Eliminates illegible prescriptions
Computer downtime prevents prescription transmission
Uses clinical decision support to reduce preventable errors
Improves work efficiency
Technicians may help prevent medication errors by ________.
keeping their work areas free of clutter
ignoring dosage appropriateness, leaving that to the pharmacist
guessing on ambiguous orders
guessing on illegible handwriting
Medication error prevention best practices in the pharmacy include ________.
using electronic prescribing
encouraging physicians to use common terminology and abbreviations
automating and bar coding all fill procedures
all of these
A medication with which acronym in the name might be safely crushed?
OTC
XR
ER
CR
The Institute of Safe Medication Practices (ISMP) has initiatives in five key areas. They are correctly listed as:
knowledge, analysis, education, independence, and communication.
knowledge, analysis, education, cooperation, and communication.
knowledge, review, education, cooperation, and communication.
knowledge, analysis, education, cooperation, and privacy.
The ISMP provides pharmacy resources that include all of the following EXCEPT ________.
black box warnings
error-prone abbreviations list
list of error-prone health providers
ISMP confused drug name list
The ISMP provides pharmacy resources that include all of the following EXCEPT ________.
guidelines for preventing medication errors in geriatric patients
“DO NOT CRUSH” list
guidelines for preventing medication errors in pediatric patients
“tall man” letters
Types of errors that might be reported to the ISMP’s error reporting programs include all of the following EXCEPT wrong ________ error.
patient
provider
drug
route
Which of the following is not correct regarding dress code?
Fingernails should be kept clean and short.
Nail polish should be nonacrylic to prevent fungal infections.
Makeup can be worn in all hospital and community settings.
Hair should be pulled back.
When should hands should be washed?
After the person uses the restroom
Only after contact with a patient
After donning gloves for work in a laminar flow hood
Only before contact with a patient.
Personal protective equipment (PPE) includes ________.
sterile gloves
goggles
gowns
all of these
Which type of medication error occurs if a prescription is interpreted incorrectly by the pharmacy technician?
Prescribing error
Dispensing error
Administration error
All of these
All of the following may contribute to a medication error EXCEPT ________.
clutter
comfortable temperatures
interruptions
pharmacy floaters
All of the following medications have been associated with a high incidence of medication errors EXCEPT ________.
heparin
hydrochlorothiazide
insulin
warfarin
In an acute care facility, which drug classification warrants extreme care when dispensing?
Antithrombotic agents
Calcium channel blockers
H2 antagonists
Proton pump inhibitors
In a community pharmacy, which drug classification warrants extreme care when dispensing?
Calcium channel blockers
Cephalosporins
HMG-CoA reductase inhibitors
Oral hypoglycemic agents
While working in a long-term care pharmacy, one should be extremely careful when dispensing which classification?
Anticoagulants
Calcium channel blockers
Corticosteroids
Fluoroquinolones
Paxil and Plavix are examples of ________.
drugs that should not be crushed or chewed
high alert medications
look-alike/sound-alike drug names
tall man letters
According to The Joint Commission, the abbreviation “IU” can easily be mistaken for the abbreviation ________.
ID
IM
IT
IV
