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WorksheetsQuality Assurance and Patient Safety Practice Questions
Total questions: 31
Worksheet time: 16mins
If two drugs are taken together and one of them intensifies the action of the other, what type of drug interaction has occurred?
Potentiation
Synergism
Antagonism
Additive effect
The pharmacy technician notices that a dosage may be typed wrong in the system. The reading says 0.1g but it should probably be 0.01g as 0.1 may be too large of a dose. What should the technician do in this case?
Alert the pharmacist to verify
Go ahead and change the dosage
Ask the patient
Call and ask the physician if it is the correct dose
A drug is recalled by the FDA, but the problem is unlikely to cause any adverse health reactions. What type of recall would this be?
Class I
Class II
Class III
Class IV
The iPLEDGE program is designed to mitigate the risks associated with taking:
OxyContin
Isotretinoin
Lexapro
Zolpidem
Which is the proper use of tall man letters to help differentiate these look-alike/sound-alike medications?
parOXETINE----- fluOXETINE
PAROxetine----FLUOXetine
PAROXetine---FLUoxetine
paroxeTINE---fluoxeTINE
Which of the following potential hazards are addressed by OSHA regulations?
Exposure to wet surfaces and potential slip and falls
Exposure to bloodborne pathogens
Exposure to hazardous chemicals
All of these potential hazards are addressed by OSHA regulations
What is the primary purpose of continuous quality improvement (CQI)?
To meet healthcare accreditation standards
To help improve pharmacy practices
To speed up workflow as much as possible
To punish employees that have made medication errors
What is the first step to complete when a quality-related event occurs such as a medication error?
The error should be documented
The error should be reported to a district manager.
Treat the patient for any adverse effects
Quality assurance should be used to identify what went wrong
Which safety organization provides a list of inappropriate abbreviations for medication orders to help prevent medication errors?
ISMP
BOP
TJC
USP
Which of these is an example of a fail-safe in pharmacy operations?
Using an automatic counting machine to fill a prescription
Following a checklist to reduce human error
The computer not letting you process a prescription without the pharmacist's initials on the label
The computer giving you a reminder of a days' supply calculation
What role does USP play in quality assurance?
Discusses the appropriate chain of command to report medication errors
Sets safety requirements for prescription compounding
Defines the minimum requirements for handling hazardous materials
Describes the requirements for all prescription labels
Which of these is a measure of quality?
Pharmacy personnel salaries
Joint Commission score
Chain of command
Employee evaluation
Which of these can be considered an emergency resource during pharmacy practice?
Sink with running water
Having access to USP regulations during compounding
A caution sign warning about hazardous materials
Eye wash station
What is the benefit of using a barcode system in the pharmacy?
Keep an accurate inventory of medications
To optimize the data entry process
To improve workflow efficiency
To verify drug products before they reach the patient
Which of these is an example of using automation and computerization to improve the safety of filling prescriptions?
Having two pharmacy personnel check a compounded prescription
Creating a standard process for filling a prescription
The computer system checking for drug interactions
Putting policies in place to support pharmacy staff
What is the purpose of instrument calibration?
To ensure the accuracy of its measurement
To make sure it is cleaned properly
To simplify the instructions for use
To make sure it is in the proper work area
What is the term for “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer”?
Performance deficit
Medication error
Prescription drug abuse
Knowledge deficit
Which of these is an example of a knowledge deficit?
Employee was not given information necessary to perform an assigned task
Employee is experiencing personal problems at home
Employee did not sleep well the night before
Employee is distracted and not paying attention to his or her job
To avoid transcription errors in the pharmacy, which of these solutions is recommended?
Always include a zero before a decimal point
Repeat back all phone orders before hanging up
Require indications for all high-risk drugs
Require an independent dose double check
Which of these is an example of unintentional medication misuse?
The patient uses his rescue asthma inhaler multiple times per day when the drug is only indicated for emergent shortness of breath.
The patient takes a benzodiazepine three times a day everyday instead of just “as needed” before flying.
The patient takes his opioid pain medication after it is no longer needed.
The patient uses someone else’s prescription to self-medicate.
Which oral dosage form of medication can be crushed or chewed if needed?
Enteric-coated
Immediate-release
Extended-release
Orally disintegrating tablet
Which of these notations is on the Institute for Safe Medication Practice’s list of error-prone abbreviations, symbols, and dose designations?
PO
HS
cap
Daily
With what type of medication should a patient package insert be provided?
Acetaminophen
Antibiotics and antifungals
The hospital Pharmacy and Therapeutics Committee determines that Drug X and Drug Y are equally effective, but Drug X is preferred because of cost. If a patient is admitted to the hospital on Drug Y and switched to Drug X, what is this an example of?
Misuse
Over-the-counter recommendation
Adverse drug event
Therapeutic interchange
A prescriber writes the following order: “Take one Zoloft tablet by mouth daily.” What order instructions are missing from this prescription?
Frequency
Route
Drug name
Strength
What is the definition of Additive Effect?
The combined effect of two or more chemicals is equal to the sum of the effect of each agent given alone.
One substance that does not normally have a toxic effect is added to another chemical, making the second chemical much more toxic.
The combined effect of two or more compounds is less toxic than the individual effects.
The combined effect of two chemicals is much greater than the sum of the effects of each agent given alone.
Which example best illustrates an Additive Effect?
2 + 2 = 4
0 + 2 > 2
4 + 6 < 10
2 + 2 >> 4
What is Potentiation?
The combined effect of two or more chemicals is equal to the sum of the effect of each agent given alone.
One substance that does not normally have a toxic effect is added to another chemical, making the second chemical much more toxic.
The combined effect of two or more compounds is less toxic than the individual effects.
The combined effect of two chemicals is much greater than the sum of the effects of each agent given alone.
Fill in the blank: The example of Potentiation is ___ + 2 > 2, not just 2.
0
1
2
3
What is the definition of Antagonism?
The combined effect of two or more chemicals is equal to the sum of the effect of each agent given alone.
One substance that does not normally have a toxic effect is added to another chemical, making the second chemical much more toxic.
The combined effect of two or more compounds is less toxic than the individual effects.
The combined effect of two chemicals is much greater than the sum of the effects of each agent given alone.
What is a synergistic effect?
The combined effect of two or more chemicals is equal to the sum of the effect of each agent given alone.
The combined effect of two chemicals is much greater than the sum of the effects of each agent given alone.
The combined effect of two or more compounds is less toxic than the individual effects.
One substance that does not normally have a toxic effect is added to another chemical, making the second chemical much more toxic.
