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WorksheetsPharmPrac7e Chapter 13 Quiz
Total questions: 30
Worksheet time: 15mins
Compounded sterile preparations (CSPs) must be:
Nonsterile and refrigerated
Sterile and free from contamination
Prepared only by pharmacists
Used only in outpatient settings
Normal saline (NS) is an example of a:
Hypertonic solution
Hypotonic solution
Base solution
Hazardous solution
A solution with a pH less than 7 is considered:
Alkaline
Neutral
Isotonic
Acidic
Why must IV medications be compatible with blood plasma?
To improve taste
To prevent vein irritation or damage
To reduce cost
To speed up compounding
An isotonic solution is best described as:
More concentrated than plasma
Less concentrated than plasma
Similar to blood plasma
Chemically incompatible
Lactated Ringer’s solution is commonly used for:
Antibiotic therapy
Chemotherapy
Fluid replacement after blood loss
Pain management
Chemical compatibility refers to:
Matching drug labels
Mixing drugs with similar colors
Combining components without significant reactions
Ensuring sterility only
Which reference is commonly used to check IV compatibility?
Orange Book
PDR
Trissel’s Stability of Compounded Formulations
DailyMed
USP Chapter provides standards for:
Hazardous drugs
Sterile compounding practices
Nonsterile compounding
Nuclear pharmacy
What is the first step in the sterile compounding process?
Quality check
Initiate a compounding record
Receive medication orders and labels
Store the CSP
IV bags should be wiped down before entering the:
Pharmacy
Anteroom
Buffer area
Storage area
CSPs must be compounded in the PEC according to:
USP
USP
USP
FDA labeling rules
Hospitals typically prepare how much CSP supply per patient?
12-hour supply
24-hour supply
48-hour supply
Weekly supply
A visual inspection of CSPs is part of the:
Storage process
Ordering process
Quality check
Disposal process
The Master Formulation Record includes all EXCEPT:
Ingredients
Equipment
Procedures
Patient diagnosis
The Master Formulation Record is used when:
Labels are missing
Labels do not include compounding instructions
The drug is hazardous
The drug is refrigerated
Overfill in IV solutions accounts for:
Drug incompatibility
Medication errors
Loss due to evaporation or withdrawal
Expiration dates
If overfill is 10% or less, the technician should:
Withdraw solution
Add extra diluent
Not withdraw base solution
Discard the IV bag
When inserting a needle into a vial, the bevel should initially be:
Facing down
At a 90-degree angle
Point bevel up at 45 degrees
Inserted sideways
Once the vial stopper is pierced, the needle should be:
Removed immediately
Tilted to 180 degrees
Straightened to 90 degrees
Left at 45 degrees
An ampule includes all of the following parts EXCEPT:
Head
Neck
Break ring
Rubber stopper
Before storage, CSPs must be:
Frozen
Inspected and labeled
Diluted again
Re-compounded
Beyond-use dates (BUDs) are assigned based on:
Drug cost
Storage conditions and risk level
Manufacturer expiration date only
Patient age
CSP storage areas must have:
Room temperature only
Controlled and documented temperatures
Freezer access only
Natural lighting
Premade IV solutions do NOT require:
Manufacturer labeling
Sterile compounding
Proper storage
Inspection
A vial-and-bag system is considered:
Hazardous
Nonsterile
A premade IV solution system
Nuclear pharmacy product
When handling returned CSPs, the rule is:
Reuse if sealed
Refrigerate immediately
When in doubt, throw it out
Send to manufacturer
Hazardous drugs may cause all EXCEPT:
Carcinogenicity
Teratogenicity
Genotoxicity
Allergic rhinitis
USP Chapter focuses on:
Nonsterile compounding
Sterile technique
Hazardous drug handling
Nuclear pharmacy
Radioactive pharmaceuticals are prepared in:
Hospital IV rooms
Community pharmacies
Nuclear pharmacies
Compounding labs
