Deck 12: Aseptic Technique and Sterile Compounding

Question 1

Which of the following reasons explains why many hospitals contract out intravenous (IV) preparations?

A) Hospitals do not have trained personnel.
B) Complying with the new USP <797> rules regarding IV preparation areas is an enormous expense.
C) Hospitals do not have time to prepare them.
D) All of the above are explanations.

Answer 1

Complying with the new USP <797> rules regarding IV preparation areas is an enormous expense.

Question 2

CSP stands for:

A) Combination sterile products
B) Compounded sterile products
C) Combination sterile preparations
D) Compounded sterile preparations

Answer 2

Compounded sterile preparations

Question 3

What percent isopropyl alcohol should be used when cleaning a horizontal laminar airflow hood?

A) 50
B) 70
C) 90
D) 100

Answer 3

70

Question 4

PCA stands for:

A) Pain-controlling analgesia
B) Patient-controlled analgesia
C) Pump-containing analgesia
D) Pump-continuous analgesia

Question 5

How many times may a filter needle be used before being replaced with a regular needle?

A) 1
B) 2
C) 5
D) 10

Question 6

When a chunk of rubber from a stopper is found in a vial, what has occurred?

A) Chunking
B) Coring
C) Beveling
D) Clumping

Question 7

Which term means the opening of a needle?

A) Cap
B) Bore
C) Hub
D) Shaft

Question 8

The official updates to USP <797> that took effect on June 1, 2008, include all of the following except:

A) Revised risk categories for CSPs
B) Addition of a new low-risk, 12-hour beyond-use date (BUD) category
C) Guidelines about the use of single-dose and multidose vials
D) Guidelines about reconstituting oral antibiotics

Question 9

Health care-associated infections are also called:

A) Hospital-induced infections
B) Hospital-spread infections
C) Health care-spread infections
D) Nosocomial infections

Question 10

Work in a horizontal flow hood should be performed at least _____ inches inside the hood.

A) 4
B) 6
C) 8
D) 10

Question 11

USP <797> contains guidelines that apply to:

A) Pharmacists and pharmacy technicians
B) Nurses
C) Physicians
D) All of the above

Question 12

A HEPA filter traps all particles larger than _______ micrometers.

A) 0.2
B) 0.5
C) 10
D) 100

Question 13

The rules regarding the inspection of IV hoods specify that they must be certified:

A) Once a year
B) Once a month
C) Only at installation
D) And verified every 6 months or whenever they are moved

Question 14

Pharmacies that prepare compounded sterile preparations must research, create, and document their standard operating procedures (SOPs) for ______ regulations.

A) USP <797>
B) USP <795>
C) ASHP
D) The Joint Commission (TJC)

Question 15

How long do vertical or horizontal flow hoods need to run before performing any IV preparations?

A) 10 minutes
B) 20 minutes
C) 30 minutes
D) 1 hour

Question 16

What should a technician do if he or she touches the needle to anything unintended in the hood?

A) Alcohol it.
B) Discard it, and replace it with a new one.
C) Nothing; everything inside is sterile if properly cleaned.
D) Let the first air blow on it for 10 seconds.

Question 17

The anteroom is adjacent to the:

A) Green room
B) Clean or buffer room
C) Primary engineering control room
D) Non-sterile compounding room

Question 18

In which of the following setting(s) is(are) pharmacy technicians likely to prepare CSPs?

A) Home health services
B) Long-term care
C) Hospitals
D) All of the above

Question 19

Which type of hood provides the most protection for the preparer?

A) Horizontal flow hood
B) Vertical flow hood
C) Glove box
D) All are equal if used properly

Question 20

What is the maximum volume (in millimeters) of a tension-type syringe?

A) 0.5
B) 1
C) 3
D) 5

Question 21

The most common gauge size(s) used for preparing IV medications is/are:

A) 16, 18, and 19
B) 20
C) 25
D) All of the above

Question 22

Which of the following forms of training will a pharmacy technician i required to have completed to work in a hospital setting?

A) Blood-borne pathogen
B) CPR
C) First aid
D) All of the above

Question 23

All of the following can be added to a TPN except:

A) Regular insulin
B) Neutral protamine Hagedorn (NPH) insulin
C) Histamine-2 antagonists
D) Electrolytes

Question 24

A room that has a lower pressure than surrounding rooms is called a ___________ pressure room.

A) reverse
B) negative
C) positive
D) forward

Question 25

An area exposed to air or touch, such as a vial, needle, or ampule, is called a:

A) Critical site
B) Clean site
C) Sterile site
D) First-air site

Question 26

Which of the following IV hoods can be used to prepare chemotherapy medications?

A) Horizontal flow hood
B) Vertical flow hood
C) Biological safety cabinet
D) B and C

Question 27

Which of the statement is not true regarding sharps containers?

A) They are always located inside the hood.
B) They are required for the disposal of needles and syringes.
C) They should be replaced when two-thirds full.
D) They must be picked up or delivered to an approved red bag or medical waste treatment site.

Question 28

According to USP <797>, how often must media-fill tests be performed?

A) At the time of hire
B) Annually for low- and medium-risk compounding levels
C) Twice a year for high-risk compounding levels
D) All of the above

Question 29

What is the last part of an IV hood to be cleaned?

A) Sides
B) Top
C) Filter
D) Work surface

Question 30

What special consideration(s) must be addressed when preparing a nitroglycerin (NTG) IV?

A) An NTG IV must be prepared immediately before using.
B) It can only be prepared by a pharmacist.
C) An NTG IV must be placed in a glass container.
D) All of the above are considerations.

Question 31

An IV bag that is infused over a specified amount of time but is not given IV push is called an:

A) IV drip
B) IV infusion
C) Intradermal bag
D) A and B

Question 32

Regardless of how much is left in the IV bag, hyperalimentation solution must be changed at least every _____ hours.

A) 12
B) 24
C) 48
D) 72

Question 33

Which of the following statements is(are) true regarding the ADD-Vantage system?

A) Once attached to the solution, the IV medication cannot be returned to the pharmacy or reused.
B) The pharmacy technician is responsible for mixing the powdered drug with the solution.
C) It reduces the amount of wasted medication.
D) It is inexpensive.

Question 34

One-half normal saline is:

A) 0.5% sodium chloride
B) 0.45% sodium chloride
C) 0.45% normal saline
D) None of the above

Question 35

Which of the following is(are) an example(s) that a standard precaution that a pharmacy technician will be required to have performed when working in a hospital?

A) Influenza immunization
B) Shingles immunization
C) Tuberculosis testing
D) Both A and C

Question 36

MDV stands for:

A) Mid-dose vial
B) Multidose vial
C) Many-dose vial
D) Multiple drug vial

Question 37

KPO₄ is the chemical formula for:

A) Calcium phosphate
B) Potassium phosphorous oxide
C) Potassium phosphate
D) Calcium phosphorous oxide

Question 38

All total parenteral nutrition (TPN) orders contain:

A) Dextrose and amino acids
B) Lipids
C) Electrolytes and multivitamins
D) All of the above

Question 39

According to USP <797>, the storage temperature for a pharmacy refrigerator should be:

A) 2° to 8° C
B) 10° to 20° C
C) 36° to 46° F
D) A and C

Question 40

Which one of the following products is considered hazardous?

A) Antibiotics
B) Anticoagulants
C) Radioactive compounds
D) Diuretics

Question 41

All of the following are syringes available to be used in a pharmacy except:

A) 0.5 mL
B) 1 mL
C) 15 mL
D) 60 mL

Question 42

What is the minimum frequency that counters and work surfaces must be cleaned?

A) Beginning of each pharmacy shift
B) Daily
C) Every 8 hours
D) Weekly

Question 43

What is the sequence in donning PPEs?

A) Head and facial hair covers, shoe covers, face masks/eye shields
B) Head and facial hair covers, face shields/eye shields, shoe covers
C) Shoe covers, head and facial hair covers, face masks/eye shields.
D) Shoe covers, face masks/eye shields, head and facial hair covers

Question 44

How many Risk Levels exist under USP <797>?

A) Three
B) Four
C) Five
D) Six

Question 45

What is the minimum amount of time that a BSC must be turned on prior to compounding?

A) 10 minutes
B) 15 minutes
C) 20 minutes
D) 30 minutes