Deck 18: Hospital Pharmacy Practice

Question 1

Roles for pharmacy technicians in the hospital include

A) checking medication orders
B) consulting with physicians
C) setting up unit doses
D) pharmacokinetic calculations

Answer 1

setting up unit doses

Question 2

Which system of purchasing medications would a large hospital probably use?

A) independent purchasing
B) group purchasing
C) coalition purchasing
D) none of the above

Answer 2

independent purchasing

Question 3

The primary disadvantage of wholesaler purchasing is

A) higher acquisition costs of the pharmaceuticals
B) longer delivery times
C) increased inventory costs
D) increased personnel commitment to the purchasing process

Answer 3

higher acquisition costs of the pharmaceuticals

Question 4

Hospital pharmacies leadership position is usually titled

A) Pharmacy Supervisor
B) Pharmacy Buyer
C) Pharmacy Director
D) Pharmacy Manager

Question 5

The types of medication orders that may be encountered in a hospital include

A) scheduled medication orders
B) PRN (as needed) medication orders
C) outpatient prescription orders
D) both a and b

Question 6

The target for inventory turnover rate is

A) 1 to 2 times per year
B) 4 to 6 times per year
C) 10 to 12 times per year
D) 12 to 16 times per year

Question 7

The medication dispensing system that is considered the safest and most effective is the

A) unit-dose drug distribution system
B) floor stock system
C) patient prescription system
D) satellite pharmacy system

Question 8

The disadvantages of the floor stock system include

A) the pharmacy can only dispense a 24-hour supply of medication
B) potential for medication errors
C) medications being used for more than one patient
D) both a and c

Question 9

Common features of the unit dose system of drug distribution include the following, EXCEPT

A) individual doses of medications are labeled
B) no more than a 24-hour supply of medication is dispensed
C) bulk bottles can be used for more than one patient
D) original copy of physician's order is received by the pharmacy

Question 10

Policies and Procedure Manuals should be revised at least

A) weekly
B) monthly
C) yearly
D) every 5 years

Question 11

The inventory system(s) that most hospitals utilize is/are

A) computerized inventory system
B) Economic Order Quantity (EOQ)/Economic Order Value (EOV)
C) order book system
D) both a and c

Question 12

Which type of drug product is not required to be sterile prior to administration?

A) intramuscular injections
B) eye drops
C) inhalation aerosols
D) sublingual tablets

Question 13

Advantages of the unit dose drug distribution include

A) bulk medicines are stored in patient care units
B) medications can be used for more than one patient
C) increased medication credits (medications returned unused)
D) improved medication control

Question 14

The automated processing of medication orders also results in

A) generation of patient profiles
B) medication labels being produced
C) medication administration records being produced
D) all the above

Question 15

A PRN medication is one that is

A) given continuously around the clock
B) given at set time intervals
C) given only in response to a specific parameter
D) given rectally

Question 16

With a 24-hour medication cart exchange system, the final check is usually done by a

A) pharmacist
B) pharmacy technician
C) head nurse
D) charge nurse

Question 17

In the hospital setting, all medications are ordered by the physician through

A) prescriptions
B) medication orders
C) verbal orders
D) telephone orders

Question 18

The medication order in a hospital must contain

A) hospital name
B) patient's BSA (body surface area)
C) patient's known drug allergies
D) nurse's name

Question 19

A system of purchasing in which the hospital establishes a relationship with a single wholesaler in order to obtain more competitive pricing is

A) group purchasing organization (GPO)
B) prime vendor purchasing
C) wholesaler purchasing
D) direct purchasing

Question 20

The scope of pharmaceutical services provided by hospitals is limited largely by

A) the size of the hospital
B) new health care legislation
C) personnel shortages
D) rapid changes in technology

Question 21

Preparation and mixing of sterile drug products in the pharmacy can be done

A) on a clean stainless steel surface
B) on any clean countertop
C) in a laminar airflow hood
D) both a and c

Question 22

Failure to understand how the billing process works will cause errors in all of the following, EXCEPT

A) coverage
B) reimbursements
C) inventory
D) payment

Question 23

The ____________________ of drug distribution has become the preeminent method used by hospital pharmacies.

Question 24

The practice of hospital pharmacy begins with the

A) medication order
B) medication dispensing
C) medication admixture
D) medication inventory

Question 25

Which of the following groups of health care professionals are not employees of a hospital?

A) nurses
B) pharmacists
C) physicians
D) technicians

Question 26

In the hospital pharmacy, the ____________________ determines which medications will be purchased and maintained in stock.

Question 27

When multiple hospitals negotiate volume purchases together, this is called ____________________.

Question 28

Which type of policies and procedures are related to the control of human resources and with relationships with other departments and the administration?

A) professional policies and procedures
B) administrative policies and procedures
C) patient care services policies and procedures
D) dispensing policies and procedures

Question 29

The sterile product is usually associated with drugs that are administered by

A) injection or via the rectal route
B) injection or via the ophthalmic route
C) injection or via the otic route
D) injection or via the nasal route

Question 30

Which of the following statements is false about the advantages of using the unit dose drug distribution system?

A) decreased overall cost of medication distribution
B) improved medication control
C) increased drug discounts
D) reduction of drug inventories

Question 31

Which of the following statements is false about automation?

A) It provides the ability to rapidly process large volumes of medication orders quickly
B) It generates patient profiles
C) It issues recertification
D) It provides medication labels

Question 32

Which of the following is a quasi-legal organization that has defined a standard of practice for pharmacy departments with certain policies and procedures having a defined content?

A) American Society of Health-System Pharmacists
B) American Association of Pharmaceutical Scientists
C) American Pharmacists Association
D) American Association of Colleges of Pharmacy

Question 33

Medications given under the direction of a research protocol are called ____________________.

Question 34

The primary disadvantage of wholesaler purchasing is

A) lower costs of pharmaceuticals
B) higher costs of pharmaceuticals
C) higher costs of personnel
D) lower costs of personnel

Question 35

A mathematical calculation used to determine the number of times the average inventory is replaced over a period of time is called ____________________

Question 36

The agency that inspects and approves hospitals to provide care for Medicaid patients is

A) Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
B) The State Board of Pharmacy (BOP)
C) Centers for Medicare and Medicaid (CMS)
D) The Department of Public Health (DPH)

Question 37

Which of the following devices is able to fill each patient medication tray in the cart?

A) automation
B) robotics
C) bar code scanners
D) pharmacy computers

Question 38

Large institutions are more likely to use

A) group purchasing
B) government purchasing
C) dependent purchasing
D) independent purchasing

Question 39

The organization that requires policies and procedures to guide the pharmacy department in providing safe, effective, and cost-effective drug therapy is the

A) Food and Drug Administration (FDA)
B) Drug Enforcement Administration (DEA)
C) Occupational Safety and Health Administration (OSHA)
D) Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

Question 40

Pharmacy technician recertification requires 1 hour being focused on

A) pharmacy inventory
B) pharmacy billing and coding
C) pharmacy compounding
D) pharmacy law

Question 41

In the hospital, the majority of patients will receive medications administered by ____________________.

Question 42

Describe how the unit dose drug distribution system works. What are the advantages of this type of system over other types of drug distribution systems?

Question 43

What are seven items that hospital medication orders must contain?

Question 44

What four services do pharmacies provide within a hospital setting?

Question 46

The document that outlines the guidelines for operation of a hospital pharmacy is called the ____________________.

Question 47

What is the monthly inventory turnover rate if the yearly drug purchases equaled $1,188,000 and the average inventory for the same period was $132,000?

Question 48

What are ten items that should be on a prescription label for a medicine dispensed in a hospital?

Question 49

A system in which the physician enters the medication order into the hospital information system is called the ____________________.

Question 50

The ____________________ systems are mathematical equations with parameters that are not easily obtained, rendering them unusable in the normal hospital for inventory control.

Question 51

The ____________________ is an organization that inspects and approves institutions to provide Medicaid and Medicare services.

Question 52

____________________ creates the ability to process large volumes of medication orders accurately and quickly.

Question 53

An attempt to have sufficient inventory to function until the next reorder period is the ____________________ system.

Question 54

The steps used to implement the policies of a department or organization are called ____________________.

Question 55

____________________ eliminates the "middle man" and handling fees but requires a significant commitment of time, larger inventories, and more storage space.

Question 56

What is the just-in-time (JIT) inventory system? Which type of purchasing arrangement would work better with a JIT inventory system?

Question 57

The leadership position in hospital pharmacies is usually titled ____________________.