Deck 9: Institutional Pharmacy Practice

Question 1

A standing order:

A)Needs to be filled as quickly as possible.
B)Is a protocol for a treatment that can be used in a specific situation.
C)Is a patient's regularly scheduled medication.
D)Is only used in an emergency.

Answer 1

B
A standing order is a written protocol for drugs to be administered or treatments to be provided in a specific situation.

Question 2

eMAR stands for:

A)Excellent medical administration recording
B)Exceptional medication administration recording
C)Electronic medication administration record
D)Electronic medication activity record

Answer 2

C
Nurses are now electronically connected to the pharmacy through the use of bar codes. The nurse can ensure accuracy of medication dosages at the patient's bedside before any medications are administered. Each unit-dosed medication is bar coded and can be scanned with a handheld device. Information is linked to the pharmacy and to electronic medication administration record (eMAR) systems.

Question 3

A hospital pharmacy that is not open 24 hours a day has which of the following options for filling after-hours medication orders?

A)Allow limited access to medications by specific nursing personnel.
B)Have an on-call pharmacist.
C)Have an off-site pharmacy that can deliver medications.
D)All of the above.

Answer 3

D
For hospitals that are not staffed by pharmacy personnel at all times, contingent policies and regulations are in place that allow specific nursing personnel to have limited access to an inpatient pharmacy to obtain needed medications. In other facilities, an on-call pharmacist may provide the necessary services in times of less-than-full operation. Still other pharmacies may have off-site pharmacies that will provide courier services to deliver needed orders.

Question 4

Satellite pharmacies:

A)Are used in all hospitals.
B)Are staffed by only technicians.
C)Expedite order preparation and delivery.
D)All of the above describe satellite pharmacies.

Question 5

The Pyxis company currently makes a(n):

A)Automated dispensing system
B)Safe system
C)Automated packaging machine
D)All of the above

Question 6

All of the following statements are true regarding investigational drug use except:

A)A logbook must be maintained for each investigational drug.
B)All steps must be performed by a pharmacist.
C)All medication must be returned to the sponsor upon completion of the study.
D)Investigational drugs must be separately stored from other drugs.

Question 7

Currently, most hospitals use:

A)Individual patient cassette drawers
B)Automated dispensing systems
C)Combination of A and B
D)Robots

Question 8

Which of the following criteria is(are) used to distinguish between types of hospitals?

A)Size
B)Profit or nonprofit
C)Types of services provided
D)All of the above

Question 9

Parenteral medications:

A)Bypass the digestive system.
B)Are usually intended for systemic action.
C)Are commonly considered to be injections.
D)All of the above describe parenteral medications.

Question 10

The most important benefit of using the eMAR system is:

A)Less paperwork
B)Less time spent with the patient
C)Less money
D)Overall improved communication benefitting patient care

Question 11

Policies and procedures manuals contain information regarding all of the following except:

A)Employees' weekly schedules
B)Emergency situations
C)Daily work routines and responsibilities
D)Mandatory trainings

Question 12

A prescription written for administration in a hospital is called a(n) ______________ order.

A)Hospital
B)Prescription
C)Medication
D)Institutional

Question 13

The Centers for Medicare and Medicaid Services (CMS) regulates and administers:

A)Children's Health Insurance Program (CHIP)
B)Health Insurance Portability and Accountability Act (HIPAA)
C)Department of Health and Human Services (HHS)
D)A and B

Question 14

Medications that bypass the digestive system but are intended for systemic action are called _______________ medications.

A)Enteral
B)Oral
C)Topical
D)Parenteral

Question 15

The abbreviation that implies an emergency situation is:

A)ASAP
B)PRN
C)stat
D)SO

Question 16

What is used for patient identification in hospital order entry in lieu of the patient's address and telephone number?

A)Room number
B)Insurance number
C)Medical record number
D)Birth date

Question 17

An ASAP order:

A)Takes precedence over all other orders.
B)Should be delivered within 5 to 15 minutes.
C)Should be quickly processed.
D)Can mean the difference between life and death.

Question 18

Computerized physician order entry (CPOE) is being promoted because it:

A)Is no longer necessary to decipher illegible handwriting.
B)Is more expensive.
C)Checks for drug interactions and contraindications.
D)A and C

Question 19

Accreditation by The Joint Commission (TJC) is required to:

A)Open a pharmacy.
B)Fill a controlled substance prescription.
C)Accept Medicare and Medicaid payments.
D)Accreditation is required for all of the above.

Question 20

Which of the following is(are) reason(s) to repackage bulk medications into unit-doses in the hospital pharmacy?

A)Some medications do not come in unit-doses from the manufacturer.
B)Repackaging may be less expensive.
C)Repackaging prevents errors.
D)A and B

Question 21

Supplies of medication on hand in certain units of a hospital are called ____________ stock.

A)Nursing
B)Unit
C)Floor
D)Patient

Question 22

Stat orders should be filled within _____ minutes.

A)5
B)10
C)15
D)20

Question 23

CCU stands for:

A)Critical care unit
B)Coronary care unit
C)Cardiac care unit
D)Clinical cardiac unit

Question 24

Which one of the following is not a benefit of using an automated dispensing system (ADS)?

A)Decreases errors.
B)Saves money.
C)Decreases patient wait time.
D)Simplifies inventory control.

Question 25

USP <797> regulations state that compounding should take place within an ______ or better clean room.

A)International Standards Organization (ISO) Class 1
B)ISO Class 2
C)ISO Class 8
D)ISO Class 9

Question 26

The hospital department that stores backup stock for the pharmacy is called:

A)Pharmacy supply
B)Pharmacy closet
C)Central stock
D)Central supply

Question 27

A(an) ____ pharmacy technician works in a small specialty pharmacy that supplies a specific area of the hospital.

A)Supply
B)Inventory
C)Satellite
D)Patient

Question 28

The aseptic technique is a(n):

A)Method to prevent contamination
B)Important preparation for all intravenous (IV) medications
C)Delivery system for medication orders
D)A and B

Question 29

Which of the following is considered to be a closed system?

A)Horizontal flow hood
B)Vertical flow hood
C)Glove box
D)Biological safety cabinet (BSC)

Question 30

Which of the following is(are) true about controlled substances in the institutional setting?

A)Controlled substances must always be signed in and out of the pharmacy.
B)The pharmacy technician verifies the beginning and final count.
C)The pharmacy technician must perform a complete inventory of the pharmacy stock at the beginning of each day.
D)All of the above statements are true.

Question 31

Crash or code carts contain:

A)Oral suspensions
B)Creams
C)Suppositories
D)Injectable medications

Question 32

HEPA stands for:

A)High-efficiency pressurized air
B)High-efficiency particulate air
C)Highly effective particulate air
D)Highly effective pressurized air

Question 33

A Pharmacy and Therapeutics Committee is made up of:

A)Pharmacists
B)Nurses and physicians
C)Administrative personnel
D)All of the above