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.

Accepted Answer

Complying with the new USP <797> rules regarding IV preparation areas is an enormous expense, which is a significant reason hospitals might choose to contract out IV preparations.

Question 2

CSP stands for:
A) Combination sterile products
B) Compounded sterile products
C) Combination sterile preparations
D) Compounded sterile preparations

Accepted Answer

CSP stands for Compounded Sterile Preparations, which refers to medications that are prepared in a sterile environment to ensure they are free from contaminants.

Question 3

What percent isopropyl alcohol should be used when cleaning a horizontal laminar airflow hood?
A) 50
B) 70
C) 90
D) 100

Accepted Answer

70% isopropyl alcohol is the recommended concentration for cleaning a horizontal laminar airflow hood because it effectively disinfects while allowing sufficient time for the alcohol to evaporate without leaving residues that higher concentrations might leave.

Question 4

PCA stands for:
A) Pain-controlling analgesia
B) Patient-controlled analgesia
C) Pump-containing analgesia
D) Pump-continuous analgesia

Accepted Answer

PCA stands for Patient-controlled analgesia, a method allowing patients to self-administer their pain relief medication.

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

Accepted Answer

A filter needle is designed for single use only, to draw up medication from a vial or ampule. After drawing up the medication, it should be replaced with a regular needle for administration to ensure sterility and prevent potential contamination.

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

Accepted Answer

Coring occurs when a needle punctures a rubber stopper, potentially removing a small piece of the rubber, which can then be found in the vial. This is a concern in pharmaceutical practices for contamination and dosage accuracy.

Question 7

Which term means the opening of a needle?
A) Cap
B) Bore
C) Hub
D) Shaft

Accepted Answer

The term "bore" refers to the opening or the hollow part inside a needle through which fluid passes.

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

Accepted Answer

The official updates to USP <797> that took effect on June 1, 2008, did not include guidelines about reconstituting oral antibiotics. USP <797> primarily focuses on sterile compounding practices, and reconstituting oral antibiotics typically falls outside the scope of these guidelines.

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

Accepted Answer

Nosocomial infections are the correct term for infections acquired in a hospital or healthcare service facility that were not present or incubating at the time of admission. These infections can also become evident after discharge, and they are a significant subset of health care-associated 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

Accepted Answer

Work in a horizontal flow hood should be performed at least 6 inches inside the hood to ensure that the work is done within the area of clean, laminar airflow and to minimize the risk of contamination.

Question 11

USP <797> contains guidelines that apply to:
A) Pharmacists and pharmacy technicians
B) Nurses
C) Physicians
D) All of the above

Accepted Answer

USP <797> provides guidelines on sterile compounding that apply to all healthcare professionals involved in the preparation of sterile medications, including pharmacists, pharmacy technicians, nurses, and physicians.

Question 12

A HEPA filter traps all particles larger than _______ micrometers.
A) 0.2
B) 0.5
C) 10
D) 100

Accepted Answer

HEPA filters are designed to trap particles as small as 0.3 micrometers with high efficiency, so they effectively trap all particles larger than 0.2 micrometers.

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

Accepted Answer

IV hoods must be certified and verified every 6 months or whenever they are moved to ensure they are functioning properly and maintaining a sterile environment.

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)

Accepted Answer

USP <797> is specifically focused on the standards for compounding sterile preparations, which includes requirements for creating and documenting standard operating procedures (SOPs) to ensure the safety and quality of compounded sterile products.

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

Accepted Answer

Vertical or horizontal flow hoods should be allowed to run for at least 30 minutes before performing any IV preparations to ensure that the air within the hood is clean and to establish proper airflow patterns.

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.

Accepted Answer

If a technician touches the needle to anything unintended in the hood, the correct action is to discard it and replace it with a new one to maintain sterility and prevent contamination.

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

Accepted Answer

The anteroom is adjacent to the clean or buffer room, serving as a transitional space where personnel perform hand hygiene and garbing procedures, and materials are staged or prepared for entry into the clean or buffer 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

Accepted Answer

Pharmacy technicians are likely to prepare Compounded Sterile Preparations (CSPs) in all the mentioned settings: home health services, long-term care facilities, and hospitals, as these environments often require customized medication dosages and forms.

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

Accepted Answer

A glove box provides the most protection for the preparer because it is a sealed container used to manipulate objects where a separate atmosphere is desired. It offers a higher level of containment compared to horizontal or vertical flow hoods, which primarily protect the product but not the user to the same extent.

Question 20

What is the maximum volume (in millimeters) of a tension-type syringe?
A) 0.5
B) 1
C) 3
D) 5

Accepted Answer

The answer of What is the maximum volume (in millimeters)...

Quiz 12: Aseptic Technique and Sterile Compounding

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

CSP stands for:

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

PCA stands for:

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

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

Which term means the opening of a needle?

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

Health care-associated infections are also called:

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

USP <797> contains guidelines that apply to:

A HEPA filter traps all particles larger than _______ micrometers.

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

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

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

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

The anteroom is adjacent to the:

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

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

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