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Pharmacy Practice Quiz - Exam Three Flashcards | StudBud
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Pharmacy Practice Quiz - Exam Three
Pharmacy Practice Quiz - Exam Three
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1
It is sunday morning and a man from a different state presents a script. What should you do?
send him to the local ER to cover the prescription
since it can't be proven tell him he has to wait until monday
ask the patient to wait while you call the doctor
fill the script since the DEA number is okay
2
What is the usual storage strategy for HDs in the pharmacy?
on shelves with fans
in a room with minimal air exchange
in brightly colored chemotherapy labeled bins
on storage shelves in a refrigerated room
3
Which of the following is a violation of sharing patient’s private health information?
submitting an insurance claim for reimbursement
an insurer providing PHI to the patient’s employer
a physician supplying a diagnostic code for diabetes supplies
4
Where will a pharmacy technician find a break ring when compounding sterile products?
on the drug port on a SVP
on the automated compounding device
around the neck of a vial of sterile solution
around the glass neck of an ampule
5
Manufacturers of base IV bag solutions will often _ each bag to accommodate
underfill
overfill
add sabilizers to
add surfactants to
6
why would inventory management experience be helpful for working with investigational drug
Because it's required
Someone has to
Keeping track of each investigational drug is important for the technician
It's not
7
What is the advantage for a pharmacy tech to continue in education?
Greater job opportunities
Guarantees a job in the hospital
Pre-requisite for an accredited Pharm tech program
Required prior to taking certification exam
8
You are waiting on a customer and trying to explain why they only received a partial fill.
nonverbal
text
verbal
electronic
9
For 2 doses of 2g of MDV of cefazolin, 10 g had to be reconstituted.
Refrigerate the remainder and use to fill other doses until the exp. date
Store it in the DCA for up to 6 hours, and if not used, discard remainder.
Immediately discard the balance.
Put an opened date and BUD on the label of the remainder and refrigerate.
10
During sterile compounding w/ aseptic technique, when do you clean the PEC?
after collecting compounding supplies
after donning gloves in the buffer room.
after completing the quality check of each CS
after wiping down supplies
11
After the initial safety benchmark to ensure HD procedures are being followed and containment
Daily
yearly
every 6 months
after each compounding is completed
12
A pharmacist gives preferential treatment to a pharmacy technician that he or she is related to
intimidation
harassment
discrimination
ethical
13
One of the main purposes of the Health Insurance Portability and Accountability Act was to
protect patients’ private health information.
prevent discrimination against patients without insurance.
prevent discrimination against patients with physical disabilities.
protect healthcare workers from harassment.
14
What would be the focus of an ambulatory externship
medication orders
unit-dose cart filling
hospital pharmacy practice
community dispensing practices
15
An employee likes to tell off-color, crude jokes in the pharmacy
HIPAA violation
discrimination
constructive criticism
sexual harassment
16
Which is a common measure implemented by pharmacies to prevent drug theft by employees?
signs posted warning that you will be fired if caught stealing
Perpetual inventory of controlled substances
weekly drug testing
rehabilitation counseling required for all employees caught stealing
17
If you want to know what abbreviations are considered unsafe, where would you check? Correct!
The SPEAK UP program
The ISMP website
The HAMMERS scorecard
The MERP Program
18
Which of the following statements is true concerning security and electronic transmission
The patient identifier should appear in the subject line of an email.
Passwords should be changed regularly to limit access.
No encryption is needed for electronic transmission.
You do not have to encrypt fax information
19
True or false. You need a certificate of advance practice to work in a sterile lab (nationaly)
FALSE
TRUE
20
If the hospital policy states that when you a preparing an IV medication
with addition of 10mL of MVI & 100mg of thiamine in stock 200mg/mL
with addition of 24mEq of magnesium sulfate in a stock strength of 4mEq/mL
with addition of 40 mEq of KCl in a stock strength of 2 mEq/mL
with addition of 95 mg of doxorubicin in a stock solution of 2 mg/mL
21
You work in a retail pharmacy that doesn't do sterile compounding
Getting powder particles on your hands and lips while breaking hazard drugs
Spilling doxorubicin directly on your skin from a broken vial.
Using poor manipulation techniques with a vial and releasing a fine mist
Accidentally getting a needle stick while mixing a chemotherapy drug.
22
What % do hospitals generally use to estimate the overfill of large volume IV base solutions
5%
10%
7%
3%
23
What is the purpose of sharps container
Keep hazardous waste from the landfills
Save patient money for prescriptions
Prevent transmission of communicable diseases
Keep away from the water supply
24
What is the proper technique for disposal of patient protected information in the pharmacy?
Cover or black out any PHI before throwing out containers.
All of the choices are correct.
Incinerate any containers with PHI.
Shred any document with PHI.
25
What is the appropriate way to deal with an angry customer?
listen, explain, act, discuss
listen, explain, acknowledge, discuss
listen, explain, act, deside
look, explain, act, depart
26
You have applied online to take the PTCE, what happens next?
You will receive authorization to schedule an exam.
You are given a location and time to take the exam.
You can take the exam at your local school.
You must call Pearson Professional Centers to schedule an exam date
27
Which is a sign of a forged prescription?
different colored inks are used
the prescription is altered
all of the above
misspellings appear on the prescription
28
Before you fill a script to someone with no med history how do check CII script use?
check the state's prescription drug monitoring program
call area local hospital ER for information
ask the patient
check the board of pharmacy website
29
When you are warned to watch out against 'doctor shopping' what are patients doing?
having more than one prescriber write for similar abusable drugs
locating a doctor that takes your insurance plan
finding a doctor with the lowest impact on one's finances
getting a second opinion on a medical conditon
30
In sterile compounding, if you do not follow aseptic technique and the final product is…
contaminated product error
omission error
documentation error
adverse drug error
31
Which of the following meds needs to be dispensed with a MedGuide for serious side effects
Penicillin
Sildenafil
Metoprolol
Buspirone
32
Which is the appropriate type of gown to wear when working with hazardous compounds?
isolation gown
surgical scrubs
cloth laboratory coat
non-permeable sterile gown
33
As part of the REMS for this drug, the pharmacy and prescribers must register w/
Transmucosal Immediate-Release Fentanyl
Z-PaK
Immediate Release Oxycodone
Controlled Released Oxycodone
34
Where is the safest place to keep C2 and C3 drugs?
two of the answers are correct
in alphabetical order in the stock
locked in a safe or secure steel cabinet
in a locked refrigerator
35
A PT refuses to fill a prescription for a plan B to a young women due to a personal belief.
Ethical dilemma
Oath of a Pharm tech
Personal violation
Social sanction
36
What chemical is used to deactivate HDs when cleaning and decontaminating?
hot water and detergent
sterile 70% isopropyl alcohol
2% sodium hypochlorite
3% hydrogen peroxide
37
Under which circumstances would private health information be shared without
an adult caring for a teenager
the patient is traveling
PHI may never be shared without the patient’s consent.
for a court order
38
Your ex-boyfriend’s new girlfriend comes into the pharmacy to have a prescription filled
positive attitude
timeliness
appropriate appearance
punctuality
39
There has been a spill of a hazardous drug outside of the Class IIB Biological Safety Cabinet.
A trained HD worker cleans with absorbent paper towels and alcohol.
The first person cleans with absorbent paper towels and alcohol
A trained HD worker in proper attire with spill kit.
The pharmacy technician with a spill kit.
40
How many continuing credits in pharm law are required by PTCB and NHA for recertification?
1 hour
6 hour
5 hour
2 hour
41
Which of the following is not a targeted anticancer therapy?
signal transduction inhibitors
angiogenesis inhibitor
topoisomerase inhibitors
monoclonal antibodies
42
what organization is responsible for the Practice Advancement Initiative (PAI)
NHA
ASHP
USP
DEA
43
Which additive to a TPN solution provides the components our bodies need for protein synthesis?
amino acids
fatty acids
dextrose
sterile water
44
What is the proper technique for disposal of patient protected information in the pharmacy?
Incinerate any containers with PHI.
Cover or black out any PHI before throwing out containers.
All of the choices are correct.
Shred any document with PHI.
45
Where would you find the reason for particulates forming in a sterile compound?
two of the answers are correct
Sterile compounding for dummies
Product Package Insert
Trissel's Stability of Compounded Formulations
46
Where should the empty vials that held HDs be disposed?
hazardous waste container
recycle container
biologic waste container
covered trash receptacle
47
what is required when working w/ a lyophilized powder in a vial that is not needed...
B) Use a vented needle to add fluid for reconstitution.
C) Swirl gently to dissolve powdered medication
B & C
A) Use a powder syringe to remove the powder.
48
How are expired drugs disposed?
Distribute the meds to friends
Return to the pharmacy
Flush them down the toilet
Throw them in the trash
49
Which of the following is considered a pitfall that could blow your interview?
arriving 15 minutes early
throwing away your chewing gum before entering
not asking any questions
being courteous to employees at the company
50
A pharm tech is constantly making errors while preparing meds for the dispensing machine.
tell her you do not like her and she should be fired
bring it to the attention of the supervisor to help resolve the issues
do not fix her errors anymore and let someone else deal with her
just fix her errors and do not tell her
51
Which PEC is NOT used to compound any level of hazardous drug:
horizontal laminar airflow workbench
compounding aseptic containment isolator
Class III biological safety cabinet
Class IIB biological safety cabinet
52
Which of the following statements concerning radioactive pharmaceuticals is TRUE?
Radiopharmaceuticals have a short half-life & are not a risk
No special PEC is necessary to compound a radiopharmaceutical.
No special training is needed for a PT to work in a nuclear pharmacy.
Workers handling radiopharmaceuticals must wear a radiation badge.
53
Owner of an independent pharmacy wants to evaluate the pharmacy’s level of medication safety.
MEDMARX
VERP
HAMMERS
MERP
54
Which PEC is NOT used to compound any level of hazardous drug:
Class IIB biological safety cabinet
Class III biological safety cabinet
compounding aseptic containment isolator
horizontal laminar airflow workbench
