Chapter 8

Question 1

• All manipulations inside an LAH should be performed at least ________ inches inside the hood to prevent ______.

a) 12 inches; smoke
b) 6 inches; contamination
c) 10 inches; contamination
d) 2 inches; breakage from falling on the floor

Answer 1

B

Question 2

• An ampule is composed entirely of glass. Once broke, it:

a) becomes an open system
b) remains a closed system
c) turns into a multiple dose solution
d) none are correct

Answer 2

A

Question 3

• IV tubing used as a primary set includes which of the following?

a) macro drop tubing (delivering 10 gtt/min)
b) micro drip tubing (delivering 60 gtt/min)
c) all purpose tubing (delivering 100 gtt/min)
d) both a and b

Answer 3

D

Question 4

• To assure the sterility of a new needle:

a) wipe the needle with 70% isopropyl to disinfect it
b) apply additional silicone so the needle self sterilizes upon insertion into a vial
c) only open the package in a clean room
d) make sure the package was intact and not damaged

Answer 4

D

Question 5

• IV fluid should hang how many inches higher than the patient’s bed?

a) 12 inches
b) 24 inches
c) 36 inches
d) 49 inches

Answer 5

C

Question 6

• The piggyback is placed ______ the primary IV

a) lower than
b) higher than
c) at the same height as
d) away from

Answer 6

B

Question 7

• Ampules differ from vials in that they are:

a) are closed systems
b) require the use of a filter needle
c) can be opened without risk of breakage
d) do not differ from vials

Answer 7

B

Question 8

• The labeling of an IV admixture should contain all of the following information except:

a) patient name
b) name and amount of drug(s) added
c) prescribing physician’s name
d) expiration date

Answer 8

C

Question 9

• Dextrose is the base component of TPN solutions that are most commonly given as a source of carbohydrates. Which of the following statements are true?

a) Dextrose is available in a concentrated form (50% or more) that is diluted in the final TPN solution to approximately 25%
b) Dextrose is available as a 5% solutions that is commonly used as is in TPN solutions
c) Dextrose is available as a 70% solution that is commonly given as a separate infusion for calories and energy
d) all of the above

Answer 9

A

Question 10

• The CADD is an example of what type of pump system?

a) mechanical system
b) ambulatory electronic infusion pump system
c) electronic controlled pressure and chemical release system
d) none of the above

Answer 10

B

Question 11

• The most common complication of tunneled venous access devices are:

a) catheter occlusion
b) infections
c) dislodgement
d) venous thrombosis

Answer 11

B

Question 12

• The space between the HEPA filter and the sterile product being prepared is referred to as the:

a) hot spot
b) backwash zone
c) zone of turbulence
d) critical area

Answer 12

D

Question 13

• Electrolytes are added to TPN solutions to meet metabolic needs and correct deficiencies. Examples of electrolytes include:

a) potassium chloride
b) amino acids
c) vitamin D
d) lipid emulsions

Answer 13

A

Question 14

• Lipid or fat emulsions are typically administered by all of the following methods except:

a) as a 10% emulsion given through a peripheral line
b) as a 20% emulsion given through a peripheral line
c) as part of an IV push
d) as part of a 3-in-1 solution

Answer 14

C

Question 15

• Preservatives in parenteral products:

a) kill organisms and eliminate the need for aseptic technique and LAHs
b) are present in multi-dose vials
c) are harmless and non-toxic in any amount
d) all of the above are correct

Answer 15

B

Question 16

• Items inside an LAH should be placed away from other objects and the walls of the hood to prevent:

a) zones of turbulence
b) windows of contamination
c) dead space
d) laminar air zones

Answer 16

A

Question 17

• Mixing of 3-in-1 solutions should be performed carefully to prevent the emulsion from “oiling out”. it is recommended that this be accomplished by:

a) preparing the solution in a very cold room
b) preparing the solution from fresh lipids
c) using a mixing order of fats, amino acids, and dextrose
d) using a mixing order of dextrose, fats, and then amino acids

Answer 17

C

Question 18

• After a cytotoxic agent is prepared in the pharmacy, transportation:

a) should be done immediately
b) should be done in a way so as to minimize breakage
c) includes making the transporter aware of what they are carrying and what the procedure would be in the event of a spill
d) both b and c

Answer 18

D

Question 19

• Protective apparel for those preparing cytotoxic or hazardous injections in a BSC includes:

a) a low permeability, solid front grown with tight fitting elastic cuffs
b) latex gloves
c) a self-contained respirator
d) both a and b

Answer 19

D

Question 20

• Needle sizes are described by two numbers. The _____ corresponds to the diameter of its bore. the _____ measures the shaft.

a) length; gauge
b) gauge; length
c) gauge; tip
d) depth; length

Answer 20

B

Question 21

• Human touch contamination is the most common source of IV related contamination

a) true
b) false

Answer 21

A

Question 22

• There are two types of area used for compounding in the home care setting. The area that is controlled for microorganisms within designated specifications is called:

a) sterile compounding area
b) clean compounding area
c) bacteria free area
d) clean room

Answer 22

B

Question 23

• Sterile products should be prepared in a “class 100” environment. In most pharmacies this is accomplished with the use of a:

a) room air filter
b) fan cycling air 100 times per hour
c) laminar Air Flow Hood (LAH)
d) fume hood

Answer 23

C

Question 24

• In the typical IV setup, an LVP is attached to a primary set, which is then attached to the catheter and inserted into the patient. Drugs administered intermittently are usually given:

a) through a Y-side injection port or flashball on the primary set.
b) by adding them to the LVP solution
c) through another IV line (not through the one used for the LVP)
d) through the same site as the primary IV

Answer 24

A

Question 25

• Large volume parenteral solution containers with potent drugs that need to be infused with a high degree of accuracy and precision are usually administered with the aid of a:

a) roller clamp
b) electronic infusion device
c) hand clamp
d) counting device controlled by the nurse

Answer 25

B