Final Exam - Textbook Questions

Question 1

1.	Which of the following are NOT steps in the medication-use process?
A.	Transcribing
B.	Diagnosis
C.	Monitoring
D.	Dispensing
E.	Prescribing

Answer 1

B. Diagnosis

Question 2

1. The pharmacy practice model is one where the pharmacists are chiefly involved in clinical activities associated with medicals teams on the nursing units.
   a. True
   b. False

Answer 2

b. False

Question 3

1. Which of the following key components influence the type of pharmacy practice model utilized in an institution?
   a. The culture of the department
   b. The pharmacists working in the pharmacy
   c. The technicians
   d. Availability of automation and technology
   e. All of the above

Answer 3

e. All of the above

Question 4

1. The practice of pharmacy in institutions consists of clinical pharmacists working alone to identify and resolve drug related problems within the drug related problems within the drug use system.
   a. True
   b. False

Answer 4

b. False

Question 5

1. The pharmacist role in an inpatient critical care unit differs from a general inpatient care unit because the acuity level is higher in a critical care unit.
   a. True
   b. False

Answer 5

a. True

Question 6

1. Which of the following are developed by the pharmacy profession and imposed on pharmacy professionals voluntarily?
   a. Regulations
   b. Policies and procedures
   c. Laws
   d. Practice standards
   e. None of the above

Answer 6

d. Practice standards

Question 7

1. Who usually has ultimate responsibility and authority for all aspects of pharmacy service?
   a. The chief executive officer of the institution
   b. The pharmacy staff
   c. The medical staff
   d. The institution’s board of directors
   e. The director of pharmacy

Answer 7

e. The director of pharmacy

Question 8

1. The difference between a “for profit hospital” an a “non profit hospital” is that non profit hospitals do not make any money.
   a. True
   b. False

Answer 8

b. False

Question 9

1. Which of the following events furthered the progression of hospital pharmacy in the U.S.?
   a. An influx of immigrants in the late 1800s
   b. The Civil War
   c. Prohibition
   d. All of the above

Answer 9

d. All of the above

Question 10

1. The majority of hospitals in the U.S. today are fully digital (without paper records).
   a. True
   b. False

Answer 10

b. False

Question 11

1. Pharmacy and Therapeutics committees (P&T) are a relatively recent phenomenon in institutional pharmacy.
   a. True
   b. False

Answer 11

b. False

Question 12

1. Which of the following is NOT a professional organization associated with institutional pharmacy practice?
   a. ASHP
   b. ASCP
   c. NACDS
   d. All of the above pharmacy organizations represent the pharmacists who are associated with instituitons

Answer 12

a. NACDS

Question 13

1. Hospital pharmacists have a significant impact on the clinical and scientific focus of curricula in the U.S. pharmacy schools?
   a. True
   b. False

Answer 13

a. True

Question 14

1. _________ are advisory documents developed by pharmacists that offer advice on the minimum requirements or optimal method for addressing an important issue or problem in hospitals.
   a. Practice standards
   b. Regulations
   c. Laws
   d. Reports

Answer 14

a. Practice standards

Question 15

1. Accreditation and certification are very similar in their purpose.
   a. True
   b. False

Answer 15

a. True

Question 16

1. The Joint Commission’s mission is to improve the safety and quality of care of health care in institutions.
   a. True
   b. False

Answer 16

a. True

Question 17

2. Joint Commission accredited organizations are eligible automatically to participate in the Medicare program.
   a. True
   b. False

Answer 17

a. True

Question 18

1. _____________ enforces the Federal Food Drug and Cosmetic Act
   a. FDA
   b. DEA
   c. OSHA
   d. The Joint Commission

Answer 18

a. FDA

Question 19

1. Which of the following is NOT a governmental organization?
   a. CDC
   b. USP
   c. OSHA
   d. DEA

Answer 19

b. USP

Question 20

1. Any health systems pharmacist can contribute to the development of ASHP standards of practice.
   a. True
   b. False

Answer 20

a. True

Question 21

1. The IOM report, To Err is Human: Building a Safer Health System, was the stimulus for ASHP to begin developing standards on safe medication practices in institutions.
   a. True
   b. False

Answer 21

b. False

Question 22

1. Which of the following professional organization’s primary mission is to represent pharmacists serving senior citizens?
   a. ASCP
   b. ASHP
   c. APhA
   d. ACCP

Answer 22

a. ASCP

Question 23

1. The following elements of the formulary system are used to manage drug costs (select all that apply)
   a. Therapeutic interchange
   b. Nonformulary drug use
   c. Genetic substitution
   d. Drug therapy guidelines

Answer 23

a. Therapeutic interchange
c. Genetic substitution
d. Drug therapy guidelines

Question 24

1. Once the formulary has been established, no further action is required except to add new pharmaceutical entities as they become available.
   a. True
   b. False

Answer 24

b. False

Question 25

1. P&T committees may have subcommittees to facilitate specific objectives. Examples of subcommittees include (select all that apply)
   a. Medication Safety
   b. Antibiotic/Infectious Disease
   c. Laboratory Testing

Answer 25

a. Medication Safety

b. Antibiotic/Infectious Disease

Question 26

1. When selecting a drug for formulary addition, which of the following should be considered? (select all that apply)
   a. Does it come in unit dose packaging?
   b. Is it a duplication of an existing formulary agent?
   c. How should it be used?
   d. It is safer than similar agents already on formulary?
   e. Will the vendor give the health-system free samples?

Answer 26

b. Is it a duplication of an existing formulary agent?
c. How should it be used?
d. It is safer than similar agents already on formulary?

Question 27

1. The _____________ is responsible for overnight of all medication use in the hospital.

Answer 27

a. Pharmacy and Therapeutic Committee (P&T)

Question 28

1. Medication use evaluation is a systematic approach to monitoring drug therapy and associated outcomes. The optimal data collection period is _____________

Answer 28

a. Concurrent or during the patient visit

Question 29

1. The Pharmacy and Therapeutics Committee is a multi-disciplinary committee including physicians, pharmacists, and nurses.
   a. True
   b. False
   The rationale for

Answer 29

a. True

Question 30

1. The rationale for completing a drug use evaluation is to:
   a. Validate drug use is safe and appropriate
   b. Determine the most common prescribers of a specific drug
   c. Educate the nursing staff on appropriate medical administration

Answer 30

a. Validate drug use is safe and appropriate

Question 31

1. The pharmacist is NOT responsible for assuring the following:
   a. Quality, quantity, and source of all medications in the health-system
   b. All medications in the health system meet FDA and USP standards
   c. All brands of formulary agents are available for use in the health system

Answer 31

c. All brands of formulary agents are available for use in the health system

Question 32

1. Drug-related problems include medication errors, adverse drug reactions, medication side effects, and adverse drug events.
   a. True
   b. False

Answer 32

a. True

Question 33

1. Which of the following is never caused by a medication error?
   a. Side effect
   b. Adverse drug event
   c. Adverse drug reaction
   d. Allergic reaction

Answer 33

a. Side effect

Question 34

1. Which of the following sometimes directly results in drug-related morbidity?
   a. A latent injury
   b. A potential injury
   c. An adverse drug event
   d. An allergic reaction
   e. An adverse drug reaction

Answer 34

c. An adverse drug event
d. An allergic reaction
e. An adverse drug reaction

Question 35

1. Pharmacists in health system practice are responsible for errors in dispensing.
   a. True
   b. False

Answer 35

a. True

Question 36

1. In which step of the PDSA cycle is a quality problem statement developed?
   a. Plan
   b. Do
   c. Study
   d. Act

Answer 36

a. Plan

Question 37

1. Floor stock systems are no longer used in institutional pharmacy practice.
   a. True
   b. False

Answer 37

b. False

Question 38

2. Who is responsible for maintaining MARS?
   a. Nurses
   b. Pharmacists
   c. Physicians

Answer 38

a. Nurses

Question 39

1. CPOE has been widely adopted and implemented in U.S. Hospitals.
   a. True
   b. False

Answer 39

a. False

Question 40

1. A drug interaction alert is a form of clinical decision support.
   a. True
   b. False

Answer 40

a. True

Question 41

1. Which of the following organizations supports CPOE?
   a. CMS
   b. DHHS
   c. Leapfrog group
   d. IOM
   e. All of the above

Answer 41

e. All of the above

Question 42

1. CPOE and e-prescribing are synonymous terms.
   a. True
   b. False

Answer 42

b. False

Question 43

1. The _______________ is developed and maintained by the P&T committee and the cornerstone of the purchasing and inventory control system.

Answer 43

a. Formulary

Question 44

1. __________ contracts are agreements between a health system pharmacy and a wholesaler where the pharmacy agrees to purchase most of its pharmaceuticals from a single wholesale company.

Answer 44

a. Primer vendor

Question 45

1. Which of the following drug classes can be returned to suppliers after expiration?
   a. Prepackaged drugs
   b. Chemical-grade products used in extemporaneous compounding
   c. Investigational drugs
   d. Controlled substances

Answer 45

c. Investigational drugs