Test Questions Flashcards
The word aseptic comes from Latin and means
“without pathogens”
Which of the following statements about regulations regarding the training and testing of sterile compounding technicians is true?
The regulations are not as well-defined as those for regular pharmacy technicians.
What is the term for the date which a CSP is no longer sterile, stable, or effective and must not be used?
beyond use date
Most sterile products are prepared under the USP’s _______ risk-level conditions.
low or medium
Medication administered via this route of administration will generally not require preparation by sterile compounding personnel.
intranasally
Any incidence of failure to follow aseptic technique procedures and protocols is referred to as a(n)
break in technique
Which of the abbreviations below is used to indicate a pharmacy tool that has become commonplace in the preparation of CSPs?
LAFW
A negative-growth fingertip test is used to confirm a student’s ability to
aseptically don sterile garb and gloves
The pharmacy practice of ________ involves the dilution, mixing, and injection of various medication products using aseptic technique.
sterile compounding
USP 797 identifies ______ specific risk levels for CSPs.
4
Prior to compounding, the anteroom and clean room countertops must be cleaned with:
70% IPA
The area behind an item within the hood is a zone of turbulence and is considered to be__________.
contaminated
You are sterile compounding 10 IV bags each containing Vancomycin 1 gram, which involves reconstituting 2 vials of Vancomycin 5 gram powder with 100 ml of sterile water each. Which risk level does this fall under?
medium risk
Touching the tip of the syringe with your sterile glove is considered:
touch contamination
A manual or automated TPN preparation falls under which risk level?
medium risk
Equipment in clean rooms must be:
of nonpourous materials
How many particulates are in an ISO Class 7?
352,000
The area behind an item within the hood and is considered contaminated is called:
zone of turbulence
An ISO Class 5 environment has a maximum particle count of ___________ per cubic meter of air.
3,520
Drawing up a dose from an ampule and sending to patient in a syringe, is considered what type of risk level of sterile compounding?
low risk
Which type of Risk level requires a sterilization method when working with a product that is considered nonsterile?
high risk
What is the literal translation of the term anteroom?
before room
You are compounding a small volume parenteral which involves a D5W 50 ml IVPB and a vial of Reglan 5mg/ml, which risk level of compounded sterile products does this fall under?
low risk
Which requires that the compounded product be administered to patient within 1 hour of compounding?
immediate use
When working in a hood, an IV technician must open the outer package of a supply item _______ to maintain aseptic technique.
at least six inches inside the hood
Which component of a needle is closest to the needle tip?
bevel
The hollow space of the needle through which fluid moves into or out of a syringe is referred to as the _______.
lumen
Most IV base solutions are made with varying concentrations of ______ mixed with sterile water.
sodium or dextrose
What is another name for the direct compounding area?
clean air zone
Drawing fluid into a syringe is referred to as a _______.
straight draw
The part of a supply item that includes any fluid-pathway surface or fluid-pathway opening that is at risk for contamination by touch or airflow interruption is referred to as the
critical site
What is the usual volume range for an IVPB solution?
25-250ml
What is an advantage of using a vial and bag system?
all of the above? :/
This supply item is used as a precaution to allow the safe transport of a syringe to the nursing unit.
syringe cap
The best syringe choice is the
smallest syringe within which the total volume of desired fluid will safely fit.
_______ are sealed, sterile containers made of plastic or glass, with a rubber top through which the IV technician draws fluid.
vials
The pre-filled syringes supplied by manufacturers and discussed in Chapter 3 are used in the hospital for:
IV-push
Membrane filters are used to sterilize solutions that have been prepared:
from nonsterile ingredients
This type of contamination involves anything that interrupts the airflow from the HEPA filter to a critical site supply item.
shadowing
This type of needle is used to remove particulate matter from a solution.
filter needle
This item is inserted into a vial or glass bottle and the attached to a syringe, thus allowing easy withdrawal of a large volume of fluid while equalizing the pressure within the container.
vented dispensing pin
Technicians use vented needles primarily to
dilute parenteral medications in powder form
According to USP 797, appropriate alcohol swabs for the use in the IV room must be individually packaged and presaturated with sterile ________ IPA.
70%
Medication orders are similar to prescriptions but are exclusive to:
institutional or hospital setting
The Greek delta symbol is used to indicate _______.
desired change
In medical terminology, where is a combining vowel likely to be found?
between the root word and the suffix
What causes a warning flag to appear in a pharmacy’s software system when medications orders are entered?
all of the above :/
Root words, prefixes, and suffixes are collectively referred to as __________.
morphemes
Which of the following is a common prefix used in terminology?
hypo
Which of the following is a computerized pharmacy reference source?
Micromedex
A ______ often indicates time, direction, or number.
prefix
The Official “Do Not Use” List of Abbreviations was created in response to an increased incidence of medication errors. What group created it?
Joint Commission
What does it mean when PF precedes a medication name?
preservative-free
CAT is an abbreviation for:
computer-aided tomography
What does PHI stand for?
patient health information
Physicians often write orders for CSPs using abbreviations such as NTG (for ______) and PCN (for ______).
nitroglycerine; penicillin
Some physicians whose specialties involve commonly prescribed medical treatments take advantage of preprinted order forms called _________ orders.
standing
Instead of an administration time, (an) ________ is specified for large-volume parenteral products.
infusion rate
The home medications discussed in Chapter 4 refer to:
The medications the patient was taking at home prior to admission to the hospital.
In order to calculate the IV flow rate for an LVP, a technician must know the total volume of the LVP and either:
the infusion rate in ml/hr or the number of hours over which the LVP is to be infused.
One cubic centimeter (1 cc) is equal to _____ ml.
1
All the following are components of the formula used in the ratio and proportion method except:
infusion rate
Versed is available as 5 mg/mL. How many milliliters are needed for 21 mg?
4.2ml
In which scenario would the IV technician need to use the volume of the base solution in their calculations?
determining how long an IV bag will last
You have a solution that is 1 gr/tbsp. How many grams are in 2 pt?
4.2g
If 750 ml is infused at a rate of 25 gtt/min using a 20 drop set, what is the flow rate in milliliters per hour?
75ml/hr
How many milligrams of drug are in 45 mL of a 1.5% solution?
675mg
How many milligrams are in 9.3 mL of a 1:400 solution?
23.25mg
To prepare 25 mL of a 10 mg/mL Dexamethasone solution from a stock solution of Dexamethasone 25 mg/mL and sterile water, how much concentrate and how much diluent are needed?
10 ml stock; 15 ml diluent
The basic formula method for solving pharmacy dosage calculations is best used in sterile compounding scenarios in which:
any of the above :/
In the basic formula method, the technician:
divides the desired dose by the concentration on hand.
To prepare 750 mL of a 15% dextrose solution using D5W and D20W, how much of each is required?
500 ml D20% and 250 ml D5%
The drop factor is measured in:
gtts/ml
Suppose that an IV tech has both dextrose 70% in water (D70W) and dextrose 5% in water (D5W) available in the pharmacy but receives an order for dextrose 10% (D10W) in water. How many parts of the higher concentration solution and the lower concentration solution will be needed?
5 parts of D70W and 60 parts of D5W
A patient is dehydrated and needs 1 L of lactated Ringer’s solution infused over 6 hours. A 20 drop set is used. What is the flow rate in drops per minute?
55gtt/min
What is 9:00 PM in military time?
2100 hours
Which method is also known as “calculation by cancellation”?
dimensional analysis
A patient is receiving 25 mEq of KCL in 1000 mL of NS over 18 hours using a 30 drop set. What is the flow rate in milliequivalent per minute?
0.023 mEq/min
The IV technician begins the calculation process by determining the ______ of the medication.
concentration
In the 1850’s, this person conducted an extensive study of health of the British Army and provided documented statistics that reinforced the connection between poor hygiene and death.
Florence Nightingale
Which of the following situations warrants hand cleansing with sterile, foamed 70% IPA?
all :/
What would you do if you accidentally drop the sterile scrub sponge/brush in the sink while hand washing?
Discard the dropped scrub sponge/brush, open a new scrub sponge/brush packet, and begin the hand washing procedure again.
Which is the correct method for cleansing the forearms during an aseptic hand washing?
Scrub in a circular motion, gradually working around the arm and towards the elbow.
In 1905, the Ansell Company developed the first _______________ which practitioners sterilized with _____________ or by steaming them in an autoclave.
latex glove; carbolic acid
Which statement is accurate regarding the use of a sterile scrub sponge/brush?
The brush side of the sterile scrub sponge/brush should be used to clean the finger nails; the sponge side of the sterile scrub sponge/brush should be used to cleanse the skin.
Which type of glove is most appropriate for the use in compounding sterile products?
sterile, powder-free, latex-free gloves
Which of the following items may be reused if it is not visibly soiled and it remains in the sterile compounding area or anteroom?
gown
What is the correct order of preparation for sterile compounding?
shoe covers, hair cover, face mask, hand washing, gown, gloves
What is the order of cleaning the fingers and hands during aseptic hand washing?
nail scrub, fingers, palm and back of the left hand - followed by the right hand
All of the following are required hood-cleaning supplies except:
paper towels
According to USP Chapter 797 guidelines, how often should the prefilter of a horizontal laminar airflow hood be replaced?
every 30 days
After air is pulled through the prefilter of a horizontal laminar airflow hood, it is pushed
through the HEPA filter
Cleaning strokes in the hood-cleaning process should
sweep from one edge to the other in a single motion.
Any unused portion of the sterile water used in the hood-cleaning process must be disposed of:
after 24 hours
Which of these devices would NOT be found with others in the clean room?
vertical hood
The prefilter of a horizontal laminar airflow hood is located in the _______ or ________ of the hood.
front; top
How often does the HEPA filter for a horizontal airflow hood need to be recertified?
every 6 months
