True/False

Question 0

when dealing with a small spill (a few drops) of a cytotoxic drug, soak up the liquid by using absorbent gauze and dispose of the gauze in the cytotoxic waste container.

Answer 0

true

Question 1

cytotoxic drugs cannot permeate gloves to reach the workers skin

Answer 1

false

Question 2

any handling of cytotoxic drugs must always occur in a biological safety cabinet

Answer 2

false

Question 3

for sealed vials, final drug measurement in a syringe should be performed only after removing the needls from the stopper.

Answer 3

false

Question 4

a sterile disposable alcohol swab is wrapped around the neck of an ampoule in order to prevent particles of glass from entering the ampoule

Answer 4

false

it’s to protect the worker

Question 5

all needles used in the preparation of cytotoxic drugs should be destroyed by clipping before discarding

Answer 5

false

Question 6

an acceptable method of discarding cytotoxic waste is to return it to the manufacturer

Answer 6

false

Question 7

recapping of needles used during cytotoxic manipulations presents an additional risk of accidental skin puncture

Answer 7

true

Question 9

Intradermal can be small or large volume injection

Answer 9

false

is a small volume

Question 10

all workers accidentally exposed to cytotoxic products should receive a medical exam

Answer 10

true

Question 11

workers in the inventory receiving area who are unpacking an order including cytotoxic products should wear personal protective equipment and clothing

Answer 11

true

Question 12

in a horizontal laminar airflow hood, all critical manipulations must be done at least 6 inches into the hood

Answer 12

true

Question 13

Parenteral administration of drugs can provide very slow or very rapid onset of action depending upon the product and route

Answer 13

true.

Question 14

an advantage of parenteral administration is that a product must be prepared by trained personnel

Answer 14

false

Question 15

The filter needle is used to sterilize the air entering in ampoule

Answer 15

false

Question 16

parenteral products are less expensive per dose than oral products

Answer 16

false

Question 17

an example of a solution which is isotonic with blood is 5% dextrose in water

Answer 17

true

Question 18

heparin 5000 units subcutaneously immediately is an example of an intermittent IV order

Answer 18

false

Question 19

in the event of eye contact with a cytotoxic drug, yeah I should be flushed with water for 15 minutes

Answer 19

true

Question 20

cytotoxic drugs dispensed in syringes should have friction or slip fittings

Answer 20

false

Question 21

a teratogen includes acute and chronic health effects on Organ

Answer 21

false
teratogens cause birth defects. some are also mutagens because they do their damage by changing the genetic code in cells of the developing embryo

Question 22

A diluent is a liquid added to dissolve the drug in powder form

Answer 22

true

Question 23

the abbreviation for intramuscular is IT

Answer 23

false

IM is the abbreviation for intramuscular

Question 24

into the vein is IT

Answer 24

false

into the vein is IV

Question 25

IV push is injection of a small amount of drug into a vein

Answer 25

true

Question 26

A vial is a single dose container used for parenteral medications

Answer 26

false

an ampoule

Question 27

necrosis is death and sloughing of tissue

Answer 27

true

Question 28

speed shock results in increased volume of body fluid and decreased concentration of plasma, electrolytes and proteins

Answer 28

false

Overhydration or fluid overload

Question 29

A disadvantage of parenteral administration is real or psychological pain connected with the injection

Answer 29

true

Question 30

an advantage of parenteral administration is the cost

Answer 30

false

this is a disadvantage

Question 31

symptoms of overhydration include headache, nausea, vomiting, abdominal cramps, muscle weakness.

Answer 31

true

Question 32

The gluteal muscle in the buttocks and and bicep muscle in the arm are the preferred Intramuscular injection sites

Answer 32

false

The gluteal muscle in the buttocks and deltoid muscle at the back of the upper arm

Question 33

you, the environment, materials and equipment are the sources of contamination

Answer 33

true

Question 35

to minimize aerosolization of vial contents when withdrawing a liquid from a vial, the positive pressure technique may be used

Answer 35

false

Question 36

A thrombus may form anytime a blood vessel is injured

Answer 36

true

Question 37

there is a real risk of infection anytime the skin is punctured

Answer 37

true

Question 38

The most common routes of administration by which drugs enter the body are oral, rectal and parenteral routes

Answer 38

true

Question 39

Parenteral administration of drugs is more predictable and more readily available in the blood for distribution to the body

Answer 39

true

Question 40

both the horizontal and vertical laminar airflow hood can be used for cytotoxic drugs

Answer 40

false

only a vertical laminar airflow hood may be used for cytotoxic drugs

Question 41

I syringe should not be more than 3/4 full when used with chemotherapy drugs

Answer 41

true

Question 42

intra-arterial is into the rear chamber of the guy

Answer 42

false

into an artery

Question 43

intrasynovial is into a joint

Answer 43

true

Question 44

Intradermal (ID) is into the subcutaneous layer of the skin

Answer 44

false

into the dermal layer of the skin

Question 45

intrathecal (IT) is into a muscle

Answer 45

false

into the spinal column

Question 46

Intravitreal is into the rear chamber of the eye

Answer 46

true

Question 47

subcutaneous can be abbreviated by either SCT or SQT

Answer 47

false

SC or SQ

Question 48

intramuscular administration is more rapid than intravenous

Answer 48

False

IV is faster than IM

Question 49

subcutaneous injections are usually 1 mL or less

Answer 49

false

usually 2 mL or less

Question 50

example of an intradermal injection is the tuberculin test

Answer 50

true

Question 51

insulins are injected intradermal

Answer 51

false

insulin is injected subcutaneously

Question 52

large volumes of solution administered directly into a vein are called intravenous (IV) infusions

Answer 52

true

Question 53

only drugs dissolved in water are administered intravenously

Answer 53

true

Question 54

for IM injections oily solutions and suspensions are absorbed less quickly than aqueous solutions

Answer 54

true

Question 55

The pH of blood is normally 7 to 7.5

Answer 55

false

7.35 to 7.4

Question 56

on the pH scale 0 to 7 measures the degree of base in a solution

Answer 56

false

The acid content of a solution

Question 57

The result of an isotonic solution is no trauma or damage to the cell

Answer 57

true

Question 58

The most common isotonic solution used for fluid replacement is 0.9% sodium chloride.

Answer 58

true

Question 59

0.9% sodium chloride is also known as normal saline or physiological saline

Answer 59

true

Question 60

hypertonic is when the amount of water entering the cell is greater than the amount leaving

Answer 60

false

hypotonic

Question 61

The result of a hypotonic solution is the cell shrinks

Answer 61

false

The cell swells and may burst

Question 62

A red blood cell in distilled water is a hypotonic solution

Answer 62

true

Question 63

an example of a hypotonic solution is 0.45% sodium chloride

Answer 63

true

Question 64

A red blood cell in normal saline is a hypertonic solution

Answer 64

false

an isotonic solution

Question 65

A red blood cell in 10% dextrose in water is a hypertonic solution

Answer 65

true

Question 66

intramuscular injections are usually greater than 2 mL

Answer 66

false

intramuscular injections are usually not greater than 2 mL

Question 67

Intradermal injections are usually for local effects or used for testing

Answer 67

true

Question 68

large volume IV bags are available in 500 mL, 1000 mL, 2000 mL, and 3000 mL

Answer 68

true

Question 69

IV bags are available in 25 mL, 50 mL, 100 mL, 250 mL, 500 mL, 750 mL, 1000 mL, 2000 mL and 3000 mL

Answer 69

false

not available in 750 mL

Question 70

water for injection can be prepared by distillation or reverse osmosis

Answer 70

true

Question 71

sterile water for injection is sealed in single-dose containers and sterilized within 24 hours of preparation

Answer 71

true

Question 72

bacteriostatic water for injection is tap water

Answer 72

false

sterile water for injection with suitable bacteriostatic agents added

Question 73

bacteriostatic water for injection should not be administered to patients in large volume because of possible toxicity of the bacteriostatic agents

Answer 73

true

Question 74

sterile water for injection containers vary in size, from 5 mL to a maximum of 1000 mL

Answer 74

true

Question 75

bacteriostatic sodium chloride injection may be packaged in a multidose container not larger than 15 mL

Answer 75

false

not larger than 30 mL

Question 76

it is best to use an IV bag fresh out of the fridge

Answer 76

false

this may cause body temperature to drop, or patient’s body may go into shock

Question 77

aseptic technique refers to the ability to manipulate sterile preparations, sterile packaging components and sterile administration devices without introducing new microorganisms

Answer 77

true

Question 78

The best laminar airflow hood for worker protection is class I

Answer 78

false
class II type B

Question 79

all syringes used prepare parenteral mixtures must be sterile

Answer 79

true

Question 80

The syringe consists of a barrel and a plunger

Answer 80

true

Question 81

The smaller the syringe the longer the increments between the calibrated lines

Answer 81

false

the larger the syringe…

Question 82

for accuracy, always use the smallest syringe that can hold the required volume

Answer 82

true

Question 83

Mutagenic means that the active ingredient will cause mutation

Answer 83

false

The drugs cause changes or alterations in the genetic material of cells

Question 84

carcinogenic refers to the fact that some of these drugs may themselves cause cancer

Answer 84

true

Question 85

chemotherapeutic drugs are also referred to as antineoplastic agents. These are potent drugs that are used to treat cancer.

Answer 85

true