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chapter 6 & 9
Pharm 100
| Question | Answer |
|---|---|
| A pharmacy technician may legally | take a prescription from a patient & update a patient's profile |
| In many instances, it is considered acceptable for a pharmacy technician to | take prescription refill information by telephone |
| The patient's computerized profile may be updated by the | technician & pharmacist |
| Depending on store procedures & on state laws, the medication container label may be | affixed to the container by the person generating the label & affixed to the container once checked by the pharmacist |
| In the process of filling prescriptions, ____ accuracy is expected | 100% |
| As the pharmacy technician prepares to fill a prescription, they should check for accuracy | several times |
| Medical history includes information such as | All of the above (insurance provider information; current OTC medications; refill information) |
| If a patient profile is not complete | the technician may ask the patient for the missing information |
| Why should the pharmacy technician ask about allergies when filling a prescription for an antibiotic | All of the above (antibiotics are the most common medication allergic; allergy to antibiotic may develop even after having safely taken it before; the patient may have never reported the allergy) |
| The DEA # on a prescription authorizes the | physician to prescribe controlled substances |
| A prescription must include the | full first name & last name of the patient |
| Under current law, which of the following is NOT required to be on a prescription | disease state being treated |
| The patient's birth date is helpful to | All of the above (distinguish among patients with the same name;process third-party billing; evaluate the appropriateness of the drug & dose |
| The prescriber's ____ should be included on the prescription... | address |
| A genetic drug is usually | All of the above (less expensive than its branded name drug; chemically equivalent to the brand name drug; substituted for an equivalent brand name drug) |
| Refills for a prescription can be given when the | refill space is filled in |
| "Dispense as written" means... | do not substitute a generic |
| The prescription's SIG refers to the | directions for the patient to follow |
| In general, a prescription refill request more than ____ prior to the next refill date will be rejected by the insurance company | one week |
| A prescription is received for Regular Insulin 4 units SC AC. When should the insulin be given | before meals |
| A prescription is received for Keflex 500 mg q6h. How often should the medication be taken | every 6 hours |
| A prescription is called in for Tobradex eye drops 2 drops OS tid. Where should these drops be administered | in the left eye |
| In which case(s) will refill snot be authorized despite refills being listed on the medication container label | Prescription is more than 12 months old & prescription has been transferred to another pharmacy |
| When can the technician enter a prescription that has been called into the pharmacy | once the pharmacist transcribes it to writing |
| Select the true statement regarding transferring a prescription | once a transfer occurs, it is "closed" at the originating pharmacy |
| Which of the following is true regarding signatures Schedule II prescriptions | must be handwritten |
| Which of the following is true regarding prescriptions for a Schedule II drug | all of the above ( a physical address is required; there may be limits on the quantity dispensed; refills are not authorized) |
| Without consulting with any non-pharmacy personnel, how can a falsified DEA # be recognized | follow a step by step mathematical formula |
| In which of the following case(s) should one be suspicious of a potentially forged prescription | missing or incorrect DEA #; misspellings on the prescription |
| Schedule III & IV prescriptions | may be refilled up to five times within 6 months |
| The ___ reviews the patient profile to make sure a new prescription will not cause any harmful drug interactions | pharmacist |
| What is the purpose of the National Drug Code (NDC) number in preparing a prescription | it helps in identifying the exact drug, dose, and package size to be filled |
| At which point in the prescription filling process should the stock drug label be checked | All of the above (when it is pulled from the shelf; at the time of preparation; when is is returned to the self) |
| If dropped on the counter while being counted, a tablet should be picked up with | forceps |
| Equipment used for counting medications should be cleaned with | isopropyl alcohol |
| A ___ is a fixed number of dose units in a drug stock container | unit of use |
| If a medication is out of stock (OOS), what are some options for filling the prescription | All of the above (allow the patient to take the prescription to another pharmacy; borrow the medication from another pharmacy; order the medication from the wholesaler) |
| Amber vials are named according to __ size | dram |
| Prescription label can be directly applied to | metered-dose inhalers |
| The poison Prevention Packaging Act of 1970 requires that all prescription drugs be packaged in | child-resistant containers |
| Except to the Poison Prevention Packaging Act of 1970 include | nitroglycering tablets |
| The __ contains the dosage directions from the prescriber | medication container label |
| The medication container label must contain the | address of the pharmacy |
| Auxiliary labels are attached to a container label to | supplement the information on the container |
| The ___ contains information on how to safely use a prescribed medication | patient information sheet |
| The purpose of the MedGuide is to | warn patients of potential adverse reactions of high-risk medications |
| As required by law, the pharmacist must check | every prescription |
| The pharmacist's initialing a prescription after the pharmacy technician completes the fill indicates that the | pharmacist assumes responsibility for its correctness |
| A hospital may be classified according to | all of the above (the types of services provided; whether it trains healthcare professionals; whether its goal is to make a profit) |
| The goal length of stay for a short-term care hospital is less than | 30 days |
| Smoking cessations programs, weight loss programs, health screenings, and support groups are examples of what hospital function | public health education |
| Who is responsible for submitting and complying with the hospital pharmacy budget | director of pharmacy |
| In planning patient care initiatives, with whom would a director of pharmacy collaborate | director of nursing and chief of the medical staff |
| A satellite pharmacy is typically located | on a nursing unit |
| when pharmacy technicians are hired on a contingency basis | their performance will be evaluated in 3 months |
| A __ supply of patient medications is typically dispensed in a hospital phayrmacy | 24 hour |
| A function unique to the hospital pharmacy is | stock patient care units with medications and supplies |
| Orders fro stat medications are filled | immediately |
| The pharmacy receives orders for __ as part of the hospital orders | medications |
| By which method to hospital pharmacies typically distribute medications | unit dose |
| A __ is an amount of drug prepackaged for single administration | unit of use |
| The document used to fill doses for each individual patient is a | computer-generated fill list |
| Which of the following is an advantage of the unit dose drug distribution system | increased security for medications |
| Under what circumstance can a unit dose be returned to stock | unopened package |
| Automated robotic systems use __ to identify patients and medications | bar codes |
| What is the primary role of the pharmacy technician in a pharmacy that uses robotic technology | to stock the robotic system |
| Why are medications sometimes repackaged | because nonstandard medication doses are ordered & because a medication is not available in unit dose form |
| The repackaging log must contain which of the following pieces of information | all of the above (internal lot #;NDC; manufacturer's lot number) |
| Medications repackaged by pharmacy technicians must be checked by a | pharmacist |
| Which of the following does the unit dose profile contain that a medication order doesn't contain | time of administration |
| what is a cart fill list | a printout of several or all patients' unit dose profiles |
| In a hospital that does cart fill at 0600, an order is received at 0800 for Pepcid 20 mg po q12h, The standard administration times for q12h at this hospital are 0900 & 2100. How many doses of medication will the patient need until the next cart fill | 2 |
| In a hospital that does a 12-- cart fill, an order is received at 1300 for Isordil 20 mg po tid. The standard administration times for tid at this hospital are 0900, 1300, & 1700. How many doses of medication will the patient need until the next cart fill | 2 |
| __ in the patient drawer can be used as a quality-assurance tool to determine why a missing dose occured | Meds remaining |
| __ is an inventory of frequently prescribed drugs stored on the nursing unit | floor stock |
| Examples of automated delivery systems include | all of the above ( Pyxis; MediTech; AcuDose-Rx) |
| What are some advantages of an automated dispensing system | all of the above (allows for secure, locked storage; captures all charges;can alert the nurse of allergies) |
| who is responsible for maintaining inventory through a floor stock replacement system | the pharmacy department |
| What are some responsibilities included in a floor stock inspection | check for drug interactions |
| when controlled drugs are delivered to nursing units, whose names must be recorded for each dose of drug delivered | pharmacy technician;receiving nurse |
| An __ compounds medications in a sterile, germ-free work environment | intravenous admixture service |
| A patient receiving __ receives nutrition intravenously | TPN |
| Under special lighting, an IV product can be inspected for | particulate matter; physical incompatibility |
| where does a nurse record that he or she has administered a medication | medication administration record |
| the nurse should record on the MAR the time the medication is | given to the patient |
| The __ committee reviews, approves, and receives the hospital's formulary | pharmacy & therapeutics |
| who usually serves as the secretary of the pharmacy & therapeutics commitee | director of pharmacy |
| A formulary system is based on providing __ medication while limiting ___ | effective;costs |
| responsibilities of the drug information service include | all of the above (researching information about medications; evaluating medication errors; evaluating adverse drug reactions) |
| Any investigational study requires approval by the __ before enrollment can begin | institutional review board |
| An __ drug has not yet been approved by the FDA | investigational |
| When a hospital is awarded accreditation by the Joint Commission, it means the hospital | meets specific quality and safety standards |
| Who may view a hospital's online JCAHO accreditation report | any consumer |
| which of the following is a Joint Commission QUALITY-related standard | using aspirin for patients having a heart attack |
| which of the following is a Joint Commission SAFETY-related standard | prevention of medication erros |
| which of the following is true regarding the sealed bid process | it determines the source of drugs listed on the formulary |
| which of the following is true regarding automation's role in managing inventory | all of the above (it reduces inventory cost; it increases the accuracy; inventory data may be pooled using computerized handheld devices) |