0204253AS02A-88

AssignmentPack

Pharmacy TechnicianPack 2

This Assignment Pack contains the Quizzes you will need to complete your course. The Lessons will tell you when to complete each Quiz. If you have not yet accessed your Lessons, you can download your Electronic Lesson Book or order a printed copy from the Student Site, www.uscareerinstitute.edu. If you have questions, please contact Student Services at 1-800-347-7899.

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Copyright © 2018, Weston Distance Learning, Inc. All Rights Reserved. 0204253AS02A-88

For more inFormation contact:

U.S. Career InstituteFort Collins, CO 80525

www.uscareerinstitute.edu

Assignment Pack 2

Instructions for Quizzes1. Be sure you’ve mastered the Lessons and Practice Exercises that the Quiz covers.2. Write down your answers for each Quiz question, and make sure to check your answers by

reviewing the Lessons.3. When you’re finished, decide how you will submit your answers and then follow the correct

instructions below. You may only submit your answers for a Quiz once.

Important: When submitting a Quiz, be sure to include your name, address, student ID number and course code. Incomplete information may result in your Quiz not being processed.

Scanner Quiz InstructionsFor a Quiz that contains only multiple-choice questions, please select one of the following methods of submission:

● Online: Submit your answers online and receive your grade immediately by submitting them to your Online Course on the student site, www.uscareerinstitute.edu.

● Phone: Call the Quiz Line at 1-877-599-5857 and give your answers over the phone to receive your grade immediately.

● Mail: Scanner Answer Sheets are included with each purchased book pack. Transfer your Quiz answers to a Scanner Answer Sheet, using only blue or black ink. Mail your Scanner Answer Sheet to U.S. Career Institute, 2001 Lowe Street, Fort Collins, CO 80525-3474.

Instructor-Graded Quiz InstructionsFor a Quiz that contains Instructor-graded questions, please select one of the following methods of submission:

● Online: Submit your answers online for an instructor to review and grade by submitting them to your Online Course on the student site, www.uscareerinstitute.edu.

● Mail or Fax: Answer Sheets are included in this assignment pack. Transfer your Quiz answers to the Answer Sheet, using only blue or black ink. Mail your Cover Sheet and Answer Sheet to U.S. Career Institute, 2001 Lowe Street, Fort Collins, CO 80525-3474, or fax the forms to 1-877-599-5863.

After you have submitted your Quiz answers, you may begin the next lesson. You do not need to wait for your Quiz results to move on to the next lesson!

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Quiz 8: Routes and Dosage FormsThis is a Scanner Quiz that should be submitted according to the instructions at the beginning of this pack.

Select the best answer from the choices provided. Each item is worth 5 points.

1. This semi-solid substance is easy to spread on the skin and usually feels light and less greasy.a. Creamb. Lotionc. Aerosold. Ointment

2. How are inhalation drugs most commonly administered? a. Capsuleb. Aerosolc. Solutionsd. Powder-release tablets

3. This part of a syringe allows a healthcare professional to draw medication into or out of the barrel.a. Tipb. Barrelc. Flanged. Plunger

4. This is a flexible tube that healthcare professionals places in a vein to administer an IV.a. Needleb. Syringec. Catheterd. Central line

5. Which is a true statement of infusion therapy?a. It is used in hospitals but not in homes.b. Infusion therapy is necessary for patients who respond well to oral antibiotics.c. It is the administration of medicine through the bloodstream in a gradual Z-track injection.d. Infusion therapy administers drug types, such as antibiotics, chemotherapy and immune

globulin.

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6. A female contraceptive embedded into the skin of the patient’s upper arm is an example of this type of drug.a. Dermal b. Vaginalc. Implantd. Transdermal

7. A material that won’t break down until it reaches the intestine.a. Buffered tabletb. Enteric coated tabletc. Sustained-release tablet

8. This is the process of releasing specific amounts of medication into the body for a certain period of time.a. Long actingb. Extended releasec. Controlled released. All of the above

9. What is a raised, blister-like area on the skin caused by an ID injection called?a. Whealb. Phlebitisc. Thombusd. Pachyderma

10. Brian takes cough syrup for his cold; Kari takes a cold/cough tablet. Which patient might experience relief faster? a. It depends on whose cold is more severe.b. Kari, because solid dosages are immediately absorbed into the bloodstream.c. Brian, because liquid dosages are immediately absorbed into the bloodstream.d. Both patients will receive relief at the same time as there is no difference in the time it takes

a tablet or syrup to take effect.

11. Which accurately describes Vaseline?a. A creamb. A liquid medicationc. An ointment with a oleaginous based. An ointment with an absorption base

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12. Where does a local effect occur?a. Throughout the bodyb. Only after IV administrationc. Only within the digestive tractd. At the site of the administration

13. Which injections enter the skin at a 90-degree angle?a. IVb. IDc. IMd. All

14. Rachel combines fluid 1 and fluid 2. Fluid 2 breaks into small particles and scatters into fluid 1. Which fluid is the internal phase? a. Fluid 2, because it is the vehicle for fluid 1b. Fluid 1, because it is the vehicle for fluid 2c. There is no internal phase; both fluids are part of the external phased. Fluid 2, because it broke into small particles and scattered into fluid 1

15. This may measure liquids including fluid ounces, tablespoons, milliliters and fluidrams.a. Oral syringeb. Medicine cupc. Calibrated spoond. Medicine dropper

16. This type of drug releases certain amounts of medication into the body for a specific period of time.a. Enteral b. Parenteral c. Sustained-release d. Metered dose inhalers

17. This is a thick, adhesive liquid that contains water and the sticky components of vegetable matter.a. Jelliesb. Spiritsc. Enemasd. Mucilages

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18. These injections might be more painful than other types because the injection occurs in an area rich in nerves.a. Z-trackb. Intradermalc. Subcutaneousd. Intramuscular

19. This was the first infusion system to provide antibiotics and chemotherapy medications to patients outside the hospital.a. Mechanical b. Elastomeric balloonc. Electronic controlled pressured. Ambulatory electronic infusion

20. Which route of administration uses plasters?a. Rectalb. Dermalc. Vaginald. Intranasal

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Quiz 9: Prescriptions and Medication OrdersThis is a Scanner Quiz that should be submitted according to the instructions at the beginning of this pack.

Select the best answer from the choices provided. Each item is worth 4 points.

1. What does a standing order mean?a. Medication is to be administered in specific doses and intervalsb. Medication is required for physician to perform emergency procedurec. Medication is to be administered as needed for pain or other symptomsd. Medication is required urgently, and must be given priority over other orders

2. Why is it important for the pharmacy technician to accurately select the correct form of a drug? a. Physicians routinely prescribe incorrect forms.b. The pharmacy is paid more for drugs in some forms.c. The nurses will complain if pharmacy technicians don’t check every time.d. The patient may not be able to take some forms of the drug, and a drug in the wrong form is

a medication error.

3. When you adjudicate a prescription, you _____.a. review it for completenessb. file a claim with the insurance companyc. transmit the prescription electronically to the insurance company d. enter it into the computer so you can hold it for the pharmacist to review

4. When an alert or warning appears in the computer system, the pharmacy technician _____.a. sees what drugs are available on the patient’s formularyb. uses her professional judgment to substitute another medicationc. overrides the warning so that the patient can get medication immediatelyd. asks the pharmacist for assistance or otherwise follows her facility’s procedure

5. The advantages of a unit-dose system includes _____.a. ease of tracking medications that have been diverted for illegal useb. more pharmacy technician involvement and separate work stationsc. more efficiency—less time is spent by nurses administering medicationsd. the centralized preparation of medications in administration form avoids waste

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6. One advantage of the automated dispensing system is it _____.a. increases accuracyb. requires updating the pharmacyc. does all of the pharmacy technician’s workd. handles refrigerated drugs better than a manual system

7. Which is the correct order to process a prescription?a. Receive the prescription; review; translate; enter it into a computer; adjudicate; prepare;

count, measure or pour; package and label the prescription; dispense; arrange counseling if necessary; and file

b. Receive the prescription; review; translate; enter it into a computer; adjudicate; prepare; count, measure or pour; package and label; give to the pharmacist for a final check; dispense; arrange counseling if necessary; and file

c. Receive the prescription; enter it into a computer; review and translate the prescription; adjudicate; prepare; count, measure or pour; package and label; give to the pharmacist for a final check; dispense; arrange counseling if necessary; and file

d. Receive the prescription; review, translate, and enter the prescription into a computer; adjudicate; prepare; package and label; count, measure or pour; give to the pharmacist for a final check; dispense; arrange counseling if necessary; and file

8. Which is not a benefit of CPOE computer systems?a. Prevents handwriting errorsb. Prevents missing information errorsc. Improves healthcare quality and efficiencyd. Saves a step in the process, freeing the pharmacist from overseeing the process

9. Which is not part of a complete patient profile? a. Date of birthb. Medical conditionsc. Allergies or drug sensitivitiesd. All of the above are part of the patient profile

10. A pharmacy technician processes an order for a medication. The medication comes in 5 mg tablets. The physician order calls for a 50 mg dose. What does the pharmacy technician do?a. Fill as requestedb. Consults with a pharmacistc. Concludes that the physician meant 15, not 50d. Substitutes another drug that she knows the physician meant

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11. What does stat mean?a. Medication is to be administered in specific doses and intervals.b. Medication is required for physician to perform emergency procedure.c. Medication is to be administered as needed for pain or other symptoms.d. Medication is required urgently, and must be given priority over other orders.

12. The expiration date for a bottle of ibuprofen tablets is 11/31/2012 and is opened on 06/01/2011. What is the expiration date of the repackaged medication? a. 12/31/2011b. 10/15/2011c. 12/15/2011d. 06/01/2012

13. Which statement describes formulary?a. The excipients of a drugb. The amount of active ingredients in a drugc. The inventory process for controlled substancesd. A list of drugs approved by the insurance company

14. Pharmacy technicians can collect, accept and review medication orders, but it is _____ the pharmacist has screened it.a. invalid untilb. not verified untilc. entered in the system only ifd. processed on a tentative basis before

15. Expiration dates for repackaged medication will be _____.a. one year from the date of packagingb. 25 percent of the expiration date of the sealed bottlec. today’s date plus the number of days the physician has approved on the medical orderd. 25 percent of the expiration date of the sealed bottle or one year from the date of packaging,

whichever is less

16. When a prescription drug isn’t on the patient’s formulary, the _____.a. pharmacist refers the patient to another pharmacyb. pharmacy technician asks the pharmacist for assistancec. pharmacy technician talks the patient into a different drugd. pharmacist calls the insurance company to change the rules

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Refer to the prescription to select the best answer from the choices provided. Each item is worth 4 points.

17. Which is accurate, according to the prescription? a. 30 mg twice a day IVb. 30 mg every day for 90 daysc. 30 mg every day for six monthsd. 30 mg three times a day by mouth

18. What about this prescription might cause a pharmacy technician to suspect that it’s a forgery? a. Nothingb. The dose information is missing.c. The drug is a known drug of abuse.d. The physician’s signature is missing.

19. Which action is not appropriate, according to the prescription? a. Refill six timesb. Give a 30 mg dose c. Require a brand name of the drugd. Substitute a generic form of the drug

20. Why would a pharmacy technician need to seek clarification for this prescription before filling it? a. The patient’s name is missing.b. The refill information is missing.c. It’s not on a physician’s prescription pad.d. No clarification is needed for this prescription.

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Refer to the drug information sheet to select the best answer from the choices provided. Each item is worth 4 points.

Atarax (hydroxyzine hydrochloride) tablet; atarax (hydroxyzine hydrochloride) syrup [Roerig] DESCRIPTION Hydroxyzine hydrochloride is designated chemically as 1-(p-chlorobenzhydryl) 4-[2-(2-hydroxyethoxy)-ethyl] piperazine dihydrochloride. Inert ingredients for the tablets are: acacia; carnauba wax; dibasic calcium phosphate; gelatin; lactose; magnesium stearate; precipitated calcium carbonate; shellac; sucrose; talc; white wax. The 10 mg tablets also contain: sodium hydroxide; starch; titanium dioxide; Yellow 6 Lake. The 25 mg tablets also contain: starch; velo dark green. The 50 mg tablets also contain: starch; velo yellow. The 100 mg tablets also contain: alginic acid; Blue 1; polyethylene glycol; Red 3. The inert ingredients for the syrup are: alcohol; menthol; peppermint oil; sodium benzoate; spearmint oil; sucrose; water.INDICATIONS For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested. Useful in the management of pruritus due to allergic conditions such as chronic urticaria and atopic and contact dermatoses, and in histamine-mediated pruritus. As a sedative when used as premedication and follow-ing general anesthesia, Hydroxyzine may potentiate meperidine (Demerol®) and barbiturates, so their use in pre-anesthetic adjunctive therapy should be modified on an individual basis. Atropine and other belladonna alkaloids are not affected by the drug. Hydroxyzine is not known to interfere with the action of digitalis in any way and it may be used concurrently with this agent. The effectiveness of hydroxyzine as an antianxiety agent for long term use, that is more than 4 months, has not been assessed by systematic clinical studies. The physician should reassess periodically the usefulness of the drug for the individual patient. CONTRAINDICATIONS Hydroxyzine, when administered to the pregnant mouse, rat and rabbit, induced fetal abnormalities in the rat and mouse at doses substantially above the human therapeutic range. Clinical data in human beings are inadequate to establish safety in early pregnancy. Until such data are available, hydroxyzine is contraindicated in early pregnancy. Hydroxyzine is contrain-dicated for patients who have shown a previous hypersensitivity.WARNINGS Nursing Mothers It is not known whether this drug is excreted in human milk. Since many drugs are so excreted, hydroxyzine should not be given to nursing mothers. PRECAUTIONS THE POTENTIATING ACTION OF HYDROXYZINE MUST BE CONSIDERED WHEN THE DRUG IS USED IN CONJUNCTION WITH CENTRAL NERVOUS SYSTEM DEPRESSANTS SUCH AS NARCOTICS, NON-NARCOTIC ANALGESICS AND BARBITURATES. Therefore when central nervous system depressants are administered concomi-tantly with hydroxyzine their dosage should be reduced.

Since drowsiness may occur with use of this drug, patients should be warned of this possibility and cautioned against driving a car or operating dangerous machinery while taking Atarax. Patients should be advised against the simultaneous use of other CNS depressant drugs, and cautioned that the effect of alcohol may be increased.

Geriatric Use A determination has not been made whether controlled clinical studies of ATARAX included sufficient numbers of subjects aged 65 and over to define a difference in response from younger subjects. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal or cardiac function, and of concomitant disease or other drug therapy. The extent of renal excre-tion of ATARAX has not been determined. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selections. Sedating drugs may cause confusion and over sedation in the elderly; elderly patients generally should be started on low doses of ATARAX and observed closely.

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ADVERSE REACTIONS Side effects reported with the administration of Atarax (hydroxyzine hydrochloride) are usually mild and transitory in nature.Anticholinergic Dry mouth.Central Nervous System Drowsiness is usually transitory and may disappear in a few days of continued therapy or upon reduction of the dose. Involuntary motor activity including rare instances of tremor and convulsions have been reported, usually with doses considerably higher than those recommended. Clinically significant respiratory depression has not been reported at rec-ommended doses. OVER DOSAGE The most common manifestation of Atarax over dosage is hypersedation. As in the management of over dosage with any drug, it should be borne in mind that multiple agents may have been taken.

If vomiting has not occurred spontaneously, it should be induced. Immediate gastric lavage is also recommended. General supportive care, including frequent monitoring of the vital signs and close observation of the patient, is indicated. Hypotension, though unlikely, may be controlled with intravenous fluids and Levophed® (levarterenol), or Aramine® (metaraminol). Do not use epinephrine as Atarax counteracts its pressor action.

There is no specific antidote. It is doubtful that hemodialysis would be of any value in the treatment of over dosage with hydroxyzine. However, if other agents such as barbiturates have been ingested concomitantly, hemodialysis may be indicated. There is no practical method to quantitate hydroxyzine in body fluids or tissue after its ingestion or administration.

DOSAGE For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested: in adults, 50–100 mg q.i.d.; children under 6 years, 50 mg daily in divided doses and over 6 years, 50–100 mg daily in divided doses.

For use in the management of pruritus due to allergic conditions such as chronic urticaria and atopic and contact dermatoses, and in histamine-mediated pruritus: in adults, 25 mg t.i.d. or q.i.d.; children under 6 years, 50 mg daily in divided doses and over 6 years, 50–100 mg daily in divided doses.

As a sedative when used as a premedication and following general anesthesia: 50–100 mg in adults, and 0.6 mg/kg in children.

When treatment is initiated by the intramuscular route of administration, subsequent doses may be administered orally.

As with all medications, the dosage should be adjusted according to the patient’s response to therapy.SUPPLY Atarax Tablets

10 mg–orange tablets: 100’s (NDC 0049-5600-66)25 mg–green tablets: 100’s (NDC 0049-5610-66),

500’s (NDC 0049-5610-73) 50 mg–yellow tablets: 100’s (NDC 0049-5620-66)

Atarax 100 Tablets 100 mg–red tablets: 100’s (NDC 0049-5630-66)

Atarax Syrup 10 mg per teaspoon (5 ml) 1 pint bottles (NDC 0049-5590-93) Alcohol Content–Ethyl Alcohol–0.5% v/v

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21. How is Atarax available?a. In syrup onlyb. As tablets onlyc. In tablets and syrupd. In 10 mg, 25 mg and 50 mg tablets

22. If a patient still has dry mouth and sleepiness after two weeks of Atarax, is that abnormal? a. No, tremors are also commonb. Not if the patient shows no dizzinessc. Only in patients taking Atarax for itching (pruritis)d. Perhaps—these side effects usually disappear after a few days

23. For a geriatric patient taking Atarax as a premedication or following general anesthesia, should the patient start at 50 or 100 mg QID? a. Adults should take only 25 mg QID.b. It’s fine for all adults to take 100 mg.c. Adults should receive the first dose intramuscularly.d. Studies are indeterminate for geriatric patients, but starting at the low end is prudent.

24. Are the tablets safe for someone who is allergic to lactose? a. Nob. Yesc. Yes, if prescribed for pruritisd. Yes, if prescribed as a premedication for surgery

25. If a patient is pregnant or nursing, should she take Atarax? a. Nob. It’s unknownc. It seems to be okayd. More information is needed

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Assignment Pack 2

Quiz 10: Drug Actions and InteractionsThis is a Scanner Quiz that should be submitted according to the instructions at the beginning of this pack.

Select the best answer from the choices provided. Each item is worth 3.33 points.

1. These are extreme, often life-threatening allergic reactions to drugs.a. Adverse b. Nephrotoxic c. Anaphylactic d. Teratogenicity

2. Barbiturates and tranquilizers are often given before surgery. The sum of their effects allows the proper effect without risking toxicity. What is this an example of?a. Synergismb. Antagonismc. Potentiationd. Additive effect

3. These have an affinity for a receptor, but don’t stimulate it. a. Agonistsb. Oxidants c. Antagonistsd. Protein complexes

4. Crossing this increases the risk of undesired drug effects. a. MECb. MTCc. Drug action leveld. Therapeutic window

5. Drug absorption slows in the older patient, which causes what?a. Decrease in intestinal blood flowb. Delay in the onset of a medication’s actionc. The drug to be excreted from the body soonerd. Wider absorption of a medication than desired

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6. The metabolic breakdown of a drug into a metabolite is caused by this.a. Enzymesb. Reabsorptionc. Passive diffusiond. Glomerular filtration

7. This is an unexpected reaction to a drug the first time a patient takes it.a. Allergyb. Synergismc. Anaphylactic reactiond. Idiosyncratic reaction

8. Glomerular filtration is what kind of ADME process?a. Excretionb. Diffusion c. Absorptiond. Metabolism

9. This is the process of leaving the bloodstream to enter body tissues.a. Osmosis b. Metabolismc. Distributiond. Passive diffusion

10. Drug excretion processes slow as people age due to this.a. Decrease in blood flowb. Decrease in blood flow to the kidneys and liverc. Percentage of body fat and body water in older patientsd. All of the above

11. This is the amount of a drug that’s available in the blood.a. Actionb. Receptorc. Bioavailabilityd. Bioequivalency

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12. Metabolites that are stored in the gallbladder as bile may end up reentering the bloodstream while being excreted as feces. What is this an example of?a. Reabsorptionb. Passive diffusionc. Human variabilityd. Accidental toxicity

13. Which is not an ADME process?a. Diffusion b. Absorptionc. Metabolismd. Distribution

14. This is the ability to cause damage to fetal development in pregnant women.a. Teratogenicityb. Hepatotoxicityc. Nephrotoxicityd. Carcinogenicity

15. Meghan is three years old and weighs 25 pounds. She needs to take a medication that has a suggested adult dose of 100 mg. Calculate the correct dosage for Meghan using the Young’s rule.a. 5 mgb. 15 mgc. 20 mg d. 17.5 mg

16. This is the time a drug stays in the stomach before moving into the small intestine.a. Complexationb. The onset of actionc. Gastric emptying timed. The duration of action

17. Drugs that are administered sublingually avoid this.a. Excretionb. Absorptionc. Reabsorptiond. First pass effect

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18. What substance is used to monitor the effectiveness of renal activity? a. Caffeineb. Codeinec. Creatinined. Carcinogens

19. The _____ actions of a drug are those that treat the illness.a. adverseb. deliveredc. therapeutic d. concentrated

20. Children metabolize some drugs more rapidly than adults, which will require _____.a. more frequent drug administration, but lower dosesb. constant monitoring to make sure the drug is effectivec. a lower dose of the drug or less frequent administrationd. a higher dose of the drug or more frequent administration

21. The nephron is the functioning unit of which body organ?a. Liverb. Kidneyc. Gallbladder

22. This is the blood concentration needed to produce a response in the patient.a. MECb. MTCc. Drug action leveld. Therapeutic window

23. The study of the hereditary basis for _____ is called pharmacogenetics.a. body weightb. bioequivalencyc. human variabilityd. idiosyncratic reactions

24. Anaphylactic shock occurs within how long of the administration of a triggering drug?a. Daysb. Hoursc. A weekd. Minutes

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25. Alcohol and barbiturates are both depressants. Taken together, they can cause death. This amplified result is an example of what?a. Synergismb. Antagonismc. Potentiationd. Additive effect

26. Mark is three years old and weighs 25 pounds. He needs to take a medication that has a suggested adult dose of 100 mg. Calculate the correct dosage for Mark using the Clark’s rule. a. 15 mgb. 20 mgc. 17.5 mgd. 16.67 mg

27. Protein binding is the attachment of a(n) _____ to a plasma or tissue protein. a. bile saltb. receptorc. drug moleculed. oxygen molecule

28. Body weight is most important to this group when calculating dosages.a. Teensb. Adultsc. Infantsd. Elderly

29. This is the ability to cause damage to the liver with an adverse reaction.a. Teratogenicityb. Hepatotoxicityc. Nephrotoxicityd. Carcinogenicity

30. The affinity of drugs for receptors allows this, which is the basis of drug therapy.a. Absorptionb. Antagonismc. Distributiond. Selective action

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Quiz 11: Medication Errors and PoisonsThis is a Scanner Quiz that should be submitted according to the instructions at the beginning of this pack.

Select the best answer from the choices provided. Each item is worth 5 points.

1. Heparin and opiates are examples of this.a. Commercial poisonsb. High-alert medicationsc. Elevated risk medicationsd. Common household cleaners

2. Using standardized order forms is a good way to _____.a. reduce mistakesb. increase customer servicec. have patients call in their prescriptionsd. make mistakes, because the forms all look alike

3. When a patient asks for an early refill of a prescription drug, it’s an indication of this type of error.a. Timingb. Omissionc. Complianced. Unauthorized drug

4. What is a common example of a salicylate?a. Aspirinb. Detergentc. Insecticided. Paint thinner

5. How many grams of acetaminophen in a 24-hour period can cause hepatic damage?a. 2b. 4.5c. 6.5d. 7.5

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6. What is one certain strategy for dealing with any poison?a. Call the National Poison Centerb. Drink water and administer activated charcoalc. Lie down to avoid the poison speeding the heart d. Use cardiovascular activity to speed metabolism and excretion

7. While compounding an IV preparation, the pharmacy technician notes that one of the refrigerated liquid ingredients is cloudy. What should the technician do?a. Place the vial in the centrifuge to see if it separates.b. Return the ingredient and find one that isn’t cloudy.c. Return the ingredient to the refrigerator to see if the liquid clears.d. Inform the pharmacist that the ingredient looks cloudy and discard the suspect product.

8. Which increases the chances of a medication error? a. Triple-checking any medication labelsb. Asking the prescriber to fax a copy of a phoned-in prescriptionc. Asking another technician to double-check your dosage calculationsd. Turning up the pharmacy music volume to make the work environment more pleasant

9. A pharmacy technician uses an incorrect base to compound a topical pain reliever. What kind of medication error is this? a. Omission b. Monitoringc. Drug preparationd. Administration technique

10. Listing the condition of the patient on the medication order could reduce the number of these errors.a. Complianceb. Prescriptionc. Administrationd. Deteriorated drug

11. Good Morning Pharmacy has determined that in-house medication errors are being caused by a lack of technician training. What might the proper quality assurance response include?a. Instituting a triple-check programb. Insisting on typewritten prescriptionsc. Providing extra training for techniciansd. FMEA analysis for all major pharmacy procedures

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12. A nursing home switches a tablet medication to a liquid for a patient who has difficulty swallowing, as allowed by state regulations. What is this an example of?a. Omission errorb. Administration errorc. Unauthorized drug errord. Authorized drug substitution

13. Which body location is the most dangerous to receive a snakebite?a. Calfb. Footc. Handd. Chest

14. Which does not likely lead to a calculation error? a. Misplacing a decimal pointb. Using an inaccurate conversion formulac. Not verifying if the final answer is reasonabled. Failing to verify the expiration date of a medication

15. A patient is given the wrong drug. What kind of outcome might occur? a. No adverse outcomeb. Severe damage to the patientc. Minor discomfort to the patientd. All of the above

16. Which is a true statement of compounding several custom drugs at once?a. It saves time, but adds to the chance of a compounding error.b. This process saves time, so try to make large batches of each drug.c. It requires calculating the total ingredients for all of the prescriptions.d. This process is worth the risk so you can keep up with customer service.

17. This is used to document mistakes in drug dispensing.a. Nurse’s reportb. Standardized order formc. Medical error report formd. Pharmacist’s Request for Research Form

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18. Which is a correct statement according to the poison prevention commandments?a. Child safety caps should be replaced on containers after every use.b. High-risk substances should be stored in bulk-style containers with typed labels.c. High-risk chemicals should be stored in the open where they can be spot inventoried.d. Children should be encouraged to comply with drug regimens by making a game out of

taking medicine.

19. What is the philosophy of quality assurance?a. Poison preventionb. Finding out who caused the medication errorc. Attaining perfection in a pharmacy operationd. Solving error trends to improve overall operations

20. Allowing a refrigerated medicine to sit at room temperature until it deteriorates is an example of this type of error.a. Prescribingb. Expired drugc. Compoundingd. Administration

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Quiz 12: Managing InventoryThis is a Scanner Quiz that should be submitted according to the instructions at the beginning of this pack.

Select the best answer from the choices provided. Each item is worth 5 points.

1. Which factor does not affect total cost for a pharmacy?a. Retail pricesb. Business volumec. Scope of services offeredd. Overall efficiency of the pharmacy

2. Recalls are requested by which department?a. FDAb. CDCc. DEAd. NDA

3. Which inventory system is a perpetual inventory system? a. JIT b. POS c. EOQ d. 80/20 Rule

4. Occasionally, Tender Mercies Pharmacy must dispose of a Schedule II controlled substance. In those cases, what form does the pharmacy use? a. MSDSb. DEA Form 41c. Borrow/loan formd. Order Adjustment Correction form

5. What is a drop shipment?a. Receiving products on an as-need basisb. Reducing prices on products for faster salesc. Products that have been damaged during shipment

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6. Which correctly describes recall procedures?a. Based on the state in which the recall is made, many recall procedures can be used to notify

the public of the recall. The most common method is a letter or telegram. b. Based on the level of distribution and harm, many recall procedures can be used to notify

the public of the recall. The most common method is a radio and television alert. The Internet may also be used.

c. Based on the level of distribution and harm, many recall procedures can be used to notify the public of the recall. The most common method is a letter or telegram to pharmacies, hospitals and prescribers.

d. Based on whether the drug is a Schedule I, II, III, IV or V, many recall procedures can be used to notify the public of the recall. The most common method is a letter or telegram to pharmacies, hospitals and prescribers.

7. Which defines recalls?a. The NDA approves drugs for public use as soon as possible. If these negative effects reach

a point that isn’t within NDA’s standard of public safety, the FDA can request or require the drug manufacturer not to manufacture the drug.

b. The FDA approves drugs for public use. Occasionally, after a drug has been approved and is in use, negative effects occur more often than the FDA could predict. If these negative effects reach a point that isn’t within FDA’s standard of public safety, the FDA can request or require the drug manufacturer to recall the drug.

c. The DEA approves drugs for public use. Occasionally, after a drug has been approved and is in use, negative effects occur more often than the DEA could predict. If these negative effects reach a point that isn’t within DEA’s standard of public safety, the DEA can request or require the drug manufacturer to recall the drug.

d. The NDA approves drugs for public use, only after very careful study. Occasionally, after a drug has been approved and is in use, negative effects occur more often than the NDA could predict. If these negative effects reach a point that isn’t within NDA’s standard of public safety, the FDA can request or require a recall of the drug.

8. When you receive an order, what should you do first?a. Make sure that the purchase order matches the packing listb. Adjust the inventory in the computer system based on the delivered orderc. Verify that the purchase order, packing list, invoice and actual order are reconciledd. Return any expired medications to the delivery person when he drops off the new order

9. Which statement regarding shelving products is true? a. It provides the opportunity to check for errors.b. Expiration dates should be compared when shelving.c. When shelving, avoid putting look-alike products together.d. All of the above statements are true.

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10. What are the four steps to place an order for medications?a. Place the order, review the order, receive the order, stock the medicationb. Generate the order, review the order, confirm the order and submit the orderc. Forecast your stock needs, create an order form, review the order and submit the orderd. Generate a wish list, create an order from the wish list, generate the order form and submit

the order

11. This is the procedure of evaluating the costs and benefits of a specific pharmacy program.a. Cost findingb. Cost analysisc. Cost comparisond. Cost-benefit analysis

12. Which is not part of the purchase order?a. Quantity of packagesb. Quantity of dosages per packagec. Name of the product and manufacturerd. All of the above are part of the purchase order

13. What is the name given to the theoretical, ideal inventory control system? a. JIT b. POS c. EOQ d. 80/20 Rule

14. If a supplier delivers expired product, what should the pharmacy technician do?a. Fill out DEA Form 41b. Return the product immediatelyc. Put the product directly into the expired products bind. Ask the pharmacist to place a phone call to the manufacturer

15. What will you yield when adding all of the expenses of a pharmacy and dividing by the number of doses served to patients?a. Total costb. Cost-benefitc. Patient averagesd. Rent/dosage ratio

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16. What should you do with expired pharmaceuticals?a. Mark as clearance for quick saleb. Put them in the pharmacist’s officec. Return them to the manufacturer or destroyd. Tag them on the shelf with the pharmacy’s specific barcode

17. Wilson’s Pharmacy is an independent pharmacy that pools its buying power with several other independents in town. Wilson’s pays a membership fee for pricing benefits. Which kind of purchasing arrangement does Wilson’s use?a. GPO b. Mixed c. Independent d. Prime supplier

18. With this, each pharmacy agrees to contract directly with the pharmaceutical manufacturer.a. Wholesale arrangement b. Direct purchasing systemc. Group purchasing arrangementd. Independent purchasing system

19. Which is not an important aspect of a good record-keeping system? a. Speedy retrieval of filesb. Safeguards against misfiling c. Numbered files to avoid alphabetizing d. Coding to indicate whether the file is active or inactive

20. What should you do with items that have similar names or labels?a. Shelve them apartb. Shelve them togetherc. Never order them at the same timed. Refuse the products at the time of delivery

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Assignment Pack 2

Quiz 13: Financial ManagementThis is a Scanner Quiz that should be submitted according to the instructions at the beginning of this pack.

Select the best answer from the choices provided. Each item is worth 5 points.

1. In which pricing method does the markup percentage decrease as the cost of the ingredients increases? a. Price regulationb. Markup methodc. Sliding scale methodd. Professional fee method

2. Which is not a step for standard drug development?a. FDA reviewb. Clinical researchc. Discovery and developmentd. All are steps for standard drug development

3. This is the monthly payment due to the third party insurer to keep a policy active.a. Premiumb. Deductiblec. Copaymentd. Policy dues

4. What is the arrangement between two carriers as to who pays what on a medical bill in order to avoid payment duplication called?a. Copaymentb. Preauthorization c. Assignment of benefitsd. Coordination of benefits

5. This is a program that pays the medical bills for people with job-related injuries or illnesses.a. PPO b. Medicaid c. Managed cared. Workers’ compensation

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6. What type of copayment is it when the insurance policy requires a copayment of $20 on all care transactions? a. Flat rateb. Sliding scalec. Variable rated. Straight percentage

7. This is also known as the insured person on a policy.a. Providerb. Subscriber c. Third partyd. Second party

8. If preauthorization is required, but the insurance company is not notified, the insurance company _____.a. pays moreb. might reduce reimbursementc. bills the doctor for the cost of the extra paperwork involvedd. any of the above

9. Use the markup method to calculate the selling price of a drug with the ingredients cost $30 and the markup percentage of 50 percent. a. $30b. $45c. $15d. Cannot calculate with the information provided

10. When an insurance carrier pays for medical treatment based on a policy, it is paying _____.a. benefits b. the HMOc. the premiumd. a copayment

11. Using the 50 percent markup method, if the ingredient cost is $40, what is the price? a. $55b. $60c. $95d. $68

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12. If this happens, the demand for prescription medications would likely drop.a. Americans exercised and lost weightb. Americans bought more drugs overseasc. Drug companies advertise more on televisiond. Pharmacies limited the amount of drugs each customer could have

13. Critics of the pharmacy industry note that much of R&D money is spent on this.a. Television advertisingb. Gifts and vacations for doctorsc. Developing new drugs that must then go through the FDA approval processd. Developing drugs to compete with similar drugs that are already on the market

14. What is the dollar amount that the patient must pay each time he buys medication called?a. Prepayb. Deductiblec. Copaymentd. Assignment of benefits

15. Which pricing method adds the same fixed dollar amount to all medicines, regardless of ingredient costs?a. Markup methodb. Price regulationc. Sliding scale methodd. Professional fee method

16. If the insurance company is the third party, who is the first party? a. Clinicb. Patientc. Providerd. Pharmacy

17. Use the professional fee method to calculate the selling price of a drug with the ingredients cost $35 and the professional fee of $12. a. $12b. $35c. $47d. Cannot calculate with the information provided

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18. These are the spouse and children of the insured person on a policy.a. Risksb. Providersc. Incidentalsd. Dependents

19. Good Morning Pharmacy filled a prescription for a patient with a coinsurance. The cost of the prescription drug is $220 and the coinsurance is 10 percent. How much does the patient need to pay?a. $22b. $220c. $220 plus 10 percentd. Cannot calculate with the information provided

20. Which pricing method avoids the problems of subsidized prices for inexpensive drugs and inventory investment levels for pharmacies?a. Price regulationb. Markup methodc. Sliding scale methodd. Professional fee method