Question 1

Why are IV heparin errors extremely dangerous?

Accepted Answer

A)  IV heparin quickly takes effect and is not easily reversed. 
B)  IV heparin is available in many similar-looking strengths. 
C)  Flushing IV lines with a Hep-Lock solution is common, which is a very low dose of heparin that can be confused with significantly higher concentrations. 
D)  All of the above factors are reasons. 
A)  IV heparin quickly takes effect and is not easily reversed. 
B)  IV heparin is available in many similar-looking strengths. 
C)  Flushing IV lines with a Hep-Lock solution is common, which is a very low dose of heparin that can be confused with significantly higher concentrations. 
D)  All of the above factors are reasons. D

Question 2

A patient with diabetes is ordered intravenous (IV) cefazolin in 5% dextrose in water (D5W) every 8 hours (q8h). What possible problem may exist with this order?

Accepted Answer

A)  A patient with diabetes cannot be given cefazolin because of a possible drug interaction. 
B)  Cefazolin can only be given subcutaneously. 
C)  The dose should always be given every 12 hours. 
D)  D5W may be the wrong solution because the patient has diabetes. 
A)  A patient with diabetes cannot be given cefazolin because of a possible drug interaction. 
B)  Cefazolin can only be given subcutaneously. 
C)  The dose should always be given every 12 hours. 
D)  D5W may be the wrong solution because the patient has diabetes. D

Question 3

A medication error occurred but did not reach patient is classified as a:

Accepted Answer

A)  Category A error 
B)  Category B error 
C)  Category C error 
D)  Category D error 
A)  Category A error 
B)  Category B error 
C)  Category C error 
D)  Category D error B

Question 4

A physician ordering an IV to run at 100 mL/hr instead of 125 mL/hr is an example of what type of error?

Accepted Answer

A)  Prescribing error 
B)  Omission error 
C)  Wrong dosage form 
D)  Monitoring error 
A)  Prescribing error 
B)  Omission error 
C)  Wrong dosage form 
D)  Monitoring error

Question 5

What type of error occurs when a pharmacist fails to adjust the amount of KCl to be added to a total parenteral nutrition (TPN) mixture according to the daily laboratory report?

Accepted Answer

A)  Prescribing error 
B)  Omission error 
C)  Monitoring error 
D)  Unauthorized drug error 
A)  Prescribing error 
B)  Omission error 
C)  Monitoring error 
D)  Unauthorized drug error

Question 6

What is an ADR?

Accepted Answer

A)  Actual drug reaction 
B)  Adverse drug reaction 
C)  Adverse drug response 
D)  Actual drug response 
A)  Actual drug reaction 
B)  Adverse drug reaction 
C)  Adverse drug response 
D)  Actual drug response

Question 7

Which of the following is not one of the five safety standards outlined by TJC?

Accepted Answer

A)  Leadership Process and Accountability 
B)  Competent and Capable Workforce 
C)  Safe Environment for Staff and Patients 
D)  Clinical Care of Staff 
A)  Leadership Process and Accountability 
B)  Competent and Capable Workforce 
C)  Safe Environment for Staff and Patients 
D)  Clinical Care of Staff

Question 8

Individuals older than 80 years of age will be in the fastest growing segment of the population for the next 40 years, which is due to:

Accepted Answer

A)  Increased activity 
B)  Better diet 
C)  Improved health care 
D)  All of the above 
A)  Increased activity 
B)  Better diet 
C)  Improved health care 
D)  All of the above

Question 9

To reduce errors, pharmacies may:

Accepted Answer

A)  Use an automatic dispensing system (ADS). 
B)  Keep high-alert medications in a separate location in the pharmacy. 
C)  Designate a medication safety leader. 
D)  Perform all of the above. 
A)  Use an automatic dispensing system (ADS). 
B)  Keep high-alert medications in a separate location in the pharmacy. 
C)  Designate a medication safety leader. 
D)  Perform all of the above.

Question 10

Which one of the MERP error categories includes errors that contribute to the death of a patient?

Accepted Answer

A)  A 
B)  C 
C)  I 
D)  J 
A)  A 
B)  C 
C)  I 
D)  J

Question 11

Why does TJC require hospitals and institutions to prepack all liquid doses in oral syringes or containers?

Accepted Answer

A)  Continually opening bulk containers has led to an increased risk of contamination. 
B)  Patient-specific instructions are not denoted on the bulk medication; therefore the likelihood of an inappropriate dose increases when nurses pour medicine from bulk containers. 
C)  The pharmacy must maintain control over each dose to ensure accuracy. 
D)  All of the above are reasons. 
A)  Continually opening bulk containers has led to an increased risk of contamination. 
B)  Patient-specific instructions are not denoted on the bulk medication; therefore the likelihood of an inappropriate dose increases when nurses pour medicine from bulk containers. 
C)  The pharmacy must maintain control over each dose to ensure accuracy. 
D)  All of the above are reasons.

Question 12

All of the following are common causes of medication errors according to the ASHP except:

Accepted Answer

A)  Drug product nomenclature 
B)  Improper transcription 
C)  Inappropriate abbreviations 
D)  Use of bar codes 
A)  Drug product nomenclature 
B)  Improper transcription 
C)  Inappropriate abbreviations 
D)  Use of bar codes

Question 13

Warfarin (Coumadin) administered to prevent blood clotting can interact with:

Accepted Answer

A)  Aspirin 
B)  Non-steroidal antiinflammatory drugs (NSAIDs) 
C)  Acetaminophen 
D)  A and B 
A)  Aspirin 
B)  Non-steroidal antiinflammatory drugs (NSAIDs) 
C)  Acetaminophen 
D)  A and B

Question 14

Medication errors frequently involve which of the following?

Accepted Answer

A)  Allergies 
B)  Multiple medications 
C)  OTC medications 
D)  All of the above 
A)  Allergies 
B)  Multiple medications 
C)  OTC medications 
D)  All of the above

Question 15

In 2012, the ISMP launched the National Vaccine Error Reporting Program (ISMP VERP) to:

Accepted Answer

A)  Verify the validity of error reports. 
B)  Collect information on vaccine errors. 
C)  Evaluate all errors. 
D)  Perform all of the above. 
A)  Verify the validity of error reports. 
B)  Collect information on vaccine errors. 
C)  Evaluate all errors. 
D)  Perform all of the above.

Question 16

The majority of health care-associated infections (HAIs) are:

Accepted Answer

A)  Urinary tract infections (UTIs) 
B)  Bloodstream and surgical site infections 
C)  Pneumonia 
D)  All of the above 
A)  Urinary tract infections (UTIs) 
B)  Bloodstream and surgical site infections 
C)  Pneumonia 
D)  All of the above

Question 17

Which one of the following would not constitute a medication error?

Accepted Answer

A)  An extra dose of antibiotic is given to a patient after the stop date but causes no harm to the patient. 
B)  A unit-dose medication is returned from the nursing floor for credit and is reused. 
C)  Too much heparin is given to a patient, which results in a stroke. 
D)  All are medication errors. 
A)  An extra dose of antibiotic is given to a patient after the stop date but causes no harm to the patient. 
B)  A unit-dose medication is returned from the nursing floor for credit and is reused. 
C)  Too much heparin is given to a patient, which results in a stroke. 
D)  All are medication errors.

Question 18

Which one of the following distractions cannot be avoided in the workplace?

Accepted Answer

A)  Excessive talking and laughing 
B)  Text messaging 
C)  Telephones ringing 
D)  Loud music 
A)  Excessive talking and laughing 
B)  Text messaging 
C)  Telephones ringing 
D)  Loud music

Question 19

Which one of the reasons below is not related to errors?

Accepted Answer

A)  Look-alike, sound-alike drugs 
B)  Stress and noise levels 
C)  Orders arriving from different sources 
D)  Multitasking 
A)  Look-alike, sound-alike drugs 
B)  Stress and noise levels 
C)  Orders arriving from different sources 
D)  Multitasking

Question 20

PTEC is the:

Accepted Answer

A)  Pharmacy Trainer Education Council 
B)  Pharmacy Teacher Educator Council 
C)  Pharmacy Technician Educator's Council 
D)  Pharmacy Trainer's Education Committee 
A)  Pharmacy Trainer Education Council 
B)  Pharmacy Teacher Educator Council 
C)  Pharmacy Technician Educator's Council 
D)  Pharmacy Trainer's Education Committee

Exam 14: Medication Safety and Error Prevention

Why are IV heparin errors extremely dangerous?

A patient with diabetes is ordered intravenous (IV) cefazolin in 5% dextrose in water (D5W) every 8 hours (q8h). What possible problem may exist with this order?

A medication error occurred but did not reach patient is classified as a:

A physician ordering an IV to run at 100 mL/hr instead of 125 mL/hr is an example of what type of error?

What type of error occurs when a pharmacist fails to adjust the amount of KCl to be added to a total parenteral nutrition (TPN) mixture according to the daily laboratory report?

What is an ADR?

Which of the following is not one of the five safety standards outlined by TJC?

Individuals older than 80 years of age will be in the fastest growing segment of the population for the next 40 years, which is due to:

To reduce errors, pharmacies may:

Which one of the MERP error categories includes errors that contribute to the death of a patient?

Why does TJC require hospitals and institutions to prepack all liquid doses in oral syringes or containers?

All of the following are common causes of medication errors according to the ASHP except:

Warfarin (Coumadin) administered to prevent blood clotting can interact with:

Medication errors frequently involve which of the following?

In 2012, the ISMP launched the National Vaccine Error Reporting Program (ISMP VERP) to:

The majority of health care-associated infections (HAIs) are:

Which one of the following would not constitute a medication error?

Which one of the following distractions cannot be avoided in the workplace?

Which one of the reasons below is not related to errors?

PTEC is the:

History of Medicine and Pharmacy

Pharmacy Law, Ethics, and Regulatory Agencies

Competencies, Associations, and Settings for Technicians

Communication and Role of the Technician With the Customerpatient

Dosage Forms and Routes of Administration

Conversions and Calculations

Drug Information References

Community Pharmacy Practice

Institutional Pharmacy Practice

Additional Pharmacy Practice Settings

Bulk Repackaging and Non-Sterile Compounding

Aseptic Technique and Sterile Compounding

Pharmacy Billing and Inventory Management

Pharmacy Operations Management

Drug Classifications

Therapeutic Agents for the Nervous System

Therapeutic Agents for the Endocrine System

Therapeutic Agents for the Musculoskeletal System

Therapeutic Agents for the Cardiovascular System

Therapeutic Agents for the Respiratory System

Therapeutic Agents for the Gastrointestinal System

Therapeutic Agents for the Renal System

Therapeutic Agents for the Reproductive System

Therapeutic Agents for the Immune System

Therapeutic Agents for Eyes, Ears, Nose, and Throat

Therapeutic Agents for the Dermatologic System

Therapeutic Agents for the Hematologic System

Over-The-Counter Otc Medications

Complementary and Alternative Medicine Cam

Filters

A patient with diabetes is ordered intravenous (IV) cefazolin in 5% dextrose in water (D₅W) every 8 hours (q8h). What possible problem may exist with this order?