PACOP GREEN, BLUE, RED HOSPI LEC This pharmacy division coordinates and control all drug

delivery and distribution systems:

A type of drug distribution system wherein all drugs are a. departmental services division
retained in the main pharmacy until receipt of the b. administrative services division
physician's initial order: c. purchasing & inventory control division
a. floor stock system d. central supply services division
b. decentralization unit dose system
c. individual prescription system Injections are often indicated as the correct form of
d. both a & c administering a drug when
a. the drug is a suspension
It enables the pharmacist to monitor drug utilization of b. the drug contains alcohol
each patient confined in the hospital. c. the drug is insoluble
a. admission history d. the drug is not easily absorbed from the GIT
b. patient medication profile
c. adverse drug reaction report Advantages of unit dose distribution:
d. patient chart a. reduction in the incidents of medication error
e. progress note b. decrease in the total cost of medication related
activities
A laminar flow hood is used when intravenous solutions c. more accurate billings for drugs
are: d. all of the above
a. labeled
b. stored Pyrogenic contamination may cause the patient to have
c. prepared a. fever
d. administered b. chills
e. both a & c c. infection
d. a & b
Hospital department that supplies sterile linen, operating e. a & c
room packs and other medical surgical supplies:
a. nursing department Injections are randomly tested for fever-producing
b. central service dept. agents which are called
c. medical social dept a. analgesics
d. pharmacy dept. b. antitussives
e. laboratory service dept. c. histamines
d. pyrogens
Total parenteral nutrition should be protected from light
because it contains: Total parenteral nutrition is administered, through:
a. fats a. subclavian vein
b. carbohydrates b. femoral artery
c. electrolytes c. none of the above
d. vitamins d. both a & b
e. proteins
Manner of affixing the label to an IV admixture
Nutritional solution prepared by hospital pharmacist for preparation container
patients who has dysfunctional GIT: a. upside down
a. IV mixture b. sideways
b. D5W c. vertically
c. NSS d. normal way
d. TPN
e. NTP The ideal drug distribution system
a. complete floor stock system
Nursing stations are inspected or visited by the b. individual prescription system
pharmacist due to the ff. reasons, except: c. unit dose system
a. to check labels for legibility d. none of the above
b. to remove expired products
c. to remove deteriorated drugs Additives of TPN are:
d. to remove empty container a. electrolytes and vitamins
b. antibiotics and fats
c. amino acids and anesthetics
 d. d. none of the above A method of administering IV fluids and medication using
a volume control device designed to administer small
Continuous I.V. infusion means: amount of fluid over a specified time.
a. administration of a large volume of drug at a a. heparin lock
constant rate usually 100-150 mL/hr for 8-24 b. additive set
hrs. c. IV piggyback
b. rapid IV pushing less than 30 seconds d. IV push
c. administration at a rate not to exceed 1 mL/min e. none
d. none of the above
IV administration of a large amount of fluid over a
A separate sterile room is required for: prolonged period of time:
a. reconstitution of lyophilized injections a. infusion
b. ophthalmic preparations b. IV push
c. preparation of IV admixtures c. IV bolus
d. all of the above d. piggyback

Feature/s of the unit dose drug distribution system Under the administrative organization chart, the central
a. maintains duplicate copy of the doctor’s order sterile supply fall under the:
b. maintains patient medication profile a. clinical services
c. delivers medications in “unit of use” form b. ambulatory service
d. all of the above c. administrative services
e. a and c only d. all of the above
e. none of the above
A method of administering IV fluids & medications that
provides a slow, primary line infusion to maintain Emergency drugs are considered as:
therapeutic drug level or provide electrolyte replacement a. OR drug order
a. IV push b. STAT order
b. drip infusion c. follow up order
c. piggyback d. automatic stop order
d. heparin lock e. none of the above
e. none
Best method of providing service when pharmacy if
Which of the ff. is not a method of operating a unit dose closed
dispensing program: a. provide an emergency cart for all unit
a. Centralized UDDS b. allow access of a nurse or doctor into the
b. decentralized UDDS pharmacy
c. combination of a and b c. have a pharmacist on call
d. non-charge d. a & b only
e. none e. a & c only

A rubber, plastic, or glass tube inserted into the bladder Advantages of unit dose drug distribution, except:
in order to withdraw urine from patients unable to void a. more efficient use of personnel
naturally. b. minimization of credits
a. rectal tube c. increased floor stock
b. catheter d. greater workload control
c. urinals
d. incontinence A bulk supply of each drug product is stored on the
e. none nursing station
a. floor stock
The injection of small amount of undiluted medication b. individual prescription order
directly into the vein or through a heparin lock. c. emergency cart
a. drip infusion d. all of the above
b. intermittent infusion e. none of the above
c. IV bolus
d. IV piggyback
e. none
A department that supplies sterile line, sterile kits, c. water and carbohydrates only
operating room packs, needles, syringes and other d. none of the above
medical surgical supplies:
a. nursing department A unit dose package can be defined as a
b. central service department a. vial of 1gm of Keflin to be reconstituted by the
c. medical social department nurse sent to the nursing unit
d. laboratory service dept. b. package containing the exact dose of drugs
to be administered to a patient at a specific
Function/s of purchasing and inventory control: time
a. maintain drug inventory control c. bottle containing enough medication for 24 hours
b. purchase all drugs d. package containing enough medication for the
c. receive, store and distribute drugs next three doses
d. coordinate and control all drug delivery and
distribution system Characteristic/s of a TPN preparation
e. all of the above a. complete source of nutrition
b. hypoosmoloar
Advantage/s of the floor stock system of drug distribution c. can be infused together with blood products
a. minimized return of medication d. contains great amount lipids
b. increased nursing time in medication activities e. e. all of the above
c. decreased potential for drug misadventuring
d. all of the above The smallest diameter of needle cannula is gauge:
e. none of the above a. 18
b. 20
Drug distribution system used more frequently in small c. 25
private hospital d. 27
a. floor stock
b. individual prescription number Incompatibilities with fat emulsion cause majority of
c. unit dose formulation problems in TPN. Which of the following
d. all of the above affects lipid stability in TPN preparations?
e. none of the above I. Nature of amino acid solution
II. pH
Disadvantage/s of the individual prescription order III. the amount of dissolved oxygen in the solution
system of drug distribution: IV. electrolyte content
a. increased potential for medication errors a. I, II and III only
b. increased drug inventory b. II, III and IV only
c. delay in drug administration c. I, II and IV only
d. all of the above d. I and II only
e. none of the above e. I and IV only

TPN therapy is most frequently complicated by A physical quantity of a drug product ordered by a
septicemia due to: prescriber to be administered to a specified patient at
a. Candida one time, in ready to administer from with no further
b. Enterobacter physical or chemical alterations required
c. Pseudomonas a. Unit dose package
d. E coli b. Single unit package
c. Unit dose
All of the following are advantages of unit dose drug d. Multiple dose
distribution system, except: e. Unit dose dispensing system
a. pharmacist review of medication errors
b. participation on a nutritional support team A package that contains one discrete pharmaceutical
c. prompt delivery of a new medication orders dosage form
d. reduced pharmacy costs a. Unit dose package
b. Single unit package
c. Unit dose
Total parenteral nutrition contains the following d. Multiple dose
compounds e. Unit dose dispensing system
a. carbohydrates, lipids and antibiotics
b. lipids, vitamins, electrolytes and amino acid
Refers to a system that has its purpose the selection,
acquisition, control, storage, dispensing, delivery, Which of the following is/are advantage/s of unit dose
preparation, and administration of drug product in health dispensing systems?
care institution in response of an authorized prescriber I. Less drug losses due to waste and pilferage
a. Drug distribution control system II. Greater accuracy in inventory control, cost
b. Drug use information system accounting, and charging
c. Drug distribution system III. Improved ability of the hospital to attract and
d. Drug packaging system retain highly qualified and motivated pharmacy
e. Drug availability system personnel
a. I and II only
Which of the following are considered as drug b. I and II only
distribution control information necessary to ensure that c. I and III only
a unit dose package is delivered as ordered to the right d. II only
patient, at the right date, and the right time? e. I, II and III only
I. A description of the unit dose ordered
II. Socio-economic statues of the patient The most important human nutrient required for tissue
III. Identification and location of the patient synthesis, repair, transport of body nutrients and waste,
IV. Time and date of administration and maintenance of immune function
a. I, II, III and IV a. Carbohydrates
b. I, II and II only b. Protein
c. I, III and IV only c. Fats
d. Dextrose
d. II, III and IV only
e. Lactose
e. I, II and IV only
Most widely utilized carbohydrate in parenteral nutrition
Refers to a drug distribution system wherein a bulk because of its low cost, availability, and proven utility
supply of each drug product is maintained on the nursing a. Glycerol
unit in advance of need and the nurse prepare the doses b. Fructose
of administration c. Sucrose
a. Patient prescription system d. Dextrose
b. Floor stock e. Lactose
c. Emergency carts
d. Unit dose dispensing system These are preparations intended for injection through the
e. Decentralized system skin or other external boundary tissue, rather than the
alimentary canal.
Refers to a drug distribution system wherein all drugs A) Parenteral articles
are retained in the pharmacy until the order is received, B) Large-volume intravenous solutions
and then a multiple dose supply is dispensed to the C) Small-volume injections
nursing unit labeled for use by a specific patient D) Intravenous push
E) Intravenous piggyback
a. Patient prescription system
b. Floor stock are single dose injections containing more than 100mL
c. Emergency carts of solution that are intended for intravenous use.
d. Unit dose dispensing system A) Parenteral articles
e. Decentralized system B) Large-volume intravenous solutions
C) Small-volume injections
Factors aside from the system design that affect the total D) Intravenous push
systems cost of maintaining a hospital drug distribution E) Intravenous piggyback
system
I. Mission of the hospital These are injections of 100mL or less and may either be
II. Bed size single-dose and multi-dose products.
III. Physical layout of hospital A) Parenteral articles
IV. Enforcement of performance standards B) Large-volume intravenous solutions
C) Small-volume injections
a. I, II, III and IV
D) Intravenous push
b. II and III only E) Intravenous piggyback
c. I, II and IV only
d. I and IV only This term is used to designate the probability of finding a
e. I, III and IV only non-sterile unit following a sterilization step or procedure.
A) Sterility
B) Sterilization assurance level
 C) Sterilization Subclavian vein, to which most parenteral solutions are
D) Terminal sterilization infused with, is located:
E) Aseptic processing A) Under the collar bone
B) Beside the sternum
This is a procedure carried out at the end of processing, C) At the side of the neck
when a product is in its final sealed container that D) At the base of the heart
destroys all viable organisms. E) Near the liver
A) Sterility
B) Sterilization assurance level These devices are used for controlling the delivery of
C) Sterilization small volumes of intravenous infusions over a
D) Terminal sterilization predetermined period of time.
E) Aseptic processing A) Infusion controllers
B) Infusion pumps
This term refers to processing operations involving C) Elastomeric infusers
sterile products that are carried out in a laminar airflow D) Syringe infusers
workbench or barrier isolator. E) Heplock
A) Sterility
B) Sterilization assurance level Small volumes of drug that are injected into the vein for a
C) Sterilization short period of time.
D) Terminal sterilization A) Volume control sets
E) Aseptic processing B) Direct IV injection
C) Piggyback administration
These are workbenches that provide an environment of D) IV stat or push
specially filtered air that sweeps the work area and E) Continuous IV infusion
provides an aseptic work area.
A) HEPA filter These units consist of calibrated, plastic, fluid chambers
B) Laminar flow placed in a direct line under an established primary IV
C) Laminar flow hood container or more often attached to an independent fluid
D) Barrier isolator supply.
E) Critical surfaces A) Volume control sets
B) Direct IV injection
This area is designed and maintained to prevent C) Piggyback administration
particulate and microbiological contamination of drug D) IV stat or push
products as they are being prepared or processed. E) Continuous IV infusion
A) Anteroom
B) Clean room Method of intravenous administration by which solution
C) Critical surface from two containers flow into the patient’s vein through a
D) Controlled area common tubing and a common injection site
E) Critical area (venipuncture).
A) Volume control sets
To prepare a TPN that requires 10 mEq of Calcium B) Direct IV injection
Gluconate and 15 mcg of Potassium Phosphate, the C) Piggyback administration
appropriate action would be to: D) IV stat or push
a. Add the calcium first, add the other additives, then E) Continuous IV infusion
add the phosphate last, thoroughly mixing the
solution after addition
b. Add the calcium gluconate and potassium
phosphate consecutively
c. Not combine the agents together but give them as
separate infusions
d. All are correct
e. None of the above

The following are examples of macronutrients that make-

up most of the volume of a parenteral solution, except;
A) IV fat emulsion
B) Dextrose solution
C) Amino acid solution
D) Vitamins and minerals
E) None of the above