# Hazardous and Nonsterile Compounding and Pharmacy Management
Question 1 (5 points)
Verifying the proper interval for a drug’s infusion is an example of
Question 1 options:
A) right time.
B) right strength.
C) right route.
D) right meditation.
Question 2 (5 points)
When compounding a nonsterile or sterile hazardous drug (HD) preparation, USP chapter ___ guidelines must be followed.
Question 2 options:
A) <825>
B) <795>
C) <800>
D) <797>
Question 3 (5 points)
Which of the following USP chapters identifies environment controls, training, techniques, and documentation for preparing radiopharmaceuticals aseptically?
Question 3 options:
A) <800>
B) <825>
C) <797>
D) <795>
Question 4 (5 points)
Which of the following medications is listed on the National Institute for Occupational Safety and Health (NIOSH) hazardous drug list?
Question 4 options:
A) Ondansetron
B) Cefuroxime
C) Dexmedetomidine
D) Fosphenytoin
Question 5 (5 points)
The walls, ceiling, and storage shelving where radiopharmaceuticals are prepared or stored should be cleaned and disinfected
Question 5 options:
A) weekly.
B) daily.
C) monthly.
D) bi-weekly.
Question 6 (5 points)
When wearing double gloves, you’ll need to
Question 6 options:
A) tuck both gloves under the gown sleeve.
B) wash the outer glove immediately if it’s contaminated.
C) tuck the gown sleeve in the inner gloves.
D) tuck the inner glove under the gown sleeve and the outer glove over.
Question 7 (5 points)
Along with a quality assurance program, ___ should be in place to ensure that personnel are trained.
Question 7 options:
A) SOPs
B) CSPs
C) ISOs
D) USPs
Question 8 (5 points)
Which of the following situations allows for pre-planning, but will also require additional stocking and ordering ahead of medications and supplies?
Question 8 options:
A) Wildfire
B) Tornado
C) Radiological or chemical exposure
D) Hurricane
Question 9 (5 points)
You’re compounding a CSP with a hazardous drug (HD). You must change your chemotherapy gloves at least every ___
Question 9 options:
A) 30 minutes.
B) 15 minutes.
C) 2 hours.
D) 60 minutes.
Question 10 (5 points)
Cleaning and disinfecting the PEC where radiopharmaceuticals are prepared should be performed
Question 10 options:
A) weekly.
B) bi-weekly.
C) daily.
D) monthly.
Question 11 (5 points)
Where is the number of dosages indicated for a radiopharmaceutical?
Question 11 options:
A) On the outer shield or label
B) On the inner label
C) This information isn’t indicated for radiopharmaceuticals.
D) On both the outer and inner labels
Question 12 (5 points)
The IV line should be flushed with which of the following?
Question 12 options:
A) Sterile water
B) Heparin
C) Enoxaparin
D) Warfarin
Question 13 (5 points)
A ___ is a measurement of radioactivity present in a container.
Question 13 options:
A) kit
B) radio assay
C) hot-cell
D) hot lab
Question 14 (5 points)
You’re to prepare the following vancomycin IVs: 750 mg— 2, 1250 mg— 2, and 1500 mg. Your pharmacy has in stock 500 mg ($40.23 each), 1-g ($54.02 each), and 5-g ($137.77 each) vials. All have a 50 mg/1 mL concentration. Which of the following combinations should you use so that there’s little to no waste while still maintaining good inventory practices?
Question 14 options:
A) 5 vials of the 1-g vial and 1 vial of the 500 mg vial
B) 1 vial of the 500 mg and 1 vial of the 5-g vial
C) 11 vials of the 500 mg vial
D) 2 vials of the 5-g vial
Question 15 (5 points)
A ___ is a non-classified radiopharmaceutical processing area without a PEC.
Question 15 options:
A) kit
B) radio assay
C) hot lab
D) hot cell
Question 16 (5 points)
Radiopharmaceuticals should be compounded in which of the following environments?
Question 16 options:
A) ISO Class 8
B) ISO Class 5
C) ISO Class 7
D) ISO Class 9
Question 17 (5 points)
When a medication is being administered, the time of service which can be billed to a third party includes
Question 17 options:
A) the time it takes to administer the infusion.
B) the time it takes to prepare the infusion and administer the infusion.
C) the time the patient is in the prescriber’s office, the time it takes to prepare the infusion, and the time it takes to administer the infusion.
D) the time it takes to prepare the infusion, administer it, and consult with the patient about the infusion.
Question 18 (5 points)
The beyond-use date (BUD) begins
Question 18 options:
A) at the start of the preparation.
B) at the time of administration to the patient.
C) as soon as the preparation is checked.
D) once the preparation is delivered to the nurse.
Question 19 (5 points)
If the time it takes for the infusion to be administered is 15 minutes or less, it can be billed for an
Question 19 options:
A) IV infusion.
B) epidural infusion.
C) IVP.
D) IM injection.
Question 20 (5 points)
To reduce the risk of respiratory exposure, a(n) ___ must be worn during deactivation, decontamination, compounding, or unpacking of hazardous drugs (HD).
Question 20 options:
A) ISO 5 fitted mask
B) surgical mask
C) N-95 fitted mask
D) face shield
