Foundations of Pharmacy Practice Sterile Compounding Practice Exam

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• What impact does exceeding 10% of the labeled volume have on compounding safety and efficacy?
• Why is it important to swab the rubber closure of vials with alcohol?
• How should a pharmacist document added volume in a compounded preparation?
• What is a critical step before proceeding to the LAFW during compounding?
• Which of the following is an example of an IV solution?
• Why is accuracy in volume measurement critical when adding to a sterile compounding solution?
• What is the primary purpose of needles and syringes in pharmacy practice?
• What is a major concern when using the parenteral route for drug administration?
• Which term describes any action that harms the integrity of a product, rendering it unfit for use?
• Which term refers to the negative impact that affects a product's integrity?
• What is the minimum volume measurement that should not be performed with a syringe?
• What is the function of the plunger tip in a syringe?
• What is the key to maintaining sterile conditions during compounding?
• Which piece of equipment provides ISO class 5 air quality for sterile compounding?
• How can contamination be potentially mitigated when accessing a vial?
• What term describes the route of administration that is through the intestines, either by mouth or via feeding tube?
• What does a larger gauge needle indicate about its diameter?
• Which of the following best describes the main advantage of direct IV medication administration?
• What must be avoided to prevent touch contamination during assembly?
• What is the recommended minimum duration for washing hands and forearms up to the elbows?
• What is the process of adding a diluent to dry powder to create a solution called?
• What does the beyond-use date (BUD) refer to for a compounded sterile preparation (CSP)?
• When preparing a sterile compound, individuals must remove items that are:
• Which one of the following factors can contribute to the contamination of a sterile product?
• In sterile compounding, the correct sizing of a syringe is crucial for what reason?
• In sterile compounding, which aspect ensures that products are free from contamination?
• What is an important consideration for pharmacists when compounding with adjusted volumes?
• What practice prevents contamination during manipulations of compounded sterile products?
• What feature of a vial allows for a closed system during dispensing?
• What does the term "compatible" imply in drug compatibility information?
• What is the purpose of disinfecting gloves with IPA?
• What should be avoided when using the same syringe multiple times?
• When calculating the total volume for a compounded sterile preparation, what is crucial to consider if the added volume exceeds the labeled amount?
• What should be done after sanitizing hands in the buffer room?
• How many separate observations are required for competency in garbing and hand hygiene?
• Which type of agent is expected to kill all vegetative microorganisms, including spores?
• What is the proper disposal method for used needles and syringes?
• In order to prevent coring during injection, which part of the needle should be inserted first?
• What is Trissel's Handbook commonly referred to as?
• What does the practice of documenting all adjustments in sterile compounding help to safeguard?
• When measuring volume, where should the measurement be taken on the plunger piston?
• To prevent contamination when using vials and ampules, what should be done?
• When should competency in aseptic manipulation be repeated after the initial observation?
• What should be considered regarding the volume of a powder during reconstitution?
• What is the term for sealed glass containers holding sterile solutions?
• To prevent core formation in vials and ampules, how should the needle be inserted?
• If one or more starting components are nonsterile at the start of compounding, what must be achieved?
• What distinguishes single use vials from multi use vials?
• What is a characteristic of a classified area in sterile compounding?
• What type of system provides HEPA-filtered ISO class 5 unidirectional air for compounding?
• In sterile compounding, what is the significance of adhering to labeled volume limits?
• What do compatibility tables provide regarding parenteral combinations?
• Which part of the needle refers to its long slender portion?
• In which type of area can category 1 CSPs be prepared?
• Which part of the needle allows for the flow of medication through its hollow bore?
• What is the purpose of using a filter needle in sterile compounding?
• Which of the following is a requirement for Category 3 CSPs compared to Category 2 CSPs?
• What is the primary hazard of giving a patient a contaminated compounded product?
• When removing fluid from a vial, what must be done to prevent vacuum formation?
• What term refers to a medication that is capable of being injected and must be sterile?
• How should the needle bevel be positioned when withdrawing medication from an ampule?
• What is the main goal of aseptic technique?
• What attaches the needle to the syringe?
• The demonstrating knowledge and competence in core skills for sterile compounding must be completed initially and every how many months after?
• What technique should be used to ensure accurate volume measurement with a syringe?
• Which of the following statements about volume adjustment in sterile compounding is true?
• Which of the following is a valuable source of drug information for sterile compounding?
• Which of the following is not allowed in the anteroom, buffer room, or sterile compounding area?
• Which part of the syringe holds the solution to be transferred?
• Which of the following is NOT a component of competency in aseptic manipulation?
• What is the first step when breaking an ampule?
• What is the primary source of drug information that includes FDA approved labeling?
• What is recommended when injecting a needle into a vial or ampule to avoid damaging the seal?
• What is a common use of an ampule in sterile compounding?
• What does inserting an equal amount of air into a vial help prevent during fluid extraction?
• How is glass typically filtered from a solution in syringes?
• What is required for a drug to be considered compatible under study conditions?
• Where is the drug monograph resources found in the Handbook on Injectable Drugs?
• What is typically performed in a buffer room?
• Which of the following procedures is essential when managing added volume in a sterile compounding bag?
• What type of sampling is part of the competency requirement for aseptic manipulation?
• At what point do the primary and secondary solutions come together in an IV setup?
• How do incompatibilities affect the parenteral route?
• What possible error could occur if additional volume is not included in the calculations and labeling during sterile compounding?
• What substance is recommended for wiping critical sites in the PEC?
• What term describes the set of methods used to keep areas free of microorganisms?
• What should be checked for during the visual inspection of CSPs?
• Syringes typically range in size from which two volumes?
• Before introducing an item into the PEC, what should be used to wipe it down?
• What volume does IV admixture usually refer to?
• What regulatory guideline dictates the importance of including adjusted volumes on sterile compounding labels?
• What should be done when reconstituting drug powder in a vial?
• What is the term for the injection of medication into the subcutaneous tissue?
• Where should sterile components or supplies be opened to prevent contamination?
• Which chapter outlines the standards for compounded sterile preparations?
• What is the first step in the Garbing/Hand Hygiene Procedure in the anteroom?
• Which type of towels is recommended for drying hands after washing?
• Which of the following conditions must be reported if individuals are at high risk of contaminating the CSP?
• Where can drug monograph resources typically be found in Micromedex?
• What is the purpose of dilution prior to administration of a sterile compound?
• What does a cleanroom suite consist of for sterile compounding?
• Which component of a syringe is primarily responsible for drawing and expelling the solution?
• Which route of administration involves delivering medication directly into a vein?
• What type of system prevents exposure of contents to air when opened?
• Which ISO classification is associated with an ante-room?
• How often should cleaning and disinfecting be performed in a PEC?
• Which of the following factors is not related to the contamination of sterile products?
• What type of area is a Segregated Compounding Area (SCA)?
• What is the purpose of applying 70% isopropyl alcohol before compounding?
• What are the primary manipulations involved in the aseptic technique?
• What type of environment must be maintained in the segregated compounding area?
• What is the term for medications that are administered through routes other than the intestines, such as IV or IM?
• What ISO class air quality environment is necessary for sterile compounding?
• What technique is used to prepare sterile products to ensure their sterility?
• Normal saline is an example of what type of solution?
• How many inches inside the workbench should aseptic manipulations be completed?
• Which of the following best describes the function of a syringe pump?
• True or False: Individuals with high risk of contaminating the CSP must report conditions to designated persons.
• Which of the following is NOT an IV solution?
• What defines a buffer room in sterile compounding?
• What is the term for solutions used for direct administration to patients or for reconstitution and dilution?
• Which of the following describes a pass-through?
• What is the primary function of a Secondary Engineering Control (SEC)?
• Which component prevents bacterial growth in multi use vials?
• Which system facilitates the direct attachment of a vial to a bag of diluent?
• Which agent is used for the removal of residue from surfaces?
• What does the flange on the plunger of a syringe assist with?
• What is the term used for putting on appropriate outerwear to reduce contamination risk during compounding?
• What question regarding the administration of a sterile compound might a pharmacist ask?
• What covers the body during the Garbing process in the anteroom?
• What piece of information does a monograph provide?
• What type of airflow does a laminar airflow workbench (LAFW) utilize?
• Which of the following routes involves administration that is not through the gastrointestinal tract?
• What should be done to eyeglasses before entering the sterile compounding area?
• What is defined as a preparation intended to be sterile created by altering a drug product?
• What is required for all CSPs prior to dispensing?
• What type of needle is specifically designed for transferring fluids without contaminants?
• Which of the following terms refers to a drug preparation that has undergone alteration to ensure sterility?
• Which of the following is NOT a common consideration when preparing a sterile compound?
• What part of a syringe should never be touched to maintain sterility?
• What is the primary classification of the inside perimeter used in the segregated compounding area?
• True or false: You must break an ampule at the neck to access its contents and use a filter needle/straw to remove solutions from ampules.
• True or False: Tearing paper introduces paper particles into the hood which can lead to product contamination.
• What distinguishes a Luer lock syringe from a slip tip syringe?
• When preparing a sterile compound, which question might a pharmacist consider?
• What is the location of drug monograph resources in Lexicomp/Facts and Comparisons?
• What is a method for delivering continuous or intermittent IV infusions?
• What is a minimum requirement for garbing during compounding?
• Why must the area close to a HEPA filter be cleaned in a specific manner?
• How should discrepancies in calculated volume during compounding be resolved?
• Which component of a syringe can also be referred to as a stopper or seal?
• What elements must be confirmed to match a medication order?
• What do the terms "donning" and "doffing" refer to in the context of garbing?
• What is the method of administering medication by injecting it into a muscle called?
• What principle of sterile compounding emphasizes the importance of proper labeling?
• How frequently should sporicidal agent be applied to Category 3 CSPs?
• Why is aseptic technique important in compounding?
• Which class of air is necessary for a Laminar Airflow System (LAFS) to provide in sterile compounding?
• Which of the following is NOT a component of garbing requirements during compounding?
• Which infusion method allows a patient to self-administer medication?
• Which area is specifically designed to minimize particulate transfer when moving materials?
• When preparing a solution, which syringe should you select to ensure accuracy with a small volume?
• What is the main function of a Restricted-access barrier system (RABS)?
• What is essential for the aseptic manipulation of syringes and needles?
• How may compatibility be reported for a drug?
• Which area is defined as the location where the Primary Engineering Control (PEC) is installed?
• What classification of agent is effective at destroying bacteria, viruses, and fungi on inanimate surfaces?
• What should not be interrupted during aseptic manipulation?
• In sterile compounding, what is the role of the Y-site?
• If all components are sterile at the start of compounding, what must be maintained?
• Which statement is true regarding the parenteral route in terms of patient safety?
• What are parenteral medications or additives prepared in appropriate diluent for administration called?
• Which administration route pertains to the introduction of medication directly beneath the skin?
• True or False: CSPs can only be compounded using sterile starting components.
• What solution should be used to wipe off items brought into the laminar air flow workbench?
• Why might a pharmacist choose to mix two medications in a syringe for an IM injection?
• True or false: Multi use vials should not be used for epidural or neonatal patients.
• Which system allows for the contents to be exposed to air upon opening?
• When cleaning surfaces, from where to where should the cleaning be done?
• What is the purpose of an ante-room in sterile compounding?
• What device is designed to prevent contamination in a sterile compounding environment by providing unidirectional airflow?
• Which of the following is a reason for using the parenteral route for medication administration?
• What are plastic or glass containers with rubber closures commonly referred to as?
• What is a key reason for ensuring accurate labeling when altering the volume of a sterile compounding preparation?
• What part of the needle is the slanted portion that exposes the opening?
• What must be maintained in order to prevent contamination during the use of syringes and needles?
• True or False: Needles and syringes are packaged as sterile, and sterility must be maintained during compounding.
• What should be included in the labeling when adding more than 10% of the labeled volume of a bag?
• Which of the following is NOT a part of a needle?
• What is the designation of a cleanroom suite used for compounding Category 2 CSPs?
• What must be done to critical sites in the laminar airflow workbench?
• What type of compounding is the cleanroom suite designed for?
• What should be inspected to ensure proper sealing of a CSP?