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<< Microeconomics An Intuitive Approach With Calculus 2nd Edition by Thomas Nechyba Test Bank | Mosbys Respiratory Care Equipment 9th Edition By J.M. Cairo Test Bank >> |

**Hopper: Mosbys Pharmacy Technician, 3rd Edition**

** **

**Chapter 2: Pharmacy Federal Laws and Regulations**

** **

**Test Bank**

**TRUE/FALSE**

- The definition of confidentiality is to keep privileged information about a customer from being disclosed without his or her consent.

ANS: T

The definition of confidentiality is to keep privileged information about a customer from being disclosed without his or her consent.

PTS: 1 DIF: 1 (Knowledge) REF: p. 33

NAT: Module 15 IO 29.1.2 (Comprehension) Explain patient confidentiality issues related to data collection, transmission, and storage by pharmacy information systems and by electronic medical records. | IO 29.1.1 (Comprehension) Explain situations in which the pharmacy | technician must be aware and observant of the confidentiality of | patient information.

- There are no safeguards to protect patient information via the computer.

ANS: F

There are several safeguards in place that help to protect electronically transmitted patient information.

PTS: 1 DIF: 1 (Knowledge) REF: p. 33

NAT: Module 15 IO 29.1.2 (Comprehension) Explain patient confidentiality issues related to data collection, transmission, and storage by pharmacy information systems and by electronic medical records. | IO 29.1.1 (Comprehension) Explain situations in which the pharmacy | technician must be aware and observant of the confidentiality of | patient information.

- Having corrections added to your health information is a right of the patient.

ANS: T

Have corrections added to your health information.

PTS: 1 DIF: 1 (Knowledge) REF: p. 34

NAT: Module 15 | OBJ 21.2 (Comprehension) Explain some typical adaptations made in direct patient care plans to accommodate diversity.

- As a technician you may provide a patients personal or medical information to anyone who is a member of your family.

ANS: F

According to HIPAA the pharmacy technician cannot do the following:

- Provide any personal or medical information pertaining to the patient to any entity not covered under HIPAA rules and regulations.
- Share any information with any family member or friend, co-worker, manager, or any entity not covered under HIPAA rules and regulations.

PTS: 1 DIF: 1 (Knowledge) REF: p. 34

NAT: Module 15 IO 29.1.2 (Comprehension) Explain patient confidentiality issues related to data collection, transmission, and storage by pharmacy information systems and by electronic medical records. | IO 29.1.1 (Comprehension) Explain situations in which the pharmacy | technician must be aware and observant of the confidentiality of | patient information.

- The Drug Addiction Treatment Act prohibits physicians from prescribing controlled substances.

ANS: F

The Drug Addiction Treatment Act of 2000 permits physicians to prescribe controlled substances (preapproved by the DEA) in schedules C-III, C-IV, or C-V to persons suffering from opioid addiction, for the purpose of maintenance or detoxification treatments.

PTS: 1 DIF: 1 (Knowledge) REF: p. 36

NAT: Module 25 | OBJ 15.2 (Comprehension) Explain the programs currently in place for reporting medication misadventures on a global and institutional level.

- Medicare has a long history, starting in 1965.

ANS: T

Medicare has had a long history, starting in 1965.

PTS: 1 DIF: 1 (Knowledge) REF: p. 36

NAT: [none]

- Until 2000 the drug pseudoephedrine was sold OTC as a decongestant and was not limited in quantity for purchase by the consumer.

ANS: F

Until 2004 the drug pseudoephedrine was sold OTC as a decongestant and was not limited in quantity for purchase by the consumer.

PTS: 1 DIF: 1 (Knowledge) REF: p. 36

NAT: [none]

- Two government agencies that are important with respect to pharmacy are the FDA and DEA.

ANS: T

Two government agencies that are important with respect to pharmacy are the FDA and DEA.

PTS: 1 DIF: 1 (Knowledge) REF: p. 38

NAT: [none]

- In 1972 the Drug Listing Act was implemented under the authority of the DEA.

ANS: F

In 1972 the Drug Listing Act was implemented under the authority of the FDA.

PTS: 1 DIF: 1 (Knowledge) REF: p. 38

NAT: [none]

- Opioids are stimulants that have no addictive potential.

ANS: F

Controlled substances such as barbiturates, opioids, benzodiazepines, and central nervous system stimulants are substances that are addictive and have a potential to be abused.

PTS: 1 DIF: 1 (Knowledge) REF: p. 41

NAT: Module 2 | IO 34.5.3 (Comprehension) Explain the therapeutic effects of prescription medications, nonprescription medications, and alternative therapies commonly used to treat diseases of the nervous system.

**MULTIPLE CHOICE**

- In which year was the FDA established?

a. | 1892 | c. | 1935 |

b. | 1862 | d. | 1359 |

ANS: B

The Food and Drug Administration (FDA) was founded in 1862 with the U.S. Department of Agriculture, and is the oldest consumer protection agency in the U.S. federal government.

PTS: 1 DIF: 2 (Comprehension) REF: p. 26

NAT: [none]

- In which year was the Durham-Humphrey Amendment enacted?

a. | 1871 | c. | 1891 |

b. | 1991 | d. | 1951 |

ANS: D

Clarification of what constituted a prescription drug versus an over-the-counter drug was determined in 1951 with the enactment of the Durham-Humphrey Amendment.

PTS: 1 DIF: 2 (Comprehension) REF: p. 27

NAT: [none]

- The Kefauver-Harris Drug Amendments passed in which year?

a. | 1962 | c. | 1926 |

b. | 1692 | d. | 1296 |

ANS: A

The Kefauver-Harris Drug Amendments of 1962 were revolutionary in their scope to ensure the safety and effectiveness of medications that were available to the U.S. market.

PTS: 1 DIF: 2 (Comprehension) REF: p. 28

NAT: [none]

- The Orphan Drug Act passed in which year?

a. | 1893 | c. | 1938 |

b. | 1389 | d. | 1983 |

ANS: D

With continued consumer and political pressure the FDA has influenced new laws such as the Orphan Drug Act, which was passed in 1983 and targeted all rare diseases. The Orphan Drug Act influenced expanded research and availability of new treatments for AIDS, cancer, and genetic disease.

PTS: 1 DIF: 2 (Comprehension) REF: p. 28

NAT: [none]

- The Harrison Narcotic Act was enacted in which year?

a. | 1912 | c. | 1914 |

b. | 1913 | d. | 1915 |

ANS: C

The Harrison Narcotic Act of 1914 was enacted in the United States in parallel with international treaties to curb recreational use of opium. Individuals could no longer purchase opium without a prescription, and it became harder to obtain opium for nonmedical purposes.

PTS: 1 DIF: 2 (Comprehension) REF: p. 28

NAT: [none]

- The Poison Prevention Packaging Act of
________required manufacturers and pharmacies to dispense all medications in containers with childproof caps or packaging.

a. | 1990 | c. | 1970 |

b. | 1980 | d. | 1960 |

ANS: C

The Poison Prevention Packaging Act of 1970 required manufacturers and pharmacies to dispense all medications in containers with childproof caps or packaging.

PTS: 1 DIF: 2 (Comprehension) REF: p. 29

NAT: [none]

- Before the Poison Prevention Packaging Act hundreds of unintentional deaths of children under
________years occurred because of ingestion of either drugs or household chemicals.

a. | 9 | c. | 5 |

b. | 7 | d. | 3 |

ANS: C

Before the implementation of this Act there were hundreds of unintentional deaths of children under the age of 5 years caused by ingestion of either drugs or household chemicals.

PTS: 1 DIF: 2 (Comprehension) REF: p. 31

NAT: [none]

- It was estimated that more than
________million childhood deaths were prevented annually because of the use of childproof caps.

a. | 1.4 | c. | 14 |

b. | 4.1 | d. | 41 |

ANS: A

It was estimated that more than 1.4 million childhood deaths were prevented annually because of the use of childproof caps.

PTS: 1 DIF: 2 (Comprehension) REF: p. 31

NAT: [none]

- The Omnibus Budget Reconciliation Act was established as a result of the U.S. Congress addressing problems regarding quality of health care for:

a. | Infants | c. | Young adults |

b. | Teenagers | d. | Elders |

ANS: D

The Omnibus Budget Reconciliation Act was established as a result of the U.S. Congress addressing problems regarding quality of health care for the elderly in 1987.

PTS: 1 DIF: 1 (Knowledge) REF: p. 32

NAT: Module 1 | OBJ 7.1 (Comprehension) Explain how state laws and regulations determine what activities associated with patient counseling to optimize the use of medications, equipment, and devices can be delegated by pharmacists to technicians.

- HIPAA is also referred to as which of the following?

a. | HMO | c. | PHI |

b. | HIP | d. | APPIH |

ANS: C

HIPAA is also referred to as protected health information or PHI.

PTS: 1 DIF: 2 (Comprehension) REF: p. 33

**MATCHING**

*Match the term with the correct definition*.

a. | A nonspecific term used to describe a drug that in moderate doses dulls the senses, relieves pain, and induces profound sleep but in excessive doses causes stupor, coma, or convulsions, and may lead to addiction |

b. | State board that regulates the practice of pharmacy within the state |

c. | To cause harm or injury to a person intentionally or because of negligence |

d. | Acts as a central nervous system depressant |

e. | The intentional misuse of a drug intended for medical purposes |

f. | An independent nonprofit organization that establishes documentation on product quality standards, drug quality and information, and healthcare information on medications, over-the-counter products, dietary supplements, and food ingredients to ensure the appropriate purity, quality, and strength are met |

g. | The mishandling of medication that can lead to contamination/impurity, falsification of contents, or loss of drug quality or potency |

h. | A change in the original act or law |

i. | An action taken without the forethought that should have been taken by a reasonable person of similar competency |

j. | Any drug or other substance that is scheduled I through V and regulated by the Drug Enforcement Administration |

- Amendment

- Adulteration

- Barbiturate

- Board of pharmacy

- Controlled substance

- Drug diversion

- Narcotic

- Negligence

- Tort

*United States Pharmacopeia (USP)*

- ANS: H PTS: 1 DIF: 1 (Knowledge)

REF: p. 24

NAT: Module 1 | OBJ 14.1 (Comprehension) Explain how state laws and regulations determine what activities associated with monitoring of medication therapy can be delegated by pharmacists to technicians.

- ANS: G PTS: 1 DIF: 1 (Knowledge)

REF: p. 24

- ANS: D PTS: 1 DIF: 1 (Knowledge)

REF: p. 24

- ANS: B PTS: 1 DIF: 1 (Knowledge)

REF: p. 24

- ANS: J PTS: 1 DIF: 1 (Knowledge)

REF: p. 24

- ANS: E PTS: 1 DIF: 1 (Knowledge)

REF: p. 24

- ANS: A PTS: 1 DIF: 1 (Knowledge)

REF: p. 24

- ANS: I PTS: 1 DIF: 1 (Knowledge)

REF: p. 24

- ANS: C PTS: 1 DIF: 1 (Knowledge)

REF: p. 24

- ANS: F PTS: 1 DIF: 1 (Knowledge)

REF: p. 24

**Hopper: Mosbys Pharmacy Technician, 3rd Edition**

** **

**Chapter 4: Conversions and Calculations Used by Pharmacy Technicians**

** **

**Test Bank**

** **

**MULTIPLE CHOICE**

- 2 cups =
________tsp

a. | 96 | c. | 102 |

b. | 48 | d. | 32 |

ANS: A

1 cup = 48 tsp; therefore 2 cups = 96 tsp (2 48 = 96).

PTS: 1 DIF: 3 (Application) REF: p. 123

NAT: Module 20 | IO 3.7.2 (Application) Given mathematical problems involving conversion of weights and measures and direct ratio and proportion, perform the mathematical steps to solve for the correct answer.

- 52 ml =
________cc

a. | 260 | c. | 156 |

b. | 10.4 | d. | 52 |

ANS: D

1 ml is the same as 1 cc; therefore 52 ml = 52 cc.

PTS: 1 DIF: 3 (Application) REF: p. 122

NAT: Module 20 | IO 3.7.2 (Application) Given mathematical problems involving conversion of weights and measures and direct ratio and proportion, perform the mathematical steps to solve for the correct answer.

- 2 gallons =
________L

a. | 3840 | c. | 7.68 |

b. | 7680 | d. | 3.84 |

ANS: C

1 gallon = 3840 ml; therefore 2 gallons = 7680 ml; 7680 divided by 1000 = 7.68 L.

PTS: 1 DIF: 3 (Application) REF: p. 123

NAT: Module 20 | IO 3.7.2 (Application) Given mathematical problems involving conversion of weights and measures and direct ratio and proportion, perform the mathematical steps to solve for the correct answer.

- 10 g =
________mcg

a. | 1,000 | c. | 10,000 |

b. | 10,000,000 | d. | 100,000 |

ANS: B

To change grams to micrograms you must multiply by 1,000 twice: 10 g 1000 = 10,000 mg; then 10,000 mg 1000 = 10,000,000 mcg.

PTS: 1 DIF: 3 (Application) REF: p. 122

- 420 mg =
________g

a. | 42,000 | c. | 0.42 |

b. | 4,200 | d. | 0.0042 |

ANS: C

To change milligrams to grams you divide by 1000: 420 mg divided by 1000 = 0.42 g.

PTS: 1 DIF: 3 (Application) REF: p. 122

- Acetaminophen elixir contains 250 mg of APAP per 2 ml. How many milligrams of APAP are in 15 ml of the elixir?
________mg

a. | 1875 | c. | 33.33 |

b. | 0.12 | d. | 1.875 |

ANS: A

This is a simple ratio/proportion: 250 mg/2 ml = x/15 ml; 250 15 divided by 2 = 1875 mg.

PTS: 1 DIF: 3 (Application) REF: p. 122

NAT: Module 20 | IO 3.7.5 (Application) Given mathematical problems involving ratio strength calculations for pharmaceutical preparations, perform the mathematical steps to solve for the correct answer.

- A recommended dose for administration of a medication is 21 mg/lb/day. How many milligrams of this drug must be administered daily to a 115 kg adult?
________mg/day

a. | 253 | c. | 2415 |

b. | 1097.7 | d. | 5313 |

ANS: D

115 2.2 21 = 5313 mg per day.

PTS: 1 DIF: 3 (Application) REF: p. 130

- A physician orders 10.5 mg of morphine sulfate to be administered to a patient. Morphine is labeled 7 mg/ml. How many milliliters are required to fill the order?
________ml

a. | 73.5 | c. | 7.35 |

b. | 1.5 | d. | 15 |

ANS: B

Ratio/proportion: 7 mg/1 ml = 10.5 mg/x ml; 10.5 1 divided by 7 = 1.5 ml.

PTS: 1 DIF: 3 (Application) REF: p. 122

NAT: Module 20 | IO 3.7.5 (Application) Given mathematical problems involving ratio strength calculations for pharmaceutical preparations, perform the mathematical steps to solve for the correct answer.

- The recommended dose of a medication for a pediatric patient is 32 mg/kg/day. How many milligrams must be given daily to a 42 lb child?
________mg/day

a. | 1344 | c. | 295 |

b. | 1.31 | d. | 611 |

ANS: D

42 lb divided by 2.2 32 = 611 mg per day.

PTS: 1 DIF: 3 (Application) REF: p. 130

- A vial contains 1.125 g of Unasyn in 5 ml of solution. How many milligrams of Unasyn are contained in 4.7 ml of solution?
________mg

a. | 1057.5 | c. | 4.177 |

b. | 5.2875 | d. | 1.20 |

ANS: A

Ratio/proportion: 1.125 g/5 ml = x mg/ 4.7 ml; 1.125 4.7 divided by 5 = 1.0575 g. Then change grams to milligrams: 1.0575 1000 = 1057.5 mg.

PTS: 1 DIF: 3 (Application) REF: p. 122

NAT: Module 20 | IO 3.7.5 (Application) Given mathematical problems involving ratio strength calculations for pharmaceutical preparations, perform the mathematical steps to solve for the correct answer.

- An IV infusion containing 945 ml is to be administered at a drop rate of 84 gtt/min. The IV set is calibrated to deliver 18 gtt/ml. How long will it take to administer the entire infusion?
________hours

a. | 3.4 | c. | 1.6 |

b. | 20.2 | d. | 5 |

ANS: A

945 18 = 17,010 total gtt. 17,010 gtt divided by 84 gtt/min = a total of 202.5 minutes. Then divide 202.5 minutes by 60, which will give you 3.4 hours.

PTS: 1 DIF: 3 (Application) REF: p. 133

- A patient is to receive 405 ml of an IV infusion over a period of 9 hours. The IV set is calibrated to deliver 4 gtt/ml. How many drops per minute should the patient receive?
________gtt/min

a. | 2 | c. | 11.25 |

b. | 180 | d. | 3 |

ANS: D

405 4 = 1620 total drops. Then change 9 hours to minutes: 9 60 = 540 minutes. Then divide total drops by total minutes to get drops/min: 1620 divided by 540 = 3 gtt/min.

PTS: 1 DIF: 3 (Application) REF: p. 133

- The physician orders 392 ml of D
_{5}W solution to be administered over a 14-hour period. The IV set is calibrated to deliver 15 gtt/ml. How many drops per minute should the patient receive?________gtt/min

a. | 12 | c. | 7 |

b. | 2 | d. | 1.9 |

ANS: C

392 ml 15 gtt/ml = 5880 total gtt. Then change 14 hours to minutes: 14 60 = 840 min. Then divide total gtt by total minutes to get gtt/min: 5880 divided by 840 = 7 gtt/min.

PTS: 1 DIF: 3 (Application) REF: p. 133

- An IV piggyback containing 6 g of drug in 190 ml is to be infused over 2 hours. The IV set is calibrated to deliver 12 gtt/ml. How many drops per minute should be administered?
________gtt/min

a. | 95 | c. | 7.9 |

b. | 19 | d. | 2.6 |

ANS: B

190 ml 12 gtt/ml = 2280 total gtt; 2 hours 60 = 120 total minutes; 2280 gtt divided by 120 total minutes = 19 gtt/min.

PTS: 1 DIF: 3 (Application) REF: p. 133

- 1233 =
________

a. | CMXXXIII | c. | MCCXXXIII |

b. | MXXXCCIII | d. | MCDXXXIII |

ANS: C

M = 1000; CC = 200; XXX = 30; and III = 3.

PTS: 1 DIF: 3 (Application) REF: p. 109

NAT: Module 20 | IO 3.7.1 (Application) Given mathematical problems using Roman numerals, Arabic numerals, fractions, apothecary symbols, and decimals, perform the mathematical steps to solve for the correct answer.

- 949 =
________

a. | CMXLIX | c. | CMXXXXIX |

b. | XMLVIII | d. | CDXLIX |

ANS: A

CM = 900; XL = 40; IX = 9.

PTS: 1 DIF: 3 (Application) REF: p. 109

NAT: Module 20 | IO 3.7.1 (Application) Given mathematical problems using Roman numerals, Arabic numerals, fractions, apothecary symbols, and decimals, perform the mathematical steps to solve for the correct answer.

- 97 =
________

a. | ICVII | c. | XCVII |

b. | XCIX | d. | LXXXXVII |

ANS: C

XC = 90; VII = 7.

PTS: 1 DIF: 3 (Application) REF: p. 109

NAT: Module 20 | IO 3.7.1 (Application) Given mathematical problems using Roman numerals, Arabic numerals, fractions, apothecary symbols, and decimals, perform the mathematical steps to solve for the correct answer.

- 2939 =
________

a. | CCDCCCCXXXIX | c. | MMDVXXXIX |

b. | MMDCXIX | d. | MMCMXXXIX |

ANS: D

MM = 2000; CM = 900; XXX = 30; IX = 9.

PTS: 1 DIF: 3 (Application) REF: p. 109

- 3022 =
________

a. | MMMXXII | c. | DDDXXII |

b. | CCCXXII | d. | MMMCCII |

ANS: A

MMM = 3000; XX = 20; II = 2.

PTS: 1 DIF: 3 (Application) REF: p. 109

- MCMXLIX =
________

a. | 1856 | c. | 19,049 |

b. | 1959 | d. | 1949 |

ANS: D

M = 1000; CM = 900; XL = 40; IX = 9.

PTS: 1 DIF: 3 (Application) REF: p. 109

- CI =
________

a. | 51 | c. | 501 |

b. | 101 | d. | 11 |

ANS: B

C = 100; I = 1.

PTS: 1 DIF: 3 (Application) REF: p. 109

- MMMXXXVII =
________

a. | 3037 | c. | 137 |

b. | 3307 | d. | 337 |

ANS: A

MMM = 3000; XXX = 30; VII = 7.

PTS: 1 DIF: 3 (Application) REF: p. 109

- DLXXXIV =
________

a. | 569 | c. | 584 |

b. | 634 | d. | 1037 |

ANS: C

D = 500; LXXX = 80; IV = 4.

PTS: 1 DIF: 3 (Application) REF: p. 109

- CMLII =
________

a. | 1152 | c. | 952 |

b. | 152 | d. | 852 |

ANS: C

CM = 900; L = 50; II = 2.

PTS: 1 DIF: 3 (Application) REF: p. 109

- A medication is supplied in a 400 mg scored tablet. A physician prescribes 200 mg every 6 hours for 14 days. How many tablets will be dispensed for the entire course of therapy?
________tablets

a. | 28 | c. | 12 |

b. | 56 | d. | 42 |

ANS: A

200 mg 4 (every 6 hours is 4 times a day) 14 days = 11,200 mg total. Then divide 11,200 mg by 400 mg tab = 28 tablets for the entire 14 days.

PTS: 1 DIF: 3 (Application) REF: p. 118

NAT: Module 20 | IO 3.7.3 (Application) Given mathematical problems involving reducing and enlarging formulas, perform the mathematical steps to solve for the correct answer.

- The physician orders 500 ml of a drug solution to be administered at a rate of 20 gtt/min. The IV set is calibrated to deliver 15 gtt/ml. How long will it take to administer the entire infusion?
________hours

a. | 6.5 | c. | 1.6 |

b. | 6.25 | d. | 10 |

ANS: B

500 ml 15 gtt/ml = 7500 total gtt. Then divide total drops by drops per minute: 7500 gtt divided by 20 gtt/min = total of 375 minutes. Then change minutes to hours by dividing by 60: 375 divided by 60 = 6.25 hours.

PTS: 1 DIF: 3 (Application) REF: p. 133

- A medication is labeled as having 351 mg/9 ml. A physician writes an order for 58.5 mg of the medication to be given every 4 hours. How many milliliters of the drug will be dispensed for a 10-day supply?
________ml

a. | 100 | c. | 120 |

b. | 76 | d. | 90 |

ANS: D

First find the milliliters per dose: 58.5 9 divided by 351 = 1.5 ml per dose. Then multiply the dose 6 (every 4 hours would be 6 times per day) = 9 ml per day; 9 ml/day 10 days = 90 ml.

PTS: 1 DIF: 3 (Application) REF: p. 134

- A medication contains 5.25 g of a drug in power form. If 5 ml of sterile water is added to the drug, how many milligrams of the drug will be contained in 1 ml of solution (assuming that the powder does not add volume to the final solution)?
________mg

a. | 2.6 | c. | 1050 |

b. | 26.25 | d. | 1.05 |

ANS: D

Change 5.25 g to milligrams by multiplying by 1000: 5.25 1000 = 5250 mg. Then divide 5250 mg by 5 ml to determine the number of mg in 1 ml: 5250 divided by 5 = 1050 mg in 1 ml.

PTS: 1

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