2022 Annual Competency

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2022 Annual Competency Quiz

Test your knowledge and skills with our comprehensive 2022 Annual Competency Quiz designed specifically for healthcare professionals. This quiz covers essential topics including medication safety, dosing protocols, and patient care best practices.

By participating, you will:

Enhance your understanding of high-alert medications
Learn proper protocols for medication management
Evaluate your ability to identify potential drug interactions and adverse effects

35 Questions9 MinutesCreated by ConsultingFox507

Tallman lettering is used for:

To help with eye fatigue on the computer screen

To help draw attention to the dissimilarities in look-alike drug names

Insurance billing purposes

All of the above

Look Alike Sound Alike (LASA) medications at McLaren Port Huron include:

The beyond use date assigned to a new vial of insulin (exp 1/2023) is:

1/2023

14 days from the date opened

28 days from the date opened

1 year from the date opened

Decontamination of the biological safety cabinet used for HD compounding takes places when?

Which of the following is FALSE regarding Patient Own Medication:

All patient own medications MUST be documented on the log when delivered to pharmacy

Patient Own Medications can be tubed to pharmacy

POM orders should be entered as “patient’s own supply” to generate “no charge”

Medication must be correctly identified by a pharmacist if it is to be used in the hospital (using tablet markings, shape and color, etc.)

Patient’s own medication supply may not be stored at the patient’s bedside

8. The class of medications most often requiring dosage adjustments for renal function is

10. When verifying an order for acyclovir 400mg IV q8hr for an 80kg female, the following should be done:

Continue with verification because the dose is correct regardless of renal function

Continue with verification because the clinical pharmacist is responsible for making dose adjustments

Check renal function prior to verification and adjust dose if warranted

None of the above

11. According to the McLaren Port Huron Vancomycin Dosing Protocol, what is the appropriate vancomycin dose for an 82 yo female with uncomplicated cellulitis (wt=90kg, IBW=60kg, SCr=0.9)?

1500mg Q 12hr

1500mg Q24hr

1250mg Q 12hr

1250mg Q24hr

Gentamicin level for Extended Interval Dosing should be drawn:

Immediately following the infusion

6-14 hours (preferably 8-10 hours) after the start of the infusion

With morning labs

Levels are not necessary

According to the McLaren Parenteral Nutrition Policy and MPH Order Set, which of the following is not an appropriate indication for use?

Enteral nutrition is not expected to resume with 7 days post surgery (i.e. Total colectomy, anterior spinal fusion)

Not responding to medical therapy alone and enteral nutrition is not a viable option; anticipated use of TPN more than 7 days (i.e. hyperemesis Gravidarum, EBD, Inflammatory Adhesions)

Use of BiPAP

Enterocutaneous Fistulae

14. P.N. Is a 43”year”old male diagnosed with lung cancer. He has been admitted for his second course of chemotherapy as follows: Cisplatin 100 mg/m2 IV times one dose on 3/17 Etoposide 80 mg/m2 IV daily on 3/17, 3/18, 3/19 (total of three doses) The following patient information is available: Height: 6 ft. 4 in., Weight: 220 lb., Allergies: Codeine Renal and hepatic functions are within normal limits. Use the above case report to answer the following two questions: How many milligrams are needed for the cisplatin dose? Round to nearest milligram

231 mg

200 mg

250 mg

277 mg

The Automatic Dose Rounding policy at McLaren Port Huron supports rounding cytotoxic chemotherapy agents to the nearest vial size when the variance between the ordered dose and administered dose would be less than or equal to 5% in adult patients (and 10% for non-chemotherapy medication).

True

False

16. MESNA inactivates acrolein which is the urotoxic metabolite of which of the following?

Doxorubicin and methotrexate

Cytarabine and daunorubicin

Ifosfamide and cyclophosphamide

Etoposide and bleomycin

The Intravenous to Oral Conversion of Medication policy authorizes pharmacy to change IV Levaquin to PO if:

18. Where can you look when there is a question on dosing or location for a drug that is not used very often?

McLaren website

Departmental policy folder in the P:drive

Uncommon Medication Location and Use folder on the P:drive

All of the above

Where can you find the most updated version of a pharmacy policy

A. On the P:drive – Pharmacist Reference folder

B. In the Education and Reference folder – Policies and Procedures – Hospital Policies and Procedures

C. MPH Policies and Procedures from the Desktop icon

D. On the P:drive – P&T Updates folder

Both B and C

20. According to the Therapeutic Duplication Interpretation Policy (1.3.147) if you receive an order for ‘Morphine 4 mg IVP q4 hrs prn pain’ and the patient already has an active order for ‘Norco 7.5 mg PO q 6 hrs prn pain’ what would you do?

Verify the order for morphine and discontinue the Norco order

Add “prn moderate pain” to Norco and “prn Severe pain” to morphine

Verify the new order for Norco with no further action

Verify the order for Norco with a comment “if patient tolerating PO” and add a comment to Morphine indicating “if patient not tolerating PO”

With which of the following medications would amiodarone be reasonably safe to administer?

Azithryomycin

Aztreonam

Ziprasidone

Levofloxacin

A potentially fatal adverse drug reaction of some psychotherapeutic agents, including antipsychotics characterized by high fever, hypertension, tachycardia, involuntary movements, and renal dysfunction is

Which of the following suggest that an adverse drug reaction may have taken place?

When a medication error is identified, the first action that should be taken is

Complete a medication error report

Report the error to the patient’s physician

Attend to the patient’s immediate needs and implement any necessary treatment

Document the error in the patient’s medical record

None of the above

Which of the following statements is true?

Medication errors are usually the result of a weakness in one component of the medication”use system.

To effectively reduce the potential for an error to recur, the evaluation of medication errors should focus on the healthcare workers who make errors.

Medication errors usually involve multiple causes.

Analysis of potential medication errors (i.e., near misses) is not an effective means of identifying sources of errors.

None of the above

How often should you resolve your discrepancies in the CSM?

Annually

Monthly

Pharmacists don't have to do this

At the end of every shift (or every time you access the CSM)

LP is a 45 year old male who is 2 days post-op. He has been taking 650 mg acetaminophen every 4 hours scheduled, plus 2 mg IVP morphine every 4 hours prn (requiring every dose) for the past 2 days. They plan to send the patient home with instructions to continue acetaminophen around the clock and they would like to give him a script for oxycodone for breakthrough pain. Based on what he has been taking in the hospital, what dose of oxycodone would you recommend.

Oxycodone IR 5 mg every 4 hours prn breakthrough pain

Oxycodone IR 10 mg every 6 hours prn breakthrough pain

Oxycodone ER 10 mg every 12 hours prn breakthrough pain

Oral Morphine use of 350mg in 24hr would convert to the Duragesic Dose of:

25 mcg/hr

100 mcg/hr

200 mcg/hr

There is not a calculation to determine this

Bronchodilators can be used for:

Pharmacies are required to report any theft or significant loss of controlled substances to the DEA within

One business day of the discovery of the theft or loss

Five business days of the of the theft or loss

Five business days of the discovery of the theft or loss

30 days of the theft or loss

60 days of the theft or loss

According to the most recent IDSA guidelines, which of the following patients would be appropriate for broad spectrum antibiotic coverage?

Patients from SNF and no other reviewed criteria

Hospitalization in the previous 90 days as a single factor

IV antibiotics in the previous 90 days as a single factor

Severe CAP requiring ICU level care

Severe CAP and prior hospitalization within the past 90 days with IV antibiotics

32. Your patient is a 46 y.o. Female with a temperature of 101.5○F and suprapubic pain. Kidney function is normal. A UA shows greater than 10 WBC. A urine culture is then performed with shows E. Coli, susceptibilities are still pending. Treatment is initiated for uncomplicated cystitis. Which of the following is the most appropriate treatment regimen? MPH antibiogram: amox/clav 81%, Trim/sulfa 75% and nitrofurantoin 98%

No treatment is needed

Ceftriaxone 1 GM IVPB daily x 7 days

Levofloxacin 500 mg IVPB x 5 days

Amoxicillin-clavulanate 500 mg BID x 5 days

A 16-day-old full-term neonate presents to the emergency department with seizures. Sepsis and meningitis are suspected, and cultures are obtained. Which antibiotic regimen is most appropriate for this neonate?

Cefotaxime and gentamicin

Ampicillin and gentamicin

Ceftriaxone and ampicillin

Clindamycin and gentamicin

For all pediatric orders, a label comment should be added indicating the weight-based dosing (if applicable) that is being used. This serves as an independent double check and adds an important safety step for this patient population.

True

False

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2022 Annual Competency

2022 Annual Competency Quiz

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