HOSPITAL PHARMACY EXAM 2 QUESTIONS AND ANSWERS
Automated Dispensing Cabinets (ACDs) - CORRECT ANSWER✅✅Point-of-use medication storage
devices located in patient care areas designed to allow nurses to have quick but accountable access to
medications. Most systems have form of user identifier or password that restricts access to the
medications. More advanced systems are linked to pharmacy electronic medication profiles.
Centralized pharmacy services - CORRECT ANSWER✅✅This model distributes medications from a
centralized pharmacy
Decentralized pharmacy services - CORRECT ANSWER✅✅This model distributes medications from a
decentralized satellite pharmacy located in or near a patient care area
Floor Stock System - CORRECT ANSWER✅✅A system of distribution that consists of an individual
storage area on each nursing unit where drugs are stored prior to preparation and administration by the
nurse. The medications are usually unsecured in this system and the role of pharmacy is primarily
distributional
Medication administration record (MAR) - CORRECT ANSWER✅✅A record of all current medications
prescribed for each patient. The records contain information on the drugs, administration times, and
directions for use. MARs are used by the nurse to know what medication each patient should receive at
what time and how. They are also used to document that the drug was given by whom and at what time
Medication profile - CORRECT ANSWER✅✅Primary record used by pharmacists to document patient
medications
Patient prescription system - CORRECT ANSWER✅✅Antiquated system of medication distribution that
consists of patient-specific containers with 2-day and 5-day supply of drugs delivered to and stored on
nursing units. Within this system, drug orders are transcribed by the nurse and reviewed by a
pharmacist although no patient information is available to the pharmacist
Unit Dose system - CORRECT ANSWER✅✅System of distribution coordinated by the pharmacy that
dispenses medication orders to be administered, not prepared, by the nurse. This system is
characterized by medications contained in unit dose packages, dispensed in ready-to-administer form,
and no more than a 24-hour supply being delivered or available on the patient care unit at any given
,time. Pharmacists monitor and coordinate unit dose systems by reviewing all medication prescriptions
against patient medication profiles and managing the distribution and storage process.
Unit of use package - CORRECT ANSWER✅✅container with the exact dose needed for patients in a
ready-to-administer form, not requiring any preparation or selection by the nurse
Advantages and disadvantages of floor stock, - CORRECT ANSWER✅✅Advantages: requires minimal
pharmacy resources, patients are only charged for the drugs they are administered,
Disadvantages: medications are largely unsecured
Advantages and disadvantages of patient prescription - CORRECT ANSWER✅✅Advantages: individual
doses are prepared for the patient, unused drugs are credited to the patient's credit
Disadvantages: limited access to patient information
Advantages and disadvantages of unit dose medication - CORRECT ANSWER✅✅Advantages: reduction
in medication errors, decrease in total cost of medication related activated, more efficient use of
pharmacy and nursing personnel, improved drug control and drug use monitoring, more accurate
patient billing for medication, minimization of credits for drugs, greater control by pharmacists over
work patterns and scheduling, reduction of inventories maintained on nursing units
Disadvantages:
Contrast advantages and disadvantages of centralized and decentralized models of distribution -
CORRECT ANSWER✅✅Centralized: processing and distribution are coordinated in one central area,
localized resources, drug inventory minimized
Decentralized: multiple pharmacy satellites coordinate processing and distribution in addition to once
central area, increase ability for pharmacists to interact with healthcare team, faster filling of
medication orders, fewer dispensing errors, less need for floor stock medications
Discuss the evolution of medication distribution over time and its impact on the professional role of
pharmacists - CORRECT ANSWER✅✅Unit dose system enhanced the role of the pharmacist from being
solely focused on getting the correct drug to the nursing unit to evaluating whether the drugs sent were
appropriate for the patient.
, Identify technologies used in managing medication distribution - CORRECT ANSWER✅✅Automating
designed to select, package barcode, and dispense to assist pharmacies with maintaining a unit dose
distribution system
List the attributes of a good medicine distribution system - CORRECT ANSWER✅✅Maintain quality
control over drug use, systems must be efficient, reduce the effort and inconvenience associated with
the medication use process and enhance patient outcomes
True of false: floor stock systems are no longer used in institutional pharmacy practice - CORRECT
ANSWER✅✅False
Under what circumstances should pharmacists give up their responsibility to control drug distribution in
health care institutions?
A. Whenever medications can be delivered cheaper and faster than from a pharmacist controlled system
B. As soon as possible because the future of pharmacy practice in clinical pharmacy
C. Never. distribution is a fundamental responsibility of pharmacists - CORRECT ANSWER✅✅C
True or false: decentralized pharmacy services are better than centralized pharmacy services - CORRECT
ANSWER✅✅False
Improvements in drug distribution have led the way for clinical pharmacy services - CORRECT
ANSWER✅✅True
True or false: a centralized pharmacy is no longer needed if satellite pharmacy services are provided
throughout the hospital - CORRECT ANSWER✅✅False
True of false: institutional pharmacy services can be outsources to wholesalers - CORRECT
ANSWER✅✅True
Emergency medications are made available throughout the hospital in tamper-evident containers called
___________.
A. Lock boxes
Automated Dispensing Cabinets (ACDs) - CORRECT ANSWER✅✅Point-of-use medication storage
devices located in patient care areas designed to allow nurses to have quick but accountable access to
medications. Most systems have form of user identifier or password that restricts access to the
medications. More advanced systems are linked to pharmacy electronic medication profiles.
Centralized pharmacy services - CORRECT ANSWER✅✅This model distributes medications from a
centralized pharmacy
Decentralized pharmacy services - CORRECT ANSWER✅✅This model distributes medications from a
decentralized satellite pharmacy located in or near a patient care area
Floor Stock System - CORRECT ANSWER✅✅A system of distribution that consists of an individual
storage area on each nursing unit where drugs are stored prior to preparation and administration by the
nurse. The medications are usually unsecured in this system and the role of pharmacy is primarily
distributional
Medication administration record (MAR) - CORRECT ANSWER✅✅A record of all current medications
prescribed for each patient. The records contain information on the drugs, administration times, and
directions for use. MARs are used by the nurse to know what medication each patient should receive at
what time and how. They are also used to document that the drug was given by whom and at what time
Medication profile - CORRECT ANSWER✅✅Primary record used by pharmacists to document patient
medications
Patient prescription system - CORRECT ANSWER✅✅Antiquated system of medication distribution that
consists of patient-specific containers with 2-day and 5-day supply of drugs delivered to and stored on
nursing units. Within this system, drug orders are transcribed by the nurse and reviewed by a
pharmacist although no patient information is available to the pharmacist
Unit Dose system - CORRECT ANSWER✅✅System of distribution coordinated by the pharmacy that
dispenses medication orders to be administered, not prepared, by the nurse. This system is
characterized by medications contained in unit dose packages, dispensed in ready-to-administer form,
and no more than a 24-hour supply being delivered or available on the patient care unit at any given
,time. Pharmacists monitor and coordinate unit dose systems by reviewing all medication prescriptions
against patient medication profiles and managing the distribution and storage process.
Unit of use package - CORRECT ANSWER✅✅container with the exact dose needed for patients in a
ready-to-administer form, not requiring any preparation or selection by the nurse
Advantages and disadvantages of floor stock, - CORRECT ANSWER✅✅Advantages: requires minimal
pharmacy resources, patients are only charged for the drugs they are administered,
Disadvantages: medications are largely unsecured
Advantages and disadvantages of patient prescription - CORRECT ANSWER✅✅Advantages: individual
doses are prepared for the patient, unused drugs are credited to the patient's credit
Disadvantages: limited access to patient information
Advantages and disadvantages of unit dose medication - CORRECT ANSWER✅✅Advantages: reduction
in medication errors, decrease in total cost of medication related activated, more efficient use of
pharmacy and nursing personnel, improved drug control and drug use monitoring, more accurate
patient billing for medication, minimization of credits for drugs, greater control by pharmacists over
work patterns and scheduling, reduction of inventories maintained on nursing units
Disadvantages:
Contrast advantages and disadvantages of centralized and decentralized models of distribution -
CORRECT ANSWER✅✅Centralized: processing and distribution are coordinated in one central area,
localized resources, drug inventory minimized
Decentralized: multiple pharmacy satellites coordinate processing and distribution in addition to once
central area, increase ability for pharmacists to interact with healthcare team, faster filling of
medication orders, fewer dispensing errors, less need for floor stock medications
Discuss the evolution of medication distribution over time and its impact on the professional role of
pharmacists - CORRECT ANSWER✅✅Unit dose system enhanced the role of the pharmacist from being
solely focused on getting the correct drug to the nursing unit to evaluating whether the drugs sent were
appropriate for the patient.
, Identify technologies used in managing medication distribution - CORRECT ANSWER✅✅Automating
designed to select, package barcode, and dispense to assist pharmacies with maintaining a unit dose
distribution system
List the attributes of a good medicine distribution system - CORRECT ANSWER✅✅Maintain quality
control over drug use, systems must be efficient, reduce the effort and inconvenience associated with
the medication use process and enhance patient outcomes
True of false: floor stock systems are no longer used in institutional pharmacy practice - CORRECT
ANSWER✅✅False
Under what circumstances should pharmacists give up their responsibility to control drug distribution in
health care institutions?
A. Whenever medications can be delivered cheaper and faster than from a pharmacist controlled system
B. As soon as possible because the future of pharmacy practice in clinical pharmacy
C. Never. distribution is a fundamental responsibility of pharmacists - CORRECT ANSWER✅✅C
True or false: decentralized pharmacy services are better than centralized pharmacy services - CORRECT
ANSWER✅✅False
Improvements in drug distribution have led the way for clinical pharmacy services - CORRECT
ANSWER✅✅True
True or false: a centralized pharmacy is no longer needed if satellite pharmacy services are provided
throughout the hospital - CORRECT ANSWER✅✅False
True of false: institutional pharmacy services can be outsources to wholesalers - CORRECT
ANSWER✅✅True
Emergency medications are made available throughout the hospital in tamper-evident containers called
___________.
A. Lock boxes
