Hazardous Drug Management Practice Test

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• Facilities that handle HDs must incorporate the standards into their — safety plan.
• Which protective device is suitable to minimize exposure during administration of hazardous drugs?
• If sterile compounding takes place within a CSCA, the CSCA must have a minimum ACPH of how many?
• Are Class 2 BSC and CAIC both appropriate ventilated engineering controls for sterile HD compounding?
• Which practice helps minimize occupational exposure when delivering hazardous drugs to patient rooms?
• Refrigerated storage for antineoplastic HD must be in which configuration?
• What is a Closed-System Transfer Device (CSTD) and its purpose?
• Why is ongoing competency testing important in hazardous drug programs?
• Which waste streams must be strictly separated from regular trash in hazardous drug facilities?
• Which statement best describes a hazard communication program requirement?
• C-PEC stands for
• Visibly contaminated PPE is
• What is the minimum ACPH value required for CSCA sterile HD compounding?
• Which option represents an example of non-antineoplastic hazardous drugs that may require USP <800> handling?
• Is low-shedding gauze recommended in a spill kit?
• The cleaning process is intended to remove what types of materials?
• Which filter removes most particulates from room air in containment environments?
• Which term describes removing HD residue from surfaces?
• What is considered a primary engineering control in the context of sterile hazardous drug (HD) compounding?
• Face shields provide full eye and face protection when handling hazardous drugs. True or False?
• HDs must be administered safely using protective medical devices and ______.
• Which of the following C-PECs would not be used as an alternative engineering control for a Class 2 BSC: CAI, CACI, Class 3 BSC, CAIC?
• Hazard communication program is designed to
• What ISO Class corresponds to ULPA filters?
• Which term means rendering a compound inert or inactive?
• When hazardous drugs are purchased for the first time, which document must be received from the manufacturer or distributor?
• C-PEC stands for which term?
• SOP must include which of the following?
• Non-compliance with USP <800> can lead to which consequences?
• Which statement best defines a closed system transfer device (CSTD)?
• How should expired or recalled HDs be handled?
• What is the main purpose of having dedicated equipment and storage for HD areas?
• Which drug is NOT listed as a common NIOSH hazard drug?
• Which item is used to classify waste streams in hazardous drug management?
• What ISO Class is specified for HEPA filters?
• Which of the following is a common NIOSH hazard drug?
• Packaging containers and materials that maintain physical integrity, stability, and what property during transport should be used?
• Which statement about ACPH requirements applies to both anteroom and buffer room?
• What is a containment secondary engineering control (C-SEC) and its purpose?
• Which pressure environment is not allowed for receiving HD?
• Refrigerated antineoplastic HDs must be stored in a dedicated refrigerator in an environment with what conditions?
• In an HD spill kit, which item is listed as the disinfectant?
• Which device is most frequently discussed in the containment supplemental engineering control category?
• Packaging during transport should preserve physical integrity, stability, and which property?
• What labeling practices are required for hazardous drug containers and shelves?
• Contamination on prepackaging exposes workers to risk when opening drug cartons or handling vials. True or False?
• Which statement best describes the relationship between C-PEC and C-SEC?
• Which NIOSH table corresponds to antineoplastic drugs?
• Which category does C-PEC belong to in containment controls?
• Double gloves are to be worn during compounding hazardous drugs to provide an additional barrier of protection. True or False?
• Medical surveillance should be completed at which times?
• How should exposure incidents be reported and documented?
• Which option correctly maps a filter type to its ISO Class?
• A —— should be worn if there is a risk of uncontained damaged containers during the transporting process
• In hazardous waste classifications, which item is designated as acute toxicity hazard under the P-List?
• When removing gloves, the contaminated glove fingers must only touch the inner surface of the glove. True or False?
• What is included in standard operating procedures for hazardous drug management?
• What chemical is commonly used to decontaminate HD spills and what is its typical concentration?
• Ante-rooms in hazardous drug facilities are:
• Which term means removing HD residue?
• Who should clean up a hazardous drug spill?
• A spill kit is required if the spill involves the contents of one drug vial or ampule. True or False?
• Why should HD waste be segregated in orange chemo waste containers?
• Spill protocol in hazardous drug management: which statement is correct?
• How should you respond to a small HD spill (e.g., a tiny droplet on a surface)?
• Which requirement helps maintain clean HD handling areas between HD and non-HD spaces?
• Pneumatic tubes may only be used to transport liquid hazardous drugs. True or False?
• What is the rationale for double gloving during HD handling?
• The decontamination process is intended to remove HD residue and deactivate HDs.
• Which action is used to destroy microorganisms?
• Medical surveillance is best described as
• Bulk Waste is described as which of the following?
• How should hazardous drug waste be categorized and disposed?
• Wipe sampling interval?
• Chemo gowns are made of which material?
• HD training and competency should be reviewed every?
• For transporting hazardous drugs, which respiratory protection is appropriate when there is a risk of uncontained damaged containers?
• What does SOP stand for, and how often is it updated?
• Which of the following C-PECs should not be used to compound sterile hazardous drugs?
• Environmental sampling for hazardous drug residue in the dispensing area should take place at least every how many months?
• What is the primary purpose of the disinfecting process?
• What PPE should be used for handling HDs during preparation?
• What should labeling include for hazardous drugs?
• What is the purpose of maintaining negative pressure in containment areas used for hazardous drug handling?
• Which of the following best describes hazard communication in the workplace?
• Which statement about spill response SOPs is true?
• If less than — % of a former drug remains in the container, it should be considered trace waste.
• Which NIOSH table covers non-antieoplastic drugs?
• Which spaces must be under negative pressure for handling hazardous drugs?
• What training components are required for personnel handling hazardous drugs?
• When removing gloves, the statement 'contaminated glove fingers must touch only the inner surface of the glove' is true. True or False?
• Which of the following is NOT a hazardous waste characteristic defined by RCRA?
• What is the role of closed-system transfer devices (CSTDs) in HD transfer?
• What ISO Class is required for the anteroom?
• Materials and PPE used in spill cleanups must be disposed of as hazardous waste in accordance with which regulation?
• Antineoplastic HD ACPH requirement?
• Which items are typically included in hazard drug inventory data: Received date, Expiration date, Lot number, or All of the above?
• SDS stands for?
• The term Containment Segregated Compounding Area refers to which?
• ACPH stands for what measurement?
• Unopened HD injections prepackaged in pre-filled syringes from the manufacturers may be handled without donning chemotherapy gloves.
• The C-PEC must be decontaminated before and after certification. True or False?
• Chemo gloves must meet which standard?
• In risk assessment, which combination of factors is considered?
• How should hazardous drugs be stored in the pharmacy or clinical setting?
• Which statement about C-PEC ventilation is true?
• What is the purpose of a medical surveillance program for hazardous drug exposure?
• If a damaged HD contained is received, it should be sealed and transported to which device?
• What is the minimum frequency for decontaminating the C-PEC?
• In HD environments, how do decontamination and disinfection differ?
• Which sequence correctly reflects the PPE donning order for HD handling?
• Which statement about gown material and change interval is true?
• The U-list refers to which category of waste?
• In the event of accidental exposure, OSHA recommends the first step be
• Which statement describes buffer-room requirements?
• The standards for hazardous drugs are incorporated into which type of safety plan?
• How should contaminated packaging from an HD spill be handled?
• How should you respond to a large HD spill (extensive area)?
• Which ISO class air quality must a C-PEC provide or better for sterile HD compounding?
• Chemo gowns changed every?
• Contamination on prepackaging presents an exposure risk to whom?
• In HD cleaning practices, chemical decontamination is used.
• Which statement best describes the hazardous drugs commonly cited as hazardous due to antineoplastic activity?
• What is the minimum air changes per hour required in both anteroom and buffer room?
• Waste and sharps containers must be sealed once they are — full.
• Automated counting machines may be used to count hazardous drug tablets and capsules. True or False?
• How should non-sterile hazardous drugs be handled differently from sterile HDs?
• Wipe sampling frequency: which statement is true?
• Which item is NOT typically documented during HD inventory reconciliation?
• Chemo gloves should be changed how often?
• When is it appropriate to report damaged HD containers?
• Which hazard category corresponds to reproductive risks?
• Which statement about decontamination is true?
• What ISO Class is required for a buffer room?
• A Biological Safety Cabinet illustrates which containment concept?
• Which statement about chemotherapy gloves is correct?
• Non-sterile compounding C-SEC requirements include which ventilation features?
• Which filter provides the highest efficiency for particulates?
• How should HDs be prepared for administration to minimize exposure?
• What does RCRA stand for?
• Which statement about PPE change practices is accurate?
• Validated cleaning processes between spaces are described as which of the following?
• Drugs requiring safe handling precautions should be what during transport?
• The cleaning process should be validated by which method?
• Which describes CSCA containment area requirements?
• Which of the following represents trace waste threshold in the container?
• Which term describes the externally vented space used for secondary containment?
• What is the rationale for reassignment of pregnant staff away from HD handling?
• What should be included on a hazardous drug label or drug container to ensure safe handling?
• The scope of hazard drugs requires protection across which stages?
• What is the role of an ante-room in facilities handling hazardous drugs?
• A Class 2 BSC or a CAIC is an appropriate ventilated engineering control for compounding sterile HDs — True or False?
• A spill kit is required if the spill volume exceeds how many milliliters?
• Before exiting the C-SEC, both sets of shoe covers must be removed to prevent transfer of contamination. True or False?
• In clean room design, the anteroom must meet ISO class air quality.
• When should CSTDs be used in hazardous drug handling?
• Deactivation renders a compound?
• Why is cross-contamination prevention important?
• Which practices help prevent cross-contamination between HD and non-HD areas?
• What is the purpose of a third-party audit in hazardous drug programs?
• Decontamination may be defined as cleaning or deactivating.
• What is the minimum ACPH for a dedicated refrigerator storing refrigerated HDs?
• Which term best matches the description 'Empty containers, needles, syringes, gowns, pads, and empty IV sets'?
• Which organization provides criteria to identify hazardous drugs?
• A CSTD may take place of a BSC during sterile compounding.
• Chemotherapy dedicated counting trays, spatulas, and countertops should be cleaned with which detergent solution after each use?
• Face shields are recommended to provide full eye and face protection. True or False?
• Where must C-PECs be vented?
• Why is it important to avoid eating, drinking, or applying cosmetics in HD handling areas?
• CSTD stands for which?
• Clean room suite configuration used in compounding sterile hazardous drugs must include an anteroom and a buffer room. What ISO class air quality must these spaces meet?
• Why is negative pressure used in HD containment rooms?
• Which device is used to transfer hazardous drugs in a closed system?
• List essential PPE items recommended for handling hazardous drugs.
• CSCA stands for
• PPE that is not visibly soiled or used to compound hazardous drugs does not need to be disposed of as hazardous waste. True or False?
• Which organizations provide mandatory or consensus guidance on hazardous drug handling?
• Which facility feature is essential for safe handling of hazardous drugs?
• Which of the following correctly describes anteroom requirements?
• Which description best defines a containment isolator?
• Disposal of spill cleanup materials must follow which regulation?
• During audits, what is a key reason to perform environmental wipe or surface sampling in hazardous drug programs?
• Each facility must assess each new drug that enters its workplace to determine if it needs to be included in the ______ program.
• Hazard communication program is best described as
• Which procedure documents the effectiveness of cleaning in hazardous drug environments?
• How often should a facility review and update its HD program?
• Which method is used to validate the cleaning process by collecting samples from surfaces?
• What drugs are included in the scope of hazardous drugs under USP 800 and NIOSH guidance?
• Which statement describes the difference between a Class II biological safety cabinet and a containment isolator in HD work?
• Reproductive risks are defined as which NIOSH group?
• Which of the following is NOT a primary exposure route to hazardous drugs?
• Which of the following is an acceptable C-PEC for sterile compounding?
• Which device must be used when administering antineoplastic hazardous drugs?
• Which PPE items are typically used in hazardous drug programs?
• Is a scoop recommended in a spill kit?
• CVE stands for
• Which term refers to removing organic and inorganic materials from a surface?
• Which devices are considered unacceptable PECs for sterile compounding?
• Surface wipe sampling documents the effectiveness of which activity?
• Empty IV sets are
• Which PPE item is specifically intended for eye/face protection during HD handling?
• What is the purpose of an environmental wipe or surface sampling in hazardous drug programs?
• Compounding hazardous topical products must be performed in an ______ vented minimum Class 1 BSC.
• Which ISO Class is common to both buffer room and anteroom?
• How should doffing of PPE be performed after HD handling?
• ASHP stands for?
• What is the correct sequence of steps for cleaning and sanitizing?
• Sterile compounding of HDs must be completed in a C-PEC that provides ISO class what or better air quality?
• Which combination lists all triggers that require C-PEC decontamination?
• Which statement correctly describes higher class BSC in sterile compounding?
• RCRA defines four characteristics of hazardous waste. Which set lists all four?
• Which device must be used when administering antineoplastic hazardous drugs?
• What is the recommended handling policy for pregnant staff in relation to hazardous drug exposure?
• NIOSH criteria to identify a HD includes
• HEPA stands for
• Which statement about P-List and U-List hazard designations is true?
• What steps are recommended when receiving hazardous drugs from suppliers?
• Which are primary routes of occupational exposure to hazardous drugs?
• C-SEC stands for
• Why is inventory control important for hazardous drug management?
• In clean room design, the buffer room must meet ISO class air quality.
• Healthcare workers transporting HD must have what available?
• What is a containment primary engineering control (C-PEC) and its purpose?
• When receiving hazardous drugs, USP 800 requires which item to be worn?
• Which term describes the destruction of microorganisms?
• C-PECs used for non-sterile compounding include which combination?
• Which item is NOT a step in the cleaning and sanitizing sequence?
• Carts or other transport devices must be designed with what feature to protect against falling and breakage?
• ACPH stands for
• ULPA stands for
• In hazardous drug handling, which statement about air control is accurate?
• If a sterile HD is compounded in a CSCA, it must have a minimum of —— ACPH
• What is the function of a hazard communication program in HD management?
• CSTD stands for
• Which of the following are acceptable C-PECs for sterile compounding?
• Procedures for cleaning must include procedures, agents used, dilutions, and what other requirement?
• Bulk Waste is best described as?
• When is environmental surface sampling performed in hazardous drug programs?
• The device providing primary containment for compounding hazardous drugs is the