CHAPTER 9 INSTITUTIONAL PHARMACY PRACTICE UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS VERIFIED 2027 EDITION
1. ASAP Order
As soon as possible but not an emergency
2. Aseptic Technique
Procedures used in the sterile compounding of hazardous and nonhazardous materials to minimize the
introduction of microbes or unwanted debris that could contaminate the preparation
3. Automated Dispensing System (ADS)
Computerized cabinets and integrated systems that control inventory on nursing floors, in emergency
departments, and in surgical suites and other patient care areas.
4. Computerized Physician Order Entry (CPOE)
Computerized order entry Electronic systems that can quickly and clearly transfer patient orders and
information to and from the pharmacy
5. Crash Carts
Moveable carts containing trays of medications, administration sets, oxygen, and other materials used in
life-threatening situations, such as cardiac arrest; also known as code carts
6. Electronic Medication Administration Record (E-MAR)
A computer program that automatically documents the administration of medication into certified
electronic health record (EHR) systems; the report serves as a legal record of medications administered to
a patient at a facility by a health care professional.
7. Floor Stock
Drugs not labeled for a specific patient and maintained at a nursing station or other department of the
institution (excluding the pharmacy) for the purpose of administration to a patient of the facility
8. Formulary
A list of drugs approved for use in hospitals by the pharmacy and therapeutics committee of the institution
that have become the standard stock carried by the pharmacy and other departments
9. Institutional Pharmacy
A pharmacy in facilities where patients receive care on site (e.g., hospitals, extended-living homes,
long-term care, and hospice facilities); institutional pharmacies are also found in government-supported
hospitals run by the Department of Veteran Affairs, Indian Health Service, and the Bureau of Prisons.
10. Investigational Drug
A drug that has not been approved by the U.S. Food and Drug Administration (FDA) for marketing but is in
clinical trials; also, an FDA-approved drug seeking a new indication for use
11. Medication Order
A prescription written for administration in a hospital or institution (similar to a regular prescription
written for a patient to bring to a retail pharmacy)
12. NKA (acronym)
No Known Allergies
1
, 13. NKDA (acronym)
No Known Drug Allergies
14. Nonformulary Medications
Drugs that are *NOT* approved for use within an institution unless specific exceptions are filed and
accepted by institutional protocols
15. Parenteral Medication
Medication that bypasses the digestive system but is intended for systemic action; the term parenteral
most commonly describes medications given by injection such as intravenously or intramuscular
16. Periodic Automatic Replenishment (PAR)
A set level of certain medications kept on hospital floors
17. PRN
Take as needed
18. Protocol
A set of standards and guidelines by which a facility operates
19. Pyxis
An automated dispensing system often used in hospitals
20. Satellite Pharmacy
A specialty pharmacy located away from the central pharmacy, such as an operating room (OR),
emergency department (ED), or a neonatal pharmacy; satellite pharmacies typically are staffed by a
pharmacist and a pharmacy technician
21. Standing Order
Written procedure for drug or treatment that is to be filled immediately, as quickly as is safely possible to
prepare the dose, usually within 10 to 15 minutes.
22. SureMed
An automated dispensing system often used in hospitals
23. The Joint Commission (TJC) *OR* (JACO)
An independent, nonprofit organization that accredits hospitals and other health facilities in the United
States; the facility must be accredited to receive Medicare and Medicaid payment
24. Unit Dose (UD)
Individualized packaged doses used in institutional practice settings
25. United States Pharmacopeia (USP)
A compendium of drug information, published annually, compromising enforceable guidelines for the safe
preparation of sterile products
26. P&P's
Policies and Procedures
27. SOPs
Standard Operating Procedures
2
QUESTIONS AND CORRECT ANSWERS VERIFIED 2027 EDITION
1. ASAP Order
As soon as possible but not an emergency
2. Aseptic Technique
Procedures used in the sterile compounding of hazardous and nonhazardous materials to minimize the
introduction of microbes or unwanted debris that could contaminate the preparation
3. Automated Dispensing System (ADS)
Computerized cabinets and integrated systems that control inventory on nursing floors, in emergency
departments, and in surgical suites and other patient care areas.
4. Computerized Physician Order Entry (CPOE)
Computerized order entry Electronic systems that can quickly and clearly transfer patient orders and
information to and from the pharmacy
5. Crash Carts
Moveable carts containing trays of medications, administration sets, oxygen, and other materials used in
life-threatening situations, such as cardiac arrest; also known as code carts
6. Electronic Medication Administration Record (E-MAR)
A computer program that automatically documents the administration of medication into certified
electronic health record (EHR) systems; the report serves as a legal record of medications administered to
a patient at a facility by a health care professional.
7. Floor Stock
Drugs not labeled for a specific patient and maintained at a nursing station or other department of the
institution (excluding the pharmacy) for the purpose of administration to a patient of the facility
8. Formulary
A list of drugs approved for use in hospitals by the pharmacy and therapeutics committee of the institution
that have become the standard stock carried by the pharmacy and other departments
9. Institutional Pharmacy
A pharmacy in facilities where patients receive care on site (e.g., hospitals, extended-living homes,
long-term care, and hospice facilities); institutional pharmacies are also found in government-supported
hospitals run by the Department of Veteran Affairs, Indian Health Service, and the Bureau of Prisons.
10. Investigational Drug
A drug that has not been approved by the U.S. Food and Drug Administration (FDA) for marketing but is in
clinical trials; also, an FDA-approved drug seeking a new indication for use
11. Medication Order
A prescription written for administration in a hospital or institution (similar to a regular prescription
written for a patient to bring to a retail pharmacy)
12. NKA (acronym)
No Known Allergies
1
, 13. NKDA (acronym)
No Known Drug Allergies
14. Nonformulary Medications
Drugs that are *NOT* approved for use within an institution unless specific exceptions are filed and
accepted by institutional protocols
15. Parenteral Medication
Medication that bypasses the digestive system but is intended for systemic action; the term parenteral
most commonly describes medications given by injection such as intravenously or intramuscular
16. Periodic Automatic Replenishment (PAR)
A set level of certain medications kept on hospital floors
17. PRN
Take as needed
18. Protocol
A set of standards and guidelines by which a facility operates
19. Pyxis
An automated dispensing system often used in hospitals
20. Satellite Pharmacy
A specialty pharmacy located away from the central pharmacy, such as an operating room (OR),
emergency department (ED), or a neonatal pharmacy; satellite pharmacies typically are staffed by a
pharmacist and a pharmacy technician
21. Standing Order
Written procedure for drug or treatment that is to be filled immediately, as quickly as is safely possible to
prepare the dose, usually within 10 to 15 minutes.
22. SureMed
An automated dispensing system often used in hospitals
23. The Joint Commission (TJC) *OR* (JACO)
An independent, nonprofit organization that accredits hospitals and other health facilities in the United
States; the facility must be accredited to receive Medicare and Medicaid payment
24. Unit Dose (UD)
Individualized packaged doses used in institutional practice settings
25. United States Pharmacopeia (USP)
A compendium of drug information, published annually, compromising enforceable guidelines for the safe
preparation of sterile products
26. P&P's
Policies and Procedures
27. SOPs
Standard Operating Procedures
2
