CSPT CSPT - Compounded Sterile Preparation Technician Parenteral Nutrition and IV Admixture Preparation Questions and Answers 2

Question 1

Which complication is associated with too-rapid infusion of hypertonic dextrose in a TPN solution without adequate insulin?

Accepted Answer

Hyperglycemia

Answer

Hyperkalemia

Answer

Metabolic acidosis

Answer

Hypocalcemia

Question 2

What is the maximum recommended final concentration of dextrose in a peripherally administered IV admixture?

Accepted Answer

12.5%

Answer

5%

Answer

10%

Answer

20%

Question 3

Which amino acid solution component is responsible for providing nitrogen in TPN formulations?

Accepted Answer

Crystalline amino acids

Answer

Dextrose

Answer

Lipid emulsion

Answer

Multivitamins

Question 4

A compounding technician notices that a TPN admixture has a yellowish oily layer floating on top. This most likely indicates:

Accepted Answer

Lipid emulsion cracking or breaking

Answer

Normal vitamin discoloration

Answer

Acceptable dextrose oxidation

Answer

Proper calcium phosphate precipitation

Question 5

Which vitamin is typically added to TPN separately and protected from light due to its photosensitivity?

Accepted Answer

Vitamin A

Answer

Vitamin C

Answer

Vitamin B12

Answer

Thiamine

Question 6

What USP chapter applies to endotoxin (pyrogen) testing of large-volume parenteral preparations like TPN?

Accepted Answer

<85>

Answer

USP <71>

Answer

<788>

Answer

<1151>