MCQ Flashcards
7 cards from real ISMP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 MCQ flashcards as text
ISMP recommends which approach for labeling medications prepared in syringes in the OR or procedural areas?
Answer: All syringes and cups must be labeled immediately upon preparation, even on the sterile field
ISMP requires that all syringes and medicine cups be labeled immediately upon preparation, regardless of setting, to prevent wrong-drug errors.
According to ISMP, which of the following is the greatest risk associated with using automated dispensing cabinets (ADCs) in override mode?
Answer: Bypassing pharmacist review, allowing dispensing of unverified or incorrect medications
ADC override mode allows nurses to access medications before pharmacist review, bypassing a key safety check and increasing the risk of dispensing errors.
ISMP's guidelines on anticoagulant safety recommend which of the following for patients receiving warfarin?
Answer: Baseline and ongoing INR monitoring with dose adjustment protocols
ISMP requires baseline and ongoing INR monitoring with structured dose adjustment protocols to maintain anticoagulation within the therapeutic range.
A physician writes 'morphine SO4 10 mg IV q4h PRN pain.' Which ISMP concern does this order raise?
Answer: 'SO4' could be mistaken for '504' or misread as a different drug
ISMP flags 'SO4' as a dangerous abbreviation for sulfate because it can be misread as a number, and recommends writing 'morphine sulfate' in full.
Which ISMP recommendation specifically addresses the safety of pediatric medication dosing?
Answer: Always dose pediatric medications based on weight in kilograms and verify the calculation
ISMP emphasizes weight-based dosing in kilograms with independent calculation verification for pediatric patients to prevent dosing errors.
ISMP identifies which of the following as a major contributing factor to medication errors in community pharmacy settings?
Answer: High prescription volume combined with staffing shortages and workflow interruptions
ISMP consistently identifies high dispensing volume, inadequate staffing, and workflow interruptions as primary contributors to community pharmacy dispensing errors.
According to ISMP, which organization-level strategy is most important for creating a culture of medication safety?
Answer: Encouraging non-punitive error reporting and conducting system-level root cause analysis
ISMP advocates for a just culture with non-punitive error reporting systems that enable system-level analysis and improvement rather than individual blame.