CHPOP Practice Test

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CHPOP Practice Test (V1)

Dive into practice questions

Question 1

A nurse on a medical-surgical floor needs to pull a STAT dose of furosemide for a patient in acute fluid overload, but the order has not yet been verified by a pharmacist. Which hospital policy is most compliant with safety standards regarding Automated Dispensing Cabinet (ADC) overrides?

  1. Allowing overrides for any medication flagged as “STAT” in the system.
  2. Restricting overrides to a pre-approved list of emergency medications and requiring a clinical justification.
  3. Disabling the override function completely to ensure 100% pharmacist review.
  4. Requiring a physician co-signature at the ADC before an override is permitted.

Question 2

A hospital participating in the 340B Drug Pricing Program is audited. An auditor will primarily focus on ensuring that the hospital has NOT committed which of the following actions, which constitutes diversion?

  1. Used 340B-purchased drugs for its own employees’ health plan.
  2. Dispensed 340B-purchased drugs to eligible outpatients for prescriptions written by non-eligible providers.
  3. Stocked 340B drugs in its inpatient pharmacy for administration to inpatients.
  4. Generated revenue from insured patients who received 340B drugs.

Question 3

The Joint Commission (TJC) places significant emphasis on medication reconciliation during transitions of care. What is the primary operational goal of this process from a patient safety perspective?

  1. To reduce the hospital’s overall drug spend by identifying unnecessary medications.
  2. To create the most accurate and complete list of a patient’s current medications to avoid errors.
  3. To ensure all of a patient’s home medications are converted to the hospital’s preferred formulary.
  4. To document medication allergies for the electronic health record.

Question 4

As part of a hospital’s quality assurance program for sterile compounding, air sampling in the ISO 7 buffer room yields colony-forming unit (CFU) counts that exceed the established action level. What is the most appropriate immediate operational response according to USP <797>?

  1. Continue compounding as usual but document the excursion in the logbook.
  2. Cease all compounding activities in the affected room and initiate an investigation into the cause.
  3. Immediately reclean the room with sterile water for irrigation and resume compounding.
  4. Send a sample of all compounded sterile products (CSPs) from that day for sterility testing.

Answer Key

  • Question 1: B. Restricting overrides to a pre-approved list of emergency medications and requiring a clinical justification. (This approach balances the need for rapid access to life-saving medications with the safety net of pharmacist review, representing a best practice endorsed by organizations like ISMP.)
  • Question 2: B. Dispensed 340B-purchased drugs to eligible outpatients for prescriptions written by non-eligible providers. (The fundamental rule of the 340B program is to prevent diversion. Dispensing a 340B drug to a patient who does not have an established relationship with a provider at the covered entity is a clear violation.)
  • Question 3: B. To create the most accurate and complete list of a patient’s current medications to avoid errors. (The core purpose of medication reconciliation is to prevent adverse drug events by identifying and resolving discrepancies—such as omissions, duplications, or dosing errors—at every transition of care.)
  • Question 4: B. Cease all compounding activities in the affected room and initiate an investigation into the cause. (Exceeding action levels indicates a potential loss of microbial control. USP standards require stopping production to investigate the root cause, implement corrective actions, and re-certify the environment before resuming operations.)