CUCO Practice Test

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CUCO Practice Test (V1)

Dive into practice questions

Question 1

What is the primary purpose of USP Chapter <800>?

  1. To provide standards for non-sterile compounding.
  2. To provide standards for sterile compounding.
  3. To describe standards for handling hazardous drugs to promote patient safety, worker safety, and environmental protection.
  4. To set regulations for pharmacy billing and reimbursement.

Question 2

A Containment Secondary Engineering Control (C-SEC) is the room in which hazardous drugs (HDs) are handled. Which of the following is a mandatory design feature of this room?

  1. It must maintain positive air pressure relative to adjacent areas.
  2. It must be externally vented and maintain negative pressure relative to adjacent areas.
  3. It must have carpeted floors to reduce noise and worker fatigue.
  4. It does not require special ventilation if a Containment Primary Engineering Control (C-PEC) is used.

Question 3

When administering an injectable antineoplastic hazardous drug to a patient, what is the minimum Personal Protective Equipment (PPE) required by USP <800>?

  1. One pair of regular, non-sterile exam gloves.
  2. Two pairs of chemotherapy gloves and a chemotherapy gown.
  3. A standard surgical mask and a cloth lab coat.
  4. Shoe covers and a hair cover only.

Question 4

According to USP <800>, what is the correct four-step sequence for cleaning and disinfecting areas and equipment used for hazardous drugs?

  1. Cleaning, Decontamination, Disinfection, Deactivation.
  2. Deactivation, Decontamination, Cleaning, Disinfection.
  3. Disinfection, Cleaning, Decontamination, Deactivation.
  4. Decontamination and Cleaning are the only two steps required.

Answer Key

  • Question 1: C. To describe standards for handling hazardous drugs to promote patient safety, worker safety, and environmental protection. (USP <800> is specifically focused on mitigating the risks associated with hazardous drugs for everyone and everything they might come into contact with.)
  • Question 2: B. It must be externally vented and maintain negative pressure relative to adjacent areas. (Negative pressure is a critical containment strategy that prevents airborne HD particles or vapors from escaping the C-SEC and contaminating adjacent, cleaner areas.)
  • Question 3: B. Two pairs of chemotherapy gloves and a chemotherapy gown. (USP <800> mandates this level of PPE for the administration of injectable antineoplastics to provide adequate protection against exposure from splashes or spills. Gowns must be impermeable and gloves must be ASTM D6978 rated.)
  • Question 4: B. Deactivation, Decontamination, Cleaning, Disinfection. (This specific sequence is required. Deactivation renders the HD inert, Decontamination removes the residue, Cleaning removes organic soil, and Disinfection kills microorganisms.)