KAPS Emergency Response Procedures 2 — Questions and Answers
Question 1: A pharmacist discovers a patient has ingested an unknown quantity of acetaminophen 3 hours ago. Which antidote should be administered?
- Naloxone
- N-acetylcysteine (Correct answer)
- Flumazenil
- Activated charcoal alone
Correct answer: N-acetylcysteine
N-acetylcysteine replenishes glutathione stores and prevents hepatotoxicity following acetaminophen overdose.
Question 2: During a hazardous drug spill in the pharmacy, the FIRST action a pharmacist should take is:
- Clean up the spill immediately
- Alert all personnel and clear the area (Correct answer)
- Call 911
- Document the incident
Correct answer: Alert all personnel and clear the area
Alerting personnel and clearing the area prevents additional exposure before cleanup procedures begin.
Question 3: Which class of fire extinguisher is appropriate for a flammable liquid fire in a pharmacy setting?
- Class A
- Class B (Correct answer)
- Class C
- Class D
Correct answer: Class B
Class B extinguishers are designed for flammable liquid fires, including solvents and alcohols common in pharmacy settings.
Question 4: A patient presents with suspected opioid overdose showing pinpoint pupils and respiratory depression. The IMMEDIATE intervention is:
- Administer activated charcoal
- Administer naloxone (Correct answer)
- Perform gastric lavage
- Administer flumazenil
Correct answer: Administer naloxone
Naloxone is the opioid antagonist that rapidly reverses respiratory depression and CNS depression in opioid overdose.
Question 5: Under USP <800>, which personal protective equipment is REQUIRED when handling a hazardous drug spill?
- Nitrile gloves only
- Double gloves, gown, eye protection, and respiratory protection (Correct answer)
- Standard latex gloves and lab coat
- Face shield only
Correct answer: Double gloves, gown, eye protection, and respiratory protection
USP <800> requires double gloves, chemotherapy gown, eye/face protection, and respiratory protection for hazardous drug spill cleanup.
Question 6: A benzodiazepine overdose patient is unresponsive. The reversal agent of choice is:
- Naloxone
- Flumazenil (Correct answer)
- Physostigmine
- Atropine
Correct answer: Flumazenil
Flumazenil is a competitive benzodiazepine receptor antagonist used to reverse benzodiazepine-induced CNS depression.
Question 7: When a fire alarm sounds in a pharmacy, staff should follow the RACE protocol. What does the 'C' in RACE stand for?
- Call 911
- Contain the fire by closing doors (Correct answer)
- Check for patients
- Cease all operations
Correct answer: Contain the fire by closing doors
In the RACE protocol, 'C' stands for Contain — closing doors and windows to prevent fire spread.
KAPS Emergency Response Procedures 2
A pharmacist discovers a patient has ingested an unknown quantity of acetaminophen 3 hours ago.
Which antidote should be administered?