PRE-Test

Question 1

A patient has been prescribed an MAOI for depression. How much time must lapse after discontinuing the MAOI before a different antidepressant is prescribed

Answer 1

14 days

Question 2

Which of the following drugs may be used to counteract the side effects of antipsychotic medications?

Answer 2

Benztropine

Question 3

What is the meaning of the abbreviation of SL in the following signa: 1 tab SL prn angina?

Answer 3

SL means sublingual or under the tongue

Question 4

Who initiated the “Do Not Use” list?

Answer 4

TJC (The Joint Commission

Question 5

Which term encompasses the absorption, distribution, metabolism, and elimination of a drug?

Answer 5

Pharmacokinetics

Question 6

You have completed filling a prescription for 40 tablets of penicillin VK to be taken four times a day by the patient. Prior to filling the next prescription, which substance should be used to clean the counting tray?

Answer 6

70% isopropyl alcohol

Question 7

Which of the following is an example of a Schedule V controlled substance?

Answer 7

gabapentin (Neurontin)

Question 8

What is the meaning of the rejection code “refills not covered”?

Answer 8

The insurance plan requires refills to be obtained through the plan’s mail order pharmacy.

Question 9

Which organization issued the List of Error-Prone Abbreviations, Symbols, and Dose Designations?

Answer 9

The Institute of Safe Medication Practices (ISMP)

Question 10

What is the generic name for Glucophage?

Answer 10

metformin

Question 11

Which of the following mechanisms of action is correctly matched to its antibiotic class?

Answer 11

Penicillins prevent bacteria from forming a cell wall.

Question 12

All of the following drugs are classified as NSAIDs EXCEPT:

Answer 12

colchicine

Question 13

Which is the generic name for Avandia?

Answer 13

Rosiglitazone

Question 14

“Established conditions on the use and the disclosure of protected health information” describes a provision of which law or amendment?

Answer 14

Health Insurance Portability and Accountability Act (HIPAA) of 1996

Question 15

An NCPDP rejection code 9 indicates which of the following?

Answer 15

Missing or invalid birth date

Question 16

Which of the following indicates the correct use of zeroes and decimal points for a medication dose?

Answer 16

levothyroxine 0.2 mg

Question 17

Effexor XR is an example of a ________.

Answer 17

drug found on the “Do Not Crush” list

Question 18

Which of the following is classified as a bowel evacuant?

Answer 18

polyethylene glycol/electrolytes

Question 19

For which of these conditions is Adacel indicated?

Answer 19

Diphtheria/Tetanus/Pertussis

Question 20

Which of the following could be an advantage of a liquid dosage form?

Answer 20

Certain medications may cause gastrointestinal distress if administered in a solid dosage form.

Question 21

Which of the following medications carries a boxed warning?

Answer 21

citalopram

Question 22

What does Syrup USP contain?

Answer 22

Sucrose in water

Question 23

While adjudicating a prescription, the pharmacy receives the following rejection codes: 6 & 7. What do these codes indicate?

Answer 23

Missing or invalid group number; missing or invalid cardholder ID

Question 24

Which is the generic name for Lanoxin?

Answer 24

digoxin

Question 25

Which organization enforces the Poison Prevention Packaging Act?

Answer 25

Consumer Products Safety Commission

Question 26

Which of these supplements may be used in treating osteoarthritis?

Answer 26

Glucosamine

Question 27

Which drug classification can be used to alleviate rhinorrhea and sneezing?

Answer 27

Antihistamines

Question 28

What size bottle should be used in dispensing 150 mL of a syrup?

Answer 28

6-oz bottle

Question 29

How should a warehouse delivery containing Zostavax (zoster vaccine live) be stored when it is received in the pharmacy?

Answer 29

In the freezer

Question 30

Which of the following conditions is associated with the pancreas?

Answer 30

Type 2 diabetes mellitus

Question 31

According to the Combat Methamphetamine Act, which medication must be kept behind the pharmacy counter?

Answer 31

pseudoephedrine

Question 32

Which of the following medications has a narrow therapeutic index?

Answer 32

lithium carbonate

Question 33

Which vitamin deficiency would result in rickets?

Answer 33

Vitamin D

Question 34

A medication is available as a 10 mg/5 mL suspension; how many milliliters are needed to give a dose of 30 mg?

Answer 34

15 mL

Question 35

What is missing or incorrect with the following: "Hydrochlorothiazide 50 mg PO for 30 days"?

Answer 35

The frequency is missing.

Question 36

A physician has prescribed Augmentin for a patient and has approved the generic version to be dispensed. Which DAW code should the technician input?

Answer 36

DAW 0

Question 37

What is the most common route of administration?

Answer 37

Oral

Question 38

A patient complains of seeing a green-blue halo. This is an example of a toxicity associated with which medication?

Answer 38

digoxin

Question 39

Where is pseudoephedrine stocked in a community pharmacy?

Answer 39

Behind the pharmacy counter

Question 40

Which of the following is true regarding the systems approach to medication errors?

Answer 40

The systems approach involves analyzing and classifying medication errors to establish safe procedures in the pharmacy.

Question 41

How many days would 40 capsules of a medication last if the directions were "i cap qid"?

Answer 41

10

Question 42

All the following are Joint Commission goals in improving patient safety EXCEPT ________.

Answer 42

reducing the usage of infusion pumps

Question 43

How much SWFI and D10W are required to make 250 mL of D6W?

Answer 43

SWFI–100 mL; D10W–150 mL

Question 44

Which of the following medications carries a boxed warning?

Answer 44

sertraline

Question 45

While working in a long-term care pharmacy, one should be extremely careful when dispensing which classification?

Answer 45

Anticoagulants

Question 46

Interpret the following: "ii caps stat, then i cap q hr, max 5 caps/12 hr."

Answer 46

Take 2 capsules immediately, then one capsule every hour, maximum 5 capsules in 12 hours.

Question 47

Which of the following might increase the possibility of a medication error?

Answer 47

Receiving a telephoned prescription from a nurse in a physician's office who received the verbal prescription from the physician

Question 48

All the following are examples of human factors that could contribute to a medication error EXCEPT________.

Answer 48

rule violations

Question 49

What is the meaning of the abbreviation "K" when found on a patient's lab results?

Answer 49

Potassium

Question 50

A disadvantage of a liquid oral medication is ________.

Answer 50

its shorter shelf life

Question 51

If a medication error occurs, when should it be reported?

Answer 51

As soon as possible after the error occurs

Question 52

What is NOT a reason that medication guides are required to be given to a patient?

Answer 52

Information is necessary to prevent medication errors.

Question 53

A prescriber has authorized the pharmacy to substitute the generic for Lipitor; which of the following should be dispensed?

Answer 53

atorvastatin

Question 54

The formation of a precipitate indicates instability of which dosage form?

Answer 54

Solution

Question 55

The hospital pharmacy stocks 5000 units/mL. A patient is prescribed 13,000 units of heparin; how many milliliters should the patient receive?

Answer 55

2.6 mL

Question 56

The MedWatch program can be used to report adverse events for all of the following EXCEPT

Answer 56

investigational drugs.

Question 57

Which of the following should be used with hot water when washing one's hands and arms for infection control purposes?

Answer 57

Betadine

Question 58

Which of the following drugs requires prescribers, pharmacists, and patients to register with the FDA iPledge program?

Answer 58

isotretinoin

Question 59

Which of the following accredits health care organizations?

Answer 59

TJC

Question 60

When measuring a liquid using a graduate cylinder, an accurate reading of the amount would be made by looking at the ________.

Answer 60

Bottom of the meniscus

Question 61

The pharmacy technician receives a TPN order where 40 mEq of NaCl are needed. Using a concentrated sodium chloride solution (23.4%) that contains 4 mEq/ mL, how many mL will the technician need to measure?

Answer 61

10 mL

Question 62

According to MEDMARX, which of the following medications has been associated with a large number of medication errors?

Answer 62

heparin

Question 63

How is insulin injected into the body?

Answer 63

SC

Question 64

Which medication may increase a patient's blood glucose?

Answer 64

prednisone

Question 65

Drug manufacturers have attempted to reduce medication errors by ________.

Answer 65

all of the above

Question 66

Which of the following is an inhaled corticosteroid indicated for the treatment of respiratory allergies?

Answer 66

momentasone

Question 67

How long must controlled substances records be retained according to federal law?

Answer 67

2 years

Question 68

Which classification of drug recall occurs if the patient experiences a reversible side effect?

Answer 68

Class II

Question 69

Which organization establishes standards of care for hospitals and long-term care facilities?

Answer 69

TJC

Question 70

A patient is to receive medication at 1800 hours; what time is this in standard time?

Answer 70

6:00 PM

Question 71

A patient is prescribed anastrozole for breast cancer; how is it administered?

Answer 71

Orally

Question 72

Which of the following medications must be packaged in a child-resistant container?

Answer 72

metformin tablets

Question 73

Strategies that can be used to help prevent look-alike/ sound-alike errors include which of the following?

Answer 73

Tall man lettering

Question 74

Which of the following medications could be used with a spacer?

Answer 74

ProAir

Question 75

All of the following are examples of medications contained on the ISMP high-alert medications for a community pharmacy EXCEPT

Answer 75

levothyroxine.

Question 76

What is the maximum number of refills allowed for a lorazepam prescription?

Answer 76

Five

Question 77

Which of the following antidepressant is classified as an SNRI?

Answer 77

duloxetine

Question 78

During which type of drug utilization evaluation (DUE) would it be detected that a patient was attempting to refill his or her medication early?

Answer 78

Prospective DUE

Question 79

An alcoholic or hydroalcoholic solution containing volatile aromatic ingredients would describe a ________.

Answer 79

spirit

Question 80

Which of the following is indicated for chronic obstructive pulmonary disease?

Answer 80

Symbicort

Question 81

When must a pharmacy perform a biennial inventory of controlled substances stocked in the pharmacy?

Answer 81

Every 2 years after an initial inventory is completed

Question 82

A 55-year-old female is currently receiving furosemide for edema in the patient's ankles. Which of the following would be an appropriate adjunct therapy for the patient?

Answer 82

potassium chloride

Question 83

A patient has been prescribed KCl as a potassium supplement; which unit of measurement is associated with this medication?

Answer 83

Milliequivalents

Question 84

A patient is diagnosed with hypertension; which of the following medications would be prescribed for this condition?

Answer 84

lisinopril

Question 85

Of the following medications, which one has been associated with a high incidence of medication errors?

Answer 85

heparin

Question 86

How many 150-mg clindamycin capsules are required to compound a prescription reading: "Clindamycin 2%, propylene glycol 5%, isopropyl alcohol qs ad 240 mL"?

Answer 86

32

Question 87

An intravenous solution containing 20,000 units of heparin in 500 mL of a 0.45% sodium chloride solution is to be infused at a rate of 1000 units/hr. How many drops per minute should be infused to deliver the desired dose if the intravenous set is calibrated at a rate of 15 gtt/mL?

Answer 87

7 gtt/min

Question 88

Which of the following would be appropriate for a pharmacy technician to do to ensure the correct drug name appears on the prescription label?

Answer 88

Verify after the data has been entered into the system that the prescription label contains the accurate drug, strength, and dosage as written on the prescription

Question 89

What should a pharmacy technician do while processing a prescription if they receive a contraindication message on the pharmacy terminal screen?

Answer 89

Inform the pharmacist of the message.

Question 90

A patient is complaining of muscle spasms; which medication is an appropriate treatment?

Answer 90

cyclobenzaprine