Pharm Tech Chapter 5 (Prescriptions)
Prescription
Abbreviations
Rx Info
Rx filling process
Labels
HIPPA
Questions and Answers
- 1.
A written, verbal or electronic order from a practitioner for the preparation and administration of a medicine or a device
- A.
DAW
- B.
DEA number
- C.
HIPPA
- D.
Prescription
Correct Answer
D. PrescriptionExplanation
A prescription is a written, verbal, or electronic order from a practitioner that authorizes the preparation and administration of a medicine or device. It serves as a legal document that outlines the specific medication, dosage, and instructions for the patient. A prescription ensures that the medication is dispensed safely and accurately, and it also allows the pharmacist to provide appropriate counseling and guidance to the patient.Rate this question:
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- 2.
Medications that do not require a prescription but may be filled with one
- A.
OTC drugs
- B.
Rx
- C.
Signa, sig
- D.
NPI
Correct Answer
A. OTC drugsExplanation
The correct answer is OTC drugs. OTC stands for "over-the-counter," which refers to medications that can be purchased without a prescription. These drugs are typically considered safe for use without the supervision of a healthcare professional. They are available in pharmacies and other retail stores and can be filled by anyone without the need for a prescription.Rate this question:
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- 3.
Unique national identification number required for all health care providers
- A.
DAW
- B.
DEA number
- C.
HIPPA
- D.
(NPI) National Provider Identifier
Correct Answer
D. (NPI) National Provider IdentifierExplanation
The National Provider Identifier (NPI) is a unique national identification number that is required for all healthcare providers. It is used to identify individual healthcare providers, including doctors, nurses, and other medical professionals, in order to facilitate accurate and secure electronic transactions in the healthcare industry. The NPI helps to ensure that patient information is properly managed and protected under the Health Insurance Portability and Accountability Act (HIPAA) regulations. The DEA number, on the other hand, is a unique identifier specifically for healthcare providers who prescribe controlled substances, while DAW refers to the Dispense as Written code.Rate this question:
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- 4.
Required on all controlled drug prescriptions identifies the prescriber
- A.
DEA number
- B.
(NPI) National Provider Identifier
- C.
OTC
- D.
PX
Correct Answer
A. DEA numberExplanation
The correct answer is DEA number. The DEA number is required on all controlled drug prescriptions to identify the prescriber. This number is issued by the Drug Enforcement Administration (DEA) to healthcare providers who are authorized to prescribe controlled substances. It helps to ensure that only licensed professionals are prescribing these medications and helps to track and monitor the distribution of controlled substances. The DEA number is an important tool in preventing drug abuse and diversion.Rate this question:
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- 5.
The directions for use on a prescription that should be printed on all labels
- A.
Signa, sig
- B.
DAW
- C.
NPI
- D.
Schedule II
Correct Answer
A. Signa, sigExplanation
The correct answer is "signa, sig". In medical prescriptions, "signa" or "sig" is a Latin abbreviation that refers to the directions for use of the medication. It provides instructions to the patient on how to take the medication, including dosage, frequency, and any specific instructions. Therefore, it is important for these directions to be printed on all prescription labels to ensure that patients understand how to properly take their medication.Rate this question:
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- 6.
A federal act that, among other things protects the privacy of individuals and the sharing of protected health information
- A.
NPI
- B.
DAW
- C.
HIPPA
- D.
OTC
Correct Answer
C. HIPPAExplanation
HIPPA is the correct answer because it is a federal act that protects the privacy of individuals and regulates the sharing of protected health information. The act sets standards for the security and confidentiality of patient information, ensuring that healthcare providers and organizations handle sensitive data appropriately. HIPPA also gives patients control over their health information and provides them with rights to access and amend their records. Overall, HIPPA aims to safeguard the privacy and security of personal health information and promote trust between patients and healthcare providers.Rate this question:
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- 7.
Mechanism by which a prescriber may indicate that the brand product, and not the equivalent generic, must be dispensed
- A.
Signa sig
- B.
Rx
- C.
DAW
- D.
HIPPA
Correct Answer
C. DAWExplanation
The correct answer is DAW, which stands for Dispense as Written. DAW is a code that a prescriber can use on a prescription to indicate that the brand product must be dispensed instead of the generic equivalent. This may be necessary if the prescriber believes that the generic version may not be as effective for the patient or if the patient specifically requests the brand product. By using the DAW code, the prescriber ensures that the pharmacy will dispense the exact brand product that they have prescribed.Rate this question:
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- 8.
Drugs that have been shown to be subject to abuse and require special handling
- A.
OTC drugs
- B.
Prescription
- C.
Schedule II drugs
- D.
Extemporaneous compounding
Correct Answer
C. Schedule II drugsExplanation
Schedule II drugs are drugs that have been shown to be subject to abuse and require special handling. Unlike over-the-counter drugs (OTC) which can be purchased without a prescription, Schedule II drugs require a prescription from a healthcare professional. These drugs have a high potential for abuse and can lead to severe psychological or physical dependence. They are tightly regulated and strict controls are in place to ensure their safe handling and distribution.Rate this question:
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- 9.
The on-demand preparation of a drug product according to a physician's prescription, formula, or recipe
- A.
Extemporaneous compounding
- B.
Prescription
- C.
Signa, sig
- D.
Cake
Correct Answer
A. Extemporaneous compoundingExplanation
Extemporaneous compounding refers to the process of preparing a drug product based on a physician's prescription, formula, or recipe. This method allows for the customized preparation of medications to meet specific patient needs. It involves combining and mixing the necessary ingredients in the required proportions to create the desired dosage form. This approach is often used when commercially available medications are not suitable or when a specific formulation is required for a particular patient.Rate this question:
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- 10.
Subcutaneously
- A.
Prn
- B.
Gtt
- C.
Pc
- D.
Sc
Correct Answer
D. ScExplanation
The correct answer is "sc" which stands for subcutaneously. This term refers to the administration of medication or injection into the subcutaneous tissue, which is the layer of fat just beneath the skin. This route of administration allows for the slow and gradual absorption of the medication into the bloodstream. It is commonly used for the administration of vaccines, insulin, and some other medications.Rate this question:
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- 11.
Drop
- A.
Pid
- B.
Gtt
- C.
Hs
- D.
Ou
Correct Answer
B. Gtt -
- 12.
Twice a day
- A.
Bid
- B.
Tid
- C.
Qid
- D.
2x per day
Correct Answer
A. BidExplanation
The correct answer is "bid," which stands for "bis in die" in Latin, meaning "twice a day." It is a medical abbreviation commonly used to indicate the frequency of medication dosage.Rate this question:
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- 13.
Right ear
- A.
Ot
- B.
Oa
- C.
Au
- D.
Ad
Correct Answer
D. AdExplanation
The given sequence consists of pairs of letters. The first letter in each pair is the first letter of the word "right", while the second letter is the second letter of the word "ear". Therefore, the correct pair is "ad".Rate this question:
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- 14.
Four times a day
- A.
Bid
- B.
Qid
- C.
Tid
- D.
4x per day
Correct Answer
B. QidExplanation
The correct answer is "qid" because it stands for "four times a day" which matches the given phrase "four times a day".Rate this question:
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- 15.
As needed
- A.
Gtt
- B.
Ad
- C.
Sl
- D.
Prn
Correct Answer
D. PrnExplanation
"prn" is an abbreviation commonly used in medical contexts, particularly in medication prescriptions. It stands for "pro re nata," which is Latin for "as needed." This term indicates that the medication should be taken or administered only when necessary, based on the patient's symptoms or condition. Therefore, "prn" is the correct answer as it accurately represents the concept of taking medication as required.Rate this question:
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- 16.
Each eye
- A.
Os
- B.
Ou
- C.
Au
- D.
Both eyes
Correct Answer
B. OuExplanation
The given answer "ou" is the correct answer because it represents the phrase "both eyes" in French. In French, "ou" means "or" but in this context, it is used to indicate "both" when referring to eyes. Therefore, "ou" is the appropriate choice to convey the meaning of "both eyes" in French.Rate this question:
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- 17.
Under the tongue
- A.
Gtt
- B.
Pc
- C.
SL
- D.
Sc
Correct Answer
C. SLExplanation
SL stands for sublingual, which refers to the administration of medication under the tongue. This route allows for rapid absorption of the medication into the bloodstream, bypassing the digestive system. It is often used for medications that need to be quickly absorbed and have a systemic effect.Rate this question:
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- 18.
At bedtime
- A.
Pc
- B.
Ac
- C.
Pm
- D.
Hs
Correct Answer
D. HsExplanation
The correct answer is "hs." This is likely an abbreviation for "hours of sleep" or "bedtime routine." When someone says "hs" at bedtime, it could mean that they are referring to the time they usually go to sleep or the activities they do before going to bed. It could also be a reminder to take care of their health and prioritize getting enough sleep.Rate this question:
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- 19.
Microgram
- A.
Hs
- B.
Mcg
- C.
Pv
- D.
Mg
Correct Answer
B. McgExplanation
The correct answer is "mcg" because it is the abbreviation commonly used for micrograms. Micrograms are a unit of measurement used to represent a very small amount, one millionth of a gram. The abbreviation "mcg" is derived from the Greek word "micro" meaning small, and the "g" represents grams. Therefore, "mcg" is the appropriate abbreviation for micrograms.Rate this question:
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- 20.
Vaginally
- A.
Ir
- B.
Iv
- C.
Pv
- D.
Sc
Correct Answer
C. Pv -
- 21.
Every day
- A.
Qid
- B.
Qd
- C.
Tid
- D.
Qod
Correct Answer
B. QdExplanation
The abbreviation "qd" stands for "quaque die" in Latin, which translates to "every day" in English. Therefore, the correct answer is "qd" because it represents the frequency of an event occurring daily.Rate this question:
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- 22.
Every 12 hours
- A.
2x per day
- B.
Q12hr
- C.
Twice a day
- D.
Bid
Correct Answer
B. Q12hrExplanation
The correct answer, "q12hr," is an abbreviation used in medical terminology to indicate the frequency of a medication dosage. "q" stands for "every," and "12hr" represents 12 hours. Therefore, "q12hr" means that the medication should be taken every 12 hours. This abbreviation is commonly used in healthcare settings to ensure proper dosing instructions are communicated clearly and efficiently.Rate this question:
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- 23.
After food, with meals
- A.
Pv
- B.
Hs
- C.
Pc
- D.
Ac
Correct Answer
C. PcExplanation
The correct answer is "pc" which stands for "post cibum" or "after food". This term is commonly used in medical prescriptions to indicate that a medication should be taken after meals. Taking medication after food helps to reduce the risk of stomach irritation or side effects that may occur on an empty stomach. It also helps to enhance the absorption and effectiveness of certain medications.Rate this question:
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- 24.
____ are allowed to write some prescription in some states, as determined by protocols and collaboration with a primary prescriber
- A.
Medical doctors
- B.
Doctors of osteopathy
- C.
Pharmacists, nurse practitioners and/or physician assistants
- D.
Doctors of veterinary medicine
Correct Answer
C. Pharmacists, nurse practitioners and/or physician assistantsExplanation
Pharmacists, nurse practitioners, and/or physician assistants are allowed to write some prescriptions in certain states through protocols and collaboration with a primary prescriber. This means that these healthcare professionals can prescribe medications under certain circumstances and in accordance with specific guidelines. This expanded scope of practice allows for increased access to healthcare services and can help alleviate the burden on primary prescribers such as medical doctors and doctors of osteopathy. However, it is important to note that the specific regulations and protocols may vary from state to state.Rate this question:
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- 25.
Counseling as requried by OBRA 90, IS PROVIDED BY
- A.
Pyscicians
- B.
Pharmacy techs
- C.
Pharmacists
- D.
Nurses
Correct Answer
C. PharmacistsExplanation
Counseling as required by OBRA 90 is provided by pharmacists. OBRA 90 refers to the Omnibus Budget Reconciliation Act of 1990, which mandates that pharmacists must offer counseling to patients regarding their medications. This counseling includes information about the proper use, potential side effects, and any other relevant information about the prescribed drugs. Pharmacists are trained professionals who have extensive knowledge about medications and can effectively communicate this information to patients, ensuring their safety and understanding.Rate this question:
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- 26.
Child-proof containers are
- A.
Not required for liquid dosage
- B.
Required by law on all prescription with no exceptions
- C.
Not required for patients aged 65 and over
- D.
None of the above
Correct Answer
C. Not required for patients aged 65 and overExplanation
Child-proof containers are not required for patients aged 65 and over. This is because older adults may have difficulty opening child-proof containers due to physical limitations or conditions such as arthritis. Therefore, to ensure accessibility and ease of use for this age group, child-proof containers are not mandated for patients aged 65 and over.Rate this question:
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- 27.
When the directions for a Rx are unclear, the pharmacy tech should
- A.
Fax the doctor for clarification
- B.
Ask the pharmacist
- C.
Ask the patient
- D.
Do their best to fill the prescription without assistance
Correct Answer
B. Ask the pharmacistExplanation
When the directions for a prescription are unclear, it is important for the pharmacy technician to seek clarification from the pharmacist. The pharmacist has the knowledge and expertise to interpret and understand the prescription instructions accurately. By asking the pharmacist, the technician ensures that the prescription is filled correctly and that the patient receives the appropriate medication and dosage. This step is crucial to avoid any potential errors or misunderstandings in the prescription.Rate this question:
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- 28.
The directions on a medication are: 1 gtt ou hs this medication is:
- A.
An eye drop
- B.
Dosed twice a day
- C.
Taken in the morning
- D.
Used by injection
Correct Answer
A. An eye dropExplanation
The abbreviation "ou" stands for "oculus uterque" which means "both eyes" in Latin. "hs" stands for "hora somni" which means "at bedtime" in Latin. "gtt" stands for "guttae" which means "drops" in Latin. Therefore, "1 gtt ou hs" means "1 drop in both eyes at bedtime". This indicates that the medication is an eye drop and is to be used twice a day, specifically at bedtime.Rate this question:
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- 29.
For the rx; Glucophage XR 500:mg 2BID x 90 days, how many tablets are dispensed?
- A.
90
- B.
180
- C.
360
- D.
Not enough information is given to fill the prescription
Correct Answer
C. 360Explanation
Based on the given prescription, it states "Glucophage XR 500mg, 2BID x 90 days." This means that the patient is prescribed to take 2 tablets of Glucophage XR 500mg twice a day for a duration of 90 days. To calculate the total number of tablets dispensed, we multiply the number of tablets taken per day (2 tablets) by the number of days (90 days). Therefore, the correct answer is 360 tablets.Rate this question:
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- 30.
If a prescription is written for: Zoloft 100mg DAW this means that
- A.
The insurance may require the patient to receive the generic
- B.
The patient may switch to generic for refills
- C.
The patient may choose the generic
- D.
The brand name must be dispensed
Correct Answer
D. The brand name must be dispensedExplanation
The prescription "Zoloft 100mg DAW" indicates that the brand name medication, Zoloft, must be dispensed to the patient. The term "DAW" stands for "dispense as written," which means that the prescriber specifically wants the brand name medication to be provided to the patient, rather than a generic alternative. This could be due to various reasons, such as the patient's preference, specific instructions from the prescriber, or insurance requirements.Rate this question:
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- 31.
The unique identifying number of a drug is the
- A.
DEA
- B.
PHI
- C.
DAW
- D.
NDC
Correct Answer
D. NDCExplanation
The correct answer is NDC. NDC stands for National Drug Code, which is a unique identifying number assigned to each drug. This code is used for tracking and identifying drugs in the United States. It consists of three segments: the labeler code, the product code, and the package code. The NDC helps in ensuring accurate and efficient drug identification, distribution, and reimbursement processes.Rate this question:
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- 32.
Rx: Clarithromycin 500mg #20, 1bid whats the sig?
- A.
1 bid
- B.
500
- C.
Clarithromycin 500mg
- D.
#20
Correct Answer
A. 1 bidExplanation
The sig "1 bid" indicates that the medication should be taken once a day. The dosage of the medication is 500mg, and the medication in question is Clarithromycin. The prescription is for a total of 20 tablets.Rate this question:
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- 33.
A medication error may involve
- A.
The wrong dosage form
- B.
The wrong directions
- C.
The wrong patient
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
This question is asking about the potential elements involved in a medication error. The correct answer is "all of the above" because a medication error can occur when the wrong dosage form, wrong directions, or wrong patient are involved. This means that any of these factors can contribute to a medication error, highlighting the importance of ensuring accuracy and attention to detail in prescribing and administering medications.Rate this question:
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- 34.
The two drug names Accupril 40mg and Accutane 40mg exemplify
- A.
Signa
- B.
Extemporaneous compounding
- C.
Look-alike names
- D.
OTC medications
Correct Answer
C. Look-alike namesExplanation
The two drug names, Accupril 40mg and Accutane 40mg, exemplify look-alike names. Look-alike names refer to drug names that are similar in spelling or pronunciation, which can lead to confusion and medication errors. In this case, the names "Accupril" and "Accutane" are very similar and could easily be mistaken for one another, potentially resulting in incorrect medication administration.Rate this question:
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- 35.
Which of the following may be performed only by a pharmacist
- A.
Accepting a return call from a prescriber's office approving a refills
- B.
Accepting a return call from a prescriber's offe clarifying a prescription
- C.
Calling a prescriber's office on behalf of a patient to request refills
- D.
Calling an insurance company to verify a patients eligibility
Correct Answer
B. Accepting a return call from a prescriber's offe clarifying a prescriptionExplanation
A pharmacist is the only healthcare professional qualified to accept a return call from a prescriber's office to clarify a prescription. This task requires in-depth knowledge of medications, dosages, and potential drug interactions, which only a pharmacist possesses. Accepting a return call and clarifying a prescription ensures that the medication prescribed is safe and appropriate for the patient. Other tasks mentioned, such as approving refills, requesting refills, or verifying a patient's eligibility with an insurance company, can be performed by other healthcare professionals, such as pharmacy technicians or administrative staff, under the supervision or guidance of a pharmacist.Rate this question:
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- 36.
All of the following duties may be performed by a pharmacy tech except
- A.
Requiesting PHI from a patient such as date of birth, address, allergy and insurance information
- B.
Selecting an OTC product for a patient
- C.
Inputting and updating patient information in the computer
- D.
Placing the medication in a vial and attaching the prescription label to it.
Correct Answer
B. Selecting an OTC product for a patientExplanation
A pharmacy tech is responsible for various duties in a pharmacy setting. These include requesting PHI from a patient, inputting and updating patient information in the computer, and placing medication in a vial with a prescription label. However, selecting an over-the-counter (OTC) product for a patient is typically not within the scope of a pharmacy tech's responsibilities. This task is usually performed by a pharmacist or a trained pharmacy staff member.Rate this question:
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- 37.
Dicrections for use should start with a /an
- A.
Adjective
- B.
Verb
- C.
Noun
- D.
Adverb
Correct Answer
B. VerbExplanation
The given answer "verb" is the correct answer because the question asks for the type of word that should start the "directions for use" and a verb is a word that expresses an action or a state of being. In this case, the "directions for use" should start with a verb to indicate the action or instructions that need to be followed.Rate this question:
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- 38.
RX: Amoxil 250mg/5ml Sig: 1tsp tid x10d M: qs this medication should be taken
- A.
Twice daily
- B.
Every 10 hours
- C.
Three times daily
- D.
None of the above
Correct Answer
C. Three times dailyExplanation
The correct answer is three times daily. The prescription states "Sig: 1tsp tid x10d," which means to take one teaspoon of the medication three times a day for ten days.Rate this question:
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- 39.
RX: Amoxil 250mg/5ml Sig: 1tsp tid x10d M: qs the amount of medication to be dispensed is:
- A.
100 ml
- B.
150 ml
- C.
250 ml
- D.
The amount of medication is not indicated
Correct Answer
B. 150 mlExplanation
The correct answer is 150 ml because the prescription states that the patient should take 1 teaspoon (5 ml) three times a day for 10 days. Therefore, the total amount of medication needed for the entire course of treatment would be 5 ml x 3 times a day x 10 days = 150 ml.Rate this question:
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- 40.
The following auxiliary label should be placed near the medication label:
- A.
Shake well and refrigerate
- B.
May cause drowsiness
- C.
Do not take with milk or other dairy products
- D.
Discard unused portion after 5 days
Correct Answer
A. Shake well and refrigerateExplanation
The correct answer is "shake well and refrigerate." This auxiliary label should be placed near the medication label to inform the patient that the medication needs to be shaken before use and stored in the refrigerator to maintain its effectiveness.Rate this question:
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- 41.
RX: methotrexate 2.5mg tabs ii/vi po q week #24" the days supply is
- A.
28 days
- B.
34 days
- C.
42 days
- D.
90 days
Correct Answer
A. 28 daysExplanation
The correct answer is 28 days. The prescription indicates that the patient should take methotrexate 2.5mg tablets orally, twice a week, for a total of 24 weeks. Since there are 7 days in a week, the patient will need 2 tablets per week. Therefore, the number of tablets needed for 24 weeks is 2 tablets/week x 24 weeks = 48 tablets. Since the prescription specifies a 2.5mg strength tablet, and there are 28 tablets in a standard pack, the days supply is calculated as 48 tablets / 2.5 tablets per day = 19.2 days, which is rounded up to 28 days.Rate this question:
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- 42.
Rx: prednisone 5mg tab Sig: 5 bid x 2 days, 4 bid x 2 days, 3 bid x 2 days, 2 bid x 2 days, 1 bid x 2 days. the stop, M: sq the number of tablets to dispense is:
- A.
15
- B.
30
- C.
45
- D.
60
Correct Answer
D. 60Explanation
The prescription is for prednisone 5mg tablets to be taken at different dosages over a period of 10 days. The instructions indicate that the patient should take 5 tablets per day for the first 2 days, then decrease the dosage by 1 tablet every 2 days until the final 2 days when they take 1 tablet per day. To calculate the total number of tablets needed, we add up the number of tablets for each dosage: 5 tablets x 2 days + 4 tablets x 2 days + 3 tablets x 2 days + 2 tablets x 2 days + 1 tablet x 2 days = 60 tablets. Therefore, the correct answer is 60.Rate this question:
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- 43.
Rx: ProAir HFA #1, Sig: ii/ll puff q 6prn there are 200 doses in one inhaler, the day's suppply would be
- A.
600 ml
- B.
1000 ml
- C.
1800 ml
- D.
2000 ml
Correct Answer
C. 1800 mlExplanation
The prescription states "Sig: ii/ll puff q 6prn" which means to take 2 puffs every 6 hours as needed. The inhaler contains 200 doses. To calculate the day's supply, we need to determine how many doses will be used in a day. If we take 2 puffs every 6 hours, that means we will take 4 puffs in a 12-hour period. Therefore, the inhaler will last for 50 days (200 doses / 4 doses per day). Since each puff delivers 90 ml of medication, the day's supply would be 4 puffs x 90 ml = 360 ml. Therefore, the given answer of 1800 ml is incorrect.Rate this question:
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- 44.
Medication orders in institutional setting may
- A.
Be administered by nursing staff
- B.
Contain only one request per sheet
- C.
Not be used in place of label directions for dosing information
- D.
All of the above
Correct Answer
A. Be administered by nursing staffExplanation
In an institutional setting, medication orders may be administered by nursing staff. This means that the nursing staff is responsible for giving the medication to the patients as per the orders given by the healthcare provider. It is important for the nursing staff to follow these orders accurately and ensure that the patients receive the correct medication at the right time. This responsibility helps in ensuring the safety and well-being of the patients in the institutional setting.Rate this question:
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- 45.
All of the following are examples of PHI except the
- A.
Patient's insurance indentification number
- B.
Patient's address
- C.
Pharmacy address
- D.
Patient's date of birth
Correct Answer
C. Pharmacy addressExplanation
The pharmacy address is not considered Protected Health Information (PHI) because it does not directly identify the patient or contain any personal health information. PHI includes sensitive data such as the patient's insurance identification number, address, and date of birth, which can be used to identify an individual and potentially compromise their privacy. However, the pharmacy address is not linked to an individual's health information and therefore does not fall under the category of PHI.Rate this question:
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- 46.
All of the following pharmacy personnel must be formally trained regarding HIPPAA except
- A.
The pharmacist
- B.
The pharmacy technician
- C.
Custodial personnel
- D.
None of the above
Correct Answer
D. None of the aboveExplanation
All of the listed pharmacy personnel, including the pharmacist and the pharmacy technician, must be formally trained regarding HIPAA. This is because HIPAA (Health Insurance Portability and Accountability Act) is a federal law that protects the privacy and security of patients' health information. It is essential for all pharmacy personnel to understand and comply with HIPAA regulations to ensure the confidentiality of patient information. Custodial personnel, on the other hand, may not have access to patients' health information and may not require formal training regarding HIPAA. Therefore, the correct answer is "none of the above."Rate this question:
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