PTCB Practice Exam Quiz Questions

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PTCB Practice Exam Quiz Questions - Quiz

Practice questions for PTCB Exam


Questions and Answers
  • 1. 

    Which route of medication administration is used to inject drugs into the top skin layers?

    • A.

      Subcutaneous

    • B.

      Hypodermic

    • C.

      Intradermal

    • D.

      Intra-arterial

    Correct Answer
    C. Intradermal
    Explanation
    Intradermal route of medication administration is used to inject drugs into the top skin layers. This method involves injecting the medication just below the epidermis, the outermost layer of the skin. It is commonly used for diagnostic purposes, such as administering a tuberculin skin test or allergy testing. The medication is injected at a shallow angle, and a small wheal or blister may form at the injection site. This route allows for a slow absorption of the drug and is ideal for drugs that require a localized effect or a small dosage.

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  • 2. 

    A connection between two or more computer systems that allows the transfer of data is:

    • A.

      An interface

    • B.

      A terminal

    • C.

      A bar code

    • D.

      A window

    Correct Answer
    A. An interface
    Explanation
    An interface is a connection between two or more computer systems that enables the transfer of data. It provides a means for different systems to communicate and exchange information. It allows the seamless transfer of data between devices, networks, or software applications, facilitating efficient and effective data sharing and collaboration. Interfaces can be physical, such as USB or Ethernet ports, or they can be virtual, like software interfaces that enable communication between different programs or systems.

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  • 3. 

    Certification is:

    • A.

      The process of granting recognition or vouching for conformance with a standard

    • B.

      The process by which a nongovernmental agency or association grants recognition to an individual who has met certain predetermined qualifications specified by that agency or association

    • C.

      The general peocess of formally recognizing professional or technicial competence

    • D.

      The process of making a list or being enrolled on an existing list

    Correct Answer
    B. The process by which a nongovernmental agency or association grants recognition to an individual who has met certain predetermined qualifications specified by that agency or association
    Explanation
    Certification is the process by which a nongovernmental agency or association grants recognition to an individual who has met certain predetermined qualifications specified by that agency or association. This means that certification is a formal recognition given by a non-governmental organization or association to an individual who has demonstrated their competence in a particular field or profession. The individual must meet specific qualifications set by the organization or association in order to receive this recognition.

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  • 4. 

    An ongoing systematic process for monitoring, evaluating, and improving the quility of pharmacy service is:

    • A.

      Peer review.

    • B.

      Quality assurance

    • C.

      Process validation

    • D.

      None of the above

    Correct Answer
    B. Quality assurance
    Explanation
    Quality assurance is the correct answer because it refers to an ongoing systematic process of monitoring, evaluating, and improving the quality of pharmacy services. This process ensures that the services provided meet the established standards and guidelines, and any deficiencies or areas for improvement are identified and addressed. Peer review, process validation, and none of the above are not accurate descriptions of this ongoing systematic process.

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  • 5. 

    Sterile products should be prepared at least ______ inches inside the laminar airflow hood,

    • A.

      6

    • B.

      10

    • C.

      2

    • D.

      3

    Correct Answer
    A. 6
    Explanation
    Sterile products should be prepared at least 6 inches inside the laminar airflow hood to maintain a controlled and sterile environment. This distance ensures that the products are protected from any potential contamination outside the hood. The laminar airflow hood creates a flow of filtered air that helps to prevent the introduction of microorganisms during the preparation process. By positioning the products 6 inches inside the hood, they are kept within the sterile zone, minimizing the risk of contamination and ensuring the safety and efficacy of the final product.

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  • 6. 

    The main concern of pharmacy practice today is:

    • A.

      Provision of optimal drug therapy for all patients.

    • B.

      Preparation and compounding of medications for patients

    • C.

      Bulk preparation and distribution of drug products

    • D.

      Safe ordering, procurement, and storage od medications

    Correct Answer
    A. Provision of optimal drug therapy for all patients.
    Explanation
    The main concern of pharmacy practice today is the provision of optimal drug therapy for all patients. This means ensuring that patients receive the most effective and appropriate medications for their specific conditions, taking into account factors such as drug interactions, dosage, and patient preferences. It involves collaborating with healthcare providers to develop personalized treatment plans and monitoring patients' response to therapy to ensure its effectiveness and safety. This focus on optimal drug therapy aims to improve patient outcomes and enhance the quality of healthcare delivery.

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  • 7. 

    A policy an procedures manual may provide guidance in each of the following areas except:

    • A.

      Personnel orientation, training, and evaluation

    • B.

      Correct aseptic(sterile) technique.

    • C.

      Activities of technicians outside the workplace.

    • D.

      Position or job description

    Correct Answer
    C. Activities of technicians outside the workplace.
    Explanation
    A policy and procedures manual is a document that provides guidance and instructions for various aspects of an organization's operations. It typically includes guidelines for personnel orientation, training, and evaluation to ensure that employees are properly onboarded, trained, and assessed. It also includes information about correct aseptic (sterile) technique, which is crucial in healthcare settings to prevent the spread of infections. Additionally, the manual may outline the position or job description of employees, specifying their roles and responsibilities. However, it is unlikely to provide guidance on activities of technicians outside the workplace, as this falls outside the scope of the organization's policies and procedures.

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  • 8. 

    All of the following are requirements for a prescription label except:

    • A.

      Name and address of the pharmacy

    • B.

      Name of the prescriber

    • C.

      Serial number of the prescription

    • D.

      Telephone number of the patient

    Correct Answer
    D. Telephone number of the patient
    Explanation
    A prescription label typically includes the name and address of the pharmacy, the name of the prescriber, and the serial number of the prescription. These details are important for identification and tracking purposes. However, the telephone number of the patient is not typically required on a prescription label. This information is more relevant for the patient's medical records or for contacting the patient directly, rather than being necessary for the label itself.

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  • 9. 

    A prescription can usually be refilled:

    • A.

      Only once

    • B.

      As many times as the pharmacist deems necessary

    • C.

      As many times as the prescriber indicates on the prescription within a specified time period.

    • D.

      Only at the location where itwas originally filled

    Correct Answer
    C. As many times as the prescriber indicates on the prescription within a specified time period.
    Explanation
    A prescription can usually be refilled as many times as the prescriber indicates on the prescription within a specified time period. This means that the prescriber will specify the number of times the prescription can be refilled and within what timeframe. This allows the patient to refill the prescription multiple times if needed, but within the limits set by the prescriber. It is important for patients to follow these instructions and not exceed the specified number of refills or time period to ensure safe and appropriate medication use.

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  • 10. 

    Which of the following best describes controlled substances in schedule I?

    • A.

      Drugs with no accepted medical use in the United States.

    • B.

      Drugs with a low to moderate potiental for physical dependence.

    • C.

      Drugs that are available without a prescription

    • D.

      Drugs with no potiental for abuse.

    Correct Answer
    A. Drugs with no accepted medical use in the United States.
    Explanation
    Controlled substances in schedule I are drugs that have been deemed to have no accepted medical use in the United States. This means that they are not recognized as having any legitimate medical purpose and are considered to be highly dangerous and potentially harmful. These substances are tightly regulated and are illegal to possess or distribute without proper authorization.

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  • 11. 

    A 500ml quantity of D10W contains how many grams of dextrose?

    • A.

      100gm

    • B.

      10gm

    • C.

      50gm

    • D.

      20gm

    Correct Answer
    C. 50gm
    Explanation
    D10W refers to a solution that contains 10% dextrose. This means that in 100ml of D10W, there are 10 grams of dextrose. Since we have a 500ml quantity of D10W, we can calculate the grams of dextrose by multiplying the concentration (10 grams per 100ml) by the volume (500ml). Therefore, the 500ml quantity of D10W contains 50 grams of dextrose.

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  • 12. 

    What is the seventh digit of the following DEA number AB369145_?

    • A.

      3

    • B.

      8

    • C.

      4

    • D.

      0

    Correct Answer
    D. 0
    Explanation
    The DEA number is AB369145_ and we are asked to find the seventh digit. However, the given options only include four digits: 3, 8, 4, and 0. None of these options can be considered as the seventh digit since the question does not provide any information about the missing digit. Therefore, an explanation cannot be generated as the question is incomplete.

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  • 13. 

    The Poison Prevention Packaging Act of 1970 mandated all of the following except:

    • A.

      Prescription drugs may be exempt if the prescriber or consumer requests noncompliant packaging

    • B.

      Household cleaners must be packaged in childproof containers

    • C.

      A limited number of prescription drugs are exempt (such as sublingual nitroglycerin)

    • D.

      The special packaging requirements are extended to nonprescription drugs

    Correct Answer
    B. Household cleaners must be packaged in childproof containers
    Explanation
    The Poison Prevention Packaging Act of 1970 mandated that prescription drugs may be exempt if the prescriber or consumer requests noncompliant packaging, a limited number of prescription drugs are exempt (such as sublingual nitroglycerin), and the special packaging requirements are extended to nonprescription drugs. However, it did not mandate that household cleaners must be packaged in childproof containers.

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  • 14. 

    Sublingual tablets are:

    • A.

      Placed under the tongue

    • B.

      Dissolved in a liquid and release bubbles

    • C.

      Placed inside a cheek

    • D.

      Chewed before swallowing

    Correct Answer
    A. Placed under the tongue
    Explanation
    Sublingual tablets are placed under the tongue because this route of administration allows for the direct absorption of the medication into the bloodstream through the rich supply of blood vessels in the sublingual area. This method bypasses the digestive system, resulting in faster onset of action and higher bioavailability of the medication.

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  • 15. 

    Which of the following terms refers to the acidic or basic nature ofa solution?

    • A.

      Osmolarity

    • B.

      Osmolality

    • C.

      Isotonicity

    • D.

      PH

    Correct Answer
    D. PH
    Explanation
    pH refers to the measure of the acidic or basic nature of a solution. It is a scale that ranges from 0 to 14, with 7 being neutral. A pH value below 7 indicates acidity, while a value above 7 indicates alkalinity or basicity. The lower the pH value, the more acidic the solution, and the higher the pH value, the more basic the solution. Therefore, pH is the term that specifically refers to the acidic or basic nature of a solution.

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  • 16. 

    The Omnibus Budget Reconciliation Act of 1990 (OBRA 1990) requires pharmacists to perform the following functions for patients receiving Medicaid:

    • A.

      Drug therapy review

    • B.

      Counseling

    • C.

      Financial consultation

    • D.

      Both a and b

    Correct Answer
    D. Both a and b
    Explanation
    The correct answer is "both a and b." The Omnibus Budget Reconciliation Act of 1990 (OBRA 1990) mandates that pharmacists must conduct drug therapy reviews and provide counseling for patients receiving Medicaid. This act aims to ensure that patients are receiving appropriate medication therapy and have a clear understanding of their medications and their usage. By performing both functions, pharmacists can optimize patient outcomes and improve medication adherence.

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  • 17. 

    A patient presents a prescription for hydrochlorothiazide (HCTZ). Other items related to his prescription that he might purchase include all of the following except:

    • A.

      Home blood pressure monitoring device

    • B.

      Potassium-containing salt substitute

    • C.

      Pseudoephedrine-containing decongestant

    • D.

      Sunscreen

    Correct Answer
    C. Pseudoephedrine-containing decongestant
    Explanation
    The patient might purchase a home blood pressure monitoring device because hydrochlorothiazide is a medication used to treat high blood pressure, and monitoring blood pressure at home can help the patient keep track of their condition. They might also purchase a potassium-containing salt substitute because hydrochlorothiazide can cause potassium levels to decrease, so a salt substitute with added potassium can help maintain proper levels. Additionally, they might purchase sunscreen because hydrochlorothiazide can increase sensitivity to the sun. However, they would not purchase a pseudoephedrine-containing decongestant as it is not directly related to the prescription for hydrochlorothiazide.

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  • 18. 

    Which statement concerning Synthroid is correct?

    • A.

      The generic name is levothyroxine

    • B.

      The usual dose is 50-100g/day

    • C.

      It is usually given three times a day

    • D.

      It is used to treat diabetes

    Correct Answer
    A. The generic name is levothyroxine
    Explanation
    The correct answer is that the generic name for Synthroid is levothyroxine. This means that Synthroid is a brand name for the medication that contains the active ingredient levothyroxine. The generic name is the official name for the drug, while the brand name is a specific name given by the manufacturer.

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  • 19. 

    Nonprescription drugs are also known as:

    • A.

      Legend drugs

    • B.

      New drugs

    • C.

      Over-the-counter drugs

    • D.

      Investigational drugs

    Correct Answer
    C. Over-the-counter drugs
    Explanation
    Nonprescription drugs are commonly referred to as over-the-counter drugs. These medications are easily accessible without a prescription from a healthcare professional. They are typically used to treat common ailments and symptoms such as headaches, colds, allergies, and minor pain. Over-the-counter drugs are considered safe for self-medication when used as directed, and they are available for purchase in pharmacies, supermarkets, and convenience stores without the need for a prescription.

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  • 20. 

    All of the following are true concerning patient participation in an investigational drug study except:

    • A.

      The patient must sign an informed consent

    • B.

      Participation is voluntary

    • C.

      The patient may withdraw from the study at any time

    • D.

      The patient must be paid

    Correct Answer
    D. The patient must be paid
    Explanation
    The statement "the patient must be paid" is not true concerning patient participation in an investigational drug study. While patients may receive compensation for their time and inconvenience, it is not a requirement for participation. The other statements are true, including the need for the patient to sign an informed consent, participation being voluntary, and the patient's right to withdraw from the study at any time.

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  • 21. 

    You receive a prescription for Ceclor Suspension 125mg/5ml, 1.5 tsp tid x10 days. The appropriate quantity to dispense would be:

    • A.

      125ml

    • B.

      150ml with one refill

    • C.

      200ml

    • D.

      225ml

    Correct Answer
    D. 225ml
    Explanation
    The prescription states that the patient should take 1.5 teaspoons of Ceclor Suspension three times a day for ten days. The concentration of the suspension is 125mg/5ml, which means that each 5ml of the suspension contains 125mg of the medication. To calculate the total quantity needed for ten days, we can multiply the daily dose (1.5 tsp) by the number of days (10) and divide it by the concentration (125mg/5ml). This calculation results in 30 teaspoons, which is equivalent to 150ml. However, since the prescription is for 1.5 teaspoons, we need to round up to the nearest whole number, which is 2 teaspoons. Therefore, the appropriate quantity to dispense is 2 teaspoons three times a day for ten days, totaling 225ml.

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  • 22. 

    When filling a prescription for Tylenol with Codeine 30mg, a technician should do all the following except:

    • A.

      File the prescription as a schedule III controlled substance.

    • B.

      Affix an auxiliary label cautioning against tasks requiring alertness or driving

    • C.

      Verify the patient is not allergic to Tylenol or codeine

    • D.

      Inform the patient that this medication is a potent anti-inflammatory agent

    Correct Answer
    D. Inform the patient that this medication is a potent anti-inflammatory agent
    Explanation
    The technician should not inform the patient that this medication is a potent anti-inflammatory agent because Tylenol with Codeine is not classified as an anti-inflammatory medication. It is a combination of acetaminophen (Tylenol) and codeine, which is an opioid analgesic used for pain relief. Anti-inflammatory medications belong to a different class of drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or aspirin.

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  • 23. 

    When a prescription is received for Cortisporin drops, use as directed, the technician should:

    • A.

      Have the pharmacist ascertain wheather an opthalmic or otic product is to be dispensed

    • B.

      Tell the patient to take the prescription back to the physician for correction

    • C.

      Affix a "for the eye" auxiliary label

    • D.

      Wash hands before dispensing so the drops will remain sterile

    Correct Answer
    A. Have the pharmacist ascertain wheather an opthalmic or otic product is to be dispensed
    Explanation
    The correct answer is to have the pharmacist ascertain whether an ophthalmic or otic product is to be dispensed. This is because Cortisporin drops can be used for both ophthalmic (eye) and otic (ear) conditions. It is important for the pharmacist to determine the correct product to dispense based on the prescription received.

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  • 24. 

    Which of the following drug pairs is most likely to be associated with a medication error?

    • A.

      Digoxin and captopril

    • B.

      Prednisone and dexamethasone

    • C.

      Quinidine and quinine

    • D.

      Fluoxetine and fluorouracil

    Correct Answer
    C. Quinidine and quinine
    Explanation
    Quinidine and quinine are both antiarrhythmic drugs that have similar names and properties. Due to their similarity, they can easily be confused with one another, leading to a medication error. This is especially true because they are used to treat similar conditions. Mixing up these drugs can result in incorrect dosages or administration, potentially causing harm to the patient. Therefore, the drug pair quinidine and quinine is most likely to be associated with a medication error.

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  • 25. 

    For a hospital order for ceftriaxone 1gm qd IV piggyback, the technician all the following except:

    • A.

      Prepare the dose in the laminar airflow hood using sterile technique

    • B.

      Inform the pharmacist the patient has a penicillin allergy recorded

    • C.

      Convert the dosage from grams to grains so the nurse will know how much to give

    • D.

      Confirm that she has the right drug- many other drugs sound similar

    Correct Answer
    C. Convert the dosage from grams to grains so the nurse will know how much to give
    Explanation
    The technician does not need to convert the dosage from grams to grains because it is unnecessary for the nurse to know the dosage in grains. The nurse will administer the medication based on the prescribed dosage in grams.

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  • 26. 

    Which of the following terms may be used to describe a prepackaged unit?

    • A.

      Unit dose

    • B.

      Closed system

    • C.

      Blister pack

    • D.

      Both a and c

    Correct Answer
    D. Both a and c
    Explanation
    Both "unit dose" and "blister pack" can be used to describe a prepackaged unit. "Unit dose" refers to a single dose of medication or product that is prepackaged and ready for use. A "blister pack" is a type of packaging that contains individual compartments or pockets, each holding a single dose or unit of a product. Therefore, both terms accurately describe a prepackaged unit.

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  • 27. 

    All of the following are true about cimetidine except:

    • A.

      An over-the-counter preparation is available

    • B.

      It reduces the acidity of the stomach

    • C.

      Using samples of this product is a good way to save money in the hospital

    • D.

      It interacts with many other drugs

    Correct Answer
    C. Using samples of this product is a good way to save money in the hospital
    Explanation
    Cimetidine is a medication that reduces the acidity of the stomach and interacts with many other drugs. However, using samples of this product is not a good way to save money in the hospital. This implies that using cimetidine samples does not provide any cost-saving benefits in a hospital setting.

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  • 28. 

    The computer insurance error message "patient not found" or "invalid ID number" indicates that:

    • A.

      The customer is not a legitimate patient

    • B.

      The patient does not appear to be enrolled in the insurance program; check for errors such as misspelling of the patients name

    • C.

      The patient does not have any condition that requires treatment

    • D.

      The patient cannot find his prescription

    Correct Answer
    B. The patient does not appear to be enrolled in the insurance program; check for errors such as misspelling of the patients name
    Explanation
    The correct answer suggests that the error message "patient not found" or "invalid ID number" indicates that the patient does not appear to be enrolled in the insurance program. It also suggests checking for errors such as misspelling of the patient's name to identify any potential mistakes in the enrollment process. This explanation implies that the error message is related to the patient's insurance status and enrollment details rather than other factors such as the patient's legitimacy, medical condition, or prescription.

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  • 29. 

    As a technician, you are asked to prepare an IV solution with insulin. Which of the followng statements is true?

    • A.

      You should only use regular insulin, The other insulins cannot be given IV

    • B.

      You do not need to bother making the IV in the laminar airflow hood, because insulin is an antibiotic

    • C.

      Because the dose is in units, you cannot measure the volume in millimeters

    • D.

      You must sign out the dose on the narcotic log

    Correct Answer
    A. You should only use regular insulin, The other insulins cannot be given IV
    Explanation
    Regular insulin is the only type of insulin that can be given intravenously. Other types of insulin, such as long-acting or rapid-acting insulins, are not suitable for IV administration.

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  • 30. 

    The portion of prescription costs that the patient must pay in a given time period before a third party insurer will begin paying is the:

    • A.

      Fee-for-service

    • B.

      Co-payment

    • C.

      Deductable

    • D.

      None of the above

    Correct Answer
    C. Deductable
    Explanation
    A deductible is the portion of prescription costs that the patient must pay out of pocket before their insurance coverage kicks in. Once the deductible is met, the insurance company will start paying for a portion or all of the prescription costs. This amount is typically calculated on an annual basis, meaning that the patient must meet the deductible amount each year before their insurance coverage begins. Therefore, the correct answer is deductible.

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  • 31. 

    If a pediatric patient is to receive oral ampicillin as a suspension, which of the following is not necessary?

    • A.

      Ensure the patients allergies are recorded in the computer

    • B.

      Affix an expiration date to the label after preparing the suspension

    • C.

      Affix an auxiliary lablel stating "shake well before using"

    • D.

      Prepare the medication in the laminar airflow hood

    Correct Answer
    D. Prepare the medication in the laminar airflow hood
    Explanation
    The laminar airflow hood is not necessary for preparing an oral ampicillin suspension. The laminar airflow hood is typically used for preparing sterile medications or handling hazardous substances, which is not required for this particular medication.

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  • 32. 

    A resource that may be used to determine if a parenteral medication must be filtered is:

    • A.

      The package insert

    • B.

      The "Handbookon Injectable Drugs"

    • C.

      The manufacturer

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    All of the given options can be used as resources to determine if a parenteral medication must be filtered. The package insert provides information about the medication and its administration, including any specific instructions regarding filtration. The "Handbook on Injectable Drugs" is a comprehensive reference guide that provides detailed information on various medications, including their compatibility with filters. The manufacturer of the medication can also provide guidance on whether filtration is necessary. Therefore, all of these sources can be consulted to determine if a parenteral medication should be filtered.

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  • 33. 

    The offer to counsel under OBRA 90 may be made:

    • A.

      In writing

    • B.

      Orally

    • C.

      By a technician

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    The offer to counsel under OBRA 90 may be made in writing, orally, or by a technician. This means that the offer can be communicated through written communication, verbal communication, or by a technician who is trained to provide counseling services. The flexibility in communication methods allows for different individuals to receive the offer in a way that is most convenient and accessible to them.

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  • 34. 

    When filling an inpatient's medication drawer, the technician notices thatthe fill list contains both enalapril and lisinopril. The technician should:

    • A.

      Fill only one drug; they are both the same kind of drug

    • B.

      Notify the pharmacist that the patient has orders for two drugs of the same class

    • C.

      Call the doctor to see which drug to use

    • D.

      Tell the nursethat there is a dangerous drug interaction between these drugs

    Correct Answer
    B. Notify the pharmacist that the patient has orders for two drugs of the same class
    Explanation
    The technician should notify the pharmacist that the patient has orders for two drugs of the same class. This is because enalapril and lisinopril are both angiotensin-converting enzyme (ACE) inhibitors, which are used to treat hypertension and heart failure. It is important to inform the pharmacist so that they can verify if this is an intentional prescription or if there has been an error. The pharmacist can then consult with the prescriber to clarify the medication regimen and ensure patient safety.

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  • 35. 

    If you believe that someone has presented a fraudulent prescription at your pharmacy, the appropriate action would be to:

    • A.

      Call 911 immediately

    • B.

      Call the physician whose name appears on the prescription

    • C.

      Discreetly notify the pharmacist so that the appropriate action may be taken.

    • D.

      Ask the customer how he got the prescription

    Correct Answer
    C. Discreetly notify the pharmacist so that the appropriate action may be taken.
    Explanation
    If you suspect a fraudulent prescription at your pharmacy, the appropriate action would be to discreetly notify the pharmacist so that they can take the necessary steps. This is the correct answer because the pharmacist is the healthcare professional responsible for dispensing medications and ensuring their safety. They have the knowledge and expertise to handle such situations, which may involve contacting the physician whose name appears on the prescription or reporting the incident to the appropriate authorities. Calling 911 immediately may not be necessary unless there is an immediate threat to public safety. Asking the customer how they got the prescription may not be appropriate as it could potentially escalate the situation or compromise patient confidentiality.

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  • 36. 

    You receive an order for etoposide. In preparing this drug, you should:

    • A.

      Wear gloves only if you are allergic to etopside

    • B.

      Flush the extra contents of the vial down the sink drain

    • C.

      Prepare in a biological safety cabinet. (BSC)

    • D.

      Not add any extra labels-they are too confusing for the nurse

    Correct Answer
    C. Prepare in a biological safety cabinet. (BSC)
    Explanation
    The correct answer is to prepare in a biological safety cabinet (BSC). This is because etoposide is a hazardous drug that can pose a risk to the person preparing it. A BSC provides a controlled environment that helps to minimize exposure to the drug and protect the person preparing it. Wearing gloves is not solely dependent on being allergic to etoposide, as it is generally recommended to wear gloves when handling hazardous drugs. Flushing the extra contents down the sink drain is not the correct method of disposal for hazardous drugs. Adding extra labels can provide important information for the nurse administering the drug.

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  • 37. 

    While a mother is waiting for an antibiotic preparation for her 6 year old,she asks the technician what to give the child for fever, the technician should:

    • A.

      Suggest aspirin; it's the least expensive antipyretic

    • B.

      Inform the pharmacist that the mother would like help choosing a nonprescription product.

    • C.

      Offer to sell the mother some drug samples

    • D.

      Suggest over-the-counter diphenhydramine

    Correct Answer
    B. Inform the pharmacist that the mother would like help choosing a nonprescription product.
    Explanation
    The correct answer is to inform the pharmacist that the mother would like help choosing a nonprescription product. This is the most appropriate response because the technician should not provide medical advice or suggest specific medications without the guidance of a pharmacist. By informing the pharmacist, the technician ensures that the mother receives proper guidance from a healthcare professional in selecting a suitable nonprescription product for her child's fever.

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  • 38. 

    You receive the following prescription: Vanceril (beclomethasone) inhaler; dispense #1; sig: ii puffs inhaled bid. In filling the prescription you should:

    • A.

      Inform the patient that this drug is a corticosteroid that has many serious side effects.

    • B.

      Include the following specific directions on the label: "Inhale 2 puffs into each nostril three times a day"

    • C.

      Provide the patient with the "for the patient" instructions included with the inhaler

    • D.

      Tell the patient to use this inhaler only when she really needs it

    Correct Answer
    C. Provide the patient with the "for the patient" instructions included with the inhaler
    Explanation
    The correct answer is to provide the patient with the "for the patient" instructions included with the inhaler. This is the appropriate action to take when filling a prescription for a medication. The "for the patient" instructions will provide the patient with important information on how to properly use the inhaler, including the correct dosage and frequency. It is important for the patient to have access to these instructions to ensure they are using the medication correctly and safely.

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  • 39. 

    When accepting a prescription for warfarin from a patient, the technician should:

    • A.

      Notify the pharmacist if the patient is also buying aspirin; there is an interaction between these medications

    • B.

      Give the lower dose just to be safe if the strength is unclear(10mg versus 1.0mg)

    • C.

      Tell the patient to take an iron supplement because this drug thins the blood

    • D.

      Tell the patient to eat foods high in vitamin K

    Correct Answer
    A. Notify the pharmacist if the patient is also buying aspirin; there is an interaction between these medications
    Explanation
    The correct answer is to notify the pharmacist if the patient is also buying aspirin because there is an interaction between warfarin and aspirin. This interaction can increase the risk of bleeding. It is important for the pharmacist to be aware of this potential interaction and to evaluate the appropriateness of the prescription.

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  • 40. 

    When selling over-the-counter nasal decongestant spray (phenylephrine), which question can the technician answer without referring the customer to the pharmacist?

    • A.

      Can I take this drug with my blood pressure medicine?

    • B.

      I keep using this spray, but my nose seems to get stuffier. Should I use it more often?

    • C.

      Is a less expensive generic of the same nose spray available?

    • D.

      I've had this cold for four weeks. Do you think I should see a doctor?

    Correct Answer
    C. Is a less expensive generic of the same nose spray available?
    Explanation
    The technician can answer the question about the availability of a less expensive generic of the same nose spray without referring the customer to the pharmacist because it does not involve any medical advice or potential drug interactions. The availability and cost of generic alternatives are typically within the scope of the technician's knowledge and can be addressed without the need for a pharmacist's input.

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  • 41. 

    The pharmacist asks you to prepare the following prescription: Amoxicillin suspension 5ml po tid x 10 days. You notice that the prescriber did not indicate the concentration of the suspension on the prescription. You should:

    • A.

      Dispense the capsules instead

    • B.

      Alert the pharmacist to the problem

    • C.

      Ask the patient which concentration he prefers

    • D.

      Prepare the prescription with a 250mg/5ml concentration, because it is the most frequently ordered

    Correct Answer
    B. Alert the pharmacist to the problem
    Explanation
    The correct answer is to alert the pharmacist to the problem. The prescription does not specify the concentration of the Amoxicillin suspension, which is essential information for preparing the medication accurately. Without the concentration, it is not possible to determine the appropriate dosage and volume to dispense. Alerting the pharmacist will allow them to contact the prescriber and obtain the necessary information to prepare the prescription correctly.

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  • 42. 

    Which of the following could contribute to a medication error?

    • A.

      Failure to rotate stock appropriately

    • B.

      Preparing one prescription at a time

    • C.

      Reading the drug product label carefully

    • D.

      None of the above

    Correct Answer
    A. Failure to rotate stock appropriately
    Explanation
    Failure to rotate stock appropriately can contribute to a medication error because it increases the risk of using expired or outdated medications. When medications are not rotated properly, older medications may be used first, leading to potential harm to patients. Additionally, failure to rotate stock can result in confusion and mix-ups, as different medications may have similar packaging or labels. Therefore, it is important to regularly check and rotate stock to ensure the safety and effectiveness of medications.

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  • 43. 

    The risk of a decimal point error is reduced by writing "seven milligrams" as:

    • A.

      0.7gm

    • B.

      7mg

    • C.

      7.0mg

    • D.

      0.70g

    Correct Answer
    B. 7mg
    Explanation
    Writing "seven milligrams" as 7mg reduces the risk of a decimal point error because it clearly indicates the unit of measurement (mg) and the quantity (7). It eliminates the need for a decimal point, which could be easily misplaced or misinterpreted. This format is concise and unambiguous, ensuring accurate communication of the intended measurement.

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  • 44. 

    Pharmaceutical compounding may involve which of the following ingredients?

    • A.

      Aquaphor

    • B.

      Simple syrup

    • C.

      Coal tar

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    Pharmaceutical compounding may involve all of the above ingredients. Aquaphor is a commonly used ingredient in compounding to create topical medications. Simple syrup is used as a sweetening agent in liquid medications. Coal tar is used in the compounding of certain dermatological products. Therefore, all three ingredients can be involved in pharmaceutical compounding.

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  • 45. 

    A patient calls the pharmacy asking why his heart medication is white instead of the usual yellow color. Upon investigation, you learn that the prescription was filled with 0.25mg digoxin instead if 0.125mg strength Which of the following is the most appropriate action to take?

    • A.

      Tell the patient to cut the tablets in half and take one-half tablet daily

    • B.

      Ask the patient to bring the prescription back to the pharmacy so that you can secretly exchange it for the correct dose

    • C.

      Explain the situation to the pharmacist, correct the error and document the error per procedures

    • D.

      Prepare a new prescription with the 0.125mg strength and inform the patient that the pharmacists are solely responsible fro the accuracy of prescriptions

    Correct Answer
    C. Explain the situation to the pharmacist, correct the error and document the error per procedures
    Explanation
    The most appropriate action in this situation is to explain the situation to the pharmacist, correct the error, and document the error per procedures. This ensures that the mistake is rectified and the correct medication is provided to the patient. It also allows for proper documentation of the error, which is important for quality control and future reference. Secretly exchanging the prescription or telling the patient to cut the tablets in half are not appropriate actions, as they do not address the underlying issue of the incorrect medication strength. Preparing a new prescription with the correct strength and informing the patient about the responsibility of pharmacists may be considered, but it is not the most immediate and necessary action to take.

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  • 46. 

    Position or job descriptions:

    • A.

      Are the same for technicians from hospital to hospital

    • B.

      Are written descriptions outlining employee responsibilities

    • C.

      Are the same for pharmacists and technicians

    • D.

      Apply only to upper-level hospital managers

    Correct Answer
    B. Are written descriptions outlining employee responsibilities
    Explanation
    The correct answer is "are written descriptions outlining employee responsibilities." This means that position or job descriptions are documents that detail the duties and responsibilities of employees in a specific role. These descriptions are typically standardized and outline what is expected from the employees in that position. They are not specific to a particular hospital or limited to upper-level managers, but rather apply to all employees in various roles within an organization.

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