Pharmacy Practice Quizzes - PHA 367

Which of the following are complete directions for the patient to be included on the prescription vial label?

2 capsules by mouth once daily for 3 days

Give Haden 5 mL by mouth once daily

None of these are complete

Place 2 drops in each eye

Take 1 by mouth twice daily after meals

give Haden 5 mL by mouth once daily

You are checking a patient's electronic health record to verify that a medication was administered at 9:30 pm. What time are you expecting to see displayed?

1930

2150

2130

0950

2130

Of the controlled substances that have been deemed to have a therapeutic use and can be dispensed, which category it is very important to counsel patients appropriately since this DEA schedule has a higher potential for abuse than the others with a possibility for severe psychological or physical dependence?

C-I, or Schedule I

C-II, or Schedule II

C-III, or Schedule III

C-IV, or Schedule IV

C-V, or Schedule V

C-II, or Schedule II

Which of the following is the part of the prescription that refers to the directions for the patient?

superscription

subscription

inscription

signa

signa

Which of the following is a true statement? (Select all that apply)

Nonprescription (over-the-counter) medications are available without a prescription because it has been determined they are safe and have no potential for misuse.

Herbal medications and supplements are safe because they are all-natural products.

All medications have a generic name, but not all medications are available as a generic drug.

Directions on the drug vial label should be as close as possible to those written by the prescriber; however, the pharmacist may clarify instructions as long as it does not change the prescriber's intent.

-All medications have a generic name, but not all medications are available as a generic drug.

-Directions on the drug vial label should be as close as possible to those written by the prescriber; however, the pharmacist may clarify instructions as long as it does not change the prescriber's intent.

T/F? To ensure a proper blood pressure reading, it is important to have the patient rest 5-10 minutes before performing a blood pressure reading.

True

T/F: Multi-use lancets should be used during patient screening events.

False

(T/F) When taking a blood pressure, you place the stethoscope over the carotid artery.

False

T/F: Following the appropriate fasting requirements for cholesterol and glucose screenings will provide the most accurate test results.

True

T/F: Glucose values are reported as mg/dL.

True

Which of the following sentence uses the correct word (says precisely what is intended)?

She advanced farther in her career than he did.

That experience positively affected my mood.

I will site that author in my report.

I could not decide among apple or orange juice.

That experience positively affected my mood. (affect is verb vs. effect is noun)

Which of the following is an unsafe and inappropriate (potentially dangerous and error-prone) documentation of a medication and one dose?

40 mcg dopamine

carafate 1 g

5-mL Augmentin oral suspension, 400 mg per 5 mL

1000mg. Metformn

1000mg. Metformn

Which of the following is NOT an example of professional writing for pharmacists?

Resume

Journal article

Pharmacy newsletter

Documentation in a patient chart

Presentation slides

E-mail

All of the above are examples

All of the above

Why is it important to determine and consider your audience first?

to use the correct form of writing and decide what terms to use

Most of the time spent on a writing assignment should be dedicated to writing a good first draft. If more time is spent writing, time does not need to be dedicated to revising, which results in a better paper and better communication.

True

False

False

Which of the following is a safe, complete, and appropriate documentation of a medication and dose in a patient chart which is considered professional writing?

10000gms po

Lovenox 60.0 mg/6mls sq daily

digoxin 0.25-mg tablet taken once daily

Nitro 100. mg IV once

digoxin 0.25-mg tablet taken once daily

There are general rules for when to write out a number and when to use numerals in professional writing. Which of the following correctly writes out the number according to the guidelines provided in your notes (the others incorrectly write out the number when it is more appropriate to use the actual numeral).

During the convention, we stayed on the twenty-third floor.

The pharmacist measured out fifteen mL of the drug solution to fill the prescription.

The thief robbed the pharmacy and got away with six hundred dollars.

The patient's wife picked up four prescriptions for him and two prescriptions for herself.

The patient's wife picked up four prescriptions for him and two prescriptions for herself. (write out numbers 1-9 and when the number begins the sentence)

T/F? Both brand and generic drug names should always be capitalized.

False

T/F? Contractions should not be used in professional writing.

True

T/F? Acronyms should be spelled out when first used in a document, and it is recommended to avoid beginning a sentence with an acronym.

True

(T/F) A "near miss" or "good catch" is a medication error, even if that error does not reach the patient.

True

A medication error can occur while the medication is being controlled by whom (select all that apply)?

Prescriber

Pharmacist

Pharmacy technician or intern

Patient

Caregiver to the patient

all are selected

What term refers to when one sees what one expects to see or what is more common, rather than what is actually there?

close call

near sightedness

confirmation bias

selection bias

confirmation bias

What is the name of the non-profit organization dedicated to the collaborative development, education, and advocacy of safe medication practices?

Organization for Medication Error Prevention

Institute for Healthcare Improvement

National Foundation for Patient Safety

Institute for Safe Medication Practices

Institute for Safe Medication Practices

Which of the following is NOT recommended to prevent errors with look-alike, sound-alike (LASA) medications?

Store two similar looking medications next to each other to promote awareness of the similarities

Communicate LASA drug names using both generic and brand names

Order similar looking medications from different manufacturers so the bottles/labels appear differently

Install pop-up alerts in the computer when a LASA medication is selected

Store two similar looking medications next to each other to promote awareness of the similarities

What is it called when part of a drug's name appears in upper case letters to help distinguish look-alike, sound-alike drugs from one another in order to avoid medication errors? For example: HydrOXYzine and HydrALAzine

tall man letters

Which of the following is NOT considered a medication error?

An intern takes a phoned-in prescription. Even though he hears the prescription clearly, he utilizes the verbal-order-read-back practice to ensure he has the right information. The nurse confirms he read the prescription back correctly.

The cream dosage form of a topical medication was prescribed, but the ointment dosage form was put in. When the patient mentioned she prefers the ointment. The pharmacist called the prescriber who authorized the switch.

A pharmacist failed to counsel the patient to take the medication at bedtime. The patient took the medication in the morning and eventually stopped taking it since it made her feel sleepy all day.

A pharmacy technician selecting hydralazine off the shelf instead of the prescribed hydroxyzine but realizing the mistake when scanning the NDC code of the bottle and receiving an error message.

An intern takes a phoned-in prescription. Even though he hears the prescription clearly, he utilizes the verbal-order-read-back practice to ensure he has the right information. The nurse confirms he read the prescription back correctly.

Order the following steps of the medication use process:

Transcribing

Monitoring

Administration

Prescribing

Dispensing

1. Prescribing

2. Transcribing

3. Dispensing

4. Administration

5. Monitoring

Which of the following is NOT considered one of the 5 R's for proper drug administration?

Right drug

Right dose

Right result

Right route

Right patient

Right result

T/F? In regards to the article, Your Personal Error Rate: Checkpoints and Reality Checks, the use of technology always prevents medication errors.

False

Pharmacists provide pharmaceutical care utilizing the Pharmacists' Patient Care Process (PPCP). Number the following steps in this process in order from 1-5 for an interaction with a patient for the first time.

Follow-up

Plan

Implement

Assess

Collect

1. Collect

2. Assess

3. Plan

4. Implement

5. Follow-up

T/F? The Pharmacists' Patient Care Process is applicable to any practice setting where pharmacists provide patient care and for any patient care service provided by pharmacists.

True

T/F? According to the ACCP definition in the article posted, Clinical Pharmacists can only care for patients in the hospital setting.

False

Which of the following is FALSE regarding the Pharmacist's Patient Care Process (PPCP)?

It was developed by the Joint Commission of Pharmacy Practitioners

It enhances consistency within the profession regarding the approach to delivering services

It is utilized only in the clinic or ambulatory care setting

It increases awareness to those external to the profession that pharmacists utilize a consistent patient care process that relies on their unique training and expertise

Its overall goal as a standardized process is to provide high quality, cost-effective and accessible health care for patients through team-based patient-centered care

It is utilized only in the clinic or ambulatory care setting

In which situation is the pharmacist practicing patient-centered care?

The pharmacists recommends Prilosec for anyone complaining of heartburn since it is the most frequently requested OTC and people are familiar with that medication thanks to all the commercials.

The pharmacist inquires about the patient's health beliefs to determine if the patient would consider starting a pro-biotic with their antibiotic. The benefits and costs are explained and the pharmacist allows the patient to choose.

The pharmacist and provider determine a cancer treatment regimen for the patient which is aggressive but high success rate despite the overwhelming expense and bad side effects. The patient is only provided this option to move forward with treatment.

A pharmacist notes the patient's allergy to a medication, but fills it bc the side effects were small and thinks its the best option.

The pharmacist inquires about the patient's health beliefs to determine if the patient would be interested in starting a pro-biotic with their antibiotic therapy to prevent diarrhea. The benefits and costs are explained and the pharmacist allows the patient to choose whether or not the additional therapy is right for them.

Which of the following should be included in a past medical history? (hint: remember how this section differs from current medical history)

Thyroid cancer 3 years ago that is resolved

Hypertension diagnosed 7 years ago and is ongoing/still being treated

Type I Diabetes Mellitus diagnosed 12 years ago and is ongoing/still being treated

Congestive Heart Failure for the last 2 years and is ongoing/still being treated

All of the above should be included in past medical history

Thyroid cancer 3 years ago that is resolved

Which of the following family conditions should be included in a history?

Step brother with type II diabetes mellitus diagnosed at age 30

Paternal grandmother whom died of breast cancer at age 60

Second cousin with leukemia that is in remission

Adopted sibling with lymphoma diagnosed at age 30

None of the above

Paternal grandmother whom died of breast cancer at age 60

T/F? When discussing a patient's social history, it is important to ask leading questions (example: "You don't use any illegal drugs, right?") to make it easier for the patient to tell you what they use.

False

T/F? A 25 year old male patient tells you he is "allergic" to metformin because he had severe diarrhea when taking it. Because you know this is a common side effect from the medication (and not a "true allergy"), this should be documented in the adverse drug reaction section of the medication history.

True

If you cannot obtain a height and weight for the general information part of a medication history, what is the best option?

omit the information and leave it blank in the medication history documentation form

write down specific numbers based off your best guess

record that the patient denied disclosure of that information and include your own assessment such as "appears slightly overweight"

you do not need to ask or include height or weight in the general information

record that the patient denied disclosure of that information and include your own assessment such as "appears slightly overweight"

T/F? By entering medications into a drug interaction checker, you will discover ALL current and potential drug related problems (hint: remember the drug related problem categories).

False

Which of the following is NOT a potential or actual medication related problem?

Patient draws up an inappropriate dose of insulin due to small syringe size.

Two medications a patient is taking have drug interactions with each other causing inappropriate doses of one.

Therapeutic duplication is present upon review of patient's medications since the patient has multiple physicians.

Patient is taking appropriate medication(s) for every current disease state with no additional unnecessary therapy.

Patient is not taking a medication due to side effects experienced.

Patient is taking appropriate medication(s) for every current disease state with no additional unnecessary therapy.

Which of the following is a current medication related problem?

A patient takes his medication with food as instructed by the pharmacist to prevent an upset stomach, which is a well known side effect of the medication.

Patient takes an OTC sleep-aid, which has no interactions with his other medications according to his pharmacist, to counteract the insomnia experienced from his antidepressant.

A generic medication with equal efficacy is prescribed because the patient cannot afford the brand name alternative.

A patient stopped eating grapefruit for breakfast because of a drug-food interaction with simvastatin that the pharmacist counseled her over.

Because the physician was aware of a patient's previous anaphylactic response to another antibiotic, Levofloxacin is prescribed instead.

Patient takes an OTC sleep-aid, which has no interactions with his other medications according to his pharmacist, to counteract the insomnia experienced from his antidepressant.

T/F? When concluding your medication history, always give a brief synopsis of what you learned about the patient and allow them an opportunity to add any additional information they want you to know about.

True

Which of the following is important to include when introducing the medication history interview with a patient?

Ask the patient permission to interview

Explain the purpose of obtaining the medication history

State the information is confidential between you and the patient but also list who will be provided some of the information (such as insurance)

All of the above

All of the above

Which of the following is NOT a domain of social determinant of health?

Discrimination

Education

Health Care System

Neighborhood and Physical Environment

Discrimination

A patient has a well paying job and can afford fresh and healthy groceries, however he lives 10 miles away from a grocery store. Which SDOH domain is highlighted in this scenario?

Environmental

Education

Health Care System

Economic Stability

Environmental

A patient can not explain why she has to take her hypertension medications, which SDOH domain is highlighted in this scenario?

Health Care System

Education

Environmental

Economic Stability

Education

What is the definition of social determinants of health per the CDC?

The individual behaviors and choices that influence personal health outcomes.

The genetic and biological factors that determine an individual's health.

The availability of medical services and health insurance in a given region.

The conditions in the environments where people are born, live, learn, work, play, worship, and age that affect health, functioning, and quality of life outcomes

The conditions in the environments where people are born, live, learn, work, play, worship, and age that affect health, functioning, and quality of life outcomes

How can living in a more walkable area impact a patient's health?

Decrease risk of heart disease

Increase risk of heart disease

Increase risk of diabetes

Decrease risk of cancer

Decrease risk of heart disease

Hearing aids are covered under what part of Medicare?

Part C

Tresiba (insulin) is covered under what part of Medicare?

Part D

Accu-Check Guide test strips are covered under what part of Medicare?

Part B

Pneumonia vaccination is covered under what part of Medicare?

Part B

Primrose Long Term Care Nursing Home Facility is covered under what part of Medicare?

Part A

Tdap vaccination is covered under what part of Medicare?

Part D

Tacrolimus 2 mg capsules #30 following transplantation is covered under what part of Medicare?

Part B

Annual check-up with PCP is covered under what part of Medicare?

Part B

Dental appointment to get a crown fixed is covered under what part of Medicare?

Part C

Rosuvastatin 20 mg tabs are covered under what part of Medicare?

Part D

AW is a 28 year old female who has HMSA Hawaii insurance. She was recently seen in the ER for a vibro infection after eating raw oysters. Her bill came in the mail the following month, indicating that she owes $1000. The bill shows that the total fee for services was $1500. AW is an active woman who rarely gets sick, therefore she does not have to utilize her insurance very often. What is the best explanation for why AW only owes part of the amount on the bill?

Her insurance plan most likely has a co-insurance where each pay half of the cost of the service.

This bill is wrong. She has insurance so the full cost of the visit should be covered.

Her insurance plan most likely has a deductible of $1000. She has to pay up to that amount before his insurance will kick in to pay the remaining balance.

The $1000 is her usual insurance premium for ER visits.

Her insurance plan most likely has a deductible of $1000. She has to pay up to that amount before his insurance will kick in to pay the remaining balance.

T/F? A person may qualify for both Medicaid and Medicare.

True

A patient has met her deductible. The doctor's office sends a bill for $150 and the patient only pays $30 (20% of the bill). After the doctor's office, she goes to Lewis Drug to pick up Repatha that costs $200. At the register she pays $40 (20% of the bill). Each of the patient's payments are an example of paying which of the following?

Copay

Co-insurance

Deductible

Premium

Co-insurance

Which of the following terms refers to the out-of-pocket spending limit after which the patient pays greatly reduced copays?

Catastrophic Coverage

Premium

Copay

Deductible

Catastrophic Coverage

Which term refers to the amount the patient must pay out-of-pocket before the insurance will pay for any prescriptions?

Premium

Catastrophic Coverage

Copay

Deductible

deductible

What part of Medicare would cover a counseling for alcohol misuse and smoking cessation?

Part A

Part B

Part C

Part D

Part B

DB is a 74 year old female new to your pharmacy. She has come to pick up a new prescription for alendronate 70 mg #4 tablets with directions to take 1 tablet by mouth once weekly. She hands you her "red, white, and blue" card. What else do you need from her in order to bill her insurance for this prescription?

Ask her to sign the Medicare Part B billing form

Ask her if she has a Part D insurance card

Only her name and date of birth

Nothing, this is the correct card and you have all the information you need.

Ask her if she has a Part D insurance card

DN comes to your pharmacy to pick up a prescription and hands you her insurance card. What information listed on the commercial insurance card is not needed to bill her insurance company?

Rx Group Number

Processor ID (BIN)

Deductible

Processor Control Number (PCN)

Cardholder ID number

Deductible

DK is a 76 year old male. He comes into the pharmacy wanting to get the 2025-2026 Influenza and 2025-2026 COVID-19 vaccines. He gives you his Medicare card. What Medicare Part is associated with these vaccines?

Part A

Part B

Part C

Part D

Part B

What is the most commonly abused substance among healthcare professionals?

alcohol

narcotic medications

stimulant medications

other non-controlled medications

Nitrous oxide

alcohol

Which of the following is a behavior that may suggest a substance abuse problem?

Increasing personal and/or professional isolation

Progressive deterioration in personal appearance and hygiene

Frequently missing work

Recurrent mood swings and lack of impulse control

all of these

T/F? In addition to voluntary referrals, HPAP also provides mandated disciplinary options for licensing boards when regulated health professionals' mental health or substance use disorder requires recovery management and/or practice limitations.

True

T/F? SDSU pharmacy students are eligible to participate in the HPAP.

True

Which of the following people can refer an individual for treatment in the HPAP (Mark ALL that apply)?

Self-referral

Coworker

Employer

SD Board of Pharmacy representative

Family member

Friend

all of the above

T/F? Individualized Participant Agreements are created for participants of the program, which could include random drug screenings.

True

T/F? Past studies have estimated that 18-21% of pharmacists have misused prescription drugs.

True

Which of the following is an example of a patient safety issue that may be caused by a healthcare professional with a substance use disorder (select ALL that apply)?

Increased practice errors

Diversion of medications from patients

Improved focus

Greater patient empathy

Impaired judgement

-increased practive errors

-diversion of medications from patients

-impaired judgement

What is the democratic leadership style?

Provides each person with equal say in decisions.

What is the transformational leadership style?

Inspires others through a shared vision of the future.

What is the pacesetting leadership style?

Leads by example.

What is the coaching leadership style?

Encourages self-development and motivation by helping followers develop themselves according to their personal and career aspirations.

What is the coercive leadership style?

Relies on rewards and punishments to influence followers.

What is the affilative leadership style?

Provides support for the emotional needs of followers.

What leadership style attains buy-in and commitment from followers by demonstrating respect but can be inefficient?

democratic

What leadership style is where the leader can demonstrate high expectations through actions but guidelines for acceptable performance of the followers are not explicit if they are based only on actions?

Pacesetting

What leadership style can influence behavior quickly but may result in resentment?

Coercive

What leadership style encourages communication, trust, independence, and satisfaction but organizational performance may not reach its fullest potential due to overemphasis on the individual needs of the followers?

affiliative

Which leadership style encourages self-development by empowering followers to act independently, but requires the leader to be willing to let followers fail as they learn?

Coercive

Coaching

Democratic

Pacesetting

Transformational

Affiliative

coaching

When free ice cream coupons are handed out to students who speak up in class, the faculty member is utilizing what type of power to influence students' behavior?

Formal

Expert

Referent

Reward

Information

Punishment

reward

According to chapter 3 of the reading, which of the following guiding principles for leadership development is TRUE?

Leadership roles require a special position or title.

Leadership involves relationships with people.

There is one single right way to lead.

A person's leadership development is finite.

Leadership is important for a minority of practicing pharmacists.

Leadership and management are synonymous.

Leadership involves relationships with people.

T/F? You can lead without being in charge?

True

Which leadership type sets expectations by example, but not words?

Coaching

Pacesetting

Transformational

Affiliative

pacesetting

T/F? A disadvantage of the affiliative leadership style is that visions must be continually reinforced so followers are not distracted and the vision remains clear.

False

T/F? The Pharmacist Code of Ethics lists several principles that describe the roles and responsibilities of pharmacists.

True

The first code of ethics for pharmacy professionals was published in what year?

1852

Which statement is true of the four-principle approach?

The four-principle approach is not used in biomedical ethics

Principles are individually true but sometime conflict with one another

Each principle is absolutely true and can never conflict with other principles

Because principles are universal, they apply in all cases to all people

Principles are individually true but sometime conflict with one another

Which of the following is not one of the four principles in Beauchamp and Childress’s Principles of Biomedical Ethics?

Beneficence

Duty

Autonomy

Justice

Duty

When taking the Oath of a Pharmacist, what does one promise to devote themselves to?

The welfare of humanity and relief of suffering

A lifetime of service to others through the profession of pharmacy

Holding oneself and colleagues to the highest principles of the profession's moral, ethical and legal conduct

The lifelong obligation to improve professional knowledge and competence

A lifetime of service to others through the profession of pharmacy

T/F? Morality and ethics mean the same thing.

False

Ethics, especially ethics in healthcare, is reliant upon the understanding that not everyone in a _______ society shares the same viewpoint nor the same values.

liberal

beneficent

democratic

moral

liberal