Practice Test 2

Which of the following federal agencies requires that Schedule II medications be locked up at all times within the pharmacy?

Drug Enforcement Administration (DEA)

The DEA requires that Schedule II medications be locked up at all times.

Which of the following would be required on a prescription for oxycodone (OxyContin)?

Prescriber's Drug Enforcement Administration (DEA) number

For a controlled substance prescription, such as oxycodone, the prescriber's DEA number must be on the prescription.

Which of the following directions is the correct translation for these abbreviations?

1 po tid ac PRN HA

Take 1 by mouth three times a day before meals as needed for headache.

Which of the following over-the-counter medications can serve as an anti-inflammatory and anti-platelet agent?

Aspirin

Aspirin is both an anti-inflammatory and antiplatelet medication.

Dextromethorphan is an antitussive used to reduce cough.

Cetirizine is an antihistamine for allergy symptoms.

Acetaminophen is an analgesic and antipyretic.

A pharmacy technician dilutes a 1g vial of cefazolin (Ancef) to 100mg/ml. Which of the following is the amount of solution the technician should use to compound a 500mg dose?

5 mL

According to the ratio of 100 mg/1 mL, a dose of 500 mg would require the technician to draw up 5 mL of solution.

The pharmacy recently experienced a medication error wher glyburide (Diabeta) was dispensed instead of glipizide (Glucotrol). Which of the following is appropriate to avoid this medication error in the future?

Place a name alert sticker at each inventory location.

A pharmacy technician recieves a delivery of medications from a wholesaler and notices that some of the medications appear to be counterfeit. Which of the following organizations should be contacted?

Food and Drug Administration (FDA)

The FDA should be contacted within 24 hr if a medication appears to be counterfeit.

Which of the following electronic or paper forms is required for ordering a Schedule II medication?

DEA form 222

DEA form 106 is used for reporting theft or loss of controlled substances.

DEA form 224 is required to dispense controlled substances.

DEA form 41 is used to authorize destruction of controlled substances.

Which of the following roles of a pharmacy technician involves identifying and reviewing the most accurate list of all medications a patient is taking?

Medication reconciliation

A medication reconciliation technician identifies the most accurate list of all medications a patient is taking.

Which of the following medications categories require special handling procedures during preparation and administration because the medications are hazardous?

Chemotherapy agents

According to USP <800>, chemotherapeutic agents are hazardous and require special handling procedures during preparation and administration.

Which of the following actions by a pharmacy technician demostrated proper handwashing hygiene in a sterile environment?

Drying hands and forearms with a lint-free towel

Which of the following aspects of a prescription label should be used to select the correct product in the medication storage area?

National Drug Code

Which of the following vaccines does the Centers for Disease Control and Preventions (CDC) recommend administering at birth?

Hepatitis B

DTaP is recommended to be administered at 2 months of age.

MMR is recommended to be administered at 15 months of age.

Influenza is recommended to be administered at 18 months of age and annually, thereafter.

Which of the following over- the- counter medications is used to treat acid reflux?

Famotidine (Pepcid)

Diphenhydramine is used to treat allergies and runny nose.

Ibuprofen is used for pain relief and/or fever.

Bisacodyl is used to treat constipation. (Dulcolax)

A pharmacy technician is processing recallled medications. Which of the folllowing should the technican identify as a Class III recall?

Class III recalls include medications that are unlikely to cause adverse health effects.

Which of the following organizations allows anonymous medication error reporting?

NCC MERP

The National Coordinating Council for Medication Error Reporting and Prevention, or NCC MERP, allows anonymity when reporting medication errors.

The FDA Adverse Event Reporting System, or FAERS, consists of a database that reports adverse events.

The Joint Commission, or TJC, assists with public care and accreditation for hospitals.

The Institution of Medicine, or IOM, advises the public and does not offer error reporting.

A patient brings in a prescription for 8 fl oz of nystatin (Mycostatin). Which of the following is this amount in milliliters?

240 mL

There are 30 mL in 1 fl oz. 240 mL = 8 fl oz.

Which of the following is the minimum length of time pharamcy records should be kept for dispensed medications?

2 years

Which of the following primary engineering controls should be used when compounding hazardous drugs?

Biological safety cabinet

Hazardous drugs are compounded in a biological safety cabinet, which is a vertical laminar flow hood.

Hazardous drugs should never be compounded in a LAFH because the air is blown out toward the compounder.

Hazardous drugs should never be compounded in a CAI. A compounding aseptic containment isolator (CACI) is used for compounding hazardous drugs.

Positive pressure rooms are used to prevent entry of air into the room. They should not be used to compound hazardous drugs.

A prescription must contain which of the following elements to be valid?

Physician's phone number

Which of the following is the correct days’ supply for a prescription with these directions?

ii tab po tid #42

7 days

Which of the following methods aids in the prevention of medication errors in look-alike /sound alike medications?

Tall Man lettering

Computerized physician order entry (CPOE) helps prevent errors due to poor handwriting.

Medication reconciliation helps patients keep an updated list of current medications.

Special auxiliary labels are used for high-alert medications.

When inspecting a sterile compound that was incorrectly stored, a pharmacy technician observes solid pieces. Which of the following incompatibilities does this describe?

Precipitate

A precipitate is a solid that forms in solution when there is an incompatibility, in this case a temperature incompatibility that resulted in the degradation of a medication and caused a precipitate to form. A precipitate may form if a medication stored in a refrigerator is not stable at that temperature.

A pH change can be caused when two drugs require different pH levels and are mixed together. A precipitate may form if a medication is stored in a refrigerator but is not stable at that temperature.

Which of the following actions demonstrates a pharmacy technician’s compliance with laws and regulations while filling a prescription?

Informing a new patient of the pharmacy's privacy policies and procedures

To comply with HIPAA guidelines, the technician should inform new patients of the pharmacy's privacy policies and procedures during their first visit to the pharmacy.

Which of the following is a requirement for shipping controlled substances?

The inner container must have the dispensing pharmacy name and address.

When controlled substances are shipped, the pharmacy name and address must be on the inner container.

Keeping appropriate periodic automatic replenishment (PAR) levels of oseltamivir (Tamil) during influenza season is an example of which of the following types of inventory control?

Time of year

Appropriate inventory for antivirals should be done during influenza season.

Which of the following may a pharmacy technician do to ensure a patient has been dispensed the correct medication?

Offer the patient counseling by the pharmacist.

Offering the patient counseling by the pharmacist allows the patient to understand the use of their medication and ensures that the correct medication has been dispensed.

A medication has been recalled, and the pharmacy technician removes all of the stock bottles of that medication from the shelf. Which of the following numbers would be used to identify the bottles that must be quarantined?

Lot number

The lot number is a unique number that identifies the specific production batch of the medication.

-A package code is an identifier in the NDC representing package size. It is not unique enough for recalls.

A patient is prescribed nitroglycerin (Nitrostat) SL. Which of the following is the site of absorption for this medication?

Under the tongue

The site of absorption for sublingual or "SL" medications is under the tongue.

The site of absorption for vaginal or "PV" medications is the vagina.

The site of absorption for buccal or "BUC" medications is the cheek.

The site of absorption for subcutaneous or "SQ" medications is under the surface of the skin.

A patient has a prescription for a liquid medication with the following instructions:

1 tsp po tid * 10 days

Which of the following is the total number of milliliters the patient will take for the entire therapy?

150 mL

1 tsp = 5 mL; 5 mL x 3 times daily = 15 mL per day; 15 mL x 10 total days = 150 mL total

Which of the following actions is within a pharmacy technician’s scope of practice?

Inputting patient information

Which of the following organizations provides protocols for safe handling of hazardous drugs and waste, and for the safety and health care of employees?

Occupational Safety and Health Administration (OSHA)

OSHA ensures the safety and health of workers by setting and enforcing standards for employee safety in the workplace.

The FDA inspects and regulates the production of medications.

The DEA enforces rules and regulations regarding legal and illegal trade of narcotics and other potentially dangerous drugs.

The USP establishes documentation on quality standards and drug information.

Which of the following methods do automated counting machines use to count a specific quantity of medication for a prescription?

Using an electronic sensor

An electronic sensor counts each single tablet that passes through the system.

A pharmacy technician is preparing to dispense a prescription. Which of the following findings is an indication that the prescription might be altered or forged?

Written in red ink

The technician should identify that a prescription written in red, green, or blue ink is an indication of possible alteration or forgery. Prescriptions should generally be written in standard black ink.

The technician should identify that a prescription having legible, too-neat handwriting is an indication of possible alteration or forgery.

The technician should identify that a prescription with no abbreviations is an indication of possible alteration or forgery.

The technician should identify that a prescription having an unusually large dosage is an indication of possible alteration or forgery.

Which of the following auxiliary labels is appropriate labels is appropriate to apply to a prescription for antibiotics?

Take until gone

A full course of antibiotics should be taken until finished so that antibiotic resistance does not occur.

Alcohol must not be consumed with narcotics or metronidazole, but this does not apply to all antibiotics.

Antibiotics do not typically cause drowsiness.

Antibiotics do not cause drowsiness, and it is safe to drive while taking antibiotics.

A pharmacy technician is preparing to fill a prescription for a toddler. Which of the following is the weight-based formula the technician should use to determine the correct pediatric dose?

Clark's rule

The technician should use Clark's rule, a weight-based formula, to determine the correct pediatric dose.

Young's rule is a formula used to calculate pediatric dosages based on a child's age stated in years.

The alligation method is used when two concentrations are needed to prepare a desired concentration.

Fried's rule is a formula used to calculate pediatric dosages based on a child's age stated in months.

The Poison Prevention Packaging Act (PPPA) of 1970 requires manufacturers and pharmacies to dispense medications in childproof caps or packaging except in the case of specific exemptions. Which of the following medications must be dispensed in childproof packaging?

Acetaminophen/oxycodone (Percocet) tablet

Acetaminophen/oxycodone is a narcotic and is not exempt from PPPA standards. It requires childproof packaging.

Sublingual nitroglycerin is exempt from PPPA standards.

Oral inhalers are exempt and do not require childproof packaging under the PPPA.

Contraceptives in daily dispensing sets are exempt from PPPA standards.

Which of the following is the number of grams of dextrose in 500ml of dextrose 10% in water (D10W)?

50 g

D₁₀W contains 10 g/100 mL. Set up a ratio/proportion for 10 g/100 mL = x g/500 mL. Cross multiply (10 x 500)/100 = 50 g.

The root “oust/o” refers to which of the following?

Bone

The root "oste" refers to bones.

The root "hemo" refers to blood.

The root "rhino" refers to the nose.

The root "phleb" refers to veins.

Which of the following suggestions should the pharmacy technician make for a change in prescription that would improve compliance for pediatric patients?

Change amoxicillin capsules to liquid.

Liquid is the preferred route of administration for pediatric patients.

Spacers can be beneficial compliance aids for adults and pediatric patients.

Adding flavor, especially to poor-tasting medication, can improve pediatric compliance.

Chewable tablets are a common dosage form for pediatric patients.

Which of the following Dispense as Written (DAW) codes indicates that substitution is not allowed per provider request?

DAW 1

DAW 1 indicates a provider has requested brand-only be dispensed.

DAW 2 indicates the patient has requested brand-only be dispensed.

DAW 3 indicates that substitution is allowed, and the pharmacist selects the medication dispensed.

DAW 4 indicates that substitution is allowed, but the generic is not in stock.

A pharmacy technician should use which of the following measurement systems when labeling a prescription for insulin?

International unit system

The technician should use the international unit system when labeling a prescription for insulin. Other prescriptions that require the use of the international unit system are penicillin G (Bicillin LA) and heparin (Lovenox).

A pharmacy technician should recognize that which of the following resources are commonly used in the hospital system as a reference for parenteral drugs?

Handbook on Injectable Drugs ( Trissel’s Handbook on Injectable Drugs)

The Handbook on Injectable Drugs is a collection of commercially available parenteral drugs.

Drug Facts and Comparisons is used to compare medications in the same therapeutic class.

The Drug Information Handbook includes drugs that are organized alphabetically by generic name with cross-references to brand names.

The Physician's Desk Reference contains drug summaries and drug alerts for prescription medications.

Which of the following medications is the brand name for oxycodone with acetaminophen?

Percocet

Percocet is the brand name for oxycodone with acetaminophen.

Norco is the brand name for hydrocodone with acetaminophen.

Ultram is the brand name for tramadol.

Tylenol #3 is the brand name for acetaminophen with codeine.

Which of the following work environments is best for pharmacy technicians to prevent medication errors from occurring?

Absence of clutter

When a pharmacist is conducting medication therapy management (MTM) services, which of the following is a task that can be performed by the pharamacy technician?

Documentation of a patient's medication history

Which of the following items on an insurance card is sent to a third-party payer for prescription payment processing?

Patient's insurance identification number

An identification number is necessary for third-party payers to process prescription claims.

Which of the following actions should a pharmacy technician take when a prescription being processed receives a “ patient not covered” rejection?

The pharmacy technician should ask if the patient has a new insurance card or if coverage has changed.

"Patient not covered" rejection occurs when a patient has a new insurance card or a change in coverage.

A pharmacy technician has received an emergency prescription by phone for a Schedule II medication. According to federal law, the prescriber must issue a written, signed prescription within how many days?

7 days

Though state laws may differ, federal law requires that a prescriber provide a written, signed prescription within 7 days.

A pharmacy technician should recognize that which of the following is proper protocol for protecting a patient’s privacy under HIPAA?

Documents with patient information should be shredded instead of discarded in the regular trash.

Which of the following correctly pairs a medication with its indication?

Warfarin and deep venous thrombosis

Warfarin is indicated for the treatment of deep venous thrombosis.

Lisinopril is indicated for heart failure.

Glipizide is indicated for diabetes mellitus.

Albuterol is indicated for asthma.

Which of the following medications requires special disposal because it cannot be returned to the manufacturer?

A partially used vial of chemotherapy medication

Cytotoxic agents must be discarded in specialized containers for hazardous waste.