Administration of TPN solution requires the insertion of a central venous catheter(CVC). Central venous catheters are

inserted into the subclavian vein.

A risk evaluation and mitigation strategy (REMS) must be developed by a drug manufacturer when

benefit of high-risk drug outweighs adverse effects in certain patients

What is the most effective way to help a customer locate a product?

escorting a customer to the location and pointing out the product

If there is no pharmacist on duty, the

secured area of the pharmacy must be locked and closed to the public.

When filling floor stock, it's a best practice

pull all items listed from shelf, arrange on counter, then pack all at once

The conventional order for entering a patient name in a pharmacy software search window is

last name, first name, middle name.

The price a patient paid for a medication can be found in which part of the audit log?

All of answers are correct, but it would be easiest to find in line by line

What is the % profit margin?

the percentage of profit made above the cost of the medication

What does it mean when a physician orders an IV drip to be “titrated to effect”?

Drip rate is adjusted to run faster or slower depending on patients respons

You incorrectly calculate days supply. S/b 30days, but you submitted 90days. Patient is back for refill. You tell them..

You need to call insurance & correct your mistake before refilling it

The Handbook of Injectable Drugs is a comprehensive guide on all of the following except

sterile process garbing procedure for preparing parenteral drugs.

It is a best practice to

press the Save button frequently as you work.

Which of these key terms related to floor stock is not correctly matched with its definition?

filled by: name of checking pharmacist

When compounding a chemotherapy CSP, where should the small chemotherapy sharps container be placed?

to one side of the interior work surface of the BSC

What is the interpretation of this signa component: ii gtts au q4h?

Instill two drops into both ears every four hours.

To best protect a patient's privacy, you can

keep your voice low when talking to Mr. Andersen-picking up Truvada

NDC (National Drug Code) number is especially useful when looking up cash pricing because it can be used to distinguish

brands when the same drug & drug strength is made by two different mfgs

The National Drug Code (NDC) is

a unique and permanent signifier providing product information.

A prescription for Depo-Medrol IV is entered into the computer instead of Solu-Medrol IV. What could happen?

A mismatch of dosage form to route of administration will likely result

Line at register is getting long. The tech who is running register is chatting with a customer. What should you do?

Ask tech if he needs help at register-later follow up with him abt chatting

Diabetic patients who are prescribed cefdinir (Omnicef) in oral suspension must be informed

of the high sugar content of the drug.

A properly trained pharmacy technician is expected to

know the drug resources to use to answer several types common questions

Pharmacy software programs all _____ but generally follow _____.

operate differently, the same principles

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Final Comprehensive Exam

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Questions 90

Answers

1
Administration of TPN solution requires the insertion of a central venous catheter(CVC). Central venous catheters are
administered into a peripheral vein in the arm.
used for administering hypotonic concentration solutions
inserted into the subclavian vein.
always inserted by the nurse.
2
Some patients must pay the cash price because their insurance plan doesn't have a(n)
leverage clause.
prescription benefit.
prescription benefit.
BMI coding plan.
3
A risk evaluation and mitigation strategy (REMS) must be developed by a drug manufacturer when
benefit of high-risk drug outweighs adverse effects in certain patients
the FDA requires further clinical drug studies.
USP wants to guarantee the drug is manufactured by the proper standards
use of the drug will out-pace the ability to manufacture more drug.
4
What is the most effective way to help a customer locate a product?
describing the name and price of the product to a customer
escorting a customer to the location and pointing out the product
telling a customer to ask someone who is more knowledgeable
explaining what the product packaging looks like to a customer
5
Convert the fraction strength of nitroglycerin 1/150 gr to a decimal.
0.0067
0.067
0.00067
0.67
6
If there is no pharmacist on duty, the
pharmacy technician may keep the pharmacy dispensing
secured area of the pharmacy must be locked and closed to the public.
store owner may keep the pharmacy dispensing area open.
secured area of pharmacy is required to stay open to public if store's open
7
Floor stock is needed b/c some patients need expedited delivery of___&___, faster delivery than pharmacy can provide
initial doses / stat orders
controlled substances / antibiotics
sedatives / narcotics
ointments / inhalers
8
When filling floor stock, it's a best practice
pull all items listed from shelf, arrange on counter, then pack all at once
Any of these options is equally acceptable.
to pull all the items listed on FSRF from shelf, then pack in reverse order
to pull and then pack each item one at a time.
9
The conventional order for entering a patient name in a pharmacy software search window is
last name, middle initial, first name.
last name, first name, middle name.
last name, first initial.
first name, last name, middle initial.
10
The price a patient paid for a medication can be found in which part of the audit log?
line-by-line breakdown of prescriptions filled
newly filled prescriptions by payment plan
cost analysis breakdown by payment plan
All of answers are correct, but it would be easiest to find in line by line
11
Who does not directly interface with the pharmacy healthcare data network?
prescriber's office staff
hospital billing office staff
patient
pharmacy technician
12
Fully functional pharmacy software programs often have an_____ feature, which means as you begin typing it fills in rest
autofill
anonymity
automaton
asterisk
13
In the United States, which of the following may sign a prescription for a Schedule II drugs?
pharmacists and chiropractors
physicians and dentists
podiatrists and physical therapists
veterinarians and pharmacy technicians
14
What is the % profit margin?
Two of the answers are correct.
the percentage of profit made above the cost of the medication
amount of markup or the price increase to cover pharmacy operation costs
the amount the patient paid in cash
15
When calling a doctor's office to request a refill for a patient, it's best to start the request by giving
the last date the prescription was filled.
the original date the prescription was written.
the patient's name.
the drug name.
16
__is Internet-based program used to anonymously document, analyze/track med errors specific to particular institution
ClearRx
e-MAR
MERP
MEDMARx
17
What does it mean when a physician orders an IV drip to be “titrated to effect”?
The IV catheter is tunneled between two large veins.
Positive air pressure is used to equalize the pressure within the IV bag.
IV infusion is administered continuously until the patient is rehydrated
Drip rate is adjusted to run faster or slower depending on patients respons
18
Which of the following muscle relaxants is a DEA scheduled IV controlled substance?
chlorzoxazone
diazepam
baclofen
cyclobenzaprine
19
You incorrectly calculate days supply. S/b 30days, but you submitted 90days. Patient is back for refill. You tell them..
They have to pay for the prescription.
The pharmacy will give them the medication at no charge.
You need to call insurance & correct your mistake before refilling it
They will need a new prescription from the doctor.
20
The Handbook of Injectable Drugs is a comprehensive guide on all of the following except
pH of parenteral drugs.
compatibility of parenteral drugs.
storage of parenteral drugs.
sterile process garbing procedure for preparing parenteral drugs.
21
Which one of the following in not one of the patient rights in Prescription Drug Dispensing?
Right drug
Right pharmacy
Right education
Right time
22
It is a best practice to
avoid pressing Save button until you have entered all patient's data
press the review button often.
press the Save button frequently as you work.
press control+S after all data entry for a patient is complete.
23
_____ be dispersed among other prescription drugs stocked in the pharmacy.
All Schedule II-V medications may
No controlled substances may
Schedule II medications may
Schedule III-V medications may
24
_____ are microscopic holes inherent in manufactured membranes, such as those in gloves.
micropores
iodophors
strigils
fomites
25
Which of these key terms related to floor stock is not correctly matched with its definition?
fill number: amount of a medication that nursing unit personnel requested
unit: a location inside the hospital
filled by: name of checking pharmacist
par level: total amount of a certain medication that unit must keep on hand
26
When compounding a chemotherapy CSP, where should the small chemotherapy sharps container be placed?
on the transport vehicle
on the chemotherapy
to one side of the interior work surface of the BSC
in the middle of the BSC work surface
27
What is the interpretation of this signa component: ii gtts au q4h?
Instill four drops in each eye twice a day.
Apply to affected area twice daily as needed.
Give two ounces by mouth four times a day.
Instill two drops into both ears every four hours.
28
To best protect a patient's privacy, you can
staple Imitrex Med Guide on top of cover sheet & hand to patient inLine
keep your voice low when talking to Mr. Andersen-picking up Truvada
stand behind the counter and direct Ms. Bautista to location of tampons
announce over the paging system that Mr. Kobayashi's Cardura is ready.
29
Which error occurred if a pharmacy technician typed in the wrong sig code in the pharmacy computer system?
preparation error
transcription error
administration error
prescribing error
30
NDC (National Drug Code) number is especially useful when looking up cash pricing because it can be used to distinguish
brands when the same drug & drug strength is made by two different mfgs
patients who pay copays and those who pay the cash price.
The NDC number is not useful for this task.
controlled medications and medications that are not controlled.
31
What sets up the National Quality Improvement Goals?
individual pharmacy departments
The Joint Commission
individual hospitals
state Boards of Pharmacy
32
Where should this medication be administered if a prescriber writes prescription with the sig: i-ii ASi bid x 7d?
both ears
left eye
left ear
right ear
33
The National Drug Code (NDC) is
used for newly marketed drugs only.
required by the Centers for Disease Control and Prevention.
made of 12 or more characters.
a unique and permanent signifier providing product information.
34
Which of the following is not one of the most common points of data used in MTM?
patient name
medical history
Social Security number
lab tests and values
35
Pharmacy technicians are allowed to contact the prescriber to secure refill authorizations in _____ states.
some of the
none of the
the Western
all of the
36
What is the primary indication for using antipsychotics?
depression
anxiety
insomnia
schizophrenia
37
What is the purpose of lancets for a diabetic patient?
used to get blood sample
used to measure blood sugar
used to inject insulin
used to calibrate glucometer
38
Which of the following is the antidote for cyanide poisoning?
deferoxamine
flumazenil
methylene blue
glucagon
39
A prescription for Depo-Medrol IV is entered into the computer instead of Solu-Medrol IV. What could happen?
A mismatch of dosage form to route of administration will likely result
An incorrect dose will be dispensed.
Depo-Medrol IV will be safely administered to the patient.
A serious overdose of methylprednisolone will occur
40
Preferred Provider Organizations have more choice in providers than Health Maintenance Organizations due to option of
in-network providers.
out-of-network providers.
formularies.
referral requirements.
41
It is especially important to verify the _____ of a patient because dosing for children is different than adult dosing.
social security number
current weight
creatinine
blood pressure
42
Line at register is getting long. The tech who is running register is chatting with a customer. What should you do?
Keep filling prescriptions; the register is not your problem.
Ask the pharmacist to help at the register.
Call the manager over to talk to the register technician.
Ask tech if he needs help at register-later follow up with him abt chatting
43
If DAW is not specified, many pharmacies will have a default choice-generic. Which statements about DAW are NOT true?
Only prescribers are allowed to specify DAW on the prescription form.
patient may orally request prescription be DAW, even if MD doesnt write DAW
All of the answers are true
Laws vary, in some states, if DAW isnt listed, generic may be dispensed
44
Diabetic patients who are prescribed cefdinir (Omnicef) in oral suspension must be informed
to drink lots of fluids.
to avoid sun exposure.
of the high salt content of the drug.
of the high sugar content of the drug.
45
MD has authorized 3 refills of a med for patient, patient wants 1 fill of the med today, how many refills do you enter?
2
1
0
3
46
Which of the following antiviral drugs is also effective in treating patients with Parkinson's disease?
ranitidine
amantadine
acyclovir
rimantadine
47
Requests for refill authorization are generally sent using
email or telephone.
email or text message.
text message or video conference.
fax or telephone.
48
A properly trained pharmacy technician is expected to
rely on Google searches as the main source of drug information.
know how to tactfully ask other techs to look things up for them.
know as much about drug information resources as pharmacist in charge
know the drug resources to use to answer several types common questions
49
Which balance is easiest to use and most accurate?
Class III prescription balanc
two-pan balance
electronic digital balance
torsion balance
50
All prescriptions should contain all of the following except
the name of the drug prescribed and directions on how to take it
a valid DEA number.
the prescriber's name and signature.
the date the prescription was written.
51
Pharmacy software programs all _____ but generally follow _____.
operate the same, different principles
operate differently, different principles
operate differently, the same principles
operate the same, the same principles
52
You will need the HCPCS and ICD-10 code to bill Medicare Part B for
durable medical equipment.
medication therapy management.
immunizations.
prescriptions.
53
When a prescriber authorizes a refill request,
the patient must be notified within the hour.
the pharmacist can disregard it.
prescriber must keep all parts of prescription exactly the same.
MD can change script /send special instructions to patient via pharmacy
54
A person who is taking a monoamine oxidase inhibitor should be advised to avoid consumption of which of the following?
pickled fish, sauerkraut, and aged cheeses
green beans, broccoli, kale
oranges and lemons
grapefruit juice.
55
A prescription label has been printed. What happens next?
It should be compared with the patient's profile.
Additional checks are not needed.
It should be verified by an inventory tech for stock availability.
It should be compared with the original prescription.
56
Patient presents a script for a hydrocodone & acetaminophen, a Schedule II controlled substance. Which is NOT true?
All of the answers are correct.
It must contain a date and a qualified prescriber's signature.
To be valid, it must have been written within the last 6 months.
It can't have fewer than 5 refills.
57
Which of the following represents the correct order of events for the anteroom preparatory procedures?
gloving, gowning, aseptic hand washing, garbing
aseptic hand washing, gloving, gowning, garbing
garbing, aseptic hand washing, gowning, gloving
gowning, garbing, gloving, aseptic hand washing
58
Which items related to controlled substances in the hospital must never be left unattended?
keys to the narcotics cabinet
All of the answers are correct
narcotics
narcotics records
59
How many perpetual inventory log books are generally kept in the pharmacy?
two: one for C-Is & one for all other controlled substances
three: one for C-I s, one for C-IIs and one for other controlled substanc
five: one for each schedule (I - V) of controlled substances
two: one for C-II controlled substances and one for C-III, C-IV, and C-V
60
Most IV base solutions are made with varying concentrations of _____ mixed with sterile water.
sodium or dextrose
antibiotics
potassium chloride
famotidine
61
In community setting, prescriber's software communicates with pharmacy's computer system to transmit patients script____
cloud transmission.
e-prescribing.
This does not happen.
CPOE.
62
A Black Box warning
allows the prescriber to weigh the cost advantage of using this drug.
counsels technicians against the wrong ways to reconstitute various drugs.
alerts prescribers to the known problems with the use of the drug.
is on the prescriptions of thousands of drugs on the market.
63
Flourouracil and capecitabine are both used to treat which of the following cancers?
colon
breast
leukemia
ovarian
64
Pharmacy has received order for gentamicin 170mg. Concentration of solution on hand is 40mg/mL. What volume w/b prepared
24.25 mL
2.4 mL
42.5 mL
4.25 mL
65
An infant's weight is 15 lb. How much does the infant weigh in kg?
7.5 kg
6.8 kg
8.0 kg
7.6 kg
66
The e-prescriber's signature for all e-prescriptions
musr be encrypted &triple authenticated w/password & other security
must be thru secure network approved by state Board of Pharmacy
may be omitted.
must be handwritten and scanned in as part of the e-prescription
67
An “Avoid sun exposure” warning should be placed on the following antibiotic:
metronidazole
azithromycin
ciprofloxcin
doxycycline
68
If the acquisition cost of 40 cephalexin 500 mg capsules is $10.80, what is the pharmacy's cost per capsule?
35 cents
31 cents
25 cents
27 cents
69
The pharmacy technician should be concerned if the physician prescribes
an oral antibiotic + otic antibiotic for a patient with a tube in the ear
an ophthalmic solution for a patient to use in the ear.
an otic antibiotic for use in an eye infection.
an ophthalmic solution for an eye infection.
70
Most pharmacies have two perpetual log books, one for _____, and the other for _____.
schedules II-III controlled substances / schedules IV-V controlled substanc
stimulants / pain medications
pain medications / all other controlled medications
schedule II controlled substances /schedules III-IV or III-V controlled sub
71
Drug that fights bone& loss requires labeled directions to take drug 1st thing in am w/water & not recline after
alendronate
metformin
furosemide
ipratropium
72
You are delivering prescription to patient & realize that English is not her 1st language. What could you do to help
Tell her to look up information on her medication on the Internet.
Check with pharmacist for an alternative language patient information
Ask her if she understands what you are saying.
Speak loud and exaggerate the instructions.
73
Patient, in great pain, presents bottle of oxycodone/acetaminophen, a C-II & asks for a refill. What should you do?
Tell patient that you are very sorry, you cannot fill it.
refill it
patient is in pain, so you should fill it though it has no refills
Hand off to RPh to call MD because there aren't any refills on C-IIs
74
Pharm tech has an order to prepare 500mL of dextrose 12.5% using dextrose 10% & dextrose 50%. How many mL of each
31 mL of 50% solution, 469 mL of 10% solution
469 mL of 50% solution, 31 mL of 10% solution
28 mL of 50% solution, 472 mL of 10% solution
472 mL of 50% solution, 28 mL of 10% solution
75
After the pharmacy technician completes the fill, the pharmacist initials the prescription. What does this mean?
The pharmacy takes sole responsibility for the prescription.
Pharmacist assumes legal responsibility for correctness of prescription
Pharmacy tech is not responsible for insurance refusals for prescription
Pharmacist assumes legal partnership&responsibility dispensing accuracy
76
In community setting, prescriber's software communicates with pharmacy's computer system to transmit patient's script __
cloud transmission.
CPOE
e-prescribing
This does not happen.
77
A prescription's signa, which is often called “the sig” is
the doctor's signature.
the doctor's contact information.
directions for taking med & is written as a series of abbeviations
only written on controlled substance ptescriptions.
78
Which of the following is true about the trade name of a drug?
must be at least half the size of the brand name
referred to as a USAN
must have part of the chemical name in it
begins with a capital letter
79
What document should you use to make sure you are following the most current standards for compounding sterile products?
USP Chapter <1163>
USP Chapter <795>
USP Chapter <797>
hospital ICC policies
80
What is the technique used if you need to recap a needle when compounding?
safety needles
punch and stick
cap and click
scoop method
81
What is administrated per oral route when a rapid action is desired?
intravenous
intranasal
buccal
subcutaneous
82
A Schedule _____ drug cannot be prescribed by phone except in an emergency.
IV
II
V
III
83
Which of the following is one of the items on the 9-point check?
date the prescription expires
indication for the medication
pharmacy name
prescriber's name
84
On the 24-Hour Cart Fill Form, the term Number to Dispense means
amount of a medication that is available in current pharmacy stocks.
the amount of a medication the patient needs to take in a 24-hour period.
the amount of a medication needed for the next 8-hour hospital shift.
amt of med doctors calculated that patient should take during hospital stay
85
What does the term % profit-AWP mean?
comparison percent of profit from what drug was sold for to wholesale price
None of the answers are correct.
It's an estimate of the annual wholesale profit of the pharmacy
It's an estimate of how much profit the pharmacy would make if it sold a dr
86
What spatula should be used when compounding with iodine or mercuric salts?
stainless steel
hard rubber
plastic
vibranium
87
Low doses of prochlorperazine (Compazine) are commonly used for
seasonal allergies.
dry mouth.
nausea and vomiting.
pain.
88
Which of the following statements about Medicare Part D is true?
Beneficiaries pay an extra premium for prescription benefits.
Patients are eligible to start the program at age 62.
Only prescriptions picked up at retail pharmacies are covered.
Only pharmacists can educate patients about the program.
89
What law required that drugs be both safe and effective?
Durham-Humphrey Amendment
Pure Food and Drug Act
Kefauver-Harris Amendment
Federal Food, Drug, and Cosmetic Act
90
What drug used to treat gastroesophageal reflux disease (GERD) is not a proton pump inhibitor?
rabeprazole
famotidine
lansoprazole
omeprazole

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