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Pharmacy Certification Exam Review
This activity contains 125 questions.Top of Form
Calculate the flow rate in drops per minute if a physician orders D5W/NS 1400 mL over 12 hr using an administration set that delivers 40 gtt./mL.
87 gtt./min
68 gtt./min
117 gtt./min
78 gtt./min
The drug enalapril would be categorized into which of the following classification groups?
beta-blocker
ACE inhibitor
NSAID
anti-emetic
The retail price of a prescription is based on AWP plus a dispensing fee. Using the following fee table below, calculate the retail price of a prescription for 20 tablets if a bottle of 100 tab-lets has an AWP of $68.60.
AWP Dispensing Fee
$0–$5.00 $4.75
$5.01–$10.00 $5.75
$10.01–$20.00 $6.75
$20.00 and up $7.75 $13.72
$20.47
$18.47
$21.47
A prescription for which of the following medications could not be written with refills?
nifedipine
hydrocodone/acetaminophen
lorazepam
methylphenidate
A technician answers the phone and the patient calling in states that after taking a medication received from the pharmacy a few hours earlier, she is not feeling well and would like to know the side effects of the medication. The technician should:
tell the patient to lie down and maybe the side effects will wear off soon
ask the patient to hold while he looks up the side effects in a reference book
tell the patient the side effects of the medication, since they are commonly known to all pharmacy personnel
put the patient on hold and notify the pharmacist of the situation
Diphenhydramine is the generic name for which of these drugs? Benadryl
Dramamine
Bentyl
Soma
A local dermatologist has special ordered 60 g of 1.5% hydrocortisone cream for a patient. The pharmacy has in stock a 2.5% hydrocortisone cream and a 1% hydrocortisone cream. How much of each will the technician need to correctly prepare this extemporaneous compound?
45 g of 1% and 15 g of 2.5%
30 g of each strength
40 g of 2.5% and 20 g of 1%
40 g of 1% and 20 g of 2.5%
Who must initiate an order for an investigational drug for patient use? a technician
a pharmacy director
a physician
a pharmacist
How many 500-mg metronidazole tablets will be needed to compound the following prescription for a patient: metronidazole 3%, suspending agent 30%, simple syrup 40% qsad H2O to 150 mL?
10
7
9
18
A medication given to reduce a fever is called: an analgesic
an anthelmintic
an antipyretic
an antitussive
Medications that are prepackaged into unit-dose or unit-of-use containers must have the follow-ing information included on the package labeling:
patient’s name, dispensing date, name of medication, and directions for use
medication name and strength, lot number, and directions for use
directions for use, medication name and strength, and expiration date
medication name and strength, lot number, and expiration date
240 mL
200 mL
150 mL
168 mL
When mixing cytotoxic agents for intravenous use, what type of syringe is required?
luer-lock
slip-tip
reusable
glass
According to the Controlled Substances Act, in what class of controlled medications is Lortab 5?
IV
V
II
III
The inventory turnover rate refers to: how long it takes the pharmacy to process a new prescription
how often medications are used and reordered
how many times a year shelves are inspected for expired medications
how often employees quit and new employees are hired to replace them
The portion of the retail price of a prescription that the patient must
pay is known as the: co-payment
deductible
average wholesale price
none of the above
How many capsules will it take to completely fill the following prescription with the given regi-men: Cephalexin 500 mg, i po tid x 14 days?
21 capsules
28 capsules
14 capsules
42 capsules
Prescription medications are often referred to as ____________ drugs because of the federal law that requires the packaging to display the following message: “Caution: Federal law pro-hibits dispensing without a prescription.”
prescription
controlled
legend
none of the above
Stock rotation is the task of making sure that: the longest expiration date is in the front
Stock rotation is the task of making sure that:
the shortest expiration date is in the back
the shortest expiration date is in the front
none of the above
Which of the following is classed as a beta-blocker? enalapril
verapamil
allopurinol
propranolol
A patient in the hospital needs KCl 8 mEq IV stat. The pharmacy stocks KCl 20 mEq/mL in a 10-mL multidose vial. What will the correct volume of the stat dose be?
0.04 mL
4 mL
2.5 mL
0.4 mL
What document is used as proof of receipt of a controlled substance, according to the DEA?
invoice
purchase order
DEA Form 222c
packing slip
The pharmacy has a 10% strength and a 2% strength of a certain ointment. A patient turns in a prescription for 4 oz. of this ointment but in a 5% strength. Which of the following would be needed to compound the ointment for the patient?
75 g of 10% ointment and 45 g of 2%
120 g of 10% ointment
75 g of 2% ointment and 45 g of 10%
45 g of 2% ointment and 75 g of 10%
What is the correct temperature for storing an item in the refrigerator? 59º to 86ºF
15º to 30ºC
2º to 8ºC
less than 36ºF
In an inpatient setting, the pharmacy must receive a direct copy of a physician’s order before filling an initial dose. Which of the following is not considered a direct copy?
fax
computer-generated transfer
photocopy
phone call acknowledging the verbal order
125 mL of a Cipro 5% suspension contains how many grams of active ingredient?
6.25 g
0.625 g
60.25 g
62.5 g
Which of the following professional concepts most specifically refers to protection of the identity and health information of patients?
mortality
motility
confidentiality
compatibility
According to federal law, what is the maximum number of refills permitted for a Schedule III controlled substance?
five refills within six months
three refills within 90 days
six refills within one year
no refills are allowed
In the NDC number 69907-3110-01, what do the numbers 3110 identify? package size
drug product
manufacturer
number of tablets in the bottle
The trade name for glipizide is: Micronase
Glucophage
Glucotrol
Diabinese
What is the total volume of fluid needed if D5W is to run at 50 mL/hr for 24 hr?
480 mL
2000 mL
2083 mL
1200 mL
Gentamicin injection is normally given to a patient at 5 mg/kg/day in three divided doses. If a patient weighs 164 lb., what approximate strength per dose should the patient receive?
142 mg
75 mg
124 mg
25 mg
Which of the following drugs is classed as an H2 antagonist? clonidine
loratadine
clemastine
ranitidine
KCl supplements are most often used in combination with: lisinopril
naproxen
furosemide
labetalol
If a patient calls in for refills on Prinivil and Diabeta, which of the following combinations of medications need to be filled for the patient?
enalapril and glipizide
lisinopril and glyburide
lisinopril and glipizide
enalapril and glyburide
How much neomycin powder must be added to fluocinolone cream to dispense an order for 60 g of fluocinolone cream with 0.5% neomycin?
300 mg
600 mg
240 mg
120 mg
Which of the sig codes given refers to the following directions: Take two tablets by mouth every 4 to 6 hours as needed?
2 tabs po q4–6h prn
2 tabs q4–6h prn
2 tabs po q4–6h
none of the above
The pharmacy receives an order for 10% ointment. Only the 15% and 5% strengths of the particular ointment are kept in stock. In what ratio would the two stock ointments need to be mixed in order to correctly compound the prescription order?
1:1
1:3
2:1
1:2
Which of the following drugs is most likely to cause photosensitivity? naproxen
tetracycline
nifedipine
glyburide
How many 250-mg doses of Claforan could be withdrawn from a 2-g vial of the injection?
four doses
two doses
eight doses
six doses
A medication that should be protected from exposure to light is: promethazine
tetracycline
erythromycin
nitroglycerin
The blower on the laminar airflow workbench should remain on at all times. If it is turned off for any reason, it should remain on for at least ____________ before being used to prepare IV admixtures and other products.
1 hour
15 minutes
30 minutes
45 minutes
Which of the following needle sizes has the largest bore? 29 gauge
23 gauge
27 gauge
18 gauge
When metronidazole is dispensed for a patient, which auxiliary label should be affixed to the dispensing container?
No alcohol
No dairy products
May cause drowsiness
Take with food or milk
If 500 mL of a 15% solution is diluted to 1500 mL, how would you label the final strength of the solution?
5%
0.05%
0.20%
20%
A prescription reading “iii gtt. as tid prn pain” should have which set of directions printed on the dispensing label?
Instill 3 drops in the right ear two times daily as needed for pain.
Instill 3 drops in the left eye three times daily as needed for pain.
Instill 3 drops in the left ear three times daily as needed for pain.
Instill 3 drops in the right eye three times daily as needed for pain.
A patient with a penicillin allergy is most likely to exhibit a sensitivity to:
gentamicin
cephalexin
erythromycin
tetracycline
A Tylenol #3 tablet contains 30 mg of codeine. The amount of codeine is also equivalent to:
1 gr
2 gr
1/2 gr
1/4 gr
An IV infusion order is written for 1 L of D5W/0.45% NS to run over 12 hours. The set that will be used delivers 15 gtt./mL. What should the flow rate be in drops per minute?
21
25
8
7
To ensure that it is working properly, the laminar airflow workbench should be inspected by qualified personnel at least:
every six months
every five years
every three years
every year
Zovirax and Epivir are both classed as ____________ agents. antimalarial
tuberculosis
antiviral
antifungal
A physician writes an order for a patient to receive KCl 40 mEq/1 L NS. The fluid is to be infused at 80 mL/hr. What amount of KCl will the patient receive per hour?
2.3 mEq
8.6 mEq
6.8 mEq
3.2 mEq
Na is the chemical symbol for which of the following elements? nickel
sodium
nitrogen
copper
When withdrawing medication from an ampule, what size filter needle will be sufficient to filter out any tiny glass fragments that may have fallen into the solution?
0.2 micron
5 micron
2 micron
0.5 micron
Which of the following conditions is the drug rifampin used to treat? influenza
urinary tract infection
tuberculosis
nail fungus
When measuring liquid in a graduated cylinder, where is the volume of liquid read?
top of the meniscus
bottom of the meniscus
center of the meniscus
top surface of the liquid
How many grams of 2% silver nitrate ointment will deliver 1 g of the active ingredient?
25 g
4 g
50 g
20 g
The federal law enacted in 1970 that requires the use of child-resistant safety caps on all dispens-ing containers unless otherwise desired by the patient is known as:
Harrison Narcotic Act
Poison Prevention Act
Bueller-Ferris Act
Controlled Substances Act
Into what size bottle will a prescription for 180 mL of cough syrup best fit?
4 oz.
2 oz.
8 oz.
6 oz.
968 mg
284 mg
323 mg
2904 mg
If one of your pharmacy’s patients has had an adverse drug reaction, ____________ should be used to report it.
the HCFA form
the Universal Claim Form
the MedWatch form
DEA Form 222c
Of the following choices, which pair of drugs are H2 antagonists? Pepcid and Zantac
Vasotec and Motrin
Prinivil and Tagamet
Zantac and Prevacid
A pharmacy wants to make a 30% profit on an item that costs $4.50. What would the retail sell-ing price have to be in order to make such a profit?
$6.23
$6.40
$5.85
$7.10
Which statement is true concerning the drug tetracycline? It should not be given with milk products or antacids for best
absorption. It should be given with milk because it is upsetting to the stomach.
It should be given with food or milk for best absorption.
Exposure to sunlight will not affect a patient taking this medication.
What schedule of controlled substances does the drug Darvocet N 100 fall under?
V
IV
III
II
When storing an item at room temperature, the temperature of the room should be:
2º to 8ºC
greater than 30ºC
36º to 46ºF
15º to 30ºC
A list of medications that a physician may prescribe from within a given setting is called:
an open system
an MSDS
a formulary
a closed panel of drugs
Which of the following sig codes refers to these directions: Take one tablespoonful after meals as needed for indigestion?
1 Tbsp pc prn for indigestion
1 tsp pc prn for indigestion
1 Tbsp pc for indigestion
1 tsp ac prn for indigestion
If when preparing IV admixtures, a vial slips from your hand and breaks on the floor or other surface, a spill kit should be used to clean the area if the vial contained which of the follow-ing medications?
vinblastine
amphotericin b
adenosin
methylprednisolone
During cleaning of the laminar airflow workbench in preparation to make IV admixtures, which of the following statements is true?
The sides should be cleaned from top to bottom, working outward from the filter.
70% isopropyl alcohol should be sprayed onto the HEPA filter to ensure its cleanliness.
The work surface should be cleaned first using a continuous side-to-side motion.
none of the above
What volume of 5% aluminum acetate solution will be needed if 120 mL of 0.05% solution is extemporaneously compounded for patient use?
12 mL
8.3 mL
0.83 mL
1.2 mL
Ampicillin powder for injection should be reconstituted with and diluted in ____________ for best stability.
D5W
normal saline
lactated Ringer’s
none of the above
How many 1-L bags will be needed if D5W is to run at 60 mL/hr for 16 hr?
one bag
three bags
two bags
four or more bags
Which of the following drugs is classified as an antidiarrheal medication?
loperamide
naproxen
labetalol
cimetidine
A pharmacy has 20 mL of a 1:200 solution in stock. If the pharmacist has asked the technician to dilute the solution to 500 mL, how should the final strength of the solution be labeled?
2.5%
25%
2%
0.02%
When an antibiotic injection is given in a small volume of solution that is connected to the main line of IV fluids the patient receives, it is commonly known as getting an:
IV push
IV piggyback
IV injection
IV bag
Of the drugs listed, which one could not be phoned in or filled with refills added?
codeine
hydrocodone
gabapentin
acetaminophen
The largest gelatin capsule used for extemporaneous compounding is: 0
10
5
000
All manipulations in the laminar airflow workbench should take place at least ____________ within the hood.
6 in.
10 in.
8 in.
4 in.
Which of the following drugs is classified as a calcium channel blocker? amlodipine
enalapril
atenolol
nitroglycerin
Some pharmacies operate with a manual inventory system in place.
When using this type of sys-tem, items needing to be ordered are written down. This familiar list of items needing to be ordered is often referred to as:
an invoice
an MAR
purchase order
a want book
Which of the following DEA numbers would not be valid for Dr. Ann Cosgrove?
AC1355672
BC3421234
AC3081421
AC6782329
Of all drug recall classes, a ____________ recall would not likely cause harm to the patient since it is the least severe.
Class I
Class II
Class III
none of the above, because any drug on recall will cause the patient harm
The form used for ordering Schedule II narcotics is known as: DEA Form 222c
DEA Form 240
DEA Form 200
DEA Form 121
What class of drugs is used to regulate the level of fluid in the body? anti-inflammatory
diuretic
antipyretic
sedative
The Orange Book is most often used to find ____________. generic equivalents
manufacturer’s standards
therapeutic equivalents
direct prices
How many times a year should an ideal pharmacy’s inventory be turned?
14–16
10–12
12–14
10–14
Which of the following pairs of medications could cause a major drug–drug interaction if taken together by a patient?
hydrocodone and naproxen
warfarin and aspirin
penicillin and trimethoprim
glyburide and metformin
A patient takes NPH insulin according to the following dosage regimen: 35 units sq every morn-ing and 15 units every evening. How many vials of insulin will the patient need to last for at least 30 days?
one vial
three vials
four or more vials
two vials
Which of the following medications should always be dispensed in a glass container?
nitroglycerin
dopamine
aminophylline
potassium
How many teaspoons are in one tablespoon? 4
2
3
5
When using a torsion prescription balance, the first thing you should do after placing it on a level surface is:
place the weights in the right pan and the substance to be weighed in the left pan
place the substance to be weighed onto the scale
place the weights in the left pan and the substance to be weighed in the right pan
unlock the balance and level it to zero
An air vent on a vented administration set should be a ____________ micron filter vent to be considered a sterilizing filter.
0.2
0.5
5
none of the above
How many tablets will a patient need if he is to take 1 tablet po bid for 10 days?
40
30
10
20
Of the following tasks involved in pharmacy practice, which is allowed by law for technicians to perform?
filling a unit-dose cart
giving or receiving a verbal copy
receiving a verbal order from a physician
counseling a patient on the use of his medication
What organization requires that oral products be stored separate from inhaled products, topical preparations be separated from injectables, and so on?
JCAHO
PTCB
APHA
ASHP
An automatic stop order is most likely to be issued with which of the following meds?
amlodipine 5 mg tablets
clonidine 0.3 mg tablets
acetaminophen/codeine 325 mg/60 mg tablets
furosemide 40 mg tablets
Which of the following is equal to ½ pound? 454 g
240 g
16 oz.
1 lb
Amphotericin B should be mixed only in ____________ for compatibility.
0.9% sodium chloride
dextrose
0.45% sodium chloride
lactated Ringer’s
There are several different types of automated dispensing systems. Which of the following is not an automated dispensing system?
Pyxis
Baker
Kirby-Lester
Omnicell
Personal protective equipment should be used properly when handling hazardous medications. This would consist of:
gloves
gown
mask
all of the above
After preparing IV admixtures, how should technicians dispose of used needles?
Recap needles and discard them in a trashcan.
Bend needles so they cannot possibly be reused.
Dispose of needles in a sharps container without recapping.
none of the above.
The retail price of a prescription is $18.23. The patient pays with a $20 bill. What change should the patient receive?
one dollar bill, three quarters, one nickel, and two pennies
one dollar bill, three quarters, and two pennies
one dollar bill, two quarters, one nickel, and two pennies
one dollar bill, two quarters, three dimes, and seven pennies
Which of the following items does not need to be present on a valid prescription?
prescriber’s signature
name of medication
patient’s name
dispensing pharmacist’s initials
Which of the following drugs listed would not likely be found stored on an emergency crash cart?
dopamine injection
lidocaine injection
epinephrine injection
cimetidine injection
To be considered a generic substitute for a trade-named drug product, the substitute must be:
bioequivalent
the same color
made by the same manufacturer
none of the above
On the following perpetual inventory for a Schedule II controlled substance, what line contains an error?Line # Patient’s Name Quantity
DispensedQuantity Received
Current Balance
1 Received from wholesaler 100 100
2 Barbara Jones 42 58
3 Nancy Smith 36 32
4 Thomas Watkins 24 8 2
4
3
1
When a pharmacy is audited by a third-party payer such as Medicaid, what shows proof that the medications filled by the pharmacy were, in fact, picked up by the patient or a representative of that patient?
the prescription number
a recorded signature of the patient or patient’s representative
the computer profile of the patient
none of the above
What is the best defense against the spread of bacteria and infection? hand washing
wearing gloves
mopping with chlorine bleach
spraying with Lysol
An injection that is given in the spinal column is known as: an intravenous injection
a peritoneal injection
an interspinal injection
an intrathecal injection
A hard copy of the original prescription should remain on file in a retail pharmacy for at least:
four years
three years
two years
five years
Which of the following medications is indicated for induction of labor contractions?
ritodrine
estrogen
oxytocin
medroxyprogesterone
When dispensing ____________, a patient information package insert should be included with the medication.
nasal drops
insulin
oral contraceptives
diet pills
An instrument used to determine a patient’s blood pressure is known as a:
electrocardiogram
tempanometer
glucometer
sphygmomanometer
Which of the following classes of antibiotics are not recommended for young children and adolescents?
fluoroquinolones
erythromycins
cephalosporins
penicillins
If an accident occurs involving a hazardous substance that is stored in the pharmacy, what document would give instructions on actions that need to be taken?
employee handbook
OSHA “Right to Know” pamphlet
policies and procedure manual
MSDS
When preparing a TPN solution containing calcium, phosphate, and other ingredients, which of the following statements is true?
The calcium should be added after all other ingredients have been added.
The calcium and phosphate should be mixed together in the same syringe before being injected into the TPN solution.
The phosphate should be added first to avoid precipitation of the calcium additive.
The phosphate should be added last after the addition of calcium and other ingredients, which will allow for dilution of the calcium to prevent precipitation.
The pharmacist has asked the technician to dilute 50 mL of a 50% solution to 3% and repackage the diluted solution into 2-oz. bottles. How many bottles will the technician be able to fill?
14 bottles
5 bottles
13 bottles
6 bottles
A patient is being provided with hyperalimentation. The following order has been sent to the pharmacy for preparation. If the pharmacy stocks magnesium sulfate 10% (0.8 mEq/mL) in a 10-mL vial, what is the volume of injection to be added during preparation of this TPN solution?
2 L over 24 hrsDextrose 25%Phosphorus 20 mEq/2L 2 LMgSO4 24 mEq/2 LCalcium gluconate 26 mEqKCl 40 mEq/LNa 80 mEq/2 L
2.15 mL
30 mL
0.3 mL
0.8 mL
What is the maximum volume that can be injected subcutaneously in a single dose?
1 mL
3 mL
0.5 mL
2 mL
What is the roman numeral for the number 50? I
C
M
L
A retail pharmacy is having a sale on certain over-the-counter medications. If an item’s regular price of $6.80 is marked down 40%, what will be the correct selling price for the item?
$4.80
$2.27
$2.72
$4.08
Which of the following drugs listed is an antihistamine? nifedipine
cephradine
cimetidine
loratidine
Sodium chloride is ____________ solution. an isotonic
none of the above
a hypertonic
a hypotonic
325 mg could also be written as _______________. 10 gr
2 gr
½ gr
5 gr
