1.
Which of the following drugs is the generic form of coumadin
Correct Answer
C. Warfarin
Explanation
Warfarin is the generic form of Coumadin. Coumadin is a brand name for the drug warfarin, which is commonly used as an anticoagulant medication to prevent blood clots. Therefore, warfarin is the correct answer as it is the generic name for the drug Coumadin.
2.
The last 2 numbers of the NDC# indicate
Correct Answer
B. Package size
Explanation
The last 2 numbers of the NDC# indicate the package size. This means that the numbers provide information about the quantity or volume of the product contained in the package. The NDC# is a unique identifier for pharmaceutical products, and the last 2 numbers specifically represent the size of the package in which the product is sold.
3.
The correct strength in a sodium chloride in a normal saline IV bag is
Correct Answer
C. 0.9%
Explanation
The correct strength in a sodium chloride in a normal saline IV bag is 0.9%. This concentration is commonly used in medical settings as it closely resembles the salt concentration in the human body. It is considered isotonic, meaning it has the same osmotic pressure as bodily fluids, making it safe for intravenous administration without causing damage to cells or altering fluid balance.
4.
Chemotherapy agents should be stored
Correct Answer
D. In a separate identified area
Explanation
Chemotherapy agents should be stored in a separate identified area to ensure proper segregation and prevent any potential mix-ups or contamination. This helps in maintaining the safety and integrity of these potent medications. Storing them separately also allows for easy identification and access when needed, minimizing the risk of errors and ensuring that the correct chemotherapy agents are used for each patient.
5.
The technology that automatically documents the administration of medication using electronic sensors is known as
Correct Answer
A. BCMA
Explanation
BCMA stands for Barcode Medication Administration, which is a technology that uses electronic sensors to automatically document the administration of medication. It involves scanning a barcode on the medication and the patient's identification to ensure the correct medication is given to the right patient at the right time. This technology helps to reduce medication errors and improve patient safety by providing real-time information about medication administration.
6.
Treximet is a combination tablet for treating migraines that contains naproxen and which other medication?
Correct Answer
C. Sumatriptan
Explanation
Treximet is a combination tablet for treating migraines that contains naproxen and sumatriptan. Sumatriptan is a medication commonly used to treat migraines by narrowing blood vessels in the brain and reducing inflammation. It belongs to a class of drugs called triptans, which are specifically designed to target migraines. Ibuprofen, diclofenac, and acetaminophen are all common pain relievers, but they are not included in Treximet. Therefore, the correct answer is sumatriptan.
7.
The information contained in the manufacturer’s package insert may also be found in the..
Correct Answer
C. PDR (pHysician's Desk Reference)
Explanation
The Physician's Desk Reference (PDR) is a comprehensive reference book that contains information about prescription drugs, including their indications, dosages, side effects, and contraindications. It is commonly used by healthcare professionals as a trusted source of drug information. Since the manufacturer's package insert also contains detailed information about a drug, it is likely that the same information can be found in the PDR. Therefore, the PDR is a reliable resource to find the information contained in the manufacturer's package insert.
8.
The most appropriate container in ounces for dispensing 360mL of liquid medication is?
Correct Answer
A. 12
Explanation
To find the most appropriate container in ounces for dispensing 360mL of liquid medication, we need to convert 360mL to ounces. Since 1 ounce is equal to 29.57 mL, we can divide 360 by 29.57 to get approximately 12.16 ounces. Since we cannot have a fraction of an ounce, the closest whole number is 12. Therefore, the most appropriate container in ounces for dispensing 360mL of liquid medication is 12 ounces.
9.
A package insert contains instructions to store medication at 10 degrees Celsius. What is the temperature in degrees Fahrenheit
Correct Answer
C. 50
Explanation
The temperature in degrees Fahrenheit is 50. To convert Celsius to Fahrenheit, you can use the formula: F = (C * 9/5) + 32. In this case, 10 degrees Celsius would be (10 * 9/5) + 32 = 50 degrees Fahrenheit.
10.
What volume in milliliters of a drug for injection 250mg/10mL should be used to fill an order for 15mg?
Correct Answer
D. 0.6 ml
Explanation
To find the volume of the drug needed, we can use a proportion. The given drug concentration is 250mg/10mL. We can set up the proportion as (250mg/10mL) = (15mg/x mL). Cross-multiplying, we get 250x = 150. Dividing both sides by 250, we find that x = 0.6 mL. Therefore, 0.6 mL of the drug should be used to fill the order for 15mg.
11.
A patient who is allergic to penicillin has a chance of cross sensitivity to which of the following medications?
Correct Answer
B. CepHalexin
Explanation
Cephalexin is a cephalosporin antibiotic, which is structurally related to penicillin. Cross-reactivity between penicillin and cephalosporins can occur in patients who are allergic to penicillin. Therefore, a patient who is allergic to penicillin has a chance of cross sensitivity to cephalexin. The other medications listed (moxifloxacin, doxycycline, azithromycin) do not belong to the same class as penicillin and are less likely to cause cross-reactivity in patients with a penicillin allergy.
12.
Which medication should be dispensed in its original brown container?
Correct Answer
D. Nitroglycerin 0.4 mg tablets
Explanation
Nitroglycerin is a medication that is sensitive to light and moisture. Therefore, it should be dispensed in its original brown container to protect it from these environmental factors. The brown container helps to block out light and prevent moisture from entering, ensuring the stability and effectiveness of the medication.
13.
Which of the following medication pairs makes safe use of tall man letters?
Correct Answer
A. ALPRAZolam / LORazapam
Explanation
Tall man letters are a technique used to reduce the risk of medication errors by highlighting the dissimilarities in the spelling of look-alike or sound-alike drug names. In this case, the correct answer is ALPRAZolam / LORazapam. By capitalizing the dissimilar letters in each drug name, it helps to differentiate between them and minimize the chance of confusion or administration errors.
14.
A common side effect of magnesium-based antacid is____________.
Correct Answer
C. Diarrhea
Explanation
A common side effect of magnesium-based antacids is diarrhea. This is because magnesium can have a laxative effect on the digestive system, leading to loose and watery stools. Antacids containing magnesium can increase the amount of water in the intestines, which can result in diarrhea. It is important to note that not everyone will experience this side effect, as individual reactions to medications can vary.
15.
OSHA mandates that healthcare facilities have specific plans in place to protect heatlhcare workers from which of the following infectious diseases?
Correct Answer
B. Hepatitis B
Explanation
OSHA mandates that healthcare facilities have specific plans in place to protect healthcare workers from Hepatitis B. This is because Hepatitis B is a highly contagious viral infection that can be transmitted through contact with infected blood or bodily fluids. Healthcare workers are at a higher risk of exposure to Hepatitis B due to their frequent contact with patients and potential exposure to blood and other bodily fluids. Therefore, OSHA requires healthcare facilities to have plans in place to prevent and control the spread of Hepatitis B among healthcare workers.
16.
In the Orange Book the letters "AB" ratings indicate that products are
Correct Answer
C. Considered bio-equivalent
Explanation
The correct answer is "considered bio-equivalent." In the Orange Book, the letters "AB" ratings indicate that products are considered bio-equivalent. Bio-equivalence means that two pharmaceutical products contain the same active ingredient(s) in the same strength or concentration, and they have similar bioavailability when administered to patients under the same conditions. This rating suggests that these products are expected to have the same therapeutic effect and safety profile.
17.
The primary routing mechanism for a real-time third party prescription claim is a__________
Correct Answer
B. BIN
Explanation
The primary routing mechanism for a real-time third party prescription claim is the BIN (Bank Identification Number). This number is used to identify the pharmacy and the insurance plan involved in the transaction. It helps in ensuring that the claim is processed correctly and efficiently. The BIN is an essential component in the electronic communication between the pharmacy, insurance provider, and the claims processor, allowing for seamless and accurate prescription claim processing.
18.
Which form is used to report theft or loss of controlled substances?
Correct Answer
B. DEA 106
Explanation
DEA 106 is the correct form used to report theft or loss of controlled substances. This form is specifically designed for registrants to report any loss or theft of controlled substances to the Drug Enforcement Administration (DEA). It is important to promptly report such incidents to ensure proper investigation and prevent potential misuse or diversion of these substances.
19.
Mrs. James asked you to refill her GERD medication. Which of the following medications on her profile will you refill
Correct Answer
B. Nexium
Explanation
The correct answer is Nexium because it is a medication commonly used to treat GERD (gastroesophageal reflux disease). Cardizem is a medication used to treat high blood pressure, Premarin is a hormone replacement therapy medication, and Zoloft is an antidepressant. Therefore, Nexium is the most appropriate medication to refill for Mrs. James' GERD.
20.
The label on a medication that has been re-packaged should include the_____________
Correct Answer
C. Generic name
Explanation
When a medication is re-packaged, it is important to include the generic name on the label. The generic name is the official, non-proprietary name of the medication, which is universally recognized and understood. This helps to ensure that the correct medication is being dispensed and administered, regardless of the brand or manufacturer. Including the generic name on the label also promotes transparency and allows patients and healthcare professionals to easily identify the medication and its intended use.
21.
Which of the following injectable drugs would be stored in the refrigerator?
Correct Answer
B. Calcitonon - salmon
Explanation
Calcitonin - salmon is the correct answer because it is an injectable drug that needs to be stored in the refrigerator. The cold temperature helps to maintain the stability and effectiveness of the medication. Ciprofloxacin, cyanocobalamin, and clindamycin do not require refrigeration for storage.
22.
How much epinephrine is in 10 mL of a 1:10,000 solution?
Correct Answer
A. 1 mg
Explanation
In a 1:10,000 solution, the ratio indicates that there is 1 part of epinephrine in every 10,000 parts of the solution. Since we are given 10 mL of the solution, we can calculate the amount of epinephrine by dividing 10,000 by 10 (to account for the 1:10,000 ratio) which equals 1,000. Therefore, there is 1 mg of epinephrine in 10 mL of the solution.
23.
Which of the following concepts does federal law OBRA-90 require?
Correct Answer
C. Counseling
Explanation
Federal law OBRA-90 requires counseling. This means that healthcare providers are required to offer counseling services to patients in certain situations. OBRA-90 aims to improve the quality of care provided to individuals in long-term care facilities, and counseling plays a crucial role in ensuring that patients receive the necessary information and support for their healthcare needs. This requirement helps promote patient well-being and informed decision-making.
24.
The name for the official list of medications approved for use in an institution is called ____________
Correct Answer
C. A formulary
Explanation
A formulary is the official list of medications approved for use in an institution. It serves as a reference for healthcare professionals to ensure that the medications prescribed are safe, effective, and appropriate for the patients. The formulary is typically developed and maintained by a pharmacy and therapeutics committee, which consists of healthcare professionals who review and select medications based on their clinical efficacy, safety, and cost-effectiveness. By having a formulary, healthcare institutions can standardize medication use, promote rational prescribing practices, and ensure consistent quality of care. The Orange Book is a publication that lists approved drug products with therapeutic equivalence evaluations, while the United States Pharmacopeia is a compendium of drug information and standards.
25.
A pharmacy technician is filling a prescription for eyedrops that reads "2 gtt OD tid" How many drops will the patient use a day?
Correct Answer
C. 6 gtt
Explanation
The prescription indicates that the patient should use 2 drops in the right eye (OD) three times a day (tid). Therefore, the patient will use a total of 6 drops per day.
26.
A patient presents a prescription for alendronate 70 mg with directions "1 tab PO q Wk".How many must be dispensed for a 3 month supply?
Correct Answer
C. 12 tablets
Explanation
The prescription states to take 1 tablet of alendronate 70 mg orally every week. To calculate the number of tablets needed for a 3-month supply, we need to determine the number of weeks in 3 months. Since there are 4 weeks in a month, 3 months would have a total of 12 weeks. Therefore, 12 tablets must be dispensed for a 3-month supply.
27.
What does the term inventory mean?
Correct Answer
C. List of all items available for sale
Explanation
The term inventory refers to a list of all items available for sale. It includes a comprehensive record of all products or goods that a business has in stock and is ready to be sold to customers. This list helps businesses keep track of their available stock, manage their supply chain, and ensure efficient sales and customer service.
28.
The trade name fluoxetine is ____________
Correct Answer
C. Prozac
Explanation
Fluoxetine is the generic name for the antidepressant medication commonly known as Prozac. Prozac is a selective serotonin reuptake inhibitor (SSRI) that is used to treat depression, obsessive-compulsive disorder, panic disorder, and other mental health conditions. It works by increasing the levels of serotonin, a neurotransmitter, in the brain, which helps to improve mood and reduce symptoms of depression. Prozac has been widely prescribed and is one of the most well-known and commonly used antidepressant medications.
29.
Which of the following drugs is a proton pump inhibitor?
Correct Answer
B. Dexlansoprazole
Explanation
Dexlansoprazole is a proton pump inhibitor. Proton pump inhibitors are a class of drugs that reduce the production of stomach acid by blocking the enzyme in the stomach wall that produces acid. Dexlansoprazole specifically inhibits the proton pump, thus reducing acid secretion. Sucralfate, cimetidine, and metoclopramide are not proton pump inhibitors and have different mechanisms of action.
30.
The laminar flow hood should be given a thorough cleaning with isopropyl alcohol________
Correct Answer
A. Several times a day
Explanation
The laminar flow hood should be given a thorough cleaning with isopropyl alcohol several times a day to maintain a clean and sterile environment. This is necessary to remove any potential contaminants and ensure the safety of the samples or materials being handled in the hood. Regular cleaning helps prevent the buildup of dust, particles, and microorganisms that can compromise the integrity of the hood and the experiments or processes being conducted within it.
31.
Which diuretic is potassium-sparing?
Correct Answer
B. Triamterene
Explanation
Triamterene is a potassium-sparing diuretic because it works by inhibiting the reabsorption of sodium in the distal tubules of the kidneys, while promoting the excretion of potassium. This helps to increase urine output and lower blood pressure without causing excessive loss of potassium. Hydrochlorothiazide, metolazone, and furosemide are not potassium-sparing diuretics, as they can cause potassium depletion due to their mechanism of action.
32.
According to the DEA all record related to controlled substances must be maintained and be available for inspection for a minimum of how many years?
Correct Answer
B. 2 years
Explanation
According to the DEA, all records related to controlled substances must be maintained and available for inspection for a minimum of 2 years. This ensures that there is a sufficient recordkeeping period to track the distribution and use of controlled substances, allowing for accountability and regulatory compliance. By keeping these records for at least 2 years, it enables the DEA to monitor and investigate any potential misuse or illegal activities involving controlled substances.
33.
An outpatient prescription requires which of the following
Correct Answer
C. pHysician pHone number and address
Explanation
An outpatient prescription requires the physician's phone number and address because this information is necessary for the pharmacist to contact the prescribing doctor if there are any questions or concerns about the prescription. Additionally, the physician's address is needed for record-keeping purposes and to ensure that the prescription is being issued by a legitimate healthcare provider. The medical conditions, pharmacy address and phone number, and medication lot number are not typically required for an outpatient prescription.
34.
When a patient is required to go to a network healthcare provider, the patient would be insured through?
Correct Answer
C. A health maintenance organization
Explanation
A health maintenance organization (HMO) is a type of insurance plan that requires patients to go to a network healthcare provider for medical services. This means that if a patient is insured through an HMO, they would be required to visit healthcare providers within the HMO's network in order to receive coverage for their medical expenses.
35.
Antineoplastic medications should be prepared in which type of hood?
Correct Answer
A. Biological
Explanation
Antineoplastic medications should be prepared in a biological hood because it provides a controlled environment that minimizes the risk of exposure to hazardous drugs. Biological hoods are specifically designed to protect the operator and the surrounding environment by filtering and removing harmful particles and vapors. This type of hood ensures the safety of the operator and prevents contamination of the medication during preparation.
36.
The drug information source for a pharmacy technician to check for a possible drug interaction would be?
Correct Answer
C. The Drug Facts and Comparisons
Explanation
The Drug Facts and Comparisons is the correct answer because it is a widely used drug information source that provides comprehensive information on drug interactions, including potential interactions between different drugs. It is a trusted resource for pharmacy technicians to check for possible drug interactions before dispensing medications to patients. The other options, such as the Remington, the American Drug Index, and the Red Book, may also contain drug information, but they are not specifically known for their comprehensive coverage of drug interactions.
37.
Which of the following pregnancy risk level meant the drug is a definite risk?
Correct Answer
D. X
Explanation
The pregnancy risk level "X" indicates that the drug is a definite risk during pregnancy. This means that studies have shown evidence of fetal abnormalities or adverse effects on the fetus when the drug is taken during pregnancy. Pregnant women should avoid taking drugs with this risk level to minimize potential harm to the developing baby.
38.
The requirement that a non-formulary medication be covered only if approved by the third party payer is called a?
Correct Answer
C. Prior authorization
Explanation
Prior authorization is the requirement that a non-formulary medication be covered only if approved by the third party payer. This means that before a patient can receive a non-formulary medication, their healthcare provider must obtain approval from the insurance company or other third party payer. This is done to ensure that the medication is medically necessary and appropriate for the patient's condition, and to control costs by limiting the use of expensive or non-preferred medications.
39.
Which of the following is a valid DEA number for Dr. Thomas Jones?
Correct Answer
A. AT1234560
Explanation
The correct answer is AT1234560. A DEA number is a unique identifier assigned to healthcare providers who can prescribe controlled substances. The DEA number consists of two letters followed by seven digits. In this case, "AT" represents the first two letters of Dr. Thomas Jones' DEA number, which is a valid format. The following seven digits, 1234560, make up the unique identifier.
40.
The information contained in the manufacture's package insert may also be found in the ...
Correct Answer
B. PDR (pHysician's Desk Reference)
Explanation
The Physician's Desk Reference (PDR) is a comprehensive reference book that contains information about prescription drugs, including their indications, dosages, side effects, and contraindications. It is commonly used by healthcare professionals as a trusted source of information about medications. Therefore, it is likely that the information contained in the manufacturer's package insert can also be found in the PDR.
41.
When an order is received in the pharmacy, the order invoice must be carefully checked against the?
Correct Answer
C. Purchase order
Explanation
The purchase order is a document that specifies the details of the order placed by the pharmacy. When an order is received, it is important to check the order invoice against the purchase order to ensure accuracy. This helps in verifying the items ordered, quantities, prices, and any special instructions. By comparing the invoice with the purchase order, any discrepancies or errors can be identified and resolved, ensuring that the correct items are received and billed for. Checking against the purchase order helps maintain inventory accuracy and prevents any issues with stock management.
42.
Serum potassium levels should be checked on patients taking which drug?
Correct Answer
B. Furosemide
Explanation
Furosemide is a loop diuretic that works by increasing the excretion of water and electrolytes, including potassium, from the body. This can lead to low potassium levels in the blood, known as hypokalemia. Therefore, it is important to regularly check serum potassium levels in patients taking furosemide to monitor and prevent any potential complications associated with low potassium levels.
43.
Which of the following medications are included iPledge restricted drug program?
Correct Answer
B. Accutane and Claravis
Explanation
Accutane and Claravis are included in the iPledge restricted drug program. This program is designed to prevent pregnancy while taking medications that contain isotretinoin, which is the active ingredient in both Accutane and Claravis. Isotretinoin is known to cause severe birth defects if taken during pregnancy. The iPledge program requires patients to take certain precautions, such as using two forms of contraception and undergoing regular pregnancy tests, to ensure the safe use of these medications.
44.
Under which part of Medicare may durable medical equipment (DME) be reimbursed to the pharmacy?
Correct Answer
B. B
Explanation
Durable medical equipment (DME) may be reimbursed to the pharmacy under Part B of Medicare. Part B covers medically necessary services and supplies, including DME, that are needed to diagnose or treat a medical condition. This includes items such as wheelchairs, walkers, and oxygen equipment. Part B is different from Part A, which covers hospital stays and inpatient care. Therefore, the correct answer is B.
45.
The auxiliary label for amoxicillin oral suspensions should contain which of the following instructions?
Correct Answer
A. Shake well
Explanation
The correct answer is "shake well" because amoxicillin oral suspensions often settle and separate, so shaking the suspension ensures that the medication is evenly distributed before administration. This instruction helps to ensure that the correct dosage is given to the patient.
46.
Which of the following is an administration route for insulin?
Correct Answer
D. Subcutaneoulsy
Explanation
Subcutaneously is a correct administration route for insulin. This means that insulin is injected into the layer of fat just below the skin. This route allows for the slow and consistent absorption of insulin into the bloodstream, providing a more stable blood sugar level. It is a commonly used route for insulin administration due to its convenience and effectiveness.
47.
Special IV tubing is recommended for the administration of :
Correct Answer
C. Nitroglycerin
Explanation
Special IV tubing is recommended for the administration of nitroglycerin because it is a highly potent medication that is sensitive to light, heat, and plasticizers commonly found in regular IV tubing. Special tubing, known as non-PVC tubing, is made of materials that do not react with nitroglycerin and help maintain its stability and efficacy. Using regular tubing can lead to degradation of the medication, reducing its effectiveness and potentially causing harm to the patient. Therefore, it is important to use special IV tubing specifically designed for nitroglycerin administration.
48.
What is the proper way to write Coumadin five milligrams to prevent a medication error
Correct Answer
C. 5 mg
Explanation
The proper way to write Coumadin five milligrams is 5 mg. This is the correct answer because milligrams (mg) is the appropriate unit of measurement for medication dosage.
49.
Which of the following is a common symptom of Digoxin (dig) toxicity?
Correct Answer
B. Nausea
Explanation
Nausea is a common symptom of Digoxin (dig) toxicity. Digoxin is a medication used to treat heart conditions, but an overdose or toxicity can occur, leading to various symptoms. Nausea is a common symptom in cases of digoxin toxicity, along with other symptoms such as vomiting, loss of appetite, and abdominal pain. It is important to recognize and treat digoxin toxicity promptly to prevent further complications.
50.
Niacin is which B vitamin?
Correct Answer
C. B 3
Explanation
Niacin is also known as vitamin B3. It is an essential nutrient that plays a crucial role in energy production and metabolism. Niacin is important for maintaining healthy skin, nerves, and digestive system. It also helps in lowering cholesterol levels and improving cardiovascular health. Therefore, the correct answer is B3.