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Pharmacy Certification Exam Review

Pharmacy Certification Exam Review

This activity contains 125 questions.

	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 78 gtt./min 117 gtt./min

	The drug enalapril would be categorized into which of the following classification groups?   NSAID anti-emetic beta-blocker ACE inhibitor

	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 $21.47 $20.47 $18.47

	A prescription for which of the following medications could not be written with refills?   nifedipine methylphenidate hydrocodone/acetaminophen lorazepam

	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:   ask the patient to hold while he looks up the side effects in a reference book put the patient on hold and notify the pharmacist of the situation tell the patient the side effects of the medication, since they are commonly known to all pharmacy personnel tell the patient to lie down and maybe the side effects will wear off soon

	Diphenhydramine is the generic name for which of these drugs?   Dramamine Soma Benadryl Bentyl

	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?   40 g of 1% and 20 g of 2.5% 30 g of each strength 45 g of 1% and 15 g of 2.5% 40 g of 2.5% and 20 g of 1%

	Who must initiate an order for an investigational drug for patient use?   a pharmacist a technician a physician a pharmacy director

	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?   18 7 9 10

	A medication given to reduce a fever is called:   an analgesic an anthelmintic an antitussive an antipyretic

	Medications that are prepackaged into unit-dose or unit-of-use containers must have the follow-ing information included on the package labeling:   medication name and strength, lot number, and directions for use medication name and strength, lot number, and expiration date patient’s name, dispensing date, name of medication, and directions for use directions for use, medication name and strength, and expiration date

	A patient brings the following prescription into your pharmacy: Amoxil 400 mg po tid for 10 days. Your pharmacy has in stock an Amoxil oral suspension 250 mg/5 mL. What is the ex-act volume of medication you will need to correctly and completely fill the prescription for the patient?   200 mL 150 mL 240 mL 168 mL

	When mixing cytotoxic agents for intravenous use, what type of syringe is required?   slip-tip reusable glass luer-lock

	According to the Controlled Substances Act, in what class of controlled medications is Lortab 5?   V II IV III

	The inventory turnover rate refers to:   how often employees quit and new employees are hired to replace them 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

	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?   42 capsules 28 capsules 14 capsules 21 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:   Stock rotation is the task of making sure that: the shortest expiration date is in the front the shortest expiration date is in the back the longest expiration date is in the front none of the above

	Which of the following is classed as a beta-blocker?   propranolol verapamil enalapril allopurinol

	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?   4 mL 0.4 mL 2.5 mL 0.04 mL

	What document is used as proof of receipt of a controlled substance, according to the DEA?   invoice purchase order packing slip DEA Form 222c

	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 2% ointment and 45 g of 10% 45 g of 2% ointment and 75 g of 10% 120 g of 10% ointment 75 g of 10% ointment and 45 g of 2%

	What is the correct temperature for storing an item in the refrigerator?   less than 36ºF 2º to 8ºC 15º to 30ºC 59º to 86ºF

	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?   phone call acknowledging the verbal order photocopy fax computer-generated transfer

	125 mL of a Cipro 5% suspension contains how many grams of active ingredient?   0.625 g 62.5 g 60.25 g 6.25 g

	Which of the following professional concepts most specifically refers to protection of the identity and health information of patients?   mortality confidentiality compatibility motility

	According to federal law, what is the maximum number of refills permitted for a Schedule III controlled substance?   six refills within one year three refills within 90 days no refills are allowed five refills within six months

	In the NDC number 69907-3110-01, what do the numbers 3110 identify?   manufacturer drug product package size number of tablets in the bottle

	The trade name for glipizide is:   Glucophage Diabinese Micronase Glucotrol

	What is the total volume of fluid needed if D5W is to run at 50 mL/hr for 24 hr?   2083 mL 2000 mL 480 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?   75 mg 142 mg 25 mg 124 mg

	Which of the following drugs is classed as an H2 antagonist?   clonidine clemastine ranitidine loratadine

	KCl supplements are most often used in combination with:   furosemide lisinopril naproxen 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?   lisinopril and glipizide enalapril and glyburide enalapril and glipizide lisinopril 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?   600 mg 300 mg 120 mg 240 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 q4–6h prn 2 tabs po 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?   1:3 1:1 2:1 1:2

	Which of the following drugs is most likely to cause photosensitivity?   naproxen tetracycline glyburide nifedipine

	How many 250-mg doses of Claforan could be withdrawn from a 2-g vial of the injection?   four doses eight doses two doses six doses

	A medication that should be protected from exposure to light is:   erythromycin tetracycline promethazine 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.   15 minutes 30 minutes 1 hour 45 minutes

	Which of the following needle sizes has the largest bore?   27 gauge 29 gauge 23 gauge 18 gauge

	When metronidazole is dispensed for a patient, which auxiliary label should be affixed to the dispensing container?   No dairy products No alcohol Take with food or milk May cause drowsiness

	If 500 mL of a 15% solution is diluted to 1500 mL, how would you label the final strength of the solution?   0.20% 0.05% 5% 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 eye three times daily as needed for pain. 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.

	A patient with a penicillin allergy is most likely to exhibit a sensitivity to:   cephalexin gentamicin erythromycin tetracycline

	A Tylenol #3 tablet contains 30 mg of codeine. The amount of codeine is also equivalent to:   1/2 gr 1/4 gr 1 gr 2 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?   8 25 7 21

	To ensure that it is working properly, the laminar airflow workbench should be inspected by qualified personnel at least:   every five years every three years every year every six months

	Zovirax and Epivir are both classed as ____________ agents.   tuberculosis antiviral antifungal antimalarial

	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 3.2 mEq 6.8 mEq 8.6 mEq

	Na is the chemical symbol for which of the following elements?   nickel nitrogen copper sodium

	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 2 micron 0.5 micron 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 surface of the liquid top of the meniscus center of the meniscus bottom of the meniscus

	How many grams of 2% silver nitrate ointment will deliver 1 g of the active ingredient?   4 g 25 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 Controlled Substances Act Bueller-Ferris Act Poison Prevention Act

	Into what size bottle will a prescription for 180 mL of cough syrup best fit?   4 oz. 2 oz. 6 oz. 8 oz.

	If a patient should receive a medication at 15 mg/kg/day in three equally divided doses, what will the approximate dose be if the patient weighs 142 lb.?   323 mg 2904 mg 284 mg 968 mg

	If one of your pharmacy’s patients has had an adverse drug reaction, ____________ should be used to report it.   DEA Form 222c the Universal Claim Form the MedWatch form the HCFA form

	Of the following choices, which pair of drugs are H2 antagonists?   Prinivil and Tagamet Zantac and Prevacid Pepcid and Zantac Vasotec and Motrin

	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?   $7.10 $6.40 $5.85 $6.23

	Which statement is true concerning the drug tetracycline?   Exposure to sunlight will not affect a patient taking this medication. It should be given with food or milk for best absorption. It should be given with milk because it is upsetting to the stomach. It should not be given with milk products or antacids for best absorption.

	What schedule of controlled substances does the drug Darvocet N 100 fall under?   V II III IV

	When storing an item at room temperature, the temperature of the room should be:   2º to 8ºC 15º to 30ºC 36º to 46ºF greater than 30ºC

	A list of medications that a physician may prescribe from within a given setting is called:   an open system a formulary a closed panel of drugs an MSDS

	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 methylprednisolone adenosin amphotericin b

	During cleaning of the laminar airflow workbench in preparation to make IV admixtures, which of the following statements is true?   The work surface should be cleaned first using a continuous side-to-side motion. 70% isopropyl alcohol should be sprayed onto the HEPA filter to ensure its cleanliness. The sides should be cleaned from top to bottom, working outward from the filter. 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?   8.3 mL 1.2 mL 0.83 mL 12 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?   four or more bags two bags three bags one bag

	Which of the following drugs is classified as an antidiarrheal medication?   labetalol cimetidine loperamide naproxen

	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?   25% 2% 0.02% 2.5%

	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 bag IV injection IV push IV piggyback

	Of the drugs listed, which one could not be phoned in or filled with refills added?   hydrocodone codeine gabapentin acetaminophen

	The largest gelatin capsule used for extemporaneous compounding is:   000 10 0 5

	All manipulations in the laminar airflow workbench should take place at least ____________ within the hood.   10 in. 4 in. 8 in. 6 in.

	Which of the following drugs is classified as a calcium channel blocker?   amlodipine nitroglycerin atenolol enalapril

	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:   purchase order an invoice an MAR a want book

	Which of the following DEA numbers would not be valid for Dr. Ann Cosgrove?   AC6782329 AC3081421 AC1355672 BC3421234

	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 121 DEA Form 222c DEA Form 200 DEA Form 240

	What class of drugs is used to regulate the level of fluid in the body?   anti-inflammatory sedative diuretic antipyretic

	The Orange Book is most often used to find ____________.   manufacturer’s standards therapeutic equivalents generic equivalents direct prices

	How many times a year should an ideal pharmacy’s inventory be turned?   12–14 10–12 10–14 14–16

	Which of the following pairs of medications could cause a major drug–drug interaction if taken together by a patient?   glyburide and metformin warfarin and aspirin penicillin and trimethoprim hydrocodone and naproxen

	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?   three vials one vial four or more vials two vials

	Which of the following medications should always be dispensed in a glass container?   potassium dopamine nitroglycerin aminophylline

	How many teaspoons are in one tablespoon?   4 3 2 5

	When using a torsion prescription balance, the first thing you should do after placing it on a level surface is:   place the substance to be weighed onto the scale unlock the balance and level it to zero place the weights in the right pan and the substance to be weighed in the left pan place the weights in the left pan and the substance to be weighed in the right pan

	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?   20 40 10 30

	Of the following tasks involved in pharmacy practice, which is allowed by law for technicians to perform?   receiving a verbal order from a physician giving or receiving a verbal copy filling a unit-dose cart 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?   ASHP APHA JCAHO PTCB

	An automatic stop order is most likely to be issued with which of the following meds?   clonidine 0.3 mg tablets amlodipine 5 mg tablets furosemide 40 mg tablets acetaminophen/codeine 325 mg/60 mg tablets

	Which of the following is equal to ½ pound?   454 g 16 oz. 240 g 1 lb

	Amphotericin B should be mixed only in ____________ for compatibility.   dextrose 0.9% sodium chloride lactated Ringer’s 0.45% sodium chloride

	There are several different types of automated dispensing systems. Which of the following is not an automated dispensing system?   Pyxis Kirby-Lester Baker 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, two quarters, three dimes, and seven pennies 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

	Which of the following items does not need to be present on a valid prescription?   name of medication dispensing pharmacist’s initials prescriber’s signature patient’s name

	Which of the following drugs listed would not likely be found stored on an emergency crash cart?   cimetidine injection dopamine injection lidocaine injection epinephrine 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 Dispensed Quantity Received Current Balance 1 Received from wholesaler   100 100 2 Barbara Jones 42   58 3 Nancy Smith 36   32 4 Thomas Watkins 24   8   3 4 1 2

	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?   wearing gloves hand washing spraying with Lysol mopping with chlorine bleach

	An injection that is given in the spinal column is known as:   a peritoneal injection an intrathecal injection an intravenous injection an interspinal 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?   estrogen oxytocin ritodrine medroxyprogesterone

	When dispensing ____________, a patient information package insert should be included with the medication.   oral contraceptives insulin nasal drops diet pills

	An instrument used to determine a patient’s blood pressure is known as a:   tempanometer electrocardiogram sphygmomanometer glucometer

	Which of the following classes of antibiotics are not recommended for young children and adolescents?   fluoroquinolones penicillins cephalosporins erythromycins

	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 policies and procedure manual MSDS OSHA “Right to Know” pamphlet

	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?   13 bottles 14 bottles 5 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 hrs Dextrose 25% Phosphorus 20 mEq/2L 2 L MgSO4 24 mEq/2 L Calcium gluconate 26 mEq KCl 40 mEq/L Na 80 mEq/2 L   0.8 mL 30 mL 2.15 mL 0.3 mL

	What is the maximum volume that can be injected subcutaneously in a single dose?   3 mL 2 mL 1 mL 0.5 mL

	What is the roman numeral for the number 50?   I M C 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 $4.08 $2.27 $2.72

	Which of the following drugs listed is an antihistamine?   cephradine loratidine nifedipine cimetidine

	Sodium chloride is ____________ solution.   an isotonic a hypotonic a hypertonic none of the above

	325 mg could also be written as _______________.   10 gr 2 gr 5 gr ½ gr

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