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WorksheetsMidterm 2024
Total questions: 50
Worksheet time: 4hrs 10mins
Which of the following organizations has developed best practices for medication safety in the community, ambulatory, hospital, and long-term care environments that pharmacies use in developing their own best practice policies and procedures?
CDC
FDA
ISMP
Centers for Medicare and Medicaid Services (CMS)
A prescription requires three stock bottles of #30 to fill the prescribed quantity of #90. How many bottles should have their barcode scanned during the prescription filling process?
None, type in the National Drug Code (NDC) number
One
Two
Three
Which of the following organizations publishes a list of hazardous medications?
FDA
CMS
United States Pharmacopeia (USP)
National Institute for Occupational Safety and Health (NIOSH)
Which of the following characteristics leads to a medication being classified as hazardous?
Cancer-causing
Made with a gelatin capsule
Containing dye that is toxic
Compounded
Which of the following describes a patient who is adherent to the medication regimen?
A patient who takes the atorvastatin 20 mg every day at bedtime for 30 days
A patient who takes the atorvastatin 20 mg every other day
A patient who takes ½ tablet of the atorvastatin 20 mg every day
A patient who takes the atorvastatin 20 mg when they remember to take it
A patient fills the following prescription: Rosuvastatin (Crestor) 20 mg, take one tablet daily at bedtime. If the prescription was written on June 1 for a quantity of 90 tablets, on which of the following dates should the patient need a refill if they follow the prescriber's instructions?
July 1
August 1
September 1
October 1
Which of the following conventions does the ISMP recommend using for sound-alike and look-alike medications?
Lowercase lettering
Tall Man lettering
No abbreviations
Italicizing the lettering
Which of the following defines high-risk/high-alert medications?
Medications that have similar-sounding names
Medications that are compounded
Medications likely to cause significant harm if they are used in error
Medications that have a wide dosage range
Which of the following is an incorrect piece of information to use when identifying a patient in the hospital setting?
Name
Room number
Date of birth
Medical record number
Which of the following questions should the pharmacy technician ask to ensure they give the correct prescription to a patient?
Ask for their name and employer
Ask for their name and date of birth
Ask for their date of birth and home phone number
Ask for their phone number and spouse's name
When should two patient identifiers be used to ensure a patient receives the correct medication?
When responding to questions about the pharmacy
When receiving a prescription
At the drop-off window
At hospital discharge
A patient who received a vaccine at a pharmacy calls the next day to report they had a severe allergic reaction. Which of the following systems should the pharmacy technician use to report this adverse vaccine reaction?
Institute for Safe Medication Practices National Vaccine Errors Reporting Program (ISMP-VERP) and the Vaccine Adverse Event Reporting System (VAERS)
VAERS and the CMS
ISMP-VERP and the USP
American Society of Health-System Pharmacists (ASHP) and ISMP-VERP
A patient in a hospital received a wrong dose of pain medication that resulted in an overdose. Which of the following tools can be used to research and document how the error happened?
ISMP's Medication Safety Self-Assessment for Hospitals
ASHP's Guidelines for Medication Safety
The hospital's continuous quality improvement (CQI) monthly meeting
The hospital's root cause analysis (RCA)
A pharmacy technician finds medication for two different patients put together in the same bag. In which of the following ways should they respond to this near miss?
Nothing should be done because it was only a near miss.
It should be reported according to the pharmacy's policies and procedures.
It should be reported to the Institute for Safe Medication Practices' National Medical Errors Reporting Program (ISMP-MERP).
It should be reported to the Food and Drug Administration's (FDA) MedWatch program.
A pharmacy has started using a new preferred generic manufacturer for most of its products. The manufacturer's labels are all the same color and style. Which of the following techniques should the pharmacy technician use to ensure the wrong medication is not selected during the filling process?
Store these medications separately in the pharmacy storage area and flag them with a note.
Store the medications together in an area for sound-alike, look-alike drugs (SALAD).
Store the medications in alphabetical order.
Store the medications in the hazardous medications area.
On which of the following schedules should pharmacy countertops be cleaned?
Hourly
Twice daily at opening and closing
Daily
Weekly, on weekends
Checking for expired medications is a monthly process according to the pharmacy's policies and procedures. On which of the following dates does a topical medication marked 4-2025 expire?
March 30, 2025
April 1, 2025
April 15, 2025
April 30, 2025
On which of the following schedules should crash carts be checked for complete contents and expired medication?
Daily
Weekly
Monthly
Quarterly
What actions do pharmacy technicians take regarding expired medications?
Tell the pharmacist
They check expiration dates and remove recalled, discontinued, expired, and overstocked products from inventory
They remove only expired medications
They remove all expired medications and send them back to the manufacture
Identify the area in a community pharmacy where prescriptions are picked up by the patients?
Intake area
Processing area
Processed prescription area
Out window
Which medication should be stored in its original container according to manufacturer instructions to maintain its stability?
Nitroglycerin for sublingual use
Atenolol tablets
Potassium tablets
Robitussin DM liquid
What form reports theft or loss?
DEAA form 222
DEA form 224
DEA form 106
DEA form 41
What does REMS stand for?
Regulated Medication Storage
Risk Evaluation and Mitigation Strategy
Registered Emergency Medication Supply
Recall Enforcement Medication System
Which law required drugs to be proven safe and established the FDA?
Durham-Humphrey Act
Food-Drug and Cosmetic Act
Kefauver-Harris Act
Poison Prevention Act
What is medication reconciliation?
Counting inventory
Comparing patient orders to medication history
Reporting errors
Canceling prescriptions
Which classification of medication recall is characterized by a strong chance of serious adverse effects or death?
Class I
Class II
Class III
Class IV
Which category of hazardous medication waste includes substances that are acutely hazardous such that even empty containers are considered hazardous?
P-listed
D-listed
U-listed
C-listed
Which of the following activities should only be performed by a pharmacist?
Ordering medications from a supplier
Keeping the pharmacy area clean
Compounding sterile and nonsterile prescriptions
Recommending OTC medications based on manifestations
What medication class does Nifedipine belong to?
Calcium channel blockers
Beta blockers
Ace inhibitor
Loop diuretics
How often should pharmacy personnel check and document refrigerator and freezer temperatures?
Twice a week
Twice daily
Twice a month
Twice a year
What category of medication error causes hospitalization?
Category A
Category B
Category F
Category D
What is the expiration date for insulin once removed from refrigeration?
28 days at room temperature
Zero once it's taken out of the fridge it's expired
25 days at room temperature
60 days at room temperature
What are some examples of pharmacy references required by state boards?
United States Pharmacopeia
Drug Facts and Comparisons
CDC Health Information for International Travel
Safety Data Sheets
What information is needed for a patient profile in the pharmacy?
Patient's name, date of birth, telephone number, physical address, allergy information, and insurance information.
Patient's name, date of birth, telephone number, physical address, allergy information, and employers information.
Patient's name, date of birth, work phone number, physical address, allergy information, and insurance information.
Patient's name, date of birth, telephone number, physical address, marital status, allergy information, and insurance information.
What is a PCN in health insurance?
PCN stands for Prescriber Control Number, used to differentiate between plan packages
PCN stands for Processor Control Number, used to differentiate between plan packages.
PCN stands for Prescription Control Number, used to differentiate between plan packages.
PCN stands for Preferred Control Number, used to differentiate between plan packages.
What should a pharmacy do if a claim is non-formulary?
Communicate with the pharmacist to evaluate if a different, covered medication is available.
Communicate with the prescriber to evaluate if a different, covered medication is available.
Communicate with the patient to evaluate if a different, covered medication is available.
Communicate with the patient that the medication is not covered or unavailable.
A patient who has Medicare parts A, B, and D, has been prescribed adult diapers. Which of the following insurance coverage should be billed?
Medicare Part A
Medicare Part B
Medicare Part D
Medicare Supplemental Plan
What should be done if the hands or arms touch the sink during handwashing?
Restart the handwashing process
Continue the handwashing
Stop and use alcohol-based hand rub
Stop and proceed with the sterile compound
How often must media fill tests be completed for personnel compounding Category 1 and 2 compounds?
At least every 6 months
At least every 3 months
At least every year
At least every month
What indicates a failure in gloved fingertip testing?
Positive bacterial growth on the agar plates.
Negative bacterial growth on the agar plates.
Positive bacterial growth on the hot plates.
Negative bacterial growth on the hot plates.
What vaccines are categorized as live and attenuated?
Measles
Polio
Hepatitis B
Hepatitis A
What angle should the needle be inserted into the vial to prevent coring?
At a 45 degree angle with the bevel facing upward
At a 15 degree angle with the bevel facing upward
At a 45° angle with the bevel facing downward
At a 15° angle with the bevel facing downward
What is the maximum number of sterile ingredients in low-risk compounding?
Three or fewer sterile ingredients
Two or fewer sterile ingredients
Three or fewer non sterile ingredients
Two or fewer non sterile ingredients
What types of balances are used in non sterile compounding?
Class A balances for smaller amounts and electronic balances for larger amounts
Class B balances for smaller amounts and electronic balances for larger amounts
Class A balances for larger amounts and electronic balances for smaller amounts
Class B balances for larger amounts and electronic balances for smaller amounts
What is the purpose of the ingredient record?
To include certificates of purity and safety data sheets
It's mandated by the law
It's mandated by the pharmacy board
To make sure you are doing it right
Which logs track expired and returned medications?
Toxicology sheets
Reverse distributor inventory logs
EOB forms
MAR forms
What is the common suffix for Ace inhibitors?
lol
pril
sartan
pine
A patient presents a pharmacy technician with a prescription that indicates the prescriber has authorized a generic substitution. However, the patient requests no generic substitution. Which of the following DAW codes should the technician use when entering this prescription?
0
1
2
3
Which medication error stage happens during label printing?
Prescribing
Transcribing
Dispensing
Monitoring
What is the maximum number of days before a refill is due that most third party payers will allow a refill to be processed?
2
4
5
7
