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Rx Practicum Semester 1 Final Practice Test

Total questions: 100

Worksheet time: 53mins

Name
Class
Date
1.

Which of the following medications requires ordering via DEA form 222, or the Controlled Substance Ordering System (CSOS)?

a)

Schedule II

b)

Schedule III

c)

Schedule IV

d)

Schedule V

2.

A pharmacy technician should identify that which of the following is represented by the abbreviation APAP?

a)

Aspirin

b)

Immediately

c)

Acetaminophen

d)

As soon as possible

3.

Which of the following is the maximum number of times a prescription for a Schedule III to Schedule IV medication can be refilled within 6 months from the date it was originally written?

a)

Six

b)

Zero

c)

Five

d)

One

4.

Schedule II prescription records must be kept on site for a minimum of how many years?

a)

7 years

b)

10 years

c)

2 years

d)

5 years

5.

Which of the following references is used to look up an FDA-approved therapeutic equivalence for a medication?

a)

Red Book

b)

Physician’s Desk Reference

c)

Orange Book

d)

Trissel’s Handbook

6.

A pharmacy technician should identify that which of the following are examples of look-alike, sound-alike medications?

a)

Baclofen and benazepril

b)

Fluoxetine and fenofibrate

c)

Prednisone and prednisolone

d)

Tamoxifen and tamsulosin

7.

Which of the following scenarios allows for the disclosure of a patient's protected health information (PHI)?

a)

A patient's employer asks for information regarding the patient's PHI.

b)

A patient's family member asks for information regarding the patient's PHI and does not have the patient's consent.

c)

A member of the local media asks for information regarding a patient's PHI.

d)

A law enforcement official asks for information regarding a patient's PHI.

8.

Which of the following sections of a monograph includes situations in which a medication should not be used?

a)

Overdosage

b)

Contraindications

c)

Drug interactions

d)

Drug abuse and dependence

9.

Which of the following is covered under Medicare Part B?

a)

Hospital stay for a diabetic emergency

b)

Glucometer and blood glucose testing supplies

c)

Insulin

d)

Metformin (Glucophage)

10.

A nurse completes their daily medication rounds and forgets to give a patient their medication. The pharmacy technician identifies there is an extra dose remaining. The technician should recognize the error as which of the following types of medication errors?

a)

Wrong time

b)

Omission

c)

Prescribing

d)

Monitoring

11.

Which of the following is an example of efficient inventory management?

a)

Returning fast-moving medications to the manufacturer 12 months from the expiration date for credit

b)

Placing medications with a later expiration date in front to avoid dispensing expired medications

c)

Keeping recalled medications on the shelf until the patient is notified

d)

Rotating inventory so medications with shorter expiration dates are used first

12.

A pharmacy technician receives a hard copy prescription and notices the prescription looks photocopied. Which of the following should the technician look for to identify evidence of photocopy fraud?

a)

Security borders message

b)

Prescriber Drug Enforcement Administration (DEA) number

c)

Raised or indented print

d)

Watermark on back of prescription

13.

Which of the following tasks is outside a pharmacy technician's scope of practice?

a)

a. Clarifying a prescription with a prescriber

b)

b. Requesting additional refills

14.

Which of the following medications should a pharmacy technician identify as being included in the Risk Evaluation and Mitigation Strategies (REMS) program?

a)

Clindamycin (Cleocin)

b)

Tretinoin (Retin-A)

c)

Isotretinoin (Accutane)

d)

Doxycycline (Oracea)

15.

A pharmacy technician should identify that which of the following over-the-counter (OTC) medications is most likely to increase a patient's risk for gastrointestinal (GI) bleeding?

a)

Acetaminophen (Tylenol)

b)

Famotidine (Pepcid)

c)

Ibuprofen (Motrin)

d)

Diphenhydramine (Benadryl)

16.

Which of the following vitamins should a pharmacy technician identify as fat-soluble?

a)

Vitamin B6

b)

Vitamin C

c)

Vitamin B12

d)

Vitamin K

17.

Which of the following conditions is pseudoephedrine (Sudafed) oral tablets indicated to treat?

a)

Allergies

b)

Headache

c)

Heartburn

d)

Fever

18.

Which of the following classes of medications has an intended effect of reducing blood pressure and/or heart rate?

a)

Tetracyclines

b)

Beta-blockers

c)

Anticoagulants

d)

Glucagon-like peptide (GLP-1) agonists

19.

Which of the following nonprofit organizations is dedicated solely to educating the health care community about safe medication practices and the prevention of errors?

a)

MedWatch

b)

The Joint Commission (TJC)

c)

Institute for Safe Medication Practices (ISMP)

d)

MEDMARX

20.

Which of the following ointment bases is most prone to mold growth?

a)

Water-soluble

b)

Emulsion

c)

Absorption

21.

A patient who is covered by Medicare brings a prescription for metformin (Glucophage) into the pharmacy. Which part of Medicare covers the prescription?

a)

Medicare Part A

b)

Medicare Part B

c)

Medicare Part C

d)

Medicare Part D

22.

Which of the following is a requirement for a bulk repackaged product label?

a)

Original bulk package quantity

b)

Prescription number

c)

Unit dose cost

d)

Medication lot number

23.

Which of the following tasks can a pharmacy technician legally perform?

a)

Make recommendations for over-the-counter (OTC) supplies.

b)

Counsel a patient on the use of a medication.

c)

Prescribe medication therapy.

d)

Fill a unit dose cart.

24.

Which of the following components of an insurance card directs the claim to the correct third-party provider?

a)

Member Identification number (ID #)

b)

Prescription group number

c)

Person code

d)

Pharmacy Bank Identification number (RxBIN)

25.

A pharmacy technician should identify that which of the following laws requires childproof packaging for prescription medications?

a)

Food Drug and Cosmetic Act

b)

Omnibus Budget Reconciliation Act

c)

Poison Prevention Packaging Act

d)

Drug Supply Chain Security Act

26.

A pharmacy technician is scanning a bar code on a medication bottle. Which of the following information should the technician expect the bar code to include?

a)

Prescriber's name

b)

Adverse effects

c)

Dosage form

d)

Purchase date

27.

Which of the following is the brand name of fluconazole?

a)

Dificid

b)

Lanoxin

c)

Aricept

d)

Diflucan

28.

Tall Man lettering is used to prevent medication errors due to which of the following?

a)

Look-alike/sound-alike medication names

b)

Error-prone abbreviation use

29.

A pharmacist asks a pharmacy technician to assist with management of patients' medication therapy. Which of the following tasks can the pharmacy technician complete to assist the pharmacist?

a)

Patient counseling

b)

Scheduling patient reminders and phone calls

c)

Verifying final prescriptions for patients

d)

Answering patient questions regarding adverse effects

30.

Which of the following solutions uses sugar as the base and tends to be thicker than water?

a)

Spirits

b)

Syrup

c)

Elixir

d)

Sprays

31.

How many milliliters are in 1 tsp?

a)

5 mL

b)

15 mL

c)

20 mL

d)

30 mL

32.

Which of the following can be the first letter in a prescriber's DEA number?

a)

C

b)

L

c)

M

d)

R

33.

Which of the following describes the primary purpose of the Durham-Humphrey Amendment of 1951?

a)

To distinguish between prescription and over-the-counter (OTC) medications

b)

To require manufacturers to supply proof of a medication's effectiveness

c)

To classify the five levels of controlled substances

d)

To require childproof packaging on all medications

34.

Which of the following standards should be applied when managing protected health information (PHI)?

a)

PHI should be thrown in the trash immediately after use.

b)

PHI should only be discussed amongst employees if they work for the same company.

c)

A pharmacy's privacy notice only needs to be displayed at the request of a patient.

d)

Electronically transmitted PHI should be encrypted.

35.

A pharmacy technician is required to include a patient package insert when dispensing which of the following medications to a patient?

a)

Simvastatin (Zocor)

b)

Drospirenone (Yasmin)

c)

Oxycodone (Percocet)

36.

A patient is picking up a prescription for birth control and states they might be pregnant. Which of the following actions should the pharmacy technician take?

a)

Notify the pharmacist.

b)

Tell the patient not to take the medication.

c)

Instruct the patient to purchase an over-the-counter pregnancy test.

d)

Dispense the medication.

37.

A pharmacy technician is filling prescriptions. Which of the following actions should the technician take to help prevent medication errors?

a)

Scan the bar code of the medication bottle to ensure it matches the National Drug Code (NDC) of the medication prescribed.

b)

Use the first in, first out inventory method.

c)

Enter all the prescriptions and have another technician pull the medication bottles.

d)

Pull several medication bottles at the same time to be more efficient in prescription filling.

38.

A pharmacy technician is assisting a patient who states they are not taking their medication as prescribed. Which of the following actions should the technician take?

a)

Advise the patient to take their medication.

b)

Notify the pharmacist.

c)

Call the nurse.

d)

Contact the case worker.

39.

Which of the following actions should a pharmacy technician take when repackaging medications?

a)

Repackage the medications in a high-traffic area near all equipment and supplies.

b)

Wash the pill tray with distilled water after each use.

c)

Wear gloves when handling tablets or capsules.

d)

Prepare several medications at one time.

40.

Which of the following pieces of information should be used to ensure the patient's name on the prescription and the patient profile match?

a)

Allergy list

b)

Primary care provider

c)

Date of birth

d)

Medication list

41.

A pharmacy technician should identify that which of the following vaccines is administered yearly?

a)

Diphtheria, tetanus, and acellular pertussis (DTaP)

b)

Measles, mumps, and rubella (MMR)

c)

Polio

d)

Influenza

42.

A pharmacy technician should identify that which of the following medications reduces cholesterol?

a)

Atenolol (Ternormin)

b)

Digoxin (Lanoxin)

c)

Losartan (Cozaar)

d)

Atorvastatin (Lipitor)

43.

Which of the following documents is provided to inform patients about potential serious adverse events of certain prescription medications and ways to avoid them?

a)

Safety Data Sheet

b)

Patient package Insert

c)

Medication guide

d)

Auxiliary labels

44.

Using Clark's rule, calculate the pediatric daily dose for a patient who weighs 34 kg (75 lb) and is 8 years old. The adult dose is 500 mg bid.

a)

500 mg

b)

640 mg

c)

400 mg

d)

1,000 mg

45.

Which of the following pieces of information should the pharmacy technician provide the pharmacist to complete final verification of a prescription?

a)

Original prescription

b)

Quantity in a stock bottle

c)

Date of the last refill

d)

Patient's address

46.

Diphenhydramine (Benadryl) is indicated for which of the following conditions?

a)

Indigestion

b)

Heartburn

c)

Headache

d)

Allergies

47.

Which of the following medications is used to treat ADHD?

a)

Dextroamphetamine/amphetamine (Adderall)

b)

Amoxicillin/Clavulanate (Augmentin)

c)

Citalopram (Celexa)

d)

Lorazepam (Ativan)

48.

A pharmacy technician is communicating with a patient. Which of the following actions by the technician demonstrates effective verbal communication?

a)

Using a singular tone

b)

Speaking quickly

c)

Speaking in a soft, high-pitched voice

d)

Using inflection

49.

Which of the following prescription medications is used to treat depression?

a)

Celecoxib (Celebrex)

b)

Citalopram (Celexa)

c)

Cyclobenzaprine (Flexeril)

d)

Clopidogrel (Plavix)

50.

Which of the following is a reason that a third-party payer might require prior authorization before covering a medication?

a)

To speed up the prescription filling process

b)

To ensure the appropriate use of certain medications

c)

To check for drug-drug interactions

d)

To verify if the patient has prescription benefits

51.

Which of the following methods should a pharmacy technician use to accurately measure volume when using a liquid for a non-sterile compounded product?

a)

the liquid line at the top of the meniscus when measuring the volume.

b)

Ensure the measuring device is no more than twice the size of the needed measured volume.

c)

Use the device that is closest to the volume needing measured.

d)

Measure the liquid line at a 45° angle.

52.

A medication is to be stored between 15° C to 25° C. At which of the following temperatures, in Fahrenheit, should the pharmacy technician store this medication?

a)

2° F

b)

42° F

c)

62° F

d)

32° F

53.

A pharmacy technician should recognize that which of the following pieces of information is verified during the final check of the prescription?

a)

Patient's language preference

b)

Medication inventory level

c)

Prescription medication directions for use

d)

Patient's deductible status

54.

A pharmacy technician should recognize that which of the following components must be on a unit dose label?

a)

National Drug Code (NDC) number

b)

Refills

c)

Lot number

d)

Date filled

55.

Which of the following is the minimum amount of time electronic prescription records are required to be kept on file in a pharmacy?

a)

1 year

b)

2 years

c)

6 months

d)

9 months

56.

A prescription for sertraline (Zoloft) 50 mg #30 has a selling price of 105.00andanacquisitioncostof105.00 and an acquisition cost of 74.50. Which of the following is the gross profit?

a)

$30.50

b)

$179.50

c)

$23.50

d)

$7.00

57.

1 tab po qod.

a)

1 tab po d

b)

1 tab po bid

c)

1 tab po every other day

d)

1 tab po four times daily

58.

A patient just purchased a glucometer and needs supplies to help monitor their blood glucose levels. Which of the following items should a pharmacy technician recommend for drawing blood?

a)

Glucose test strips

b)

Calibration strip

c)

Lancet

d)

Alcohol swab

59.

A pharmacy technician is notified of a medication recall. Which of the following actions should the technician take upon receipt of the recall?

a)

Check and remove all recalled stock from shelves.

b)

List the recall publicly online.

c)

Report adverse effects of the recalled product to the FDA.

d)

Contact the manufacturer.

60.

How many days' supply is the following prescription written for? Take 1 to 2 tabs every 12 hr as need for anxiety #120.

a)

15 days

b)

30 days

c)

45 days

d)

90 days

61.

A pharmacy technician is performing quality assurance checks of a health care facility's crash carts. Which of the following should the technician identify as a medication that is required to be included on a crash cart?

a)

Linezolid (Zyvox)

b)

Epinephrine (Adrenalin)

c)

Caspofungin (Cancidas)

d)

Escitalopram (Lexapro)

62.

A pharmacy technician should identify that medications requiring refrigeration should be stored within which of the following temperature ranges?

a)

36° to 46° F

b)

15° to 30° C

c)

-10° to 20° C

63.

Which of the following medications must be dispensed in the original manufacturer packaging?

a)

Amoxicillin (Amoxil) tablets

b)

Nitroglycerin (Nitrostat) sublingual tablets

c)

Oxycodone (OxyContin) tablets

d)

Omeprazole (Prilosec) capsules

64.

Which of the following U.S. Pharmacopeia General Chapters addresses the safe handling and disposal practices for hazardous medications in health care settings?

a)

USP <797>

b)

USP <800>

c)

USP <795>

d)

USP <71>

65.

Prior to starting sterile compounding, which of the following pieces of personal protective equipment (PPE) should a pharmacy technician don first?

a)

Bouffant cap

b)

Face mask

c)

Gown

d)

Shoe covers

66.

According to the Combat Methamphetamine Epidemic Act of 2005, which of the following is the maximum amount of pseudoephedrine (Sudafed) a person can purchase per day?

a)

5.5 g

b)

3.6 g

c)

6.3 g

d)

4.7 g

67.

How many grams of 2.5% and 10% hydrocortisone (Hydrocort) cream are needed to prepare 15 g of a 5% hydrocortisone cream?

a)

7.5 g of 10% hydrocortisone cream and 7.5 g of 2.5% hydrocortisone cream

b)

7 g of 10% hydrocortisone cream and 8 g of 2.5% hydrocortisone cream

c)

10 g of 10% hydrocortisone cream and 5 g of 2.5% hydrocortisone cream

d)

5 g of 10% hydrocortisone cream and 10 g of 2.5% hydrocortisone cream

68.

A provider writes a prescription for metoprolol tartrate (Lopressor) with the following directions: 25 mg po bid. How many times per day should the patient take this medicine?

a)

Once daily

b)

Twice daily

c)

3 times a day

69.

If the horizontal laminar airflow hood has been turned off, for how much time must the hood be turned on before sterile compounding can resume?

a)

10 min

b)

15 min

c)

30 min

d)

1 hr

70.

Which of the following routes of administration abbreviations stands for both eyes?

a)

OU

b)

OS

c)

AD

d)

AU

71.

Which of the following is an error that must be corrected for a Schedule II to Schedule IV controlled substance prescription?

a)

The present date is 3 days past the original prescription date.

b)

The prescription does not have any refills listed.

c)

The prescription is written in blue ink.

d)

The prescription does not include the prescriber's DEA number.

72.

A pharmacy technician should recognize that which of the following medication instructions will be included on a prescription for levothyroxine (Synthroid)?

a)

Take the medication with dinner.

b)

Take the medication at least 1 hour after a meal.

c)

Take the medication at bedtime.

d)

Take the medication on an empty stomach.

73.

Which of the following is the maximum allowable time a prescription for a Schedule III to Schedule V controlled medication can be filled if it still has refills available?

a)

12 months

b)

6 months

c)

3 months

d)

1 month

74.

Which of the following information is required to fill a prescription for a controlled substance?

a)

Nurse's signature

b)

Prescriber's DEA number

c)

Pharmacy's fax number

d)

Address of the patient's employer

75.

Standard precaution practices prevent transmission of which of the following?

a)

Bloodborne pathogens

b)

Foodborne pathogens

c)

Sexual transmitted infections (STIs)

d)

Vector-borne diseases

76.

A patient arrives at the pharmacy to pick up their prescription. In addition to the patient's name, which of the following patient information should the pharmacy technician obtain to ensure they are giving the prescription to the correct patient?

4 lines
77.

Which of the following individuals is responsible for reviewing adjudication information?

a)

Pharmacy benefit manager

b)

Pharmacy technician

c)

Customer

d)

Prescribing provider

78.

A pharmacy technician is using facial expressions and hand gestures while communicating with a patient. Which of the following types of communication is the technician using?

a)

Active listening

b)

Non-verbal

c)

Verbal

d)

Written

79.

A pharmacy technician receives a prescription for eye drops. The technician should identify that which of the following eye drops should be stored in the refrigerator?

a)

Latanoprost (Xalatan)

b)

Timolol (Timoptic)

c)

Cyclosporin (Neoral)

d)

Dorzolamide (Trusopt)

80.

Which of the following is an example of protected health information (PHI)?

a)

A patient's credit card number

b)

Performance evaluations of a patient

c)

Make and model of a patient's vehicle

d)

A patient's insurance bank identification number (BIN) and group number

81.

How often should a pharmacy technician inspect floor stock medications for expiration dates?

a)

Monthly

b)

Weekly

c)

Daily

d)

Yearly

82.

When selecting the appropriate medication for a prescription, which of the following parts of the National Drug Code (NDC) identifies the product size?

a)

The first set of numbers

b)

The second set of numbers

c)

The middle set of numbers

d)

The last set of numbers

83.

Which of the following Dispense as Written (DAW) codes allows a patient to receive either the brand or generic version of a medication?

a)
DAW 0
b)

DAW 1

c)

DAW 6

d)

DAW9

84.

A new patient drops off a prescription at the pharmacy. The pharmacy technician should identify that which of the following patient information is needed to build the patient's profile?

a)

Social Security number

b)

Birth date

c)

Patient's employer

d)

Medical record number

85.

Which of the following is the goal of performing medication reconciliation for patients?

a)

To bypass pharmacist intervention

b)

To promote IV medication use

c)

To reduce medication use

d)

To prevent medication errors

86.

Which of the following medications is a Schedule II controlled substance?

a)

Diphenoxylate/atropine (Lomotil)

b)

Meperidine (Demerol)

c)

Diazepam (Valium)

d)

Acetaminophen (Tylenol) with codeine

87.

Which of the following types of prescriptions must be written down before a pharmacy technician can fill the prescription?

a)

Written

b)

Telephone

c)

Facsimile

d)

Electronic

88.

A patient tells a pharmacist they are looking for a natural therapy to relieve symptoms of a urinary tract infection (UTI). Which of the following supplements should the pharmacy technician anticipate the pharmacist to recommend?

a)

Black cohosh

b)

St. John's wort

c)

Saw palmetto

d)

Cranberry juice

89.

According to federal law, when transferring a Schedule II medication to another pharmacy, which of the following forms should the receiving pharmacy complete and retain?

a)

DEA Form 222

b)

DEA Form 41

c)

DEA Form 106

d)

DEA Form 225

90.

Per USP <795> beyond-use date (BUD) guidelines, which of the following BUDs is recommended for a nonaqueous formulation?

a)

6 months or until the earliest expiration date of any ingredient

b)

14 days when stored at cold temperature

91.

A pharmacy technician is preparing to dispense a prescription for tablets. Which of the following containers should the technician use?

a)

Prescription bottle

b)

Applicator bottle

c)

Round vial

d)

Ointment jars

92.

A pharmacy technician receives the following prescription: ii gtts OD QID. In which of the following locations should the medication be administered?

a)

Right eye

b)

Left ear

c)

Right ear

d)

Left eye

93.

A pharmacy technician should identify that which of the following is an example of a solid dosage form?

a)

Suspension

b)

Emulsion

c)

Transdermal patch

d)

Effervescent tablets

94.

Which of the following does the automated dispensing system use to identify the correct medications while restocking?

a)

Medication administration record (MAR)

b)

Bar code technology

c)

Lot number

d)

Patient's identification

95.

A patient brings in a prescription for 75 mL of liquid medication. Which bottle size should the pharmacy technician select to fill this prescription?

a)

2 fl oz

b)

3 fl oz

c)

6 fl oz

d)

8 fl oz

96.

According to USP <797>, which of the following locations should the pharmacy technician use to gown and wipe down supplies that will be used for IV preparation?

a)

Clean room

b)

Pharmacy supply closet

c)

Anteroom

d)

Laminar airflow work bench

97.

When drawing out of a glass ampule, which of the following supplies is needed to help prevent glass from entering the medication solution?

a)

Filter needle

b)

Syringe

c)

Male adapter

d)

Transfer needle

98.

A pharmacy technician is using a counting tray to count medications, including chemotherapy medication. Which of the following actions should the technician take to prevent cross-contamination of hazardous medications?

a)

Clean the tray with alcohol after counting.

b)

Use a separate counting tray.

c)

Throw the tray away after use.

d)

Rinse the tray with distilled water.

99.

A pharmacy technician receives a prescription for metoprolol succinate (Toprol XL) 50 mg tablets with instructions of 1.5 tablets by mouth daily for 30 days. Which of the following is the correct dispensing quantity for this prescription?

a)

30 tablets

b)

45 tablets

c)

60 tablets

d)

90 tablets

100.

A pharmacy technician is compounding IV solutions. Which of the following actions by the technician can help minimize incompatibilities?

a)

Allowing compounded IV solutions to sit 24 to 48 hr after preparation

b)

Rotating the order of ingredients added to solution

c)

Increasing the number of ingredients added to a solution

d)

Verify incompatibility resources prior to compounding.

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