Question 1

When receiving a handwritten prescription order from Mrs. Smith, what additional information should you obtain in order to be sure that you fill the prescription for the correct patient?

Accepted Answer

A)  Date of birth
B)  Doctor's name
C)  Doctor's address
D)  Generic name of medication A

Question 2

Reynolds is an 85 year old female patient with a urinary tract infection. She wants to know who is allowed to drop off her antibiotic prescription at the pharmacy. What do you tell her?

Accepted Answer

A)  Only she can drop it off
B)  Only she or her husband can drop it off
C)  Only she or her immediate family can drop it off
D)  Anyone can drop it off for her D

Question 3

In what way(s) can doctors submit prescriptions to pharmacies?
I. By Phone
II. Electronically
III. Written
IV. Faxed

Accepted Answer

A)  I, II, and III
B)  I, II, III, and IV
C)  I, III, and IV
D)  III and IV B

Question 4

Which of the following practitioners are not allowed to write prescriptions?

Accepted Answer

A)  Medical Doctor
B)  Dentist
C)  Physician Assistant
D)  Registered Nurse

Question 5

Jessica Johnson brings in a prescription for Valium that looks like it has been photocopied. What is the most appropriate course of action?

Accepted Answer

A)  Call the police
B)  Fill the prescription anyway
C)  Ask the patient if she photocopied the prescription
D)  Check to see if she has filled the prescription at your pharmacy before, and call the doctor's office to alert them to the situation.

Question 6

Which of the following medications cannot be called in over the telephone?

Accepted Answer

A)  Duragesic
B)  Vicodin
C)  Klonopin
D)  Xanax

Question 7

Which of the following medications can be sent to the pharmacy by fax?

Accepted Answer

A)  Carisoprodol
B)  Tramadol
C)  Methocarbamol
D)  All of the above

Question 8

Hansen calls and says he wants to fax over a prescription for Adderall XR. What do you tell him?

Accepted Answer

A)  Send it over and we will get working on it right away.
B)  Adderall XR is backordered; send the prescription over for the generic instead.
C)  Prescriptions for Adderall XR cannot be sent to a pharmacy by fax or email, you must give the patient a hard copy and have them bring it in to the pharmacy.
D)  Prescriptions for Adderall XR cannot be sent to a pharmacy by fax, send it over by email instead.

Question 9

One of your regular patients has run out of refills for his HCTZ. What do you do?

Accepted Answer

A)  Contact the patient's doctor to request refills.
B)  Do nothing; that's the patient's responsibility.
C)  Have the pharmacist authorize refills.
D)  Authorize refills yourself.

Question 10

A patient asks you to explain how to take her medication. The prescription is for esomeprazole 20mg PO qi. The label reads: Take two capsules once a day one hour before mealtime by mouth. What is the error on the label?

Accepted Answer

A)  Only one 20mg capsule should be taken by mouth every day one hour before mealtime.
B)  Esomeprazole doesn't come in a 20 mg dose.
C)  Two capsules of esomeprazole should be taken twice daily for a total of four capsules-qi means four, as in "quad."
D)  Esomeprazole is only available in sublingual form.

Question 11

Bobillo forgot to specify which strength of amoxicillin he would like his patient to take for her infection. What do you do?

Accepted Answer

A)  Guess which strength he meant based on the directions.
B)  Send the patient away; there's nothing you can do.
C)  Ask the pharmacist to call the doctor to see which strength he wanted.
D)  None of the above

Question 12

Maxwell has given Julie a prescription for Xanax. The pharmacist instructs the technician, Marcos, to give Julie the generic alternative for Xanax to save her some money. Marcos fills the prescription using Lorazepam. What mistake has been made?

Accepted Answer

A)  There is no generic alternative to Xanax.
B)  Clonazepam is the generic version of Xanax.
C)  Alprazolam is the generic version of Xanax.
D)  Flurazepam is the generic version of Xanax.

Question 13

Which of the following healthcare practitioners are allowed to write prescriptions?

Accepted Answer

A)  Nurse
B)  Nurse Practitioner
C)  Certified Nursing Assistant
D)  Licensed Practical Nurse

Question 14

Which of the following medications can only be filled from a paper, hard copy prescription order?

Accepted Answer

A)  Meloxicam
B)  Oxybutynin
C)  Hydromorphone
D)  Strattera

Question 15

Angel received a prescription for docusate sodium which read 2T PO QOD. Angel made a label for the bottle that read, "Take two tablets by mouth every day." What mistake did she make?

Accepted Answer

A)  QOD stands for four times daily.
B)  PO stands for under the tongue.
C)  QOD means every other day.
D)  Nothing, she translated the sig code perfectly.

Question 16

Frux wrote a prescription for Amlodipine 10mg 1T PO TID. Andy created a pharmacy label that reads "Take one tablet by mouth twice daily." What mistake has Andy made?

Accepted Answer

A)  TID stands for three times daily.
B)  PO means under the tongue.
C)  TID means in the evening.
D)  PO means with food.

Question 17

A patient with prescription coverage and a diagnosis of a duodenal ulcer has a prescription for lansoprazole. After determining that the patient's prescription will cover 8 weeks of therapy, and the prescription was written for 3 months, what is your correct action?

Accepted Answer

A)  Call the prescribing physician and request a change to the pharmacist's preferred proton pump inhibitor.
B)  Tell the patient that according to your information, she will be reimbursed for 8 weeks of therapy.
C)  Tell the patient they will have to pay out of pocket because lansoprazole is not the appropriate drug for duodenal ulcer.
D)  Contact the insurance company and ask that the coverage be extended for 4 extra weeks.

Question 18

If a patient receives a prescription for ProAir HFA inhaler with the directions: "Take one to two puffs four to six times daily as needed for shortness of breath," what is the days' supply?

Accepted Answer

A)  20 Days
B)  30 Days
C)  12 Days
D)  16 Days

Question 19

Johnson calls and wants to email a prescription for Lorazepam to your pharmacy. What do you tell him?

Accepted Answer

A)  Send it over and we will get working on it right away.
B)  Lorazepam is backordered; send the prescription over for the brand name, Ativan, instead.
C)  Lorazepam cannot be sent to a pharmacy electronically, send it over by fax instead.
D)  Lorazepam cannot be sent to a pharmacy electronically, let me get you the pharmacist so you can call it in instead.

Exam 5: Prescriptions