CPJE Practice Exam Questions and Answers: Pharmacology and Patient Counseling, Exams of Nursing

Download CPJE Practice Exam Questions and Answers: Pharmacology and Patient Counseling and more Exams Nursing in PDF only on Docsity!

ANSWERS 100% SOLVED (Newest 2025)

A pharmacist is counseling a 58-year-old man with a new prescription for repaglinide 0.5 mg t.i.d. According to the patient profile, he is homeless. Which of the following information should be requested from the patient and what is the rationale? - Correct Answers ✅Are you eating three regular meals per day? Drug is taken with meals and skipped if meal is skipped. What could be considered barriers to providing a thorough oral consultation to a patient? - Correct Answers ✅Educational Background. Primary language. Physical Impairment. A hospital pharmacist has just received a new medication order for brimonidine. The pharmacist wishes to confirm the appropriateness of this order and calls the nurse for the patient's diagnosis. What diagnoses would confirm that the brimonidine order is APPROPRIATE? - Correct Answers ✅Glaucoma A physician writes the following prescription: Finasteride 1 mg tablets # 1 tab p.o. daily for benign prostatic hyperplasia What would be the MOST APPROPRIATE action of the pharmacist? - Correct Answers ✅Call physician regarding dosage strength.

ANSWERS 100% SOLVED (Newest 2025)

Which of the following is CORRECT about a prescription for naproxen sodium 275 mg tablets #20 Sig: i tab b.i.d.? A. Naproxen sodium at that dosage may be sold without a prescription as a product called Aleve®. B. The prescription may be filled as written. C. The prescription may be filled with Naprosyn® if Anaprox® is not available. D. Naproxen sodium at that dosage should not be given b.i.d.

• Correct Answers ✅B. Fill as written. The pharmacist receives a telephone prescription for testosterone patches from a physician's nurse. Assuming that the dosage, quantity, and instructions are appropriate, and the prescription is reduced to writing, the pharmacist should - Correct Answers ✅Fill the prescription after noting the physician's and the nurse's names on the prescription. A pharmacist receives a security prescription from a known local medical group for promethazine with codeine. The prescription blank has the physician's name, address, phone number, DEA number, and license number, but is signed only by a physician's assistant (PA). The pharmacist's best course of action is to - Correct Answers ✅Call the medical group and request the PA's DEA number.

ANSWERS 100% SOLVED (Newest 2025)

mg/5 mL oral syringes for future dispensing. The pharmacist checking this preparation should ensure that the records include what? - Correct Answers ✅1. Manufacturer's lot number.

2. Package size and number of syringes prepared.
3. Formula for the suspension. A pharmacist is performing a final check of a new prescription for lithium carbonate extended release tablets. What auxiliary label should the pharmacist affix to the container? - Correct Answers ✅Take with food or milk. A pharmacist is performing a final check on a new prescription for a patient with a nasogastric tube. The prescription label reads: Lotensin 10 mg # Take one tablet via NG tube daily. What is CORRECT for administration of this dose through a nasogastric tube? - Correct Answers ✅The tabs can be crushed and mixed with water. A pharmacist receives a prescription for Ativan® 1 mg and elects to dispense a generic equivalent manufactured by S-G. What drug descriptions on the label would be legally CORRECT? - Correct Answers ✅Lorazepam 1 mg (S-G)

ANSWERS 100% SOLVED (Newest 2025)

What auxiliary labels should be placed on a prescription container for amoxicillin/clavulanate suspension? - Correct Answers ✅1. Take until gone.

2. Refrigerate. Which of the following requires the advisory label warning, "May cause drowsiness"? A. tegasorb B. indapamide C. cyclobenzaprine D. modafinil - Correct Answers ✅Cyclobenzaprine A technician prepares a new prescription for Coreg®. The vial is labeled as follows: Coreg 3.125 mg tablets # Take 1 tablet twice daily. Auxiliary label: Take with food. Assuming the technician interpreted the prescription as written, what would be the MOST APPROPRIATE action? - Correct Answers ✅Dispense coreg as written. The following prescription is presented to the pharmacist for checking prior to dispensing:

ANSWERS 100% SOLVED (Newest 2025)

The pharmacist checks the written prescription and it reads: Saquinavir 200 mg soft gel capsules VI p.o. b.i.d. with Norvir The pharmacist should... - Correct Answers ✅Change the drug. A 42-year-old patient with long-standing asthma brings a new prescription for a budesonide inhaler to the pharmacy. The pharmacist's medication record shows that the patient is also using oral prednisone as needed for acute asthma attacks, an albuterol inhaler PRN, montelukast 10 mg PO daily, and a triamcinolone inhaler b.i.d. What action indicates that the patient understands how to incorporate the budesonide into his asthma regimen? - Correct Answers ✅He stops using the triamcinolone inhaler. Which of the following would be the MOST APPROPRIATE information to give the parent of a 2-year-old child who is to receive amoxicillin suspension for the treatment of acute otitis media? - Correct Answers ✅Shake well before each dose. A patient has just been counseled on the appropriate use of his new prescription for valsartan. Which of the following statements would verify that the patient has a good understanding of the possible

ANSWERS 100% SOLVED (Newest 2025)

side effects of the drug? - Correct Answers ✅I might get headaches with this medication. What patient information is applicable to the use of Transderm-Scop®? - Correct Answers ✅Should be applied 4 hrs before travel. What would indicate that a patient understands why he is taking divalproex? - Correct Answers ✅I have bipolar disorder. What would be the MOST APPROPRIATE for the pharmacist to make to a patient who is being counseled on the use of lansoprazole? - Correct Answers ✅Take this medication once a day before breakfast. A patient who recently started taking atenolol comes into the pharmacy with a blood pressure of 132/78mm Hg and a pulse of 54 beats per minute. What is the MOST APPROPRIATE action by the pharmacist? - Correct Answers ✅Ask patient if he has noted any dizziness on standing or decreased exercise tolerance. A patient has just been counseled on the appropriate use of her new prescription for isoniazid. What statement would verify that the patient has a good understanding of the possible side effects of this drug? -

ANSWERS 100% SOLVED (Newest 2025)

prescribed. What statement would BEST verify that the patient understands why this medication was ordered? - Correct Answers ✅This drug will help prevent the development of a clot. Which of the following consultation information is CORRECT for a patient who starts latanoprost solution? - Correct Answers ✅This medication may darken the eyes of patients with light eye color. A mother brings her 5-year-old son to the pharmacy asking for a product to treat his rash. The pharmacist notices two red lesions with raised borders in circular patterns on his right forearm. The boy also says the rash itches. It is MOST APPROPRIATE for the pharmacist to recommend - Correct Answers ✅Clotrimazole 1% cream A consulting pharmacist in a skilled nursing facility is asked by a nurse for advice regarding selegiline and fluoxetine administration for an 80-year-old patient. The patient has received the following new orders: fluoxetine 10 mg p.o. q AM selegiline 5 mg p.o. at breakfast and lunch The MOST APPROPRIATE pharmacist recommendation is - Correct Answers ✅Call the physician to warn of a potential drug interaction.

ANSWERS 100% SOLVED (Newest 2025)

A patient brings in a vial of cloudy regular insulin. Examination of the medication profile reveals simultaneous use of NPH and regular insulin. What is the MOST PROBABLE explanation for the cloudy appearance of the regular insulin?

• Correct Answers ✅The insulin has been contaminated. What statement would BEST verify that a patient understands how to inject dalteparin? - Correct Answers ✅I should use the abdomen as an injection site. A physician decides to place a patient on a fentanyl transdermal system. What dosage schedule should the pharmacist recommend if the patient's pain is controlled on morphine sulfate continuous infusion of 5 mg/hr? - Correct Answers ✅50 mcg/hr A pharmacist is writing a new protocol for nurses to use when administering medications. Which of the following oral medications should the protocol recommend be administered with food? A. atenolol B. saquinavir C. fluconazole D. levofloxacin - Correct Answers ✅Saquinavir should be administered with food.

ANSWERS 100% SOLVED (Newest 2025)

By protocol, a pharmacist has the responsibility for managing patients with anemia. A 45-year-old woman has the following hematological data (reference values in parentheses): Hgb 11g/dL (12 - 15 g/dL) Hct 33% (30 - 45%) MCV 70 uL3 (80 - 100 uL3) MCH 24 pg/RBC (26 - 34 pg/RBC) What should the pharmacist order for this patient? - Correct Answers ✅Ferrous sulfate A pharmacist calls the physician to report an increase in INR from 2.2 to 3.6 for a 65-year-old patient with atrial fibrillation who is being monitored on a warfarin protocol. What drug is MOST LIKELY to account for this observation? - Correct Answers ✅Cefotetan What should be reported to the prescriber indicating an adverse drug reaction to montelukast? - Correct Answers ✅An increase in respiratory tract infections. The Board of Pharmacy has issued a waiver for offsite storage of records for a pharmacy. The pharmacist must store what in the pharmacy? - Correct Answers ✅The past year of non- controlled prescriptions and the past 2 years of controlled substance prescriptions.

ANSWERS 100% SOLVED (Newest 2025)

A prescriber wishes to purchase acetaminophen with codeine 60 mg for office use. Which of the statements is TRUE? A. The pharmacist cannot make this sale. B. The prescriber must write a prescription for himself. C. The prescriber must complete a DEA Form 222. D. The sale must be documented with an itemized invoice. - Correct Answers ✅The safe must be documented with an itemized invoice. A pharmacist receives a call from a nearby pharmacy requesting the purchase of 16 tablets of Mevacor® 20 mg. Which of the following BEST describes the pharmacist's legal requirements? A. The pharmacist can loan, but not sell the drug. B. The pharmacist can only sell an unopened, original container of the drug. C. The pharmacist can sell the drug as long as a record of the sale is maintained. D. The price charged to the pharmacy must be the same as the price charged to a patient. - Correct Answers ✅The pharmacist can sell the drug as long as a record of the sale is maintained. A physician wants to use an out-of-stock Schedule II drug to treat one of his hospitalized patients. He asks the hospital pharmacist to borrow some of this medication from another hospital. What should the pharmacist do? - Correct Answers

ANSWERS 100% SOLVED (Newest 2025)

The concept of preventing medication errors in the pharmacy is BEST characterized by a process that: - Correct Answers ✅monitors errors over time and reviews dispensing processes. A pharmacist is checking the accuracy of medications that were to be repackaged into unit dose form by a pharmacy technician. The medication that was to be repackaged is Cardura®. What medication should have been used? - Correct Answers ✅Doxazosin A pharmacist receives prescription: Cortisporin Otic # Sig: Otic iv AD t.i.d. x 7d Place 6 drops in left ear 3 times daily for one week. 5 mL Hydrocortisone/Polymixin B/Neomycin Otic Drops (FG) Exp. 1/ The pharmacist should... - Correct Answers ✅Correct dose to be administered and the site of administration. A clinical coordinator at a medical center wishes to prepare a quality assurance report on patients receiving tobramycin per pharmacy protocol. What should be documented to assist in evaluating the appropriateness of therapy? - Correct Answers ✅Serum Creatinine and Culture and Sensitivty

ANSWERS 100% SOLVED (Newest 2025)

An order for phenytoin 300 mg IV is written. The pharmacy technician prepares this dose in 150 mL of D5W in a plastic bag and labels it to be infused over 10 minutes. What describes the error made by the technician? - Correct Answers ✅The diluent used should not have been D5W. If a burglary occurs within a pharmacy and controlled substances are stolen, the pharmacist must report the loss to the Board of Pharmacy within - Correct Answers ✅30 days A hospital pharmacy has agreed to participate in an investigational drug study that will be double blinded. The manufacturer sends the initial supply to the pharmacy. The pharmacist should - Correct Answers ✅Keep the supply separated from the other drugs in the pharmacy. To what may a pharmacy directly sell dangerous drugs or devices without a prescription? - Correct Answers ✅Podiatrist A pharmacist is conducting a monthly nursing station inspection in a hospital. In the medication room, the pharmacist notes that bottles of povidone-iodine and isopropyl alcohol are being stored next to the unit's stock supply of lidocaine 2% for injection. What action should the pharmacist take? - Correct Answers ✅Advise the nurses that external preparations must be stored separately from other drugs.

ANSWERS 100% SOLVED (Newest 2025)

In order to make a generic substitution; a pharmacist must do what? - Correct Answers ✅Notify the patient of the substitution. Which of the following FDA-approved agents require that physicians comply with special safeguards and educational requirements before the drug can be dispensed?

1. thalidomide (Thalomid®)
2. dofetilide (Tikosyn®)
3. quinupristin/dalfopristin (Synercid®)
4. drotrecogin alfa (Xigris®) - Correct Answers ✅Thalidomide and Dofetilide A medication error resulting in serious patient harm has occurred in a hospital, and a root cause analysis is conducted. The results of the analysis indicate that similarity in generic name may have been involved. This should be reported to the - Correct Answers ✅FDA and Hospital pharmacy and therapeutics committee A hospital's Pharmacy and Therapeutics Committee decides to retain triamcinolone acetonide 0.1% cream as the medium potency product of choice. Which of the following is a medium potency preparation that should be removed from the formulary? A. fluocinonide 0.01% cream

ANSWERS 100% SOLVED (Newest 2025)

B. mometasone 0.1% cream C. desonide 0.05% cream D. clobetasol 0.05% cream - Correct Answers ✅Mometasone 0.1% cream A pharmacist is conducting a medication use evaluation to assess the potential adverse effects of metoclopramide. For those patients who received metoclopramide, which of the following would be the MOST APPROPRIATE indicator of severe adverse effects? A. the number of patients who received parenteral antihistamines or anticholinergics B. the number of patients with glaucoma who experienced increased intraocular pressure or glaucoma crisis C. the average length of hospital stay of patients treated for acute or diabetes-related gastroparesis D. the number of times antiemetics were ordered after metoclopramide therapy - Correct Answers ✅the number of patients who received parenteral antihistamines or anticholinergics Which of the following quality assurance measures is the BEST choice to reduce medication errors in an inpatient setting? - Correct Answers ✅retrospective analysis, proactive intervention, and voluntary non-punitive reporting of errors