PTCB Review Assessment Questions and Answers 2024, Exams of Nursing

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PTCB Review Assessment Questions and Answers 2024

1. Doctor writes a prescription for Differin cream 0.05% 45 grams. You have Differin 0.1% and Eucerin cream in stock. How much of Differin 0.1% cream is needed? a. 30 g c. 22.5 g b. 12.5 g d. 33 g
2. If you pay $25.72 for a drug and the selling price is $42.50, what is the markup for this drug? a. $5.35 c. $11. b. $24.77 d. $16.
3. If you have 50% dextrose and 15% dextrose, how many ml of each would you need to make 250 ml of a 30% solution? a. 120 ml of 50% and 130 ml of 15% c. 163 ml of 50% and 87 ml of 15% b. 137 ml of 50% and 113 ml of 15% d. 107 ml of 50% and 143 ml of 15%
4. You have heparin 25,000 units in 500 ml of dextrose 5% in water. The concentration is: a. 125 units/ml c. 50 units/ml b. 100 units/ml d. 75 units/ml
5. What information is missing from the following prescription? Amoxicillin 500 mg caps. Sig: take 1 capsule po tid until gone. a. Form c. Route b. Quantity d. Duration
6. If the dose for guaifenesin is 2.5 ml, how many doses will a patient receive if given a 12 ounce bottle? a. 124 doses c. 144 doses b. 150 doses d. 136 doses
7. A patient weighing 150 lbs. is ordered to receive 10 mcg/kg/min of an IV solution containing 500 mg in 250 ml D5W. The IV dose rate in mg/min is: a. 0.0681 mg/min c. 0.681 mg/min b. 6.81 mg/min d. 68.1 mg/min
8. If an injectable drug is available in a 0.1 mg/ml concentration, how many ml are needed for a 50 mcg dose? a. 0.5 ml c. 0.75 ml b. 1.25 ml d. 1.0 ml
9. An invoice states that you paid $0.30 per capsule for a bottle containing 50 capsules. What was the total cost of the bottle? a. $9.00 c. $12. b. $18.00 d. $15.
10. A prescription instructs a patient to instill 2 drops in ou bid, what medication would you dispense? a. Floxin Otic c. Cortisporin Otic Suspension b. Tobramycin Ophthalmic Solution d. Cipro Hc
11. How many ml of 3% acetic acid must be mixed with 15% acetic acid to give 2500 ml of 10% acetic acid? a. 2080 ml c. 1041.7 ml b. 1460.2 ml d. 2460 ml

12. A pharmacy receives an invoice reading “$6,000, net 30”. Under these payment terms, the pharmacy will be: a. Charged no interest if the invoice is paid c. Given a discount of $30 if the invoice is in full in 30 days paid upon receipt. b. Charged no interest if 30% of the $6000 is d. Charged $30 interest for each month the paid upon receipt. balance remains due.
13. A technician has been given 250 mls of 15% acetic acid solution. The pharmacist has asked the tech to dilute the solution to 500 mls with sterile water and to label the solution. What percentage should appear on the label? a. 7.50% c. 5.50% b. 6.50% d. 2.50%
14. You receive the following prescription: Beclovent (beclomethasone) inhaler, QTY: 1, Sig: ii puffs inhaled bid. You should: a. Tell the patient to use this inhaler only when he/she really needs it. b. Provide the patient with the “for the patient” instructions invluded with the inhaler. c. Include the following specific directions on the label: “Inhale 2 puffs into each nostril TID” d. Inform the patient that this drug is a corticosteroid that has many serious side effects.
15. Which of the following drugs are EXEMPT from safety packaging? a. Amoxicillin 250 mg Chewable c. Albuterol Sulfate Syrup b. Sublingual dosage form of Nitroglycerin d. Orapred Syrup
16. What act requires all medication to be child proof, unless the patient requests non-child proof? a. 1976 Medical Device Amendment c. 1970 Poison Prevention Packaging Act b. 1951 Durham Humphrey Amendment d. Fair Packaging and Labeling Act
17. The set of procedures for preparation of sterile products that is designed to prevent contamination is called: a. Filtration c. Aseptic Technique b. Levigation and Trituration d. Eutectic mixing
18. This is the process of reducing the size particles and incorporating solids and lotions, creams and ointments. It also refers to the formation of a paste by adding small amounts of a liquid or ointment base to powder with a spatula. a. Trituration c. Filtration b. Decantation d. Levigation
19. The proper technique for cleaning a horizontal laminar flow hood is to wipe: a. From back to front using back to front c. From front to back using circular motions motions b. From back to front using circular motions d. From back to front using up and down motions
20. A laminar flow hood is used to: a. Provide an aseptic environment for sage c. Properly filter sterile products manipulation of sterile products. b. Limit access to the IV room d. Guarantee the sterilization of products made in the hood.
21. When preparing chemotherapy, what type of laminar flow hood should be used in order to prevent exposure to the worker?

34. This records every medication ordered for a patient over a 24 hour period. a. POS c. MSR b. MAR d. CPOE
35. A device that detects the signals and controls the flow of information between two computers communicating via telephone line is the: a. Archive b. Monitor c. Optical Scanner d. Modem
36. CPOE stands for: a. Computerized prescription override entry b. Computerized physician order entry c. Compounded prescription order entry d. Central pharmacy operating engine
37. This is the number assigned to each drug order for identification. a. purchase order b. NDC c. Invoice d. Confirmation
38. This form tracks the medications administered to a patient. a. POS b. PRN c. MAR d. EMR
39. Which of these are not entered in the patient profile? a. insurance b. Medication history c. allergies d. Co-pay
40. Information entered and stored in a computer, such as patient’s birth date is called: a. Data b. Prescription c. Log d. Inventory
41. The electronic medical record includes which of the following? a. Missed doses b. Prognosis c. Preferred Pharmacy d. Progress notes
42. A prescription reads: Amoxicillin suspension 5 ml PO tid for 10 days. You immediately notice that the prescriber did not indicate the concentration of the suspension on the prescription. You should: a. Dispense the capsules instead. b. Prepare the prescription with the 250 mg/5 ml concentration because it is most frequently ordered c. Alert the pharmacist to the problem d. Ask the patient which concentration he/she prefers

43. Which of these medication categories are not high alert? a. Epidural medications b. Pour bottle irrigation c. Antiarrhythmics d. Dialysis solutions
44. These are required by the FDA for some potentially dangerous drugs to provide patients with information for safe use of the medication. a. Legend b. Medication Guide c. MSDS d. Auxiliary Label
45. When filling an inpatient’s medication drawer, the technician notices that the fill list contains both enalapril and lisinopril. The technician should: a. Call the doctor to see which drug to use b. Tell the nurse that there is a dangerous drug interaction between those drugs. c. Notify the pharmacist that the patient has orders for two drugs of the same class d. Fill only one drug, they are both the same kind of drug.
46. A customer is requesting to refill her Vicodin prescription because she doubled her doses due to severe pain. What should you do? a. Refer her to the pharmacist for suspected misuse b. Refer her to the pharmacist to contact the prescriber for authorization c. Recommend her going to her physician to obtain a higher dose d. Recommend her taking another pain medication since Vicodin isn’t working
47. This error-prone abbreviation for once daily is commonly mistaken for right eye. a. Q1D b. o.s. c. o.d. d. q.d.
48. A patient calls the pharmacy asking why her heart medication is yellow instead of the usual white color. Upon investigation, you learn that the prescription was filled with 0.125 mg of digoxin instead of the 0. mg strength. Which of the following is the most appropriate action to take? a. Tell the patient to double up the tablets, thereby taking 2 tablets daily. b. Ask the patient to bring the prescription back to the pharmacy so you can secretely exchange it for the correct dose. c. Explain the situation to the pharmacist, correct the error, and document the error per your pharmacy’s procedures. d. Prepare a new prescription with the 0.25 mg strength and inform the patient that pharmacist are solely responsible for the accuracy of prescriptions
49. To avoid confusion with prednisolone, how should prednisone be written on the medication packaging? a. predNISone b. predniSONE c. predniSOne d. PREdnisone
50. The abbreviation IU for international units is commonly mistaken for: a. intramuscular b. intravenous

b. ensure that the patient understands the side effects of current medications c. recommended additional pharmacotherapy d. document known allergies

59. Which of the following sedative hypnotics is a benzodiazepine? a. Zolpidem b. Alprazolam c. Zalepon d. Eszopicione
60. Which of the following brand/generic pairs is correct? a. Decadron/prednisone b. Aleve/ketoprofen c. Premarin/estradiol d. Ativan/lorazepam
61. The auxiliary label for amoxicillin oral suspension should contain which of the following instructions? a. Take with food b. May cause urine discoloration c. Shake well d. May cause drowsiness
62. The information contained in the manufacturer’s package insert may also be found in the: a. Orange Book b. Merck Manual c. Physician’s Desk Reference d. Drug Index
63. When a patient is required to go to a network healthcare provider, the patient is insured through: a. a preferred-provider organization b. workier’s compensation c. a pharmacy benefit manager d. a health maintenance organization
64. A prescription reads, “Percodan tablets, dispense 120, take 1 tablet by mouth every 6 hours as needed for back pain”. The technician should: a. refer the patient to another pharmacy b. refuse to fill the prescription and return it to the patient c. call the regional DEA office to report a forged prescription d. fill the prescription as written.
65. The drug information source for a pharmacy technician to check for a possible drug interaction is; a. the Red Book b. the American Drug Index c. Remington d. Drug Facts and Comparison
66. A patient who is allergic to penicillin has a chance of cross sensitivitiy to which of the following medications? a. Cephalexin b. Moxifloxacin c. Doxycycline d. Azithromycin

67. When an order is received in the pharmacy, the order invoive must be carefully checked against the; a. floor stock b. pharmacy inventory c. purchase order d. want book
68. Which of the following medication pairs makes sage use of tall man letters? a. alpraZOLAM, loraZEPAM b. ALPRAzolam, LORazepam c. alprazolAM, lorazepAM
69. Which of the following injectable drugs would be stored in teh refrigerator? a. Clindamycin b. Ciprofloxacin c. Cyanocobalamin d. Calcitonin-salmon
70. For a medication to be within the 5% margin of error permitted by the USP, the minimum amount that can be weighed on a Class A prescription balance is: a. 6 mg b. 12 mg c. 120 mg d. 120 g
71. A physician orders phenobarbital elixir 60 mg for a patient. The drug is available in a 20 mg/5 ml concentration. How many teaspoonfuls should be given for each dose? a. 1 b. 2 c. 3 d. 4
72. A pharmacy technician receives a prescription from a patient. The patient needs all medications to be crushed. Which of the following would you alert the pharmacist to before entering in the prescription? a. Oxybutin immediate release 5 mg tablet b. Metformin 500 mg sustained action tablet c. Potassium 10 mg dispersible tablet d. Furosemide 40 mg tablet
73. When accepting a refill request from a patient by telephone, the pharmacy technician should obtain which information in addition to the patient’s name? a. Medication’s name and patient’s telephone number b. Medication’s name and physician’s telephone number c. NABP number and patient’s telephone number d. Refill number and DEA number
74. When mixing dry powder with 150 ml of distilled water to process a prescription order calling for reconstituted oral antibiotic suspension, 40 doses of 5 ml each, the final suspension, in milliliters, accounted for by the drug is: a. 50 b. 100 c. 150 d. 200

a. diagnosis b. co-payment c. drug allergies d. presription history

84. In the absences of stability information, water-containing formulations (prepared from ingredients in solid form) should be assigned by a beyond use date that is: a. the same as the expiration date listed on the product b. no later than 30 days c. no later than 14 days when stored at cold temperature d. no later than 25% of the time remaining until the product’s expiration date.
85. Which of the following medications is exempt from the poison prevention packaging act requirement of child-resistant containers? a. nitroglycerin sustained release capsules b. Potassium chloride c. isosorbide d. cholestyramine powder
86. Coordination of benefits is used when a patient has: a. no insurance b. only one insurance plan c. primary and secondary insurance d. only workers compensation
87. Which of the following vital information should be readily retrievable from an inpatient medication profile? a. Home address and phone number b. Previous admissions c. relevant laboratory values d. insurance information
88. Stock rotation is necessary to ensure that: a. damaged drugs are used first b. short-dated items are used first c. damaged drugs are used last d. short-dated items are used last
89. Which is the smallest volume, in milliliters, that can be accurately measured using a 1.0 ml tuberculin syringe? a. 0. b. 0. c. 0. d. 0.
90. An essential component of pharmacy quality assurance programs is to: a. maintain standards set by the DEA b. focus on the individual employee’s work performance c. get the right drug to the right patient at the right time d. provide adequate emergency stock levels
91. If a toxic or caustic meterial comes in contact with the skin or eyes, the immediate response is to: a. lie down and elevate the affected area b. call 911 and place an ice bag on the affected area until medical personnel arrives

c. wash the area thoroughly with an antibacterial soap and warm water d. flush the affected area with large volumes of cold water

92. Which of the following is correlated with poor medication compliance? a. taking the correct number of tablets at correct times b. request for refill at the appropriate time c. Complaints of unpleasant taste or side effects of the drug d. Clear understanding of why the prescription was given
93. Which of the following, when combined with acetaminophen 325mg, would be a generic substitute for Tylenol No.4? a. Codeine 15 mg b. Codeine 60 mg c. Oxycodone 7.5 mg d. Oxycodone 10 mg
94. According to ASHP guidelines, a quality improvement program for home care should monitor the patient’s a. satisfaction outcome b. physical examinations and laboratory values c. financial history d. personal history
95. To avoid exceeding the 24-hour acetaminophen dose limit of 4g, patients taking Darvocet-N 100 mg/ mg should be cautioned not to take more than how many tablets daily? a. 5 b. 6 c. 7 d. 10
96. The form used to report theft or significant loss of controlled substances is : a. DEA 106 b. DEA 222 c. FDA 356 d. FDA 766
97. OSHA mandates that healthcare facilities have specific plans in place to protect healthcare workers from which of the following infectious diseases? a. Influenza b. Pneumonia c. C-difficile d. Hepatitis B
98. Which of the medications is on the Instittute for Safe Medication Practices List of Confused Drug Names because it is available in two different chemical forms that can be easilhy confused? a. Labetalol b. Hydralazine c. Nifedipine d. Metoprolol
99. Antineoplastic medications should be prepared in which type of hood? a. Positive pressure b. Horizontal c. Laminar

108. Which of the following medications are included in the IPLEDGE restricted drug program? a. Amnesteem and Valtrex b. Isotretinoin and Avita c. Azalex and Tazorac d. Accutane and Claravis
109. A physician’s order calls for 400 mg amoxicillin tid for 10 days. The pharmacy has a 150 mg/5 ml stock concentration. What volume, in milliliters, of stock concentration is needed to fill the prescription? a. 13. b. 30. c. 250 d. 400
110. To protect themselves and other from infection, all healthcare workers should use which kind of precaution? a. Airborne b. Contact c. Droplet d. Universal
111. Which of the following products or services does OBRA require pharmacists to offer to Medicaid patients? a. Package inserts b. Discount prices c. Counseling d. Delivery
112. What is the percentage concentration of a solution that contains 500 mg/ 50 ml? a. 0.5% b. 1% c. 5% d. 10%
113. A patient wants to transfer a prescription from the originating pharmacy to another pharmacy. The pharmacy technician should: a. call the receiving pharmacy and provide the necessary information to another pharmacist. b. inform the patient that it is illegal to transger prescriptions c. accommodate the patient and process the transfer as expeditiously as possible d. refer the patient to an on-duty pharmacist to process the transfer.
114. A physician orders amoxicillin 50 mg/ml for a child at 1 ml po q8h for 10 days. What is the total volume to be dispensed, in milliliters, if the amoxicillin stock is 125 mg/5 ml? a. 2 b. 30 c. 60 d. 150
115. The best preference for obtaining storage requirements for a particular drug is the: a. Physician’s Desk Reference b. Merck Index c. Drug Facts and Comparisons d. USP-NF
116. Look-alike/sound-alike medications are addressed in the Accreditation Standards of The Joint Commission because these products:

a. are sufficiently separated when placed with the regular medications b. allow quicker filling of prescriptions and faster service to patients c. should be kept locked in the pharmacy safe d. have higher error risk due to picking errors

117. The most appropriate container size in ounces, for dispensing 240 ml of liquid medications is: a. 2 b. 4 c. 6 d. 8
118. Which of the following is indicated for the treatment of Parkinson’s disease? a. Amantadine b. Alprazolam c. Amitriptyline d. Amiloride
119. A common side effect of magnesium-based antacids is: a. heartburn b. diarrhea c. hives d. constipation
120. Technology that automatically documents administration of medication using electronic tracking sensors is known as: a. BCMA b. CMS c. DME d. OBRA
121. Durable medical equipment may be reimbursable to the pharmacy under Medicare Part: a. A b. B c. C d. D
122. Chemotherapy agents should be stored: a. alphabetically by trade name b. in a separately identified area c. alphabetically by generic name d. in a locked cabinet
123. According to the DEA all records related to controlled substances must be maintained and be available for inspection for a minimum of: a. 1 year b. 2 years c. 5 years d. 10 years
124. The requirement that a non-formulary medication be covered only if approved by the third party payer is called: a. claims reconciliation b. capitation payment

132. For an IV solution to be isotonic, it must have a similar concentration of Sodium Chloride found in the normal body cells. Which of the following concentrations is isotonic? a. 0.09% b. 0.9% c. 9% d. 0.009%
133. A regular customer is filling her monthly prescription for Premarin. At what frequency should include a patient package insert with her Premarin? a. The first time, then every 6 months b. Every time c. The first time only d. The first time, then annually
134. In 2009 the FDA recalled some lots of Motrin, saying the product was adultered. Johnson & Johnson was ordered to organize and pull approximately 88,000 tablets from the store shelves. The recalled products had a low chance of causing major injuries or death, but still posed some risk of adverse events. As such, what class of recall would this have been? a. FDA Class II recall b. FDA Class I recall c. FDA Class IV recall d. FDA Class III recall
135. A prescription order for a drug which is supplied in 5 mg tablets was filled during the graveyard shift, but not approved. The pharmacist on your shift asked you to double check the quantity dispensed. The order calls for a tapered dosage therapy as follows: 10 mg po qid x 5d 10 mg po tid x 5d 10 mg po bid x 3d 5 mg po bid x3d 5 mg po qd x 2d How many tablets should be in the bottle? a. 60 tabs b. 180 tabs c. 90 tabs d. 45 tabs
136. According to the US Department of Justice, Schedule IV controlled substances are defined as drugs with a low potential for abuse and low risk of dependence. Which of the following drugs is not in DEA Schedule IV? a. Ambien b. Valium c. Xanax d. Vicodin
137. A wholesaler, your pharmacy orders medical devices from, has a policy of offering a discount on invoices paid in full, within 5 business days of receipt. The discount is 10% or 15% on orders over one thousand dollars. On Wednesday July 6, an order totaling $1469.36 was received. Accounting electronically paid the invoice the following Tuesday. What amount should they have paid? a. $1305. b. $1248. c. $1489.

d. $1340.

138. Zolpidem is mainly prescribed for insomnia. If the prescriber has authorized, how many refills (max) can be ordered with the following prescription order: Rx. Zolpidem 10 mg # a. One b. Five c. Eleven d. No refills
139. Drug-Drug interactions can be dangerous. They occur when the effect of one drug is altered by taking another drug. Which of the following drug combinations, when taken together, could produce major drug- drug interactions? a. Clonazepam/Tramadol b. Tamsulosin/HCTZ c. Sildenafil/Zolpidem d. Clopidogrel/Warfarin
140. An order calls for 150 g of a custom 2:3:5 topical ointment. How much ingredient is needed? a. 18g: 36g: 126g b. 30g: 45g: 75g c. 54g: 72g: 84g d. 24g: 48g: 108g
141. U-100 insulin is the most commonly prescribed. However, insulin may be ordered in different strengths. The a. 100 b. 10 c. 1000 d. 1
142. Cyclobenzaprine is a muscle relaxant prescribed to relieve pain and discomfort. Which of the following is the brand name for cyclobenzaprine? a. Soma b. Xanax c. Valium d. Flexeril
143. A customer is waiting in the lobby for a new prescription. It’s an order for a 30 day-supply of the tablets to be taken qhs (daily at bedtime). You notice an expiration date of December/this year on the only bulk container in stock. Today is November 10th 2016. At the end of what day do the drugs in this bulk container actually expire? a. December 30th b. December 1st c. January 1st d. November 30th
144. Dr. Johnson is a heart surgeon in Accident, Maryland. One of the DEA numbers below is assigned to him. Which of the following DEA numbers is valid? a. AJ b. AJ c. BJ d. BJ

153. Which DEA schedule contains substances with the least potential for abuse? a. Schedule 1 b. Schedule 4 c. Schedule 5 d. Schedule 2
154. A script for cough syrup reads 15 ml po q4h prn. What should you type on the patient’s packaging? a. A spoonful taken orally every 4 hours as needed b. One teaspoon taken orally every 4 hours as needed c. One tablespoon taken orally every 4 hours as needed d. 15 ml taken orally every 4 hours as needed
155. Which is not true about HIPAA? a. Helps insure patient privacy b. Prevents health care fraud and abuse c. Regulates the use and disclosure of patient information d. Helps decrease the rate of errors in pharmacy
156. A pharmacy can order DEA schedule 3 drugs from their wholesaler: a. Using a standard invoice b. using a credit memo c. Using a DEA form 222 d. Only with guaranteed funds
157. With which class of FDA recall is there a potential for serious injury or death? a. Class 1 b. Class 2 c. Class 3 d. Class 4
158. An eight year old boy weights 75 lbs. The adult dosage of Drug C is 400 mg. The child’s dosage using Clark’s rule is: a. 100 mg b. 150 mg c. 200 mg d. 250 mg
159. Dr. Acosta has a practice in Delaware and received her DEA number in 1988. What will the two letters in her DEA number prefix be? a. DB b. DA c. BA d. AD
160. What is the primary function for rosiglitazone? a. anti-convulsant b. hypertension c. anti-diabetic d. proton pump inhibitor
161. How many tablespoons are in 16oz? a. 16

b. 24 c. 12 d. 32

162. A patient weighs 218 lbs. What is their weight in kg? a. 479 kg b. 109 kg c. 409 kg d. 99 kg
163. What regulatory agency would be responsible for the approval of a new anti-anxiety drug similar to Diazepam? a. CIA b. DEA c. FDA d. OBRA
164. What concentration of a sodium chloride (NaCL) solution would be hypertonic? a. 0.009% b. 0.09% c. 0.9% d. 9%
165. Which type of insulin has the shortest onset period? (shortest time to reach the bloodstream) a. Ultra-lente b. Lente c. NPH d. Regular
166. Dr. Dalk has a dental practice in Smiley, Texas. What should the final number be in his DEA number given the first 8 characters of AD380410? a. 8 b. 2 c. 4 d. 5
167. Benazepril is classified as a: a. Beta-blocker b. ACE inhibitor c. Calcium Channel Blocker d. Diuretic
168. You receive a prescription that reads: Restoril 15 mg PRN HS #30, What instructions will likely appear on the customer’s packaging? a. 1 tablespoon at bedtime as needed b. Take 1 capsule at bedtime as needed c. Take 30 minutes before bedtime with food d. Take 1 capsule as directed with food
169. You receive a prescription for 15 g of a topical steroid cream containing a 12% concentration. Your pharmacy only has 10% and 15% concentrations. How much of each can you combine to fill this prescription? a. 6g of 15% + 9g of 10% b. 10g of 10% + 5g of 15%