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Walgreens Pharmacy Tech Practice
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A ___ drug recall indicates that the product will cause serious adverse health conditions or death. - Answers-Class I A black box warning is in place to identify which of the following about a medication? - Answers-May cause life threatening adverse effects A compound prescription requires using 10 tablets, which cost $25.00 per 50 tablets and 100 gm of ointment, which costs $9.00 per pound. If there is a $4.00 dispensing fee, what would the total cost be for this prescription? - Answers-10. A diabetic patient is trying to fill his high blood pressure medication, but he does not have any refills. What would you need to receive from the prescriber to fill this maintenance medication? - Answers-New prescription or refill authorization A doctor orders 125mg/5mL dilantin suspension to replace an order that reads "dilantin 100mg, dispense #30, sig: i tid". What quantity of the suspension should be dispensed?
- Answers-120mL A drug that is NOT refillable would be classified as a: - Answers-CII drug A DUR warning appears when entering a prescription. What should you do? - Answers- Notify the pharmacist A patient brings in a prescription for Percocet tablets 5/325. The words 'no substitution" are written on the prescription. Which DAW code represents "no substitution"? - Answers-DAW 1 A patient comes to the pharmacy to drop off her prescription for synthroid. She asks you what this medication is used to treat. Which of the following correctly answers her question? - Answers-Hypothyroidism A patient hands you a prescription to fill which the number of refills apparently altered. What should you do? - Answers-Notify the pharmacist A patient presents a prescription for hydrochlorothiazide (HCTZ). Other items related to this prescription that he/she might purchase inc;ude all of the following EXCEPT: - Answers-Pseudoephedrine containing decongestants and cold remedies A patient states that have an allergy to penicillin, which medication should the technician be aware of that is contraindicated for a patient with that allergy - Answers- Amox/clav
A patient states to the technician that they have an allergy to NSAIDS. Which of the following medications below should the patient avoid? - Answers-Aspirin A patient weighing 110 lbs. Is ordered to receive 5 mcg/kg/min of an IV solution containing 600mg in 250mL D5W. The IV dose rate is? - Answers-0.25 mg/min A pharmacy technician prepares to make a sterile compound and begins with a non sterile product. Which of the categories of compound sterile preparations will this compound fall under? - Answers-High risk A pharmacy technician receives a compound order for ancef 500mg per dose, the stock vial available comes in a 1g vial diluted to 100mg mL. How many mls of the solution will the technician use to compound the desired dose? - Answers-5mL A pharmacy technician receives a prescription for tylenol #3 with 6 refills, how many refills is the technician allowed to enter? - Answers- A physician calls the pharmacy and wants to know if Dextrose is compatible with acyclovir. Which reference book would the pharmacist use to find this information? - Answers-Handbook on injectable drugs A physician orders 100 units of insulin in 500mL of D5W to be administered over 6 hours. How much insulin will be delivered in the first 90 minutes of the infusion? - Answers-25 units A prescription calls for biaxin 250 mg per 5mL suspension directions for use are: 2 teaspoonful BID for 7 days. The bottles come in 50 mL bottles. How many bottles should be dispensed to the patient? - Answers- A prescription for an albuterol inhaler reads "inhale ii inhalations q 4 to 6 hrs prn". There are 200 inhalations in one albuterol canister. What is the minimum days' supply for this albuterol canister? - Answers-25 days A prescription for antibiotics read:ii gtts au qid. What auxiliary label should be affixed to the container? - Answers-For the ear A program of activities used to assure that the compounded formulation meets specifications and satisfies standards. - Answers-Quality assurance A technician has been given 100 mL of 10% acetic acid solution. The pharmacist has asked the tech to dilute the solution to 400 mL with sterile water and to label the solution. What percentage should appear on the label? - Answers-0. According to federal law, which of the following is required to be included on a prescription label? - Answers-Prescription's expiration date
Determine the flow rate to run 1 liter of DW containing 10,000 units of heparin through a set delivering 60 gtts/mL. (heparin should be delivered at a rate of 25 units/min) - Answers-150 gtts/min Dextromethorphan is classified as a(n): - Answers-Antitussive Evaluating is the process of asking a patient clarifying questions to ensure what the pharmacy technician heard. This is a form of? - Answers-Active listening For patient safety, the Omnibus budget reconciliation act 1990 (OBRA '90) requires which of the following? - Answers-Patient counseling Hazardous substances such as chemotherapeutic agents require special handling and shipping when being disposed of. Where would this information be found? - Answers- Material safety data sheets Heparin 25,000 units in 250mL D5W is running through an administration set delivering 60 gtts/mL. The flow rate required to deliver a heparin dose of 15 units/min is: - Answers-9.0 gtts/min How many days would a combivent MDI ( 200 metered doses) last if a patient was instructed to take 2 puffs bid prn? - Answers-50 days How many tables need to be dispensed according to this sig: i po tid x 30 d? - Answers- 90 How many units are in a 10 mL vial of Humulin N? - Answers- How should half a milligram be written to avoid confusion? - Answers-0.5mg How would you store insulin? - Answers-In the refrigerator If 15 grams of a 1% ointment are combined with 30 grams of a 2.5% ointment, what is the percentage strength of the final product? - Answers-0. If a prescription is written for Omnicef 125mg/5mL how many milligrams would be 11 mL? - Answers- If a prescription ointment is written for 90 gm, how many ounces would you dispense? - Answers-3 oz If a prescription reads iii teaspoonfuls, what would be another way to write it? - Answers-1 teaspoon
If a technician reviews a patient's profile or chart without being assigned to fulfill a related task, this is a violation of what privacy standard? - Answers-Health insurance portability act If information is missing from prescription or medication order, the pharmacy technician should: - Answers-Inform the pharmacist on duty If you have 50% dextrose and 10% dextrose, how many mL's of each would you need to make 1 liter of a 20% solution? - Answers-25mL If you pay $35.00 for a drug and the selling price is $50.00, what is the percentage markup based on cost? - Answers-0. In order for a generic drug to be approved by the food and drug administration, it must be pharmaceutically equivalent to the brand name drug. What does pharmaceutically equivalent mean? - Answers-Same active ingredients, dosage form, route of administration, and strength In order to decrease the risk of severe allergic reaction, technicians should clean counting trays and spatulas after handling this type of medication - Answers-sulfas Information that is entered into or stored in the computer system - Answers-Data Lanoxin would be classified into which of the following categories? - Answers- Antiarrhythmic Many hospitals, HMO's, insurers and other healthcare systems maintain a list of medications that are approved for use in the system called a/an: - Answers-Formulary Medication errors exclude which of the following? - Answers-Wrong insurance Metoprolol is used to treat which of the following medical conditions? - Answers-High blood pressure On a written prescription from a doctor, what does "qod" mean? - Answers-Every other day Once a patient has met this, the insurance company will reimburse a portion of the cost of filled prescriptions for the rest of the year - Answers-Deductible One ounce is equal to 30mL which is also equal to: - Answers-2 TBS Oral contraceptives require this for the first dispensing and refills if 30 days or moe have passed since receiving it. - Answers-Patient package insert
The maximum amount of pseudoephedrine that can be purchased in a single transaction is __. - Answers-3.6 grams The patient presents a prescription for 3% lidocaine jelly 45 gm, but the pharmacy only stocks 1% and 5% lidocaine jelly. How much 1% lidocaine jelly will be needed to prepare the prescribed strength? - Answers-22.5 gm The process that moves a drug from the bloodstream to the area where it will exert its pharmacological effects is called: - Answers-Distribution The proper technique for cleaning a horizontal laminar flow hood is to wipe: - Answers- From back to front using up and down motions The recall of a product that may cause temporary but reversible adverse effects, or in which there is likelihood of serious adverse effects is: - Answers-Class II The risk of a dosage error is minimized by writing seven milligrams as: - Answers-7 mg (seven) The study of the rates at which drugs and their metabolites are absorbed into, distributed throughout, and eliminated from the body is called: - Answers- Pharmacokinetics The widespread use of this has made the pharmacy filling and dispensing process more efficient. - Answers-Computer system There is a shortage of tamiflu in your pharmacy. Who should the technician alert when patients are requesting prescription to be filled for it? - Answers-Pharmacist on duty These are required by FDA for some potentially dangerous drugs to provide patients with information for safe use of the medications. - Answers-Medication guide This contains procedure for what should happen when a formulation is compounded - Answers-Formulation record This form tracks the medications administered to a patient. - Answers-MAR This law requires a product to include a list of all ingredients. - Answers-Federal food, drug, and security act of 2013 (DQSA) This service is provided to review medication therapy for patients who are taking multiple medications for multiple disease states - Answers-MTM This system allows physicians or agents of the physician to enter orders directly into the hospital computer system. - Answers-CPOE
To ensure a patient receives the correct prescription, which of the following must a technician verify? - Answers-Patient identification To ensure the quality assurance of compounding an IV medication the technician should do which of the following? - Answers-Use the barcode system To ensure the safety of the patient, what practice should be implemented when working with medications that are commonly mistaken for each other? - Answers-Keep the medications in separate locations on the shelved Using an infusion set labeled 15 gtt/mL, 120mL of NS is to be administered in 30 minutes. What is the flow rate? - Answers-60 gtt/min Using Clark's rule, calculate the number of mg per day needed of labetalol 200 mg tid for a patient who is 3 years old and weighs 33 lbs. - Answers-44 mg/day What are some services that we offer at walgreens that many elderly patients can use (at select locations)? - Answers-All of the above What can we do to ensure that elderly patients that speak a different language get the same care as other patients? - Answers-All of the above What condition below presents a contradiction to Lipitor? - Answers-Pregnancy What is an SDS? - Answers-Safety Data Sheet What is bradycardia? - Answers-A very slow contraction pattern of the heart What is Flovent primarily prescribed for? - Answers-Asthma What is misbranding? - Answers-When a product is misrepresented on its label What is the correct procedure upon discovering the expiration date has been exceeded on medication? - Answers-Remove from active stock for proper disposal What is the difference between a syrup and an elixir? - Answers-An elixir contains alcohol What is the difference between medication order and prescription order? - Answers-A medication order pertains to patients in a hospital or facility What is the error percentage rate if 26 errors are detected in the preparation of 500 prescriptions? - Answers-0. What is the generic name for Compazine? - Answers-Prochlorperazine
When working with antineoplastic drugs, the worker is protected from the toxic effects if wearing protective clothing and gloves unless: - Answers-The contaminated gloves come in contact with mucous membranes Where should schedule II prescriptions be filled? - Answers-Separate from all the other schedules Which agency ensures the safety and health of workers by setting and enforcing standards for employee safety in the workplace? - Answers-OSHA Which agency regulates drug quality? - Answers-FDA Which classification of recalls indicates a product may cause temporary but reversible side effects, or little likelihood or serious adverse effects? - Answers-Class II Which control substance indicates that a medication contains a limited quantity of narcotics and has a low potential for abuse? - Answers-Schedule IV Which DEA form is needed for ordering Class II controlled substances? - Answers- Which federal agency ensures the safety, efficacy and security of human and veterinarian products? - Answers-NABP Which federal agency is composed of all state BOPs? - Answers-NABP Which federal agency is responsible for requiring safety data sheets (sds) to be maintained in pharmacy? - Answers-OSHA Which form is used to order C II medications? - Answers-DEA Form 222 Which MDI provides immediate relief when an asthma attack occurs? - Answers- Ventolin Which of the following actions can a pharmacy technician suggest to a patient to promote compliance and ensure proper pharmacy billing? - Answers-Suggest the patient keep a medication intake log Which of the following adverse drug reaction (ADR) processes might a technician be involved in? - Answers-All of the above Which of the following are in place to ensure pharmacy security? - Answers-All of the above Which of the following best describes the purpose of a drug formulary? - Answers-To identify committee approved pharmaceuticals and therapeutics utilized by that facility
Which of the following classes of medication are illegal in the United states? - Answers- Class I Which of the following concerning levothyroxine is correct? - Answers-The brand name is synthroid Which of the following correctly describes the currently approved method for disposing of a used needle and syringe? - Answers-Place the needle and the syringe directly into a sharps container Which of the following could contribute to a medication error? - Answers-Failure to rotate stock appropriately Which of the following does NOT require refrigeration? - Answers-Phenergan tablets Which of the following does the pharmacist check during the final verification process - Answers-All of the above Which of the following drugs is NOT an antihistamine? - Answers-Ketoconazole Which of the following functions would NOT be appropriate for a pharmacy technician to perform? - Answers-Recommend an OTC allergy medication Which of the following identifies the cost sharing plan in which patients pay a specified dollar amount for every prescription received? - Answers-Down payment Which of the following is an antacid? - Answers-Calcium carbonate Which of the following is an anticoagulant? - Answers-All of the above Which of the following is an NSAID? - Answers-Ibuprofen Which of the following is NOT a NSAID? - Answers-Acetaminophen Which of the following is NOT a tricyclic antidepressant? - Answers-Warfarin Which of the following is NOT a triphasic oral contraceptive - Answers-Ortho novum Which of the following is not a type of managed care program? - Answers-Medicare part D Which of the following is true of the DEA? - Answers-Seizes and forfeits assets derived from, traceable to, or intended to be used for illicit drug trafficking Which of the following medications is NOT available as a transdermal dosing form? - Answers-Atenolol
You receive a prescription for ceclor suspension 125mg/6mL. Sig reads: "175 mg tid x 10 days." the appropriate quantity to dispense would be would be: - Answers-300mL You receive a prescription for cephalexin suspension 250 mg/5mL, 1.5 tsp TID x 10 days. The appropriate quantity to dispose would be: - Answers-225 mL You receive the following prescription: beclovent (beclomethasone) inhaler, qty 1, sig: ii puffs inhaled bid. You should: - Answers-Provide the patient with the 'for the patient' inscructions included with the inhaler
