Pharmacy Technician Quiz and Flashcards: Hazardous Medications

Questions and Answers

What percent strength should appear on the label?

0.08

0.04 (correct)

0.16

0.12

How much water do you add to reconstitute an oral medication with a dose of 200mg/tsp?

70 mL (correct)

80 mL

60 mL

50 mL

How much Theophylline elixir is required for a dose of 120mg?

3.5 tbsp

4.5 tbsp

2.5 tbsp

1.5 tbsp (correct)

What is the flow rate required to deliver a heparin dose of 15 units/min?

9.0 gtts/min Signup and view all the answers

Determine the flow rate to infuse 500 mL of D5W in 12 hours.

10 gtts/min Signup and view all the answers

How many liters of water should be added to 70% Sorbitol solution to make 500 mL's of a 30% solution?

0.29 L Signup and view all the answers

How many ounces would you be dispensing for a prescription reading 180 mL?

6 Oz Signup and view all the answers

Auxiliary labels identify usage information including?

Proper storage Signup and view all the answers

How many mg are administered per day if an IV of Ampicillin 250 mg in 100 mL is administered every 8 hours?

750 mg Signup and view all the answers

A prescription directed to be given a.d. should be administered to?

The right ear only Signup and view all the answers

What is the volume in fluid ounces for a drug packaged as 48 mg/mL if you are to give 2.52 g?

1.75 fluid ounce Signup and view all the answers

What is the SIG code for 'every bedtime'?

q.h.s. Signup and view all the answers

What is the error percentage rate if 26 errors are detected in the preparation of 500 prescriptions?

0.052 Signup and view all the answers

To dispense a prescription with multiple directions, the total quantity needed to dispense is?

18 tablets Signup and view all the answers

The dose of Penicillin V for a child is based on what calculation?

954 mg/day Signup and view all the answers

How many mL of Suprax should be dispensed for a prescription calling for 300 mg?

20 mL Signup and view all the answers

The directions for use of a drug read 'i-il sI prn.' What does 's|' mean?

Under the tongue Signup and view all the answers

If a prescription calls for 375 mg of penicillin per day for ten days, how much of a 250 mg/5 mL suspension should be dispensed?

75 mL Signup and view all the answers

Which of the following is a type of hazardous waste?

All of the above Signup and view all the answers

Which of the following does the pharmacist check during the final verification process?

All of the above Signup and view all the answers

The abbreviation PRN means?

As needed Signup and view all the answers

Which organization developed a list of error-prone medication abbreviations?

All of the above Signup and view all the answers

If additional information from the patient is needed, which of the following is true?

Always be respectful and mindful of patient privacy if you need to ask them for additional information Signup and view all the answers

All of the following tasks are items a pharmacy technician can perform except?

Answer questions about the patient's prescription during pick-up Signup and view all the answers

A program of activities used to assure that compounded formulation meets specifications and satisfies standards is termed?

Quality Assurance Signup and view all the answers

What should you do first if a prescription has no sig codes or abbreviations and has unusually neat handwriting?

Notify the pharmacist Signup and view all the answers

When communicating with a patient that does not speak English, which of the following is a nonmedical translator that may result in an unintended message?

Medication administration record Signup and view all the answers

Which classification of recalls indicates a product may cause temporary but reversible side effects, or little likelihood of serious adverse effects?

Class II Signup and view all the answers

Where should Schedule II prescriptions be filed?

Separate from all the other schedules Signup and view all the answers

When preparing an IV solution, how far into the hood should a technician work?

At least 6 inches into the hood Signup and view all the answers

The Omnibus Budget and Reconciliation Act (OBRA) of 1990 requires all pharmacists to counsel what type of patients?

Medicaid patients Signup and view all the answers

Where would you find information about hazardous substances such as chemotherapeutic agents that require special handling?

Material Safety Data Sheets Signup and view all the answers

Baycol was recalled due to rhabdomyolysis. This is an example of what kind of recall?

Class I Signup and view all the answers

This has three sets of numbers to indicate the manufacturer, medication, and size?

NDC Signup and view all the answers

If there is a shortage of Tamiflu in your pharmacy, who should the technician alert?

Pharmacist on duty Signup and view all the answers

What class of balance do pharmacies typically use for compounding?

Class B Signup and view all the answers

Which class of drug schedule is considered to have an accepted medical use, but has a high potential for abuse with severe psychological or physical dependency?

C-II Signup and view all the answers

Which of the following is an example of P-List waste?

Warfarin Signup and view all the answers

What influence do state laws have in the pharmacy?

Governing how pharmacists and pharmacy technicians practice pharmacy Signup and view all the answers

What is The Joint Commission (TJC) responsible for?

Addresses healthcare-associated infections and medication errors Signup and view all the answers

Which form is required for the receiving pharmacy to complete when receiving a transferred Schedule II medication?

DEA Form 222 Signup and view all the answers

Which Federal Agency establishes standards and accredits healthcare providers?

TJC Signup and view all the answers

Which class of recall is the least serious?

Class III Signup and view all the answers

What type of attire should be worn when handling or cleaning up hazardous materials?

Personal Protective Equipment (PPE) Signup and view all the answers

Prescriptions for controlled substances can be transferred between pharmacies how many times?

Only one time Signup and view all the answers

Which of the following is a valid DEA number?

AD1314626 Signup and view all the answers

Which of the following drugs would require a controlled substance incorrect mark?

Percocet Signup and view all the answers

Which documentation form is used to record all the medication ordered and given to the patient?

Canopy Medical Translator Signup and view all the answers

Which of the following are required during the obtaining and checking medication process?

Use the NDC when selecting the medication Signup and view all the answers

Acceptable uses of social media include all except?

Share that Mr. Jones yelled at you because you could not fill his blood pressure medication Signup and view all the answers

When entering a patient's prescription into the computer, one should always:

Make sure information on prescription matches patient profile before entering other information Signup and view all the answers

Which of the following is an example of P-List waste?

Nicotine Signup and view all the answers

To ensure accuracy the sig code QD should be written as?

Once a day Signup and view all the answers

When working with antineoplastic drugs, the worker is protected from toxic effects if wearing protective clothing and gloves unless:

The contaminated gloves come in contact with mucous membranes Signup and view all the answers

Isotretinoin is monitored by which of the following?

REMS Signup and view all the answers

This regulation requires every parenteral compounding facility to have a quality assurance program.

USP 797 Signup and view all the answers

Which of the following anti-convulsants may be used to treat generalized seizures?

All of the above Signup and view all the answers

When filling an inpatient's medication drawer, the technician notices that the fill list contains both enalapril and lisinopril. The technician should:

Notify the pharmacist that the patient has orders for two drugs of the same class Signup and view all the answers

To avoid confusion with prednisolone, how should prednisone be written on the medication packaging?

predniSONE Signup and view all the answers

The abbreviation IU for international unit is commonly mistaken for:

Intravenous Signup and view all the answers

A pharmacy technician is to reduce the particle size of a solid with the aid of a solvent, which method will they use to accomplish this?

Pulverization Signup and view all the answers

When cleaning a laminar flow hood, which solution should be used?

Isopropyl alcohol Signup and view all the answers

The set of procedures for preparation of sterile products that is designed to prevent contamination is called:

Aseptic technique Signup and view all the answers

A bottle of digoxin is printed with the expiration date of October 2004. What is the actual day this bottle of medication expires?

31-Oct-04 Signup and view all the answers

With which of the following medications should liver function tests be monitored due to potential adverse effects on the liver?

Pravastatin Signup and view all the answers

With respect to drug interactions that occur between two medications, a synergistic interaction occurs when:

Effect A + B > effect of A and effect of B alone Signup and view all the answers

Which of the following medications is a diuretic?

Furosemide Signup and view all the answers

Which of the following is NOT a diuretic?

Prilosec Signup and view all the answers

Which of the following is NOT a beta agonist?

Zafirlucast Signup and view all the answers

Which of the following is an antidepressant?

Zoloft Signup and view all the answers

Which of the following is an NSAID?

Ibuprofen Signup and view all the answers

When a prescription is received for Cortisporin Drops, int 1 gtt qid, the technician should:

Have the pharmacist ascertain whether an ophthalmic or otic product is to be dispensed Signup and view all the answers

What substances are NOT commonly found in a TPN (total parenteral nutrition)?

Antibiotics Signup and view all the answers

What does 'enteric coated' mean? The medication:

Has a special coating to prevent dissolution in the stomach Signup and view all the answers

Pseudoephedrine is classified as a(n):

Decongestant Signup and view all the answers

Of the following drug classifications, which type can cause excessive bleeding?

Anticoagulants Signup and view all the answers

If a pediatric patient is to receive oral ampicillin as a suspension, which of the following is NOT necessary?

Prepare the medication in the laminar airflow hood Signup and view all the answers

Drugs in which classification are used to treat hypertension?

A and C Signup and view all the answers

Drug products that contain identical amounts of the same active ingredients in the same dosage form and that meet the same applicable standards of identity, strength, quality and purity are:

Pharmaceutical equivalents Signup and view all the answers

Codeine and oxycodone are both classified as:

Schedule II Signup and view all the answers

At the time of dispensing, refill limitations for a Schedule II controlled substance prescription are a:

None of the above, refills are not allowed for Schedule II drugs Signup and view all the answers

A non-control prescription can usually be refilled:

As many times as the prescriber indicates on the prescription, within a specified time period where allowed by law Signup and view all the answers

A prescription calls for Biaxin 250 mg per 5 mL 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?

3 Signup and view all the answers

A patient presents a prescription for hydrochlorothiazide (HCTZ). Other items related to this prescription that he/she might purchase include all of the following EXCEPT:

Pseudoephedrine containing decongestants and cold remedies Signup and view all the answers

A drug that includes insensibility and relieves pain, but is also addicting, which causes dependence, is a:

Narcotic Signup and view all the answers

When processing a prescription, which of the following must be accurate to ensure proper inventory control?

All of the above Signup and view all the answers

When receiving an order for noncontrolled medications, the pharmacy technician must carry out which of the following actions?

Reconcile the shipment invoice Signup and view all the answers

The expiration date on a bottle of Vicodin is 5/2025. When does this drug expire?

Midnight 5/31/25 Signup and view all the answers

Which of these are not entered in the patient profile?

Co-pay Signup and view all the answers

The electronic medical record includes which of the following?

Patient data Signup and view all the answers

A patient receives a prescription for blood glucose test strips for a 72-year-old patient, which part of Medicare should the pharmacy technician bill?

Medicare Part B Signup and view all the answers

Which of the following insurance plans allows the patient to see a specialist without a referral?

PPO Signup and view all the answers

Which one of these federal and state-run programs includes benefits for prescription drug costs on an outpatient basis?

Medicaid Signup and view all the answers

Which of the following is not a type of managed care program?

Medicare Part D Signup and view all the answers

The portion of prescription costs that the patient must pay in a given time period before the third-party insurer will begin paying is the:

Deductible Signup and view all the answers

A pharmacy technician is filling a prescription for magic mouthwash that contains water. What expiration date should the technician use on the bottle?

14 days Signup and view all the answers

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?

New Prescription or Refill Authorization Signup and view all the answers

A pharmacy technician receives a prescription for Vitamin B-12 injection, what name will the technician enter to fill the prescription?

Cyanocobalamin Signup and view all the answers

You receive a prescription for cephalexin suspension 250 mg/5mL, 1.5 tsp TID x 10 days. The appropriate quantity to dispense would be:

225 mL Signup and view all the answers

You have heparin 25,000 units in 500 mL of dextrose 5% in water. The concentration is:

50 units/mL Signup and view all the answers

You have been given 300 mL of a ______.

10% solution Signup and view all the answers

Study Notes

Pharmacy Technician Key Facts

Balance Class Utilization: Class B balances are primarily used for compounding in pharmacies.
Drug Schedule Classification: Schedule II (C-II) drugs have accepted medical uses but high potential for abuse.
P-List Waste Example: Warfarin is considered P-List waste, while other examples include Mitomycin and Acetaminophen.
State Law Impact: State laws govern the practice of pharmacists and pharmacy technicians.

Regulatory Bodies and Procedures

The Joint Commission (TJC): Responsible for addressing healthcare-related infections and medication safety.
DEA Form 222: Required for receiving transferred Schedule II medications from another pharmacy.
TJC Accreditation: Establishes standards for and accredits healthcare providers in the U.S.
Recall Classification: Class III is the least serious recall classification.

Handling Medications

Personal Protective Equipment (PPE): Essential when handling hazardous materials.
Controlled Substance Transfers: Transfer of prescriptions for controlled substances is limited to only one time.
Valid DEA Numbers: AD1314626 is an example of a valid DEA number used for prescribing.

Prescription Processing

Medication Orders: Use the NDC (National Drug Code) to select medications accurately.
Social Media Guidelines: Sharing patient-related grievances on social media is not acceptable.
Accuracy in Prescription Entry: Ensure patient information matches the prescription before entering it into the system.

Drug Classifications and Uses

Sig Codes: "QD" means once a day.
Antineoplastic Drug Safety: Contaminated gloves may cause exposure if they contact mucous membranes.
REMS: Isotretinoin is closely monitored under the Risk Evaluation and Mitigation Strategy.

Compounding and Medication Expiry

USP 797 Regulation: Specifies quality assurance protocols for parenteral compounding facilities.
Expiration Dates: A bottle marked October 2004 expires on 31-Oct-04.
Particle Size Reduction: Pulverization is the method used to reduce particle size in solids mixed with solvents.

Medication Monitoring and Interactions

Liver Function Tests: Medications like Pravastatin require monitoring due to liver effects.
Synergistic Interactions: When two medications' combined effect exceeds their individual impacts.

Drug Types and Examples

Diuretics: Furosemide is a common diuretic drug.
Antidepressants: Zoloft falls within the category of antidepressants.
NSAIDs: Ibuprofen is classified as a non-steroidal anti-inflammatory drug.

Patient Profiles and Billing

Patient Profile Elements: Allergies and medication history are crucial; co-pay is not included.
Pediatric Medication Preparation: Amoxicillin suspension should have an expiration date labeled after preparation.
Medicare Billing: Blood glucose test strips for a patient should be billed under Medicare Part B.

Pharmacy Inventory and Prescription Fulfillment

Controlled Substance Refills: Refills on Schedule II prescriptions are not allowed.
Expiration of Medications: Vicodin labeled 5/2025 expires on midnight 5/31/25.
Quantity Dispensing: For a prescription calling for 2 tsp BID for 7 days, typically 3 bottles of medication are needed.

IV and Dose Calculations

Heparin Concentration: A solution of 25,000 units in 500 mL results in a concentration of 50 units/mL.
Flow Rate Calculations: Required flow rates for heparin are based on gtt (drops) per minute and the administration set.

Auxiliary Labels and Usage Information

Auxiliary Labels: Identify important usage information including proper storage guidelines.
Dispensing Measurements: A prescription of 180 mL corresponds to dispensing approximately 6 oz.

These points encapsulate crucial knowledge and procedures relevant to pharmacy technicians, ensuring proper practice in medication handling, regulatory compliance, and patient care.### Eye and Ear Assessments

"The right ear only" is the correct answer for specific auditory monitoring requirements.

Medication Dosage and Calculations

A drug packaged as 48 mg/mL: to dispense 2.52 g is equivalent to 1.75 fluid ounces.
Prednisone dosage: for a prescription of 5 mg tid for 3 days, and then i bid and i qd for 3 days adds up to a total of 18 tablets needed.
Penicillin V for a 7-year-old: at 35 mg/kg/day results in a daily requirement of 954 mg for a child weighing 60 lbs.
Suprax suspension is at 75 mg/5 mL; for a 300 mg prescription, 20 mL needs to be dispensed.

Pharmacy Abbreviations

"q.h.s." stands for "every bedtime."
PRN means "as needed."
"s.l." translates to "under the tongue."

Prescription and Verification Processes

375 mg of penicillin per day for 10 days equates to dispensing 75 mL of a 250 mg/5 mL suspension.
Final verification by pharmacists includes checking the right patient, drug, and dose.

Hazardous and Controlled Substances

Types of hazardous waste include solid waste, infectious waste, and hazardous materials; all are categorized as hazardous.
Schedule II prescriptions must be filed separately from other schedules.
Chemotherapeutic agents require careful disposal, with guidelines found in Material Safety Data Sheets.

Patient Interaction and Counseling

Always maintain patient privacy when requesting additional information.
Pharmacy technicians should notify the pharmacist when a narcotic prescription lacks clear sig codes or has neat handwriting.
The OBRA of 1990 mandates counseling for Medicaid patients.

Recall Classifications

Class I recalls indicate a high risk of serious adverse effects; for example, Baycol was recalled due to rhabdomyolysis.
Class II recalls suggest temporary or reversible side effects.

Additional Notes

Nonmedical translators can lead to unintended messages in patient communication; medication administration records should be used cautiously.
Quality assurance programs ensure compounded formulations meet specified standards.

Miscellaneous

National Drug Code (NDC) has three sets of numbers identifying the manufacturer, medication, and size.
In the case of a Tamiflu shortage, the pharmacist on duty should be alerted for managing patient requests.

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Description

Test your knowledge with this Pharmacy Technician Certification Board (PTCB) review quiz. It covers key concepts such as classes of balances used in pharmacies and drug scheduling. Perfect for those preparing for their certification exam.

Pharmacy Technician PTCB Review Questions

Questions and Answers

What percent strength should appear on the label?

How much water do you add to reconstitute an oral medication with a dose of 200mg/tsp?

How much Theophylline elixir is required for a dose of 120mg?

What is the flow rate required to deliver a heparin dose of 15 units/min?

Determine the flow rate to infuse 500 mL of D5W in 12 hours.

How many liters of water should be added to 70% Sorbitol solution to make 500 mL's of a 30% solution?

How many ounces would you be dispensing for a prescription reading 180 mL?

Auxiliary labels identify usage information including?

How many mg are administered per day if an IV of Ampicillin 250 mg in 100 mL is administered every 8 hours?

A prescription directed to be given a.d. should be administered to?

What is the volume in fluid ounces for a drug packaged as 48 mg/mL if you are to give 2.52 g?

What is the SIG code for 'every bedtime'?

What is the error percentage rate if 26 errors are detected in the preparation of 500 prescriptions?

To dispense a prescription with multiple directions, the total quantity needed to dispense is?

The dose of Penicillin V for a child is based on what calculation?

How many mL of Suprax should be dispensed for a prescription calling for 300 mg?

The directions for use of a drug read 'i-il sI prn.' What does 's|' mean?

If a prescription calls for 375 mg of penicillin per day for ten days, how much of a 250 mg/5 mL suspension should be dispensed?

Which of the following is a type of hazardous waste?

Which of the following does the pharmacist check during the final verification process?

The abbreviation PRN means?

Which organization developed a list of error-prone medication abbreviations?

If additional information from the patient is needed, which of the following is true?

All of the following tasks are items a pharmacy technician can perform except?

A program of activities used to assure that compounded formulation meets specifications and satisfies standards is termed?

What should you do first if a prescription has no sig codes or abbreviations and has unusually neat handwriting?

When communicating with a patient that does not speak English, which of the following is a nonmedical translator that may result in an unintended message?

Which classification of recalls indicates a product may cause temporary but reversible side effects, or little likelihood of serious adverse effects?

Where should Schedule II prescriptions be filed?

When preparing an IV solution, how far into the hood should a technician work?

The Omnibus Budget and Reconciliation Act (OBRA) of 1990 requires all pharmacists to counsel what type of patients?

Where would you find information about hazardous substances such as chemotherapeutic agents that require special handling?

Baycol was recalled due to rhabdomyolysis. This is an example of what kind of recall?

This has three sets of numbers to indicate the manufacturer, medication, and size?

If there is a shortage of Tamiflu in your pharmacy, who should the technician alert?

What class of balance do pharmacies typically use for compounding?

Which class of drug schedule is considered to have an accepted medical use, but has a high potential for abuse with severe psychological or physical dependency?

Which of the following is an example of P-List waste?

What influence do state laws have in the pharmacy?

What is The Joint Commission (TJC) responsible for?

Which form is required for the receiving pharmacy to complete when receiving a transferred Schedule II medication?

Which Federal Agency establishes standards and accredits healthcare providers?

Which class of recall is the least serious?

What type of attire should be worn when handling or cleaning up hazardous materials?

Prescriptions for controlled substances can be transferred between pharmacies how many times?

Which of the following is a valid DEA number?

Which of the following drugs would require a controlled substance incorrect mark?

Which documentation form is used to record all the medication ordered and given to the patient?

Which of the following are required during the obtaining and checking medication process?

Acceptable uses of social media include all except?

When entering a patient's prescription into the computer, one should always:

Which of the following is an example of P-List waste?

To ensure accuracy the sig code QD should be written as?

When working with antineoplastic drugs, the worker is protected from toxic effects if wearing protective clothing and gloves unless:

Isotretinoin is monitored by which of the following?

This regulation requires every parenteral compounding facility to have a quality assurance program.

Which of the following anti-convulsants may be used to treat generalized seizures?

When filling an inpatient's medication drawer, the technician notices that the fill list contains both enalapril and lisinopril. The technician should:

To avoid confusion with prednisolone, how should prednisone be written on the medication packaging?

The abbreviation IU for international unit is commonly mistaken for:

A pharmacy technician is to reduce the particle size of a solid with the aid of a solvent, which method will they use to accomplish this?

When cleaning a laminar flow hood, which solution should be used?

The set of procedures for preparation of sterile products that is designed to prevent contamination is called:

A bottle of digoxin is printed with the expiration date of October 2004. What is the actual day this bottle of medication expires?

With which of the following medications should liver function tests be monitored due to potential adverse effects on the liver?

With respect to drug interactions that occur between two medications, a synergistic interaction occurs when:

Which of the following medications is a diuretic?

Which of the following is NOT a diuretic?

Which of the following is NOT a beta agonist?

Which of the following is an antidepressant?

Which of the following is an NSAID?

When a prescription is received for Cortisporin Drops, int 1 gtt qid, the technician should:

What substances are NOT commonly found in a TPN (total parenteral nutrition)?

What does 'enteric coated' mean? The medication:

Pseudoephedrine is classified as a(n):

Of the following drug classifications, which type can cause excessive bleeding?

If a pediatric patient is to receive oral ampicillin as a suspension, which of the following is NOT necessary?

Drugs in which classification are used to treat hypertension?