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CPJE EXAM CALIFORNIA PRACTICE STANDARDS
AND JURISPRUDENCE EXAMINATION FOR
PHARMACISTS EXAM | QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION
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. Which of the following is the MOST APPROPRIATE action by the pharmacist? ---------CORRECT ANSWER-----------------Ask the 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. Which of the following statements would verify that the patient has a good understanding of the possible side effects of this drug? ---------CORRECT ANSWER-----------------"I should report flu-like symptoms to my doctor." A 43-year-old woman diagnosed with hypothyroidism brings in a new prescription for levothyroxine 100 mcg daily. Her medication profile shows the following:
- calcium carbonate 500 mg q a.m. and q p.m.
- losartan 50 mg q a.m. After counseling, which of the following actions indicates that the patient understands how to take her levothyroxine correctly? ------ ---CORRECT ANSWER-----------------She takes the levothyroxine 1 hour before calcium carbonate.
A pharmacist has just counseled a patient on the use of ketoconazole shampoo. Which of the following statements would verify that the patient has a clear understanding of how to properly use this medication?
- "This shampoo is going to treat my psoriasis."
- "This shampoo is going to treat my dandruff."
- "I shouldn't use this shampoo if I have open sores on my scalp."
- "I should use this shampoo every other day for 1 week." --------- CORRECT ANSWER-----------------2 and 3 only Which of the following statements demonstrates that a patient understands the risks associated with doxorubicin? --------- CORRECT ANSWER-----------------"I should avoid pregnancy." A patient with an allergy to aspirin is recovering from an ischemic stroke. Heparin 5000 units subcutaneously b.i.d. is prescribed. Which of the following statements would BEST verify that the patient understands why this medication was ordered? --------- CORRECT ANSWER-----------------"This drug will help to prevent the development of a clot." Which of the following consultation information is CORRECT for a patient who starts latanoprost solution? ---------CORRECT ANSWER-----------------This medication may darken the eyes of patients with light eye color.
Which of the following statements would BEST verify that a patient understands how to inject dalteparin? ---------CORRECT ANSWER-----------------"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? [see table w/ question #40 in google docs] ---------CORRECT ANSWER-----------------50 mcg/hr 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. Which of the following should the pharmacist do? ---------CORRECT ANSWER-----------------Obtain a supply of the drug from the other hospital using a DEA Form 222. Which of the following should be used to assess the quality of care provided by a clinic pharmacist to patients receiving oral anticoagulation therapy? ---------CORRECT ANSWER----------------
- the number of hospitalizations due to GI bleeding A quality assurance assessment of patients receiving phenytoin suspension and enteral feedings via a nasogastric tube demonstrates consistently sub-therapeutic phenytoin levels. Phenytoin suspension is dosed twice a day. Which of the
following should the pharmacist do to improve administration of phenytoin? ---------CORRECT ANSWER-----------------Hold tube feedings for 1 hour before and after phenytoin administration. A patient comes into the pharmacy for a refill on chlorhexidine 0.12% rinse. The pharmacist wants to ensure the patient is informed about the medication and is adhering to the medication regimen. Which of the following statements made by the patient would convince the pharmacist that the patient understands how to use the chlorhexidine? ---------CORRECT ANSWER--------------- --"I use 15 mL undiluted, rinse for 30 seconds, and discard." The concept of preventing medication errors in the pharmacy is BEST characterized by a process that:
- focuses on individuals.
- establishes a disciplinary policy.
- monitors errors over time.
- reviews dispensing processes ---------CORRECT ANSWER----- ------------3 and 4 only 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®. Which of the following medications should have been used? ---------CORRECT ANSWER-----------------Doxazosin
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 ANSWER----------------- 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 ANSWER-----------------keep the supply separated from the other drugs in the pharmacy To which of the following may a pharmacy directly sell dangerous drugs or devices without a prescription? ---------CORRECT ANSWER-----------------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. Which of the following actions should the pharmacist take? --------- CORRECT ANSWER-----------------Advise the nurses that external preparations must be stored separately from other drugs. A hospital pharmacist is checking a technician's work. Which of the following should the pharmacist do to ensure that the proper medication is dispensed? ---------CORRECT ANSWER--------------- --Verify the product against the actual order.
A pharmacist is NOT required to initiate patient consultation when ---------CORRECT ANSWER-----------------the customer refuses consultation. A patient comes into the pharmacy with a new prescription for triamcinolone 0.1%. The pharmacy technician realizes that triamcinolone comes both as a cream and an ointment. The technician phones the physician's office to ask for clarification on the prescription. The nurse checks the patient's chart and tells the technician that the physician prescribed the ointment. Which of the following is the MOST APPROPRIATE action of the technician? ---------CORRECT ANSWER-----------------Fill the prescription once the pharmacist clarifies the order with the physician's office. A pharmacy computer fails and will not be available for the next hour. While the computer is down, the pharmacist has a patient requesting a refill. The patient has brought in the original prescription container and the pharmacist has verified that a refill is available. Which of the following is LEGAL and in the best interest of the patient? ---------CORRECT ANSWER----------------- Prepare a label, fill in a new container, and record this on the back of the prescription.
--------CORRECT ANSWER-----------------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? ---------CORRECT ANSWER-----------------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 ANSWER-----------------retrospective analysis, proactive intervention, and voluntary non-punitive reporting of errors The pharmacy department at a hospital has received approval for therapeutic interchange of Product A with Product B through both the Pharmacy and Therapeutics Committee and the medical staff. When Product A is ordered by a physician, the pharmacist may do which of the following? ---------CORRECT ANSWER-------------- ---Automatically interchange with Product B. A pharmacist wants to document and evaluate the prevalence of Clostridium difficile colitis from antibiotic usage. Which of the following should be monitored to obtain the highest yield for
identifying this potential adverse drug reaction? ---------CORRECT ANSWER-----------------medication orders for oral metronidazole A pharmacist is revising the hospital's adverse drug reaction policy and procedure. The pharmacist wishes to include guidelines for analyzing possible reactions. Which of the following recommendations should be placed in these guidelines?
- Determine if the drugs on the patient's profile have ever been associated with causing the reported reaction.
- Require that the physician document the adverse drug reaction in the patient's medical record.
- Request that the Pharmacy and Therapeutics Committee decide if the reaction should be disclosed to the FDA as being a sentinel event.
- Assess how the patient may have responded to any interventions made after the reaction was noted. --------- CORRECT ANSWER-----------------1 and 4 only At a minimum, the adverse drug reaction monitoring and reporting program at a hospital should include which of the following?
- disseminating adverse drug reaction information for educational purposes
- reporting all adverse drug reactions to the FDA
- notifying the prescriber of any suspected adverse drug reaction
- informing the drug manufacturer of every adverse drug reaction ---------CORRECT ANSWER-----------------1 and 3 only
A medication error occurs in a hospital when a nurse mistakenly gives a patient the wrong medication. Which of the following should be done? ---------CORRECT ANSWER-----------------The patient's physician should be notified. Which of the following would be the MOST APPROPRIATE auxiliary label for a prescription for orphenadrine? --------- CORRECT ANSWER-----------------"May cause drowsiness." A hospital pharmacist has received a new medication order that reads: Etoposide 750 mg (base) per m2 of body surface area IV per day on days 1, 3, and 5 The pharmacist should: ---------CORRECT ANSWER----------------- Call the prescriber and question the dose. 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 ANSWER-----------------"Are you eating three regular meals per day?" Repaglinide is taken with meals and skipped if a meal is skipped.
Which of the following factors could be considered barriers to providing a thorough oral consultation to a patient?
- educational background
- primary language
- physical impairment
- insurance coverage ---------CORRECT ANSWER-----------------1, 2, and 3 only 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. Which of the following diagnoses would confirm that the brimonidine order is APPROPRIATE? ---------CORRECT ANSWER-----------------glaucoma A physician writes the following prescription: Finasteride 1 mg tablets # 1 tab p.o. daily for benign prostatic hyperplasia Which of the following would be the MOST APPROPRIATE action of the pharmacist? ---------CORRECT ANSWER-----------------Call the physician regarding dosage strength. Which of the following is CORRECT about a prescription for naproxen sodium 275 mg tablets #20 Sig: i tab b.i.d.? --------- CORRECT ANSWER-----------------The prescription may be filled as written.
Which of the following would be the MOST APPROPRIATE auxiliary labels for a prescription for clarithromycin 250 mg/5 mL?
- "Do not refrigerate"
- "Shake well"
- "Avoid dairy products"
- "Avoid sun exposure" ---------CORRECT ANSWER----------------- 1 and 2 only A pharmacy technician has prepared four IV piggyback doses of sulfamethoxazole/trimethoprim for 24-hour dosing for a patient. The technician asked the pharmacist to verify the medication before delivery to the patient ward. Which of the following is a concern regarding the preparation? ---------CORRECT ANSWER-- ---------------short-term drug stability A technician has prepared a 16-oz bulk supply of spironolactone suspension 1 mg/mL to be packaged into 5 mg/5 mL oral syringes for future dispensing. The pharmacist checking this preparation should ensure that the records include which of the following?
- manufacturer's lot number
- date the product is dispensed
- package size and number of syringes prepared
- formula for the suspension ---------CORRECT ANSWER---------- -------1, 3 and 4 only
A pharmacist is performing a final check of a new prescription for lithium carbonate extended release tablets. Which of the following auxiliary labels should the pharmacist affix to the container? ------- --CORRECT ANSWER-----------------"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. Which of the following is CORRECT for administration of this dose through a nasogastric tube? ---------CORRECT ANSWER---- -------------The tablets 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. Which of the following drug descriptions on the label would be legally CORRECT? ---------CORRECT ANSWER-----------------lorazepam 1 mg (S-G) Which of the following auxiliary labels should be placed on a prescription container for amoxicillin/clavulanate suspension?
- Avoid sunlight.
- Take until gone.
- Take on an empty stomach.
- Refrigerate. ---------CORRECT ANSWER-----------------2 and 4 only
A pharmacist is checking a medication order prior to dispensing it. The order calls for a patient to receive enoxaparin 1.5 mg/kg subcutaneously daily for 7 days. The patient weighs 148 lb. Based on this order, what is the total daily dose that this patient should receive? ---------CORRECT ANSWER-----------------100 mg A pharmacy technician has prepared an IV piggyback dose of levothyroxine 100 mcg in the morning for 24-hour dosing for a patient due later tonight. The technician asked the pharmacist to verify the medication before delivery to the patient ward. Which of the following is a concern regarding the preparation? --------- CORRECT ANSWER-----------------short drug stability A pharmacist is verifying a prescription filled by a technician. The label reads: John Doe Invirase 200 mg Take 6 capsules by mouth twice daily with Norvir. 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 ANSWER----------------- 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. Which of the following actions indicates that the patient understands how to incorporate the budesonide into his asthma regimen? ---------CORRECT ANSWER-----------------He stops using his 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 ANSWER-----------------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 side effects of the drug? ---------CORRECT ANSWER-----------------"I might get headaches with this medication." Which of the following patient information is applicable to the use of Transderm-Scop®? ---------CORRECT ANSWER----------------- should be applied at least 4 hours before travel
