Pharmacy Technician Practice Exam 2026–2027
200 Original Questions & Detailed Rationales
Format: Multiple choice
Level: Pharmacy Technician / CPhT preparation
Coverage: Pharmacy practice, medication safety, calculations, pharmacology, dispensing, inventory, compounding,
law, and patient communication
Questions 1–25: Pharmacy Fundamentals & Medication Safety
Question 1
A prescription reads: Take 1 tablet by mouth twice daily. Which abbreviation should a pharmacy technician
recognize as the frequency?
A. PO
B. BID
C. PRN
D. HS
Correct Answer: B. BID
Rationale:
BID means bis in die, or twice
daily. The technician must correctly interpret prescription directions before
entering them into the dispensing system.
Why the Other Options Are Incorrect:
A. PO: Means by mouth or orally.
C. PRN: Means as needed.
D. HS: Means at bedtime.
Question 2
Which medication-error prevention strategy is most appropriate when a technician encounters a prescription
with an unclear drug name?
A. Guess based on the patient's diagnosis
B. Select the drug with the closest spelling
C. Ask the pharmacist to clarify the prescription
D. Ask the patient which medication they usually receive
Correct Answer: C. Ask the pharmacist to clarify the prescription
Rationale:
An unclear medication name can result in a
dispensing error. The technician should not guess or independently resolve
clinical ambiguities. Pharmacists are responsible for evaluating and clarifying
medication orders.
Why the Other Options Are Incorrect:
A: Diagnosis should not be used to guess a
medication.
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B: Similar spelling can involve completely different
drugs.
D: Patient recollection does not replace
clarification of an ambiguous prescription.
Question 3
Which information is most important for correctly identifying a patient before prescription pickup?
A. Favorite medication
B. Two patient identifiers
C. Insurance company only
D. Prescriber specialty
Correct Answer: B. Two patient identifiers
Rationale:
Using two identifiers, such as name and
date of birth, helps prevent dispensing medication to the wrong patient.
Why the Other Options Are Incorrect:
A: A preference is not a reliable identifier.
C: Insurance information does not uniquely identify
the patient.
D: Prescriber specialty does not establish patient
identity.
Question 4
Which abbreviation means “by mouth”?
A. IM
B. IV
C. PO
D. SL
Correct Answer: C. PO
Rationale:
PO means per os, or by mouth.
Why the Other Options Are Incorrect:
A: IM means intramuscular.
B: IV means intravenous.
D: SL means sublingual.
Question 5
A technician notices that the strength on the stock bottle does not match the strength entered in the computer.
What should the technician do?
A. Dispense the stock bottle strength
B. Change the prescription independently
C. Stop processing and notify the pharmacist
D. Ask the patient which strength they want
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Correct Answer: C. Stop processing and notify the pharmacist
Rationale:
A strength discrepancy can represent a
prescribing, data-entry, or product-selection error. The technician should stop
the process and refer the discrepancy to the pharmacist.
Why the Other Options Are Incorrect:
A: Dispensing an unmatched strength could harm the
patient.
B: Technicians should not independently change
medication orders.
D: The patient should not determine the prescribed
strength.
Question 6
Which dosage form is designed to dissolve under the tongue?
A. Enteric-coated tablet
B. Sublingual tablet
C. Extended-release tablet
D. Buccal capsule
Correct Answer: B. Sublingual tablet
Rationale:
Sublingual medications are placed beneath
the tongue for absorption through the oral mucosa.
Why the Other Options Are Incorrect:
A: Enteric-coated products are designed to resist
dissolution in the stomach.
C: Extended-release products release medication over
an extended period.
D: Buccal medications are placed between the cheek
and gum.
Question 7
Which medication error involves giving a medication to the wrong patient?
A. Wrong dose
B. Wrong route
C. Wrong patient
D. Wrong frequency
Correct Answer: C. Wrong patient
Rationale:
Administering or dispensing medication
intended for one patient to another is a wrong-patient error.
Why the Other Options Are Incorrect:
A: Wrong dose involves an incorrect amount.
B: Wrong route involves an incorrect administration
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route.
D: Wrong frequency involves incorrect timing or
frequency.
Question 8
Which prescription component identifies the person authorized to prescribe the medication?
A. Patient address
B. Prescriber information
C. Directions
D. Quantity
Correct Answer: B. Prescriber information
Rationale:
Prescriber information identifies the
authorized healthcare professional issuing the prescription.
Why the Other Options Are Incorrect:
A: Patient address identifies the recipient.
C: Directions describe how the medication should be
used.
D: Quantity indicates the amount to dispense.
Question 9
What does the abbreviation “PRN” mean?
A. Before meals
B. Immediately
C. As needed
D. Every morning
Correct Answer: C. As needed
Rationale:
PRN means pro re nata, or as
needed.
Why the Other Options Are Incorrect:
A: Before meals is commonly represented by AC.
B: Immediately is represented by STAT in appropriate
contexts.
D: Every morning is not represented by PRN.
Question 10
Which action best helps prevent look-alike/sound-alike medication errors?
A. Relying on memory
B. Ignoring manufacturer labeling
C. Using barcode verification when available
D. Removing medication labels
Correct Answer: C. Using barcode verification when available
Rationale:
Barcode technology can help verify the
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