NHA Certified Pharmacy Technician
(CPhT) Exam 2025/2026 – Verified
Questions with 100% Correct Answers
Question 1: Medications
What is the brand name for atorvastatin?
A. Crestor
B. Lipitor
C. Zocor
D. Pravachol
B. Lipitor
Rationale: Atorvastatin is a statin for hyperlipidemia, marketed as Lipitor. Crestor (A) is
rosuvastatin, Zocor (C) is simvastatin, and Pravachol (D) is pravastatin. Accurate brand -generic
knowledge is critical for dispensing per NHA standards.
Question 2: Medications
Which medication requires refrigeration?
A. Lisinopril
B. Insulin
C. Metformin
D. Amlodipine
B. Insulin
Rationale: Insulin must be stored at 36-46°F (2-8°C) per USP <797> to maintain stability.
Lisinopril (A), metformin (C), and amlodipine (D) are stable at room temperature. Proper storage
ensures efficacy and safety.
Question 3: Federal Requirements
Under DEA regulations, a Schedule II prescription:
A. Can be refilled up to 5 times
B. Requires a written prescription
C. Is valid for 12 months
D. Allows phone-in orders
B. Requires a written prescription
,Rationale: Schedule II drugs (e.g., oxycodone) require a written or electronic prescription per
DEA, with no refills allowed. Option A applies to Schedule III-V; C is incorrect (90 days max);
D is limited to emergencies. Compliance prevents diversion.
Question 4: Patient Safety
A patient receives a prescription for warfarin 5 mg daily. The technician notices a new order for
ibuprofen. The action is:
A. Dispense both medications
B. Alert the pharmacist
C. Call the prescriber
D. Counsel the patient
B. Alert the pharmacist
Rationale: Ibuprofen increases bleeding risk with warfarin, a significant interaction per FDA.
Technicians escalate to pharmacists for review, not prescribers (C) or patients (D). Dispensing
(A) risks harm. Safety is a core NHA competency.
Question 5: Quality Assurance
During compounding, a technician spills a powder. The immediate action is:
A. Continue compounding
B. Clean with a HEPA vacuum
C. Wipe with alcohol
D. Notify the supervisor
B. Clean with a HEPA vacuum
Rationale: USP <800> requires HEPA vacuuming for hazardous drug spills to prevent
contamination. Continuing (A) risks exposure; alcohol (C) is insufficient; notification (D)
follows cleanup. Adherence ensures safety.
Question 6: Order Entry
A prescription reads: “Amoxicillin 500 mg, 1 cap TID x 10 days.” How many capsules are
dispensed?
A. 10
B. 20
C. 30
D. 40
C. 30
Rationale: TID means three times daily; 3 capsules/day × 10 days = 30 capsules. Accurate
calculation prevents under- or over-dispensing, per NHA order entry standards.
, Question 7: Inventory Management
A drug is nearing its expiration date. The technician should:
A. Dispense it first
B. Return to supplier
C. Discard immediately
D. Relabel with new date
B. Return to supplier
Rationale: Expired or near-expired drugs should be returned per pharmacy policy and FDA
guidelines to avoid dispensing. Dispensing (A) risks efficacy; discarding (C) wastes resources;
relabeling (D) is illegal. Maintain inventory integrity.
Question 8: Billing
A patient’s insurance rejects a claim for a non-formulary drug. The technician’s action is:
A. Charge the patient full price
B. Notify the pharmacist
C. Resubmit the claim
D. Switch to a generic
B. Notify the pharmacist
Rationale: Non-formulary rejections require pharmacist intervention for prior authorization or
alternatives, per NHA billing competencies. Charging (A) bypasses process; resubmitting (C)
ineffective; switching (D) requires approval. Ensure coverage.
Question 9: Medications
Which drug is a beta-blocker?
A. Losartan
B. Metoprolol
C. Diltiazem
D. Clonidine
B. Metoprolol
Rationale: Metoprolol is a beta-blocker for hypertension and heart failure. Losartan (A) is an
ARB, diltiazem (C) a calcium channel blocker, clonidine (D) an alpha-2 agonist. Correct
classification aids dispensing accuracy.
Question 10: Medications
Levothyroxine is used to treat:
A. Diabetes
(CPhT) Exam 2025/2026 – Verified
Questions with 100% Correct Answers
Question 1: Medications
What is the brand name for atorvastatin?
A. Crestor
B. Lipitor
C. Zocor
D. Pravachol
B. Lipitor
Rationale: Atorvastatin is a statin for hyperlipidemia, marketed as Lipitor. Crestor (A) is
rosuvastatin, Zocor (C) is simvastatin, and Pravachol (D) is pravastatin. Accurate brand -generic
knowledge is critical for dispensing per NHA standards.
Question 2: Medications
Which medication requires refrigeration?
A. Lisinopril
B. Insulin
C. Metformin
D. Amlodipine
B. Insulin
Rationale: Insulin must be stored at 36-46°F (2-8°C) per USP <797> to maintain stability.
Lisinopril (A), metformin (C), and amlodipine (D) are stable at room temperature. Proper storage
ensures efficacy and safety.
Question 3: Federal Requirements
Under DEA regulations, a Schedule II prescription:
A. Can be refilled up to 5 times
B. Requires a written prescription
C. Is valid for 12 months
D. Allows phone-in orders
B. Requires a written prescription
,Rationale: Schedule II drugs (e.g., oxycodone) require a written or electronic prescription per
DEA, with no refills allowed. Option A applies to Schedule III-V; C is incorrect (90 days max);
D is limited to emergencies. Compliance prevents diversion.
Question 4: Patient Safety
A patient receives a prescription for warfarin 5 mg daily. The technician notices a new order for
ibuprofen. The action is:
A. Dispense both medications
B. Alert the pharmacist
C. Call the prescriber
D. Counsel the patient
B. Alert the pharmacist
Rationale: Ibuprofen increases bleeding risk with warfarin, a significant interaction per FDA.
Technicians escalate to pharmacists for review, not prescribers (C) or patients (D). Dispensing
(A) risks harm. Safety is a core NHA competency.
Question 5: Quality Assurance
During compounding, a technician spills a powder. The immediate action is:
A. Continue compounding
B. Clean with a HEPA vacuum
C. Wipe with alcohol
D. Notify the supervisor
B. Clean with a HEPA vacuum
Rationale: USP <800> requires HEPA vacuuming for hazardous drug spills to prevent
contamination. Continuing (A) risks exposure; alcohol (C) is insufficient; notification (D)
follows cleanup. Adherence ensures safety.
Question 6: Order Entry
A prescription reads: “Amoxicillin 500 mg, 1 cap TID x 10 days.” How many capsules are
dispensed?
A. 10
B. 20
C. 30
D. 40
C. 30
Rationale: TID means three times daily; 3 capsules/day × 10 days = 30 capsules. Accurate
calculation prevents under- or over-dispensing, per NHA order entry standards.
, Question 7: Inventory Management
A drug is nearing its expiration date. The technician should:
A. Dispense it first
B. Return to supplier
C. Discard immediately
D. Relabel with new date
B. Return to supplier
Rationale: Expired or near-expired drugs should be returned per pharmacy policy and FDA
guidelines to avoid dispensing. Dispensing (A) risks efficacy; discarding (C) wastes resources;
relabeling (D) is illegal. Maintain inventory integrity.
Question 8: Billing
A patient’s insurance rejects a claim for a non-formulary drug. The technician’s action is:
A. Charge the patient full price
B. Notify the pharmacist
C. Resubmit the claim
D. Switch to a generic
B. Notify the pharmacist
Rationale: Non-formulary rejections require pharmacist intervention for prior authorization or
alternatives, per NHA billing competencies. Charging (A) bypasses process; resubmitting (C)
ineffective; switching (D) requires approval. Ensure coverage.
Question 9: Medications
Which drug is a beta-blocker?
A. Losartan
B. Metoprolol
C. Diltiazem
D. Clonidine
B. Metoprolol
Rationale: Metoprolol is a beta-blocker for hypertension and heart failure. Losartan (A) is an
ARB, diltiazem (C) a calcium channel blocker, clonidine (D) an alpha-2 agonist. Correct
classification aids dispensing accuracy.
Question 10: Medications
Levothyroxine is used to treat:
A. Diabetes
