CPJE ANSWERS AND QUESTIONS SET A+
✔✔By protocol, a pharmacist has the responsibility for managing patients with anemia.
A 45-year-old woman has the following hematological data (reference values in
parentheses):
Hgb 11g/dL (12 - 15 g/dL)
Hct 33% (30 - 45%)
MCV 70 uL3 (80 - 100 uL3)
MCH 24 pg/RBC (26 - 34 pg/RBC)
What should the pharmacist order for this patient? - ✔✔Ferrous sulfate
✔✔A pharmacist calls the physician to report an increase in INR from 2.2 to 3.6 for a
65-year-old patient with atrial fibrillation who is being monitored on a warfarin protocol.
What drug is MOST LIKELY to account for this observation? - ✔✔Cefotetan
✔✔What should be reported to the prescriber indicating an adverse drug reaction to
montelukast? - ✔✔An increase in respiratory tract infections.
✔✔The Board of Pharmacy has issued a waiver for offsite storage of records for a
pharmacy. The pharmacist must store what in the pharmacy? - ✔✔The past year of
non-controlled prescriptions and the past 2 years of controlled substance prescriptions.
✔✔A prescriber wishes to purchase acetaminophen with codeine 60 mg for office use.
Which of the statements is TRUE?
A. The pharmacist cannot make this sale.
B. The prescriber must write a prescription for himself.
C. The prescriber must complete a DEA Form 222.
D. The sale must be documented with an itemized invoice. - ✔✔The safe must be
documented with an itemized invoice.
✔✔A pharmacist receives a call from a nearby pharmacy requesting the purchase of 16
tablets of Mevacor® 20 mg. Which of the following BEST describes the pharmacist's
legal requirements?
A. The pharmacist can loan, but not sell the drug.
B. The pharmacist can only sell an unopened, original container of the drug.
, C. The pharmacist can sell the drug as long as a record of the sale is maintained.
D. The price charged to the pharmacy must be the same as the price charged to a
patient. - ✔✔The pharmacist can sell the drug as long as a record of the sale is
maintained.
✔✔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. What should the pharmacist do? - ✔✔Obtain a supply
of the drug from the other hospital using a DEA form 222.
✔✔What should be used to assess the quality of care provided by a clinic pharmacist to
patients receiving oral anticoagulation therapy? - ✔✔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. What should the pharmacist do to
improve administration of phenytoin? - ✔✔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. What statement made by the patient would
convince the pharmacist that the patient understands how to use the chlorhexidine? -
✔✔"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: - ✔✔monitors errors over time and reviews dispensing processes.
✔✔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®. What medication should have been used? - ✔✔Doxazosin
✔✔A pharmacist receives prescription:
Cortisporin Otic #1
Sig: Otic iv AD t.i.d. x 7d
Place 6 drops in left ear 3 times daily for one week. 5 mL Hydrocortisone/Polymixin
B/Neomycin Otic Drops (FG)
Exp. 1/05
The pharmacist should... - ✔✔Correct dose to be administered and the site of
administration.
✔✔By protocol, a pharmacist has the responsibility for managing patients with anemia.
A 45-year-old woman has the following hematological data (reference values in
parentheses):
Hgb 11g/dL (12 - 15 g/dL)
Hct 33% (30 - 45%)
MCV 70 uL3 (80 - 100 uL3)
MCH 24 pg/RBC (26 - 34 pg/RBC)
What should the pharmacist order for this patient? - ✔✔Ferrous sulfate
✔✔A pharmacist calls the physician to report an increase in INR from 2.2 to 3.6 for a
65-year-old patient with atrial fibrillation who is being monitored on a warfarin protocol.
What drug is MOST LIKELY to account for this observation? - ✔✔Cefotetan
✔✔What should be reported to the prescriber indicating an adverse drug reaction to
montelukast? - ✔✔An increase in respiratory tract infections.
✔✔The Board of Pharmacy has issued a waiver for offsite storage of records for a
pharmacy. The pharmacist must store what in the pharmacy? - ✔✔The past year of
non-controlled prescriptions and the past 2 years of controlled substance prescriptions.
✔✔A prescriber wishes to purchase acetaminophen with codeine 60 mg for office use.
Which of the statements is TRUE?
A. The pharmacist cannot make this sale.
B. The prescriber must write a prescription for himself.
C. The prescriber must complete a DEA Form 222.
D. The sale must be documented with an itemized invoice. - ✔✔The safe must be
documented with an itemized invoice.
✔✔A pharmacist receives a call from a nearby pharmacy requesting the purchase of 16
tablets of Mevacor® 20 mg. Which of the following BEST describes the pharmacist's
legal requirements?
A. The pharmacist can loan, but not sell the drug.
B. The pharmacist can only sell an unopened, original container of the drug.
, C. The pharmacist can sell the drug as long as a record of the sale is maintained.
D. The price charged to the pharmacy must be the same as the price charged to a
patient. - ✔✔The pharmacist can sell the drug as long as a record of the sale is
maintained.
✔✔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. What should the pharmacist do? - ✔✔Obtain a supply
of the drug from the other hospital using a DEA form 222.
✔✔What should be used to assess the quality of care provided by a clinic pharmacist to
patients receiving oral anticoagulation therapy? - ✔✔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. What should the pharmacist do to
improve administration of phenytoin? - ✔✔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. What statement made by the patient would
convince the pharmacist that the patient understands how to use the chlorhexidine? -
✔✔"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: - ✔✔monitors errors over time and reviews dispensing processes.
✔✔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®. What medication should have been used? - ✔✔Doxazosin
✔✔A pharmacist receives prescription:
Cortisporin Otic #1
Sig: Otic iv AD t.i.d. x 7d
Place 6 drops in left ear 3 times daily for one week. 5 mL Hydrocortisone/Polymixin
B/Neomycin Otic Drops (FG)
Exp. 1/05
The pharmacist should... - ✔✔Correct dose to be administered and the site of
administration.
