CPJE PRACTICE QUESTIONS WITH ANSWERS PREDICTOR EXAM (100% CORRECT) 90+ QUESTIONS 2023/2024

CPJE PRACTICE QUESTIONS WITH ANSWERS PREDICTOR EXAM (100% CORRECT) 90+ QUESTIONS 2023/2024 "What would be the MOST APPROPRIATE auxiliary labels for a prescription for clarithromycin 250 mg/5 mL? - Correct Answer Do not refrigerate and Shake well." "A patient with chronic renal failure was started on erythropoietin for anemia. The hospital protocol follows the manufacturer's guidelines. The starting dose was 75 units/kg three times a week and the patient's hematocrit was 25%. One month later, the patient's hematocrit is reported at 30%, and the patient is asymptomatic. What should the pharmacist do? - Correct Answer Continue the same dose." "What could be considered barriers to providing a thorough oral consultation to a patient? - Correct Answer Educational Background. Primary language. Physical Impairment." "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. What diagnoses would confirm that the brimonidine order is APPROPRIATE? - Correct Answer Glaucoma" "A physician writes the following prescription: Finasteride 1 mg tablets #30 1 tab p.o. daily for benign prostatic hyperplasia What would be the MOST APPROPRIATE action of the pharmacist? - Correct Answer Call 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.? A. Naproxen sodium at that dosage may be sold without a prescription as a product called Aleve®. B. The prescription may be filled as written. C. The prescription may be filled with Naprosyn® if Anaprox® is not available. D. Naproxen sodium at that dosage should not be given b.i.d. - Correct Answer B. Fill as written." "The pharmacist receives a telephone prescription for testosterone patches from a physician's nurse. Assuming that the dosage, quantity, and instructions are appropriate, and the prescription is reduced to writing, the pharmacist should - Correct Answer Fill the prescription after noting the physician's and the nurse's names on the prescription." "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. What is the MOST APPROPRIATE action by the pharmacist? - Correct Answer Ask patient if he has noted any dizziness on standing or decreased exercise tolerance." "A pharmacist receives a security prescription from a known local medical group for promethazine with codeine. The prescription blank has the physician's name, address, phone number, DEA number, and license number, but is signed only by a physician's assistant (PA). The pharmacist's best course of action is to - Correct Answer Call the medical group and request the PA's DEA number." "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." "A patient brings in a prescription for Propecia® written by a known physician on a plain piece of paper. The paper is not a prescription blank, but just a plain white sheet of paper with all the needed information hand written. The pharmacist should - Correct Answer Fill the prescription as written and file." "A 60-year-old woman who recently had a hysterectomy comes to the pharmacy with new prescriptions for estradiol, ibuprofen, calcium carbonate, and medroxyprogesterone. Which of the following drugs should be discussed with the prescriber? - Correct Answer Medroxyprogesterone" "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. What 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 what? - Correct Answer 1. Manufacturer's lot number. 2. Package size and number of syringes prepared. 3. Formula for the suspension." "A pharmacist is performing a final check of a new prescription for lithium carbonate extended release tablets. What auxiliary label 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 #60 Take one tablet via NG tube daily. What is CORRECT for administration of this dose through a nasogastric tube? - Correct Answer The tabs 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. What drug descriptions on the label would be legally CORRECT? - Correct Answer Lorazepam 1 mg (S-G)" "What auxiliary labels should be placed on a prescription container for amoxicillin/clavulanate suspension? - Correct Answer 1. Take until gone. 2. Refrigerate." "The concept of preventing medication errors in the pharmacy is BEST characterized by a process that: - Correct Answer 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? - Correct Answer Doxazosin" "Which of the following requires the advisory label warning, "May cause drowsiness"? A. tegasorb B. indapamide C. cyclobenzaprine D. modafinil - Correct Answer Cyclobenzaprine" "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 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? Drug is taken with meals and skipped if meal is skipped." "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 of levothyroxine." "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." "What would indicate that a patient understands why he is taking amoxapine? - Correct Answer "This medication will help my depression."" "A patient with psoriasis asks the pharmacist if she can use a skin lotion that contains comfrey. The pharmacist should counsel the patient that: - Correct Answer comfrey-containing products are not recommended for use in any form due to possible toxicity." "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. What action indicates that the patient understands how to incorporate the budesonide into his asthma regimen? - Correct Answer He stops using the 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." "What patient information is applicable to the use of Transderm-Scop®? - Correct Answer Should be applied 4 hrs before travel." "What would indicate that a patient understands why he is taking divalproex? - Correct Answer I have bipolar disorder." "What would be the MOST APPROPRIATE for the pharmacist to make to a patient who is being counseled on the use of lansoprazole? - Correct Answer Take this medication once a day before breakfast." "A patient has just been counseled on the appropriate use of her new prescription for isoniazid. What statement 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, what action indicates that the patient understands how to take her levothyroxine correctly? - Correct Answer She takes the levothyroxine 1 hr before the calcium carbonate." "A pharmacist has just counseled a patient on the use of ketoconazole shampoo. What statement would verify that the patient has a clear understanding of how to properly use this medication? - Correct Answer This shampoo is going to treat my dandruff and I shouldn't be using this if I have open sores on my scalp." "What statement 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. What statement would BEST verify that the patient understands why this medication was ordered? - Correct Answer This drug will help 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." "A mother brings her 5-year-old son to the pharmacy asking for a product to treat his rash. The pharmacist notices two red lesions with raised borders in circular patterns on his right forearm. The boy also says the rash itches. It is MOST APPROPRIATE for the pharmacist to recommend - Correct Answer Clotrimazole 1% cream" "A consulting pharmacist in a skilled nursing facility is asked by a nurse for advice regarding selegiline and fluoxetine administration for an 80-year-old patient. The patient has received the following new orders: fluoxetine 10 mg p.o. q AM selegiline 5 mg p.o. at breakfast and lunch The MOST APPROPRIATE pharmacist recommendation is - Correct Answer Call the physician to warn of a potential drug interaction." "A patient brings in a vial of cloudy regular insulin. Examination of the medication profile reveals simultaneous use of NPH and regular insulin. What is the MOST PROBABLE explanation for the cloudy appearance of the regular insulin? - Correct Answer The insulin has been contaminated." "What statement 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? - Correct Answer 50 mcg/hr" "A pharmacist is writing a new protocol for nurses to use when administering medications. Which of the following oral medications should the protocol recommend be administered with food? A. atenolol B. saquinavir C. fluconazole D. levofloxacin - Correct Answer Saquinavir should be administered with food." "42. A patient is being managed on a CHF protocol with the assistance of a pharmacist. The patient experiences swollen legs and difficulty breathing at night. Considering this information, which of the following medications should be started? A. prednisone B. digoxin C. metolazone D. captopril - Correct Answer Metalozone" "An intern pharmacist asks the pharmacist about monitoring metronidazole therapy when treating a patient with Trichomonas. Which of the following patient parameters should the pharmacist recommend monitoring? - Correct Answer 1. Alcohol Intake 2. Pregnancy Status" "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? - Correct Answer 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? - Correct Answer Cefotetan" "What should be reported to the prescriber indicating an adverse drug reaction to montelukast? - Correct Answer 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? - Correct Answer 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. - Correct Answer 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. - Correct Answer 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? - Correct Answer 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? - 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. What 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. What statement 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."" "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 Answer Correct dose to be administered and the site of administration." "A clinical coordinator at a medical center wishes to prepare a quality assurance report on patients receiving tobramycin per pharmacy protocol. What should be documented to assist in evaluating the appropriateness of therapy? - Correct Answer Serum Creatinine and Culture and Sensitivty" "An order for phenytoin 300 mg IV is written. The pharmacy technician prepares this dose in 150 mL of D5W in a plastic bag and labels it to be infused over 10 minutes. What describes the error made by the technician? - Correct Answer The diluent used should not have been D5W." "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 what 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. What action 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. What 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. What 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. What 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." "In order to make a generic substitution; a pharmacist must do what? - Correct Answer Notify the patient of the substitution." "Which of the following FDA-approved agents require that physicians comply with special safeguards and educational requirements before the drug can be dispensed? 1. thalidomide (Thalomid®) 2. dofetilide (Tikosyn®) 3. quinupristin/dalfopristin (Synercid®) 4. drotrecogin alfa (Xigris®) - Correct Answer Thalidomide and Dofetilide" "A medication error resulting in serious patient harm has occurred in a hospital, and a root cause analysis is conducted. The results of the analysis indicate that similarity in generic name may have been involved. This should be reported to the - Correct Answer FDA and Hospital pharmacy and therapeutics committee" "A hospital's Pharmacy and Therapeutics Committee decides to retain triamcinolone acetonide 0.1% cream as the medium potency product of choice. Which of the following is a medium potency preparation that should be removed from the formulary? A. fluocinonide 0.01% cream B. mometasone 0.1% cream C. desonide 0.05% cream D. clobetasol 0.05% cream - 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? A. the number of patients who received parenteral antihistamines or anticholinergics B. the number of patients with glaucoma who experienced increased intraocular pressure or glaucoma crisis C. the average length of hospital stay of patients treated for acute or diabetes-related gastroparesis D. the number of times antiemetics were ordered after metoclopramide therapy - 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. What 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. What recommendations should be placed in these guidelines? - Correct Answer 1. Determine if the drugs on the patient's profile have ever been associated with causing the reported reaction. 2. Assess how the patient may have responded to any interventions made after the reaction was noted." "At a minimum, the adverse drug reaction monitoring and reporting program at a hospital should include what? - Correct Answer 1. disseminating adverse drug reaction information for educational purposes 2. notifying the prescriber of any suspected adverse drug reaction" "A dentist calls and orders Percocet 5/325® for a patient who has had a root canal procedure. Percocet 5/325® is currently out of stock at the pharmacy. The dentist asks for a comparable pain medication. Which of the following should the pharmacist recommend? - Correct Answer Vicodin" "A patient tells the pharmacist that his physician recommended emedastine to treat his allergic conjunctivitis. What statement should the pharmacist make? - Correct Answer "Emedastine requires a prescription."" "A pharmacist is presenting monitoring information to a physician while participating on intensive care rounds. Which of the following information should the pharmacist include when the physician inquires how well her patient is tolerating an amphotericin IV regimen? - Correct Answer Serum potassium level Serum magnesium level" "A pharmacy that is preparing to open a parenteral solution preparation service installs a laminar flow biological safety cabinet in order to prepare cytotoxic chemotherapeutic solutions. Certification records for this cabinet must be retained by the pharmacy for: - Correct Answer 3 years" "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." "What 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 patient has just been counseled on the appropriate use of his new prescription for levothyroxine. Which of the following statements would verify that the patient has a good understanding of the consultation information that the pharmacist has provided? - Correct Answer 1. This medication will help with my thyroid problem. 2. I need to take one tablet every day." "A community pharmacy is preparing a new prescription for a patient who is well known to the pharmacy and its staff. What is legal? - Correct Answer The patient may refuse verbal consultation on the new prescription." "A patient who has prescription insurance presents a new prescription for rabeprazole for treatment of a duodenal ulcer. The patient's insurance plan will reimburse proton pump inhibitor prescriptions for up to 4 weeks of duodenal ulcer therapy. What action is CORRECT with respect to reimbursement eligibility? - Correct Answer Advise the patient that this prescription is eligible for reimbursement." "A woman presents a new prescription for pemoline on September 27. The prescription is dated March 3. The pharmacist should: - Correct Answer not fill the prescription since it has expired." "A new prescription for allopurinol reads Allopurinol 100 mg PO T.I.D. #60 The label on the filled prescription vial reads: Take one tablet by mouth two times a day #60 Allopurinol 100 mg tablets Which of the following is an error on the label? - Correct Answer Dosage frequency" "A pharmacist is asked to design a monitoring protocol for nesiritide use in a congestive heart failure clinic. The pharmacist should recommend that nesiritide therapy NOT be initiated IF: - Correct Answer the systolic blood pressure is less than 90 mmHg." "A technician prepares a new prescription for Coreg®. The vial is labeled as follows: Coreg 3.125 mg tablets #60 Take 1 tablet twice daily. Auxiliary label: Take with food. Assuming the technician interpreted the prescription as written, what would be the MOST APPROPRIATE action? - Correct Answer Dispense coreg as written." "The following prescription is presented to the pharmacist for checking prior to dispensing: Prescription: AeroBid #1 2 p b.i.d. Label: Flunisolide (Forest) #1 Inhale 2 puffs in nostrils twice daily What is an error on the label? - Correct Answer The route of administration is incorrect." "