CPJE Video 4: Pharmacy operations, part III
Questions and Answers 100% Solved
The lozenge is the best option provided due to his past medical history. Refer to the 2020 RxPrep
CPJE Manual, Regulation of Pharmacy Practice chapter, p. 81.
The California Board of Pharmacy has received reports of dispensing mix-ups between Lamisil
and Lamictal. All of the following methods would help to reduce this medication error EXCEPT:
Answer
A. Pharmacists asking patients if they know what the medication is intended to treat.
B. Providers writing the "indication for use" on the prescription.
C. Patients instructed on the medication look/dose/purpose so that they can catch dispensing
errors.
D. Lamisil should be dispensed OTC only; Lamictal is only available by prescription. D.
Lamisil should be dispensed OTC only; Lamictal is only available by prescription.
Refer to the Medication Safety & Quality Improvement chapter of the RxPrep Course Book.
,A pharmacist dispensed Plavix to a patient who had been prescribed Protonix. The pharmacist
realized the error when the patient returned to the pharmacy to complain that the stomach pills
had made her stomach feel worse. Choose the correct course of action for the pharmacist to take:
Select all that applies:
1. The pharmacist should attempt to conceal the error by telling the patient that the manufacturer
was different, and provide them with correct Protonix tablets.
2. The pharmacist should provide steps to the patient to help avoid injury or mitigate the error.
3. The pharmacist should contact the patient's prescriber to inform them of the error.
4. The pharmacist must report the medication error to the board. 2 & 3 only
Dont need to report to BOP
The pharmacist must inform the patient that a medication error has occurred and should inform
the patient of any steps that can be taken to avoid further injury. Refer to the 2020 RxPrep CPJE
Manual, Regulation of Pharmacy Practice chapter, p. 95-96.
According to the California Board of Pharmacy self-administered hormonal contraception
protocol, which of the following forms of contraception are considered "self-administered"?
,Select all that applies:
1. The intrauterine device (IUD)
2. The transdermal patch Xulane
3. The vaginal ring NuvaRing
4. Contraceptive implants The patch and ring can be self-administered. IUDs and implants
are administered by a healthcare professional. Refer to the 2020 RxPrep CPJE Manual,
Regulation of Pharmacy Practice chapter, p. 82.
BT is a 70-year-old female, who underwent an emergent appendectomy under general anesthesia
with an endotracheal tube. The surgery was without complications, and she recovered without
incident in the postoperative care unit. Prior to transfer to the floor, she was given
hydromorphone 2 mg IV for pain control. On the surgical floor unit she was arousable, oriented
and responsive. The pain was reported at 7/10 while being assisted into the bed. The floor unit
set up PCA using morphine at a basal rate of 4 mg/hour and PRN dosing of 1 mg/10 min. At
15:45 she was found in bed unresponsive. What precautions could have been put in place to
reduce the risk of this error?
Select all that applies:
1. Screen patients for risk factors for over-sedation and respiratory depression.
2. Build alerts or pop-ups into e-prescribing systems for dosing limits for high-risk drugs.
, 3. Restrict morphine and hydromorphone use to the critic 1 & 2 only
Programs that assist health care practitioners in calculating correct dose conversions and
limitation of the doses used for high potency opioids would reduce the risk. Refer to the
Medication Safety & Quality Improvement chapter of the RxPrep Course Book, and the 2020
RxPrep CPJE Manual, Regulation of Pharmacy Practice chapter, p. 93.
Choose the correct statement concerning quality assurance programs in pharmacies in California:
Answer
A. If the pharmacy fills under 100 prescriptions a day the BOP takes responsibility for the QA
program via an Inspector-run service.
B. If the pharmacy fills under 200 prescriptions a day the BOP takes responsibility for the QA
program via an Inspector-run service.
C. If the pharmacy fills under 150 prescriptions a day the BOP takes responsibility for the QA
program via an Inspector-run service.
D. All pharmacies must have a quality assurance program that documents medication errors.
D. All pharmacies must have a quality assurance program that documents medication
errors.
Questions and Answers 100% Solved
The lozenge is the best option provided due to his past medical history. Refer to the 2020 RxPrep
CPJE Manual, Regulation of Pharmacy Practice chapter, p. 81.
The California Board of Pharmacy has received reports of dispensing mix-ups between Lamisil
and Lamictal. All of the following methods would help to reduce this medication error EXCEPT:
Answer
A. Pharmacists asking patients if they know what the medication is intended to treat.
B. Providers writing the "indication for use" on the prescription.
C. Patients instructed on the medication look/dose/purpose so that they can catch dispensing
errors.
D. Lamisil should be dispensed OTC only; Lamictal is only available by prescription. D.
Lamisil should be dispensed OTC only; Lamictal is only available by prescription.
Refer to the Medication Safety & Quality Improvement chapter of the RxPrep Course Book.
,A pharmacist dispensed Plavix to a patient who had been prescribed Protonix. The pharmacist
realized the error when the patient returned to the pharmacy to complain that the stomach pills
had made her stomach feel worse. Choose the correct course of action for the pharmacist to take:
Select all that applies:
1. The pharmacist should attempt to conceal the error by telling the patient that the manufacturer
was different, and provide them with correct Protonix tablets.
2. The pharmacist should provide steps to the patient to help avoid injury or mitigate the error.
3. The pharmacist should contact the patient's prescriber to inform them of the error.
4. The pharmacist must report the medication error to the board. 2 & 3 only
Dont need to report to BOP
The pharmacist must inform the patient that a medication error has occurred and should inform
the patient of any steps that can be taken to avoid further injury. Refer to the 2020 RxPrep CPJE
Manual, Regulation of Pharmacy Practice chapter, p. 95-96.
According to the California Board of Pharmacy self-administered hormonal contraception
protocol, which of the following forms of contraception are considered "self-administered"?
,Select all that applies:
1. The intrauterine device (IUD)
2. The transdermal patch Xulane
3. The vaginal ring NuvaRing
4. Contraceptive implants The patch and ring can be self-administered. IUDs and implants
are administered by a healthcare professional. Refer to the 2020 RxPrep CPJE Manual,
Regulation of Pharmacy Practice chapter, p. 82.
BT is a 70-year-old female, who underwent an emergent appendectomy under general anesthesia
with an endotracheal tube. The surgery was without complications, and she recovered without
incident in the postoperative care unit. Prior to transfer to the floor, she was given
hydromorphone 2 mg IV for pain control. On the surgical floor unit she was arousable, oriented
and responsive. The pain was reported at 7/10 while being assisted into the bed. The floor unit
set up PCA using morphine at a basal rate of 4 mg/hour and PRN dosing of 1 mg/10 min. At
15:45 she was found in bed unresponsive. What precautions could have been put in place to
reduce the risk of this error?
Select all that applies:
1. Screen patients for risk factors for over-sedation and respiratory depression.
2. Build alerts or pop-ups into e-prescribing systems for dosing limits for high-risk drugs.
, 3. Restrict morphine and hydromorphone use to the critic 1 & 2 only
Programs that assist health care practitioners in calculating correct dose conversions and
limitation of the doses used for high potency opioids would reduce the risk. Refer to the
Medication Safety & Quality Improvement chapter of the RxPrep Course Book, and the 2020
RxPrep CPJE Manual, Regulation of Pharmacy Practice chapter, p. 93.
Choose the correct statement concerning quality assurance programs in pharmacies in California:
Answer
A. If the pharmacy fills under 100 prescriptions a day the BOP takes responsibility for the QA
program via an Inspector-run service.
B. If the pharmacy fills under 200 prescriptions a day the BOP takes responsibility for the QA
program via an Inspector-run service.
C. If the pharmacy fills under 150 prescriptions a day the BOP takes responsibility for the QA
program via an Inspector-run service.
D. All pharmacies must have a quality assurance program that documents medication errors.
D. All pharmacies must have a quality assurance program that documents medication
errors.
