Download CPJE Predictor Exam Practice Questions and Answers 2025. and more Exams Nursing in PDF only on Docsity!
CPJE Predictor Exam Practice Questions and Answers 2025.
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. 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 # 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 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.
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.
- Refrigerate.
Which of the following requires the advisory label warning, "May cause drowsiness"? A. tegasorb B. indapamide C. cyclobenzaprine D. modafinil ---------- Correct Answer- - -Cyclobenzaprine A technician prepares a new prescription for Coreg®. The vial is labeled as follows: Coreg 3.125 mg tablets # 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. 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 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. A 42-year-old patient with long-standing asthma brings a new prescription for
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. 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. 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 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 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.
A. atenolol B. saquinavir C. fluconazole
D. levofloxacin ---------- Correct Answer---Saquinavir should be administered with food.
- 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
- Pregnancy Status 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. 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.
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
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." 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
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?
- thalidomide (Thalomid®)
- dofetilide (Tikosyn®)
- quinupristin/dalfopristin (Synercid®)
- 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
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 --------
- Determine if the drugs on the patient's profile have ever been associated with causing the reported reaction.
- 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
- 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."
