Start your ExCPT Practice exam with our free test series. This set includes 10 multiple-choice questions, master key concepts and pass the ExCPT certification. In-depth explanations, this test helps you sharpen your skills and identify weak areas.
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A prescription for Adderall (amphetamine salts) written 45 days ago is presented with refills remaining. What should the technician do?
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Question 1 |
What does the abbreviation "prn" mean on a prescription label?
Take at bedtime | |
As needed | |
Three times daily | |
Before meals |
Question 1 Explanation:
"Prn" stands for the Latin phrase "pro re nata," meaning "as needed." It instructs the patient to take the medication only when necessary, not on a fixed schedule. For example, pain relievers are often prescribed prn to allow patients to manage pain when it occurs.
Question 2 |
Which of the following is the most important reason to store medications at the correct temperature?
To improve the appearance of the medication | |
To comply with labeling laws | |
To maintain drug stability and efficacy | |
To speed up the dispensing process |
Question 2 Explanation:
Medications must be stored at the proper temperature to ensure they remain effective and safe. Exposure to extreme heat, cold, or humidity can degrade the chemical composition, making the drug less effective or even harmful.
Question 3 |
A patient is prescribed metoprolol 50 mg twice daily. What type of medication is metoprolol?
Antihistamine | |
Beta-blocker | |
Antibiotic | |
Diuretic |
Question 3 Explanation:
Metoprolol is a beta-blocker used to manage hypertension, angina, and other heart-related conditions. It works by blocking beta-adrenergic receptors, reducing heart rate and blood pressure.
Question 4 |
What is the primary purpose of the National Drug Code (NDC)?
To calculate dosages | |
To classify drugs by therapeutic category | |
To list generic alternatives | |
To uniquely identify drug products |
Question 4 Explanation:
The NDC is a unique identifier assigned to each drug product. It includes numbers that specify the labeler, product, and package size. Pharmacists use the NDC for accurate identification, inventory management, and insurance billing.
Question 5 |
Which of the following medications requires sterile compounding?
Amoxicillin capsules | |
Ibuprofen suspension | |
Heparin injection | |
Loratadine tablets |
Question 5 Explanation:
Heparin injection is a sterile preparation administered intravenously or subcutaneously. It must be compounded under aseptic conditions to prevent contamination. Capsules, suspensions, and tablets are non-sterile and do not require sterile compounding.
Question 6 |
What is the correct action if a prescription is missing the patient’s name?
Call the prescriber to confirm and document the name | |
Fill the prescription anyway | |
Assume the patient is the person picking it up | |
Leave it blank and let the pharmacist decide |
Question 6 Explanation:
A prescription without a patient name is incomplete and legally invalid. You must contact the prescriber to confirm the correct information. Documenting the communication ensures accuracy and prevents future errors.
Question 7 |
Which of the following is a key role of the pharmacy technician in medication reconciliation?
Diagnosing patient allergies | |
Ensuring prescriptions are free of errors | |
Gathering a complete list of current medications | |
Advising patients on medication use |
Question 7 Explanation:
During medication reconciliation, pharmacy technicians collect a comprehensive list of a patient’s current prescriptions, over-the-counter meds, and supplements. This helps the pharmacist prevent interactions and duplications when a new medication is prescribed.
Question 8 |
What does the term “beyond-use date” refer to in pharmacy practice?
The date after which a compounded preparation must not be used | |
The expiration date assigned by the manufacturer | |
The date the pharmacy must reorder the drug | |
The date when the patient should next see the pharmacist |
Question 8 Explanation:
The beyond-use date is specific to compounded medications. It indicates the last day a compound should be used, based on stability, contamination risk, and storage conditions. This date often differs from the manufacturer’s expiration date.
Question 9 |
Which of the following best describes the primary reason for using unit-dose packaging?
It speeds up pharmacy billing | |
It reduces the chance of medication errors | |
It lowers the cost of drugs | |
It increases shelf life |
Question 9 Explanation:
Unit-dose packaging contains a single, pre-measured dose of medication, minimizing errors during administration. It helps ensure patients receive the correct dose and drug, especially in high-volume hospital settings.
Question 10 |
What is the correct interpretation of the abbreviation “hs” on a prescription label?
Every hour | |
At bedtime | |
Before meals | |
Twice daily |
Question 10 Explanation:
“hs” comes from the Latin “hora somni,” meaning “at bedtime.” This instructs the patient to take the medication just before going to sleep, often used for sedatives or nighttime treatments.
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