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A comprehensive set of practice questions and verified answers for the cpje (pharmacy jurisprudence examination). It covers a wide range of topics relevant to pharmacy practice, including prescription filling, medication counseling, drug interactions, and patient safety. The questions are designed to test the knowledge and understanding of pharmacy laws, regulations, and ethical principles.
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"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
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
"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
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
Medroxyprogesterone" "What would be the MOST APPROPRIATE auxiliary labels for a prescription for clarithromycin 250 mg/
"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
"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
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 # Take one tablet via NG tube daily. What is CORRECT for administration of this dose through a nasogastric
"A pharmacist receives a prescription for Ativan® 1 mg and elects to dispense a generic equivalent
“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
per day? Drug is taken with meals and skipped if meal is skipped."
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
Glaucoma" "A physician writes the following prescription: Finasteride 1 mg tablets # 1 tab p.o. daily for benign prostatic hyperplasia
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.
"What auxiliary labels should be placed on a prescription container for
"What would be the MOST APPROPRIATE for the pharmacist to make to a patient who is being counseled
"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
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
"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
"A pharmacist has just counseled a patient on the use of ketoconazole shampoo. What statement would
on my scalp." "What statement demonstrates that a patient understands the risks associated with doxorubicin? -
"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
clot." "Which of the following consultation information is CORRECT for a patient who starts latanoprost
"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
"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
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
"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
"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
"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
"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
"What should be used to assess the quality of care provided by a clinic pharmacist to patients receiving
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
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 concept of preventing medication errors in the pharmacy is BEST characterized by a process that: -
"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
"A pharmacist receives prescription: Cortisporin Otic # 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/
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
"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
"If a burglary occurs within a pharmacy and controlled substances are stolen, the pharmacist must report
"A hospital pharmacy has agreed to participate in an investigational drug study that will be double
"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
"A hospital pharmacist is checking a technician's work. What should the pharmacist do to ensure that
order."
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
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
the prescription."
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?
"At a minimum, the adverse drug reaction monitoring and reporting program at a hospital should include
purposes
"A patient tells the pharmacist that his physician recommended emedastine to treat his allergic
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
potassium level Serum magnesium level" "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
"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
will help with my thyroid problem.
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? -
"A woman presents a new prescription for pemoline on September 27. The prescription is dated March
"A new prescription for allopurinol reads Allopurinol 100 mg PO T.I.D. # The label on the filled prescription vial reads:
Take one tablet by mouth two times a day #60 Allopurinol 100 mg tablets
"This medication will help my depression."" "A patient with psoriasis asks the pharmacist if she can use a skin lotion that contains comfrey. The
not recommended for use in any form due to possible toxicity." "A pharmacist is asked to design a monitoring protocol for nesiritide use in a congestive heart failure
"The following prescription is presented to the pharmacist for checking prior to dispensing: Prescription: AeroBid #1 2 p b.i.d. Label: Flunisolide (Forest) # Inhale 2 puffs in nostrils twice daily
"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
"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