ExCPT Exam Prep FREE Sample Exam — Fixed Set

The technician finds an expired hazardous medication in segregated stock, and a coworker suggests tossing it into the regular pharmacy trash to clear the holding area before an inspection. Regarding disposal of this product, what is the best action?

Place the product in the designated hazardous-waste container following pharmacy procedure and its safety information, notify the pharmacist, and document the handling

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Follow the coworker's suggestion, since the quantity is small

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Pour the medication out and place only the empty container in the regular trash

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Return the expired hazardous medication to the active shelf until a waste pickup is scheduled

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Working the weekly order for a maintenance medication, the technician uses the item’s par level of 120 units. The shelf count is 35 units and 20 units are already on order and in transit. Regarding order-quantity calculation in inventory management, how many additional units should the technician order to bring the item up to par?

105 units, by adding the on-order quantity to the shelf count and ordering that total

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65 units, because par minus the combined shelf count and on-order quantity is 120 minus 55

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85 units, because only the shelf count is subtracted from par and stock in transit is ignored

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120 units, because a full par quantity is ordered whenever the shelf count falls below par

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At the drive-through window, a patient asks the technician to increase a noncontrolled refill from a 30-day quantity to a 90-day quantity, saying the prescriber mentioned the change during a visit but no new prescription or authorization has reached the pharmacy. Regarding this quantity-change request for a noncontrolled refill, what should the technician do?

Increase the quantity, because the patient is reporting what the prescriber said

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Dispense the 30-day quantity twice and document the second fill as part of the requested change

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Keep the authorized quantity unchanged and refer the request to the pharmacist so the change can be confirmed with the prescriber

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Refuse to process any refill for the patient until they bring a handwritten note from the prescriber

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A patient asks that their noncontrolled prescription, which still has refills, be transferred out to a pharmacy closer to their new home. Regarding the technician’s role in this transfer request, which action is correct?

Collect the receiving pharmacy's information and the prescription details and bring the request to the pharmacist so the transfer is completed and documented as required

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Tell the patient transfers are not allowed for any prescription with refills remaining

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Hand the patient a photocopy of the original prescription and tell them that serves as the transfer

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Delete the prescription from the profile once the patient says they are leaving

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Regarding routes of administration for insulin injected into the fatty tissue just under the skin of the abdomen, which route does this administration use?

Subcutaneous route

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Intramuscular route

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Intravenous route

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Intradermal route

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Interpreting percent strength for a solution labeled 8% w/v, the technician must state how much drug is contained in 200 mL. Percent w/v means grams of drug per 100 mL of solution. How many grams are in 200 mL?

16 g

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8 g

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20 g

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25 g

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A patient brings back unused tablets of a medication identified as hazardous and asks the technician to put them back on the shelf so another patient can use them. Regarding these returned hazardous tablets, what should the technician do?

Return the tablets to stock if the vial seal still looks intact

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Segregate the returned tablets and route them to hazardous waste disposal under the pharmacist's direction, without returning them to stock

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Place the tablets in the ordinary trash so they leave the pharmacy quickly

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Hold the tablets at the counter to hand to the next patient with the same prescription

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With alligation, a technician must prepare 240 mL of a 4% solution by mixing an 8% solution and a 2% solution. In alligation, parts of the higher strength equal the desired strength minus the lower strength, and parts of the lower strength equal the higher strength minus the desired strength. How many milliliters of the 8% solution are needed?

120 mL

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80 mL

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160 mL

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40 mL

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A claim rejects because the submitted package code for a 100-count bottle is not covered, while the plan covers the same drug and strength in a 30-count package. Analyzing this formulary coverage situation, what should the technician do?

Alert the pharmacist, and if the pharmacist approves using the covered package, update the claim to the package code of the product actually dispensed and resubmit

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Submit the covered 30-count package code but dispense from the 100-count bottle to save time

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Switch the prescription to a different covered drug in the same class without contacting anyone

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Split the claim into several smaller claims under the uncovered package code until it pays

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Checking a gravity IV flow rate, a technician verifies an infusion of 900 mL to run over 3 hours using a set with a drop factor of 20 gtt/mL. Using gtt/min = (mL/hr x drop factor) / 60, what is the flow rate in drops per minute?

25 gtt/min

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50 gtt/min

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75 gtt/min

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100 gtt/min

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Shortly after receiving a vaccination at the pharmacy, a patient reports an unexpected serious reaction to the technician at the counter before the pharmacist is aware of it. Regarding external adverse event reporting for vaccines, what should the technician do?

Reassure the patient that post-vaccination reactions are routine and make no record of the report

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Document the report promptly with the details provided and bring it to the pharmacist without delay, so the pharmacist can assess it and handle reporting to the national vaccine adverse event system

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Complete and submit the national vaccine adverse event report on their own and take no action inside the pharmacy

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Record the report in a personal note and raise it at the next monthly staff meeting

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An order for a medication scheduled on three set days each week arrives with its frequency written only as ‘TIW.’ Analyzing the risk in this error-prone abbreviation, what should the technician do?

Interpret it as twice weekly, since that reading uses fewer doses and is safer

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Interpret it as three times a day, since daily schedules are more common

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Recognize that 'TIW' can be misread as three times daily or as twice weekly, and seek clarification so the intended frequency is written out in full

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Copy 'TIW' onto the patient label so it matches the order exactly

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ExCPT Exam Prep FREE Sample Exam — Fixed Set

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