ExCPT Pharmacy Technician Certification Exam CPhT PSI
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Free ExCPT Pharmacy Technician Certification Exam CPhT PSI Questions
Which of the following addresses must be printed on a prescription label?
- Patient
- Provider
- Manufacturer
- Pharmacy
Explanation
Correct Answer: D) Pharmacy
Prescription labels must include the pharmacy’s name and address. This information allows patients to identify where the medication was dispensed and provides contact information if questions arise about the prescription. It also supports regulatory compliance and accountability for the dispensing pharmacy. Including the pharmacy address helps ensure proper documentation and enables healthcare providers or patients to easily contact the pharmacy regarding medication instructions or concerns.
Which of the following describes a formulary in which medications have different levels of coverage?
- Tiered
- Restricted
- Closed
- Open
Explanation
Correct Answer: A) Tiered
A tiered formulary is a type of formulary used by health insurance plans, in which medications are classified into different levels or "tiers" based on their cost, efficacy, or formulary classification. Medications in lower tiers generally have lower co-pays or out-of-pocket costs, while those in higher tiers may require higher co-pays due to higher costs. This system helps manage costs and encourages the use of more affordable medications when possible.
Which of the following is the purpose of barcoding technology?
- Identifies the location of a patient’s room
- Matches a medication order to the correct patient
- Identifies supplies needed to restock a patient’s room
- Matches a provider to the correct operating room
Explanation
Correct Answer: B) Matches a medication order to the correct patient
Barcoding technology is widely used in healthcare to improve medication safety and reduce medication errors. When medications are dispensed or administered, barcode scanning systems verify that the correct medication is being given to the correct patient at the correct time and dose.
The patient’s wristband barcode and the medication barcode are scanned to confirm a match with the electronic medication order. This process supports the “five rights” of medication administration: right patient, right medication, right dose, right route, and right time. By verifying this information electronically, barcoding significantly decreases the risk of administering the wrong medication or giving medication to the wrong patient.
Which of the following is the percentage of sodium chloride in a normal saline solution?
- 0.09%
- 0.45%
- 0.9%
- 9%
Explanation
Correct Answer: C) 0.9%
Normal saline is an isotonic intravenous solution that contains 0.9% sodium chloride in water. This concentration closely matches the osmolarity of blood plasma, allowing it to maintain fluid balance without causing cells to shrink or swell. Because it is isotonic, normal saline is commonly used for fluid replacement, medication dilution, and intravenous hydration in many clinical settings.
The Drug Listing Act of 1972 requires that the labels on drug manufacturers' packages include which of the following information?
- Adverse effects
- Common uses for the medication
- Directions for use
- NDC number
Explanation
Correct Answer: D) NDC number
The Drug Listing Act of 1972 requires drug manufacturers to register their products with the FDA and assign each medication a unique National Drug Code (NDC). The NDC is a standardized numeric identifier that appears on the manufacturer’s packaging and labeling. It identifies the manufacturer, the specific drug product, and the package size.
Pharmacies use NDC numbers for accurate drug identification, inventory management, billing, and insurance claim processing. Because each medication product has a unique NDC, it helps ensure that the correct drug, strength, and formulation are dispensed and documented in pharmacy systems.
Which of the following references contains information regarding the physical compatibilities between parenteral medications?
- Martindale: The Complete Drug Reference
- Handbook of Injectable Drugs
- American Drug Index (ADI)
- Goodman and Gilman's: The Pharmacological Basis of Therapeutics
Explanation
Correct Answer: B) Handbook of Injectable Drugs
The Handbook of Injectable Drugs, commonly referred to as Trissel’s Handbook, is a widely used pharmacy reference that provides detailed information about the compatibility and stability of injectable medications.
It is especially valuable in hospital and sterile compounding settings where pharmacists and pharmacy technicians must determine whether two parenteral medications can be mixed in the same IV solution or administered together through the same intravenous line. The reference includes compatibility data, stability information, preparation recommendations, and storage guidelines for injectable medications.
This information helps healthcare professionals prevent precipitation, degradation, or adverse reactions that may occur when incompatible drugs are mixed together.
Which of the following is the generic name for Prilosec?
- Esomeprazole
- Loratadine
- Omeprazole
- Levofloxacin
Explanation
Correct Answer: C) Omeprazole
Prilosec is the brand name for omeprazole, a proton pump inhibitor (PPI) used to reduce stomach acid production. It is commonly prescribed to treat conditions such as gastroesophageal reflux disease (GERD), peptic ulcers, and Zollinger–Ellison syndrome. Omeprazole works by blocking the proton pumps in the stomach lining responsible for acid secretion, thereby decreasing gastric acid and allowing irritated tissues in the esophagus and stomach to heal.
The use of an automated dispensing system provides which of the following benefits to a pharmacy?
- Reduces the need for medication orders
- Eliminates the need for pharmacist verification
- Provides more security than floor stock
- Increases the need for physical inventor
Explanation
Correct Answer: C) Provides more security than floor stock
Automated dispensing systems are computerized medication storage devices used in hospitals and healthcare facilities to securely store and distribute medications. These systems track medication access, record who removes medications, and require user authentication such as passwords or biometric identification.
Because medications are stored in locked compartments and electronically monitored, automated dispensing cabinets provide significantly more security than traditional floor stock systems where medications are openly stored on nursing units.
The system also maintains electronic records of medication transactions, which helps prevent diversion, reduces medication errors, and improves accountability for controlled substances and other medications.
Which of the following information does a pharmacy technician need to provide to the pharmacist for the final prescription check?
- Original prescription, patient name, and the filled prescription bottle
- Original prescription, stock bottle used in filling, and the labeled and filled prescription bottle
- Prescription label, original prescription, and the stock bottle used in filling
- Prescription label, filled prescription bottle, patient date of birth, and the stock bottle used in filling
Explanation
Correct Answer: B) Original prescription, stock bottle used in filling, and the labeled and filled prescription bottle
For a final prescription check, the pharmacist must verify the medication against the original prescription and confirm the correct drug was used. Providing the original prescription, the stock bottle used to fill the medication, and the labeled prescription container allows the pharmacist to verify the drug name, strength, directions, and labeling accuracy before dispensing to the patient.
- This requirement protects patient safety, prevents medication errors, and ensures compliance with hospital regulations and pharmacy standards.
Which of the following solutions should a pharmacy technician use to clean a counting tray?
- Isopropyl alcohol
- Povidone iodine
- 0.9% sodium chloride
- Chlorhexidine gluconate
Explanation
Correct Answer: A) Isopropyl alcohol
Isopropyl alcohol is commonly used in pharmacies to clean counting trays and spatulas between medications. It effectively removes powder residue, oils, and drug particles that may remain after counting tablets or capsules.
Cleaning the counting tray with isopropyl alcohol helps prevent cross-contamination between different medications, which is especially important for drugs that may cause allergic reactions or serious adverse effects if mixed. Alcohol evaporates quickly and does not leave significant residue, making it ideal for cleaning pharmacy equipment.
Other solutions such as povidone iodine, sodium chloride, and chlorhexidine are primarily used for medical antiseptic purposes rather than routine cleaning of pharmacy counting equipment.
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