CSPT EXAM (PHARMACY TECH) NEWEST 2024-2025 ACTUAL EXAM
A pharmacy technician receives a prescription for Dilaudid 4 mg tablets DAW. The pharmacy is out of
Dilaudid. The technician fills the prescription with hydromorphone. The pharmacist performs the
final check and tells the technician that hydromorphone cannot be dispensed because:
A.the pharmacist cannot substitute any medications due to "the patient's right."
B.generic substitution is not authorized by prescriber.
C.the prescription is written as Dilaudid, not hydromorphone.
D.hydromorphone and Dilaudid are two different Schedule controlled substances. - verified
answer The key (B) is correct because "DAW" is an abbreviation for "Dispense as Written," a
notation that indicates that the prescriber wants only the medication named on the prescription to
be dispensed. This means that brand name Dilaudid must be dispensed for this prescription;
Dilaudid's generic, hydromorphone, is not authorized by the prescriber.
A patient diagnosed with type 2 diabetes requests a refill of a prescription for extended-release
glipizide. The patient is approximately 15 days late in refilling the prescription. The patient, when
asked if the medication is being taken as directed, says, "Yes, I always take it at breakfast, but many
days I simply don't have time to eat before I leave for work." How should the pharmacy technician
respond?
A.Tell the patient that the medication is being taken incorrectly and advise that the medication
should be taken every morning
B.Ask the patient to speak with the pharmacist to clarify the prescription directions
C.Ask the patient to call the prescriber immediately to have blood sugar testing ordered at once
,D.Tell the patient that the medication is being taken incorrectly and the prescriber should be seen at
once - verified answer The key (B) is correct because the patient appears to have been taking
the medication incorrectly and needs to be counseled, which can only be done by a pharmacist.
When withdrawing an injectable drug from a glass ampule to transfer it into a sterile empty vial, the
pharmacy technician should use a:
A.transfer needle.
B.29-gauge needle.
C.needle with filter paper.
D.filter needle. - verified answer The key (D) is correct because filter needles must be used to
withdraw solutions from ampules. This is because filter needles are able to keep glass or paint chips
that may have fallen into the solution when the ampule's neck was broken from being drawn into
the syringe. A regular needle may then be used to inject the drug into a sterile vial.
A pharmacy technician receives a telephone call from a worried patient who heard on the news that
an inhaler is being recalled. The technician should tell the patient to:
A.discard any of this medication on hand and request a refill.
B.continue to use the medication on hand if it seems to be working.
C.contact the prescriber to consider a therapy change.
D.bring the medication to the pharmacy to check the lot number and manufacturer. - verified
answer The key (D) is correct because items affected by a recall may be identified using the
product's National Drug Code (NDC) number (which includes manufacturer information) and lot or
batch number. Further action may then be taken if necessary.
Upon receipt of a medication order, two important steps should be taken, which include reviewing
the order for:
,A.completeness and prioritizing the order based upon urgency.
B.dangerous abbreviations and placing the order in sequential order.
C.special handling precautions and contacting the onsite OSHA representative.
D.REMS and calling the appropriate insurance number. - verified answer The key (A) is correct
because new medication orders must be reviewed for completeness and clarity, meaning that all
required information is present and legible, and prioritized on the basis of a number of factors,
including the time the medication is needed, the seriousness of the condition being treated, and the
urgency of the other orders waiting to be processed.
A physician orders phenobarbital elixir 60 mg for a patient. The drug is available in a 20 mg/5 mL
concentration. How many teaspoonfuls should be given for each dose?
A.1
B.2
C.3
D.4 - verified answer The key (C) is correct and can be calculated as follows.
First, find how many mL of elixir are required for a dose of 60 mg.
20 mg/5 mL = 4 mg/mL
60 mg ÷ 4 mg/mL = 15 mL
Then, convert mL to teaspoonfuls. 1 teaspoonful is equivalent to 5 mL.
15 mL/5 mL per teaspoonful = 3 teaspoonfuls
A prescriber writes a prescription for "XCIX tablets." How many tablets did the prescriber order?
, A.29
B.49
C.79
D.99 - verified answer The key (D) is correct because of the rules governing Roman numerals. "I"
equals 1, "X" equals 10, and "C" equals 100. When a lower number appears in front of a higher
number, subtract the lower number from the higher number (e.g., "XC" is 100 - 10, or 90, and "IX" is
10 - 1, or 9). Then add those numbers together to equal the total: 90 + 9 = 99.
A pharmacy technician is entering a prescription when a warning message appears that reads,
"Contraindicated in patients with sulfa sensitivity." Which part of the patient profile should be
reviewed?
A.Medical history
B.Medication allergies
C.Medication interaction
D.Medication profile - verified answer The key (B) is correct because medication allergies cause
sensitivity or hypersensitivity to medications, so the patient's medication allergies should be checked
for a sulfa allergy.
The primary routing mechanism for a real-time third-party prescription claim is a:
A.person code.
B.BIN.
C.group number.
D.member number. - verified answer The key (B) is correct because the BIN (bank identification
number) establishes the claims processor or pharmacy benefits manager responsible for
adjudicating claims for the patient's plan.
In order to minimize the risk of contamination by pathogens, hospital staff should:
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