Medication Order Entry and Fill Process
1.
A patient who has difficulty urinating and is likely to get bladder infections most likely has which condition?
A.
B.
BPH
COPD
C.
D.
CHF
GERD
2.
A patient who experiences shortness of breath upon walking and has a disease of the heart muscle most likely has which condition?
A.
B.
C.
D.
BPH
COPD
CHF
GERD
3.
A patient who has difficulty breathing because of damage that previous years of smoking caused to his lungs most likely has which condition?
A.
BPH
B.
C.
D.
COPD
CHF
GERD
4.
A patient who complains of burning in his throat and an acidic taste in his mouth, especially when he eats, most likely has which condition?
A.
B.
BPH
COPD
C.
D.
CHF
GERD
5.
A patient needs ear drops to be administered twice daily. Which of the following Latin abbreviations would be used in the sig?
A.
B.
AU and tid
AU and bid
C.
D.
OU and tid
OU and bid
1

Medication Order Entry and Fill Process
6.
A patient needs a medication for heartburn that is to be taken four times a day before meals. Which of the following Latin abbreviations would be used in the sig?
A.
B.
qid and ac
qd and ac
C.
D.
qid and pc
qd and pc
7.
The correct Latin abbreviation for "at bedtime" is:
A.
B.
C.
D.
PM.
AM.
hs.
prn.
8.
If a patient's pulse rate is below 60 beats/min, the patient is deemed to be bradycardic. One would expect that the condition is one when the heart is:
A.
beating faster than the normal range.
B.
C.
D.
beating at a normal pace.
beating slower than the normal range.
not beating at all.
9.
Regarding the pharmacy's policies and procedures manual, which term is correctly matched with its definition?
A.
Mission statement: States the purpose and goals of an organization
B.
Policy: A notation that can relate to another document
C.
Procedure: A definite course or method of action; a plan establishing goals and objectives.
D.
Reference: Process of accomplishing a task to ensure efficiency and consistency; a step-by-step method to accomplish a policy
10.
Which of the following is a way a prescription may be received by the pharmacy?
A.
B.
C.
D.
Walk in
Call in
E-prescription
All of the above
2

Medication Order Entry and Fill Process
11.
All of the following are important pieces of information to put in the patient's health history the first time the patient visits the pharmacy except:
A.
medication history to include current prescription medications, OTC medications, vitamins, and herbal supplements.
B.
C.
D.
drug and food allergies.
name, age, sex, race, occupation, address, and weight.
patient's credit score.
12.
A provider may put an NPI number with or without a DEA number on the prescription. In which of the following scenarios would it be necessary to have both numbers?
A.
The patient is prescribed an over-the-counter medication to be run through her insurance.
B.
C.
The patient is prescribed a controlled substance such as an opioid for severe pain.
The patient is prescribed a blood pressure pill.
D.
The patient is prescribed an asthma medication.
13.
When verifying the correct medication has been dispensed, which part of the NDC number is matched to the stock bottle?
A.
B.
The last four numbers, indicating the package size
The middle four numbers, indicating the drug
C.
D.
The first five numbers, indicating the manufacturer
All 11 numbers must always be the same for every fill of the medication.
14.
Certain classes of medications require special handling. All of the following are correctly matched to the special requirements except the:
A.
counting tray should be wiped down using isopropyl alcohol when a sulfa drug is dispensed.
B.
counting tray should be wiped down using isopropyl alcohol when a penicillin drug is dispensed.
C.
counting tray should be wiped down using isopropyl alcohol when blood pressure medications are dispensed.
D.
technician should wear gloves when chemotherapeutic or hazardous agents are dispensed.
15.
Which of the following steps is not part of the filling process?
3

Medication Order Entry and Fill Process
A.
B.
C.
D.
The pharmacist consults with the patient regarding the proper use of the medication.
The pharmacist checks the completed prescription and bags the prescription.
The completed prescription is placed in the appropriate bin.
The bulk medication bottle is returned to the shelf.
16.
Which of the following acronyms for types of prescription orders is not properly matched?
A.
PRN: A medication order that should be filled within 15 minutes of receiving it in a hospital
B.
STAT: A medication order that should be filled within 15 minutes of receiving it in a hospital
C.
ASAP: A medication order that does not have the priority of a STAT order but needs to be processed as soon as possible
D.
PRN: An order that may be filled or administered when a patient requests it but may have limitations associated with it
17.
Which of the following pieces of information, required to properly process a prescription, is not correctly matched to the right term?
A.
Drug allergies: Any medication allergies the patient is known to possess
B.
Disease states or health conditions: Specific medications can have an adverse effect on a disease state or condition; drug –disease interactions
C.
Medications patient is taking: Prescription, OTC, or complementary and alternative medication; this information is used to prevent drug –drug interactions.
D.
Patient demographic information: Any medication allergies the patient is known to possess
18.
When a patient calls in a refill, which unique piece of information should be asked for first to prevent an error in filling?
A.
B.
Patient's name
Patient's home telephone number
C.
D.
Patient's medication name
Prescription number
19.
If the prescription does not have any refills remaining, the pharmacy technician will least likely contact the prescriber by:
4

Medication Order Entry and Fill Process
A.
B.
C.
D.
telephoning the physician's office.
faxing the physician's office.
walking to the physician's office in person.
electronically requesting a prescription from the physician's office.
20.
The patient's relationship to the cardholder will need to be entered; many plans use all of the following relationship holder codes except:
A.
B.
C.
00: cardholder.
01: cardholder.
02: spouse.
D.
03: dependent.
21.
Which of the following DAW codes is not properly matched to its definition?
A.
B.
C.
1 = Substitution not allowed by provider
2 = Substitution allowed – pharmacist selected product dispensed
2 = Substitution allowed – patient requested product dispensed
D.
0 = No product selection indicated
22.
Sterile product prescription labeling sometimes differs from the labeling on an oral medication. Which of the following represents information that might be on a sterile IV product that is not on an oral medication label?
A.
B.
Patient name
Infusion rate
C.
D.
Date of filling
Directions for use
23.
When repackaging a medication, what number changes from the original stock bottle to the new repackaged label?
A.
B.
C.
D.
Dosage
Strength
Lot number
Expiration date becomes a beyond-use date.
24.
Labels that help identify any special instructions the patient needs are known as all of the following except ____ labels.
A.
prescription
5

Medication Order Entry and Fill Process
B.
C.
D.
ancillary
auxiliary
warning
25.
Which of the following directions would least likely be on an ancillary or auxiliary label?
A.
May cause drowsiness.
B.
C.
D.
Take with food or milk.
Take 1 capsule three times daily.
Shake well.
26.
The following ancillary labels are best matched to their dosage forms except:
A.
Otic preparation: FOR THE EAR.
B.
C.
D.
Ophthalmic preparation: FOR THE EYE.
Suspension: SHAKE WELL.
Ointments, creams, and lotions: FOR THE EAR.
27.
All of the following unit-dose containers are correctly matched except:
A.
amber blister packs: liquids.
B.
applicators: suppositories, creams, and ointments.
C.
D.
oral syringes: liquids.
plastic cups: liquids and suspensions.
28.
Which of the following unit dose system is incorrectly matched with its definition?
A.
Unit-dose system: Synonymous with punch cards, bingo cards, or blister cards
B.
Unit-dose system: A system that provides a medication in its final "unit of use"
C.
Modified unit-dose system: A drug distribution system that combines unit-dose medications, which are blister-packaged onto a multiple-dose card instead of being placed in a box
D.
Blended unit-dose system: Combines a unit-dose system with a non –unit-dose system
29.
Which of the following containers is incorrectly matched to its definition?
A.
Light-resistant container: protects the contents from the effects of light due to the contents of the container
6

Medication Order Entry and Fill Process
B.
Tamper-evident packaging: impervious to air or gas
C.
Well-closed container: protects the contents from other solids and from loss of the article under normal conditions
D.
Tight container: protects the contents from contamination by liquids, solids, or vapors
30.
The following containers are correctly matched to their definitions except:
A.
single-unit container: designed to hold a quantity of drug product intended for administration as a single dose.
B.
multiple-unit container: permits withdrawal of successive portions of the contents without changing the strength, quality, or purity of the remaining portion.
C.
hermetic container: impervious to air or gas.
D.
tamper-evident packaging: protects the contents from the effects of light due to the contents of the container.
7

Medication Order Entry and Fill Process
Answer Key:
11.
d
12.
b
13.
b
14.
c
15.
a
1.
a
2.
c
3.
b
4.
d
5.
b
6.
a
7.
c
8.
c
9.
a
10.
d
16.
a
17.
d
18.
d
19.
c
20.
a
21.
b
22.
b
23.
d
24.
a
25.
c
26.
d
27.
a
28.
a
29.
b
30.
d
8