FREE NAPLEX QBANK Medication Safety and Dispensing Questions and Answers

Question 1

A pharmacist is reviewing a new electronic prescription for 'hydrALAZINE 25 mg tablets, take one tablet by mouth three times daily.' The patient's profile also shows an active prescription for 'hydrOXYzine 25 mg capsules.' Which of the following is the MOST appropriate action for the pharmacist to take to prevent a medication error?

Accepted Answer

Contact the prescriber to confirm the indication for the new prescription.

Answer

Add an alert to the pharmacy system to flag these two medications as look-alike/sound-alike.

Answer

Dispense the hydralazine as prescribed and counsel the patient on the new medication.

Answer

Ask the patient if they are aware of why they are starting a new blood pressure medication.

Question 2

A hospital pharmacy is implementing new safety protocols for U-500 regular insulin, a high-alert medication. Which of the following strategies is the MOST critical to prevent a catastrophic dosing error?

Accepted Answer

Dispensing U-500 insulin only with U-500 specific syringes or dedicated pens.

Answer

Storing U-500 insulin vials in a separate, clearly labeled bin in the main pharmacy refrigerator.

Answer

Requiring a mandatory pharmacist-led education session for all new nursing staff.

Answer

Applying an auxiliary label that states 'High-Alert Medication' to the vial before dispensing.

Question 3

A hospital's Pharmacy and Therapeutics (P&T) committee is updating its list of approved 'Tall Man Lettering' conventions to reduce medication errors. Which of the following pairs correctly uses this technique according to ISMP/FDA recommendations?

Accepted Answer

predniSONE and prednisoLONE

Answer

AmloDIPINE and LisinoPRIL

Answer

MetformiN and MetoproloL

Answer

HYDROcodone and Oxycodone

Question 4

A patient on a medical-surgical unit experienced a severe hypoglycemic event. A root cause analysis (RCA) revealed the patient received glipizide instead of glyburide, which had been ordered. The investigation found that the two drugs were stored in adjacent bins in the automated dispensing cabinet (ADC) on the nursing unit. Which of the following interventions represents the strongest system-based change to prevent this error from recurring?

Accepted Answer

Implementing barcode scanning for medication removal from the ADC and at the bedside.

Answer

Requiring two nurses to verify all sulfonylurea administrations.

Answer

Placing a high-alert warning sticker on the glyburide and glipizide bins.

Answer

Educating all nursing staff on the differences between glipizide and glyburide during the next staff meeting.

Question 5

A pharmacist receives an electronic prescription for a Schedule II controlled substance. According to federal law, which of the following is an essential responsibility of the pharmacist before dispensing?

Accepted Answer

Ensuring the prescription is for a legitimate medical purpose by a practitioner acting in the usual course of professional practice.

Answer

Ensuring the patient has not received a similar prescription from another prescriber within the last 30 days.

Answer

Verifying the prescription was transmitted using a two-factor authentication method by the prescriber.

Answer

Confirming the patient's diagnosis is a legitimate indication for the prescribed medication.

Question 6

A hospital is installing new profile-driven automated dispensing cabinets (ADCs) on all nursing floors. A key safety feature of this system is that a nurse can only access medications that have been reviewed and verified by a pharmacist for a specific patient. This feature is primarily designed to prevent which type of medication error?

Accepted Answer

Unauthorized medication error

Answer

Wrong dosage form error

Answer

Wrong patient error

Answer

Wrong time error