NAPLEX QBANK Medication Safety and Dispensing Questions and Answers

Question 1

A pharmacist receives a new, legible, handwritten prescription for 'Hydralazine 25 mg TID'.
Upon reviewing the patient's profile, the pharmacist notes a documented history of anxiety and no record of hypertension.
Which of the following sound-alike/look-alike medications is the most probable source of confusion?

Accepted Answer

Hydroxyzine

Answer

Hydrochlorothiazide

Answer

Hydromorphone

Answer

Hyoscyamine

Question 2

A pharmacy is implementing a new policy for high-alert medications based on Institute for Safe Medication Practices (ISMP) recommendations. Which of the following best describes the procedure for a proper independent double check?

Accepted Answer

Two staff members individually and separately perform the check (e.g., calculation, verification) and then compare their results.

Answer

One staff member prepares the medication while a second staff member watches and confirms the steps.

Answer

The same staff member prepares the medication and then re-checks their own work after a 15-minute delay.

Answer

The pharmacist and technician perform the check together at the same time to reach a consensus.

Question 3

What is the primary medication safety goal for using 'tall man lettering' (e.g., glipiZIDE vs. glyBURIDE) on pharmacy labels and in computer systems?

Accepted Answer

To help visually differentiate the names of look-alike drug products to prevent selection errors.

Answer

To identify medications that are classified as controlled substances.

Answer

To indicate which medications require special storage conditions like refrigeration.

Answer

To fulfill a legal requirement for the labeling of all generic medications.

Question 4

A patient was dispensed the wrong strength of warfarin, but the error was caught by the patient before any harm occurred. The pharmacy manager decides to conduct a root cause analysis (RCA). Which of the following is the main objective of this process?

Accepted Answer

To identify system-level vulnerabilities and process failures that allowed the error to happen.

Answer

To determine the appropriate disciplinary action for the staff member involved.

Answer

To complete the required paperwork for the pharmacy's liability insurance carrier.

Answer

To exclusively focus on retraining the individual who made the final check on the prescription.

Question 5

According to federal law (21 CFR Part 1306), which of the following pieces of information is NOT required to be on a valid prescription for a Schedule II controlled substance like oxycodone?

Accepted Answer

Patient's diagnosis or ICD-10 code

Answer

Patient's full name and address

Answer

Prescriber's DEA number

Answer

Drug quantity to be dispensed

Question 6

A pharmacist is counseling a patient who is starting dabigatran (Pradaxa) for the first time. Which of the following instructions is most critical for maintaining the medication's stability and effectiveness?

Accepted Answer

"Keep the capsules in the original manufacturer's bottle and do not transfer them to a pill organizer."

Answer

"You can crush the capsules and mix them with applesauce if they are hard to swallow."

Answer

"Take this medication with a high-fat meal to increase its absorption."

Answer

"It is okay to skip a dose occasionally if you are not having any symptoms."