PSI Dispensing Practice 3

Question 1

When dispensing warfarin, which additional monitoring information should the pharmacist check?

Accepted Answer

Recent INR result and current INR target range

Answer

Warfarin is a narrow therapeutic index drug monitored by INR. The pharmacist should check that the INR is within the patient's target range and that the dose dispensed aligns with the INR result and clinic instructions.

Question 2

The 'right drug, right patient, right dose, right route, right time' is known as the:

Accepted Answer

Five Rights of Medicines Administration

Answer

The Five Rights (or expanded Seven Rights) is a fundamental patient safety framework for medicines administration and dispensing, minimising errors across prescribing, dispensing and administration.

Question 3

A prescription is received for 'morphine sulphate MR 30 mg tablets — take ONE twice daily'. This requires which CD prescription requirements?

Accepted Answer

Full Schedule 2 CD prescription requirements: dose in words and figures, prescriber signature, patient details, total quantity

Answer

Morphine is a Schedule 2 CD. Irish law requires: total quantity in both words and figures, dose, patient name/address, date, prescriber's signature and address. Electronic CD prescriptions are now permissible.

Question 4

Which storage temperature range is considered 'refrigerated' for medicinal products?

Accepted Answer

2°C to 8°C

Answer

Refrigerated storage (2–8°C) is required for vaccines, insulin, some eye drops and many biologics. Temperatures outside this range can irreversibly damage the product.

Question 5

A patient presents a forged prescription. The pharmacist's immediate obligation is to:

Accepted Answer

Retain the prescription, refuse to dispense and notify the relevant authorities

Answer

Prescription fraud is a criminal offence. The pharmacist should retain the prescription (do not return it), refuse to dispense, and report to Garda and the prescribing practice if appropriate.

PSI Pharmacy Practice Test

PSI Pharmacy Practice Test

PSI Dispensing Practice 3