PCHA TEST QUESTIONS & ANSWERS PLUS RATIONALES/NEWEST UPDATE 2026
ALREADY PASSED!!
Question 1
Which type of dementia is characterized by abnormal protein deposits leading to visual
hallucinations and motor symptoms similar to Parkinson's disease?
A) Alzheimer’s Disease
B) Vascular Dementia
C) Frontotemporal Dementia
D) Lewy Body Dementia
E) Huntington’s Disease
Correct Answer: D) Lewy Body Dementia
Rationale: Lewy Body Dementia involves abnormal protein deposits called Lewy bodies that
cause fluctuating cognitive impairment, hallucinations, and motor issues mimicking
Parkinson's.
Question 2
How is a "drug" specifically defined in the context of PCH regulations?
A) A preparation used to treat or prevent a disease
B) Any substance purchased at a pharmacy
C) A substance considered a narcotic, hallucinogen, or stimulant
D) A liquid preparation for topical use only
E) An herbal supplement
Correct Answer: C) A substance considered a narcotic, hallucinogen, or stimulant
Rationale: According to the provided definitions, a drug is categorized specifically as a
narcotic, hallucinogen, or stimulant, whereas a medicine is for treatment/prevention.
Question 3
What is the definition of a "medicine"?
A) A substance used as a stimulant
B) A preparation used to treat or prevent a disease
C) A substance only available via a doctor's prescription
D) Any substance that causes a hallucinogenic effect
E) A type of narcotic
Correct Answer: B) A preparation used to treat or prevent a disease
Rationale: Medicine is specifically defined as a preparation intended to treat or prevent a
disease.
Question 4
What are the three essential components required for a valid doctor's order?
A) Medication, dose, and resident name
B) Medication, route, and frequency
C) Resident name, date, and prescriber title
D) Medication, pharmacist name, and side effects
, 2
E) Route, frequency, and expiration date
Correct Answer: B) Medication, route, and frequency
Rationale: A complete medical order must specify what the medication is, how it is to be
given (route), and how often (frequency).
Question 5
Which route of medication administration is considered the most common and cost-effective?
A) Ophthalmic
B) Otic
C) Injectable
D) Oral
E) Topical
Correct Answer: D) The oral route
Rationale: The oral route is favored for its ease of administration and lower cost compared
to other methods.
Question 6
When administering ophthalmic (eye) drops, in which direction should the resident be instructed
to look to prevent the dropper from touching the eye?
A) Down and toward the dropper
B) Straight ahead
C) Up and away
D) Closed eyes
E) Toward the nose
Correct Answer: C) Up and away
Rationale: Asking the resident to look up and away provides a better target and prevents
the dropper tip from accidentally touching the eye surface.
Question 7
How should a resident’s head be positioned when receiving ophthalmic drops to prevent them
from entering the tear duct?
A) Tilted forward toward the chest
B) Tilted back and toward the eye getting the drops
C) Tilted back and away from the eye getting the drops
D) Kept perfectly level
E) Tilted toward the unaffected side
Correct Answer: B) Tilted back and toward the eye getting the drops
Rationale: Tilting the head toward the side receiving the drops helps keep the medication in
the conjunctival sac and prevents it from draining immediately into the tear duct.
, 3
Question 8
Otic medications are administered into which part of the body?
A) The eye
B) The nose
C) The ear
D) The skin
E) Under the tongue
Correct Answer: C) The ear
Rationale: Otic refers to the ear; these medications include drops or ointments placed in the
ear canal.
Question 9
What is the proper head position for a resident receiving otic medication?
A) Tilted upward and toward the affected area
B) Tilted downward toward the chest
C) Tilted toward the unaffected ear
D) Tilted back as if looking at the ceiling
E) No tilt is required
Correct Answer: A) Tilt head to affected area and upward
Rationale: Tilting the head toward the affected area and upward allows the medication to
flow into the ear canal correctly.
Question 10
Which of the following is NOT listed as a route of medication administration in a PCH?
A) Inhalation
B) Nasal
C) Topical
D) Intravenous only
E) Oral
Correct Answer: D) Intravenous only
Rationale: The provided routes are Oral, Ophthalmic, Otic, inhalation, nasal, topical, and
injectable. While IV is an injectable, "Intravenous only" is not the listed category.
Question 11
What is a "generic" name for a drug?
A) The name developed and tested by the pharmaceutical company
B) The "BIG" name printed most prominently on the bottle
C) The name assigned by the United States Adopted Names Council
D) The name used for off-label purposes
E) The name of the pharmacy that dispensed it
Correct Answer: C) Names assigned by the United States adopted names council.
ALREADY PASSED!!
Question 1
Which type of dementia is characterized by abnormal protein deposits leading to visual
hallucinations and motor symptoms similar to Parkinson's disease?
A) Alzheimer’s Disease
B) Vascular Dementia
C) Frontotemporal Dementia
D) Lewy Body Dementia
E) Huntington’s Disease
Correct Answer: D) Lewy Body Dementia
Rationale: Lewy Body Dementia involves abnormal protein deposits called Lewy bodies that
cause fluctuating cognitive impairment, hallucinations, and motor issues mimicking
Parkinson's.
Question 2
How is a "drug" specifically defined in the context of PCH regulations?
A) A preparation used to treat or prevent a disease
B) Any substance purchased at a pharmacy
C) A substance considered a narcotic, hallucinogen, or stimulant
D) A liquid preparation for topical use only
E) An herbal supplement
Correct Answer: C) A substance considered a narcotic, hallucinogen, or stimulant
Rationale: According to the provided definitions, a drug is categorized specifically as a
narcotic, hallucinogen, or stimulant, whereas a medicine is for treatment/prevention.
Question 3
What is the definition of a "medicine"?
A) A substance used as a stimulant
B) A preparation used to treat or prevent a disease
C) A substance only available via a doctor's prescription
D) Any substance that causes a hallucinogenic effect
E) A type of narcotic
Correct Answer: B) A preparation used to treat or prevent a disease
Rationale: Medicine is specifically defined as a preparation intended to treat or prevent a
disease.
Question 4
What are the three essential components required for a valid doctor's order?
A) Medication, dose, and resident name
B) Medication, route, and frequency
C) Resident name, date, and prescriber title
D) Medication, pharmacist name, and side effects
, 2
E) Route, frequency, and expiration date
Correct Answer: B) Medication, route, and frequency
Rationale: A complete medical order must specify what the medication is, how it is to be
given (route), and how often (frequency).
Question 5
Which route of medication administration is considered the most common and cost-effective?
A) Ophthalmic
B) Otic
C) Injectable
D) Oral
E) Topical
Correct Answer: D) The oral route
Rationale: The oral route is favored for its ease of administration and lower cost compared
to other methods.
Question 6
When administering ophthalmic (eye) drops, in which direction should the resident be instructed
to look to prevent the dropper from touching the eye?
A) Down and toward the dropper
B) Straight ahead
C) Up and away
D) Closed eyes
E) Toward the nose
Correct Answer: C) Up and away
Rationale: Asking the resident to look up and away provides a better target and prevents
the dropper tip from accidentally touching the eye surface.
Question 7
How should a resident’s head be positioned when receiving ophthalmic drops to prevent them
from entering the tear duct?
A) Tilted forward toward the chest
B) Tilted back and toward the eye getting the drops
C) Tilted back and away from the eye getting the drops
D) Kept perfectly level
E) Tilted toward the unaffected side
Correct Answer: B) Tilted back and toward the eye getting the drops
Rationale: Tilting the head toward the side receiving the drops helps keep the medication in
the conjunctival sac and prevents it from draining immediately into the tear duct.
, 3
Question 8
Otic medications are administered into which part of the body?
A) The eye
B) The nose
C) The ear
D) The skin
E) Under the tongue
Correct Answer: C) The ear
Rationale: Otic refers to the ear; these medications include drops or ointments placed in the
ear canal.
Question 9
What is the proper head position for a resident receiving otic medication?
A) Tilted upward and toward the affected area
B) Tilted downward toward the chest
C) Tilted toward the unaffected ear
D) Tilted back as if looking at the ceiling
E) No tilt is required
Correct Answer: A) Tilt head to affected area and upward
Rationale: Tilting the head toward the affected area and upward allows the medication to
flow into the ear canal correctly.
Question 10
Which of the following is NOT listed as a route of medication administration in a PCH?
A) Inhalation
B) Nasal
C) Topical
D) Intravenous only
E) Oral
Correct Answer: D) Intravenous only
Rationale: The provided routes are Oral, Ophthalmic, Otic, inhalation, nasal, topical, and
injectable. While IV is an injectable, "Intravenous only" is not the listed category.
Question 11
What is a "generic" name for a drug?
A) The name developed and tested by the pharmaceutical company
B) The "BIG" name printed most prominently on the bottle
C) The name assigned by the United States Adopted Names Council
D) The name used for off-label purposes
E) The name of the pharmacy that dispensed it
Correct Answer: C) Names assigned by the United States adopted names council.
