ExCPT Pharmacy Technician Exam
2025/2026 | QUESTIONS AND ANSWERS | 2025/2026 |
INSTANT DOWNLOAD
1. A prescription for warfarin 5 mg daily is written for a patient also starting
trimethoprim-sulfamethoxazole (Bactrim). What is the appropriate pharmacy
technician action?
A. Dispense as written
B. Notify the pharmacist due to increased INR risk
C. Advise patient to stop warfarin
D. Substitute with doxycycline without approval
✅ Correct Answer: B
Rationale: Bactrim increases warfarin effect leading to elevated INR and bleeding risk;
pharmacist must review for monitoring and possible dose adjustment.
2. A technician receives a prescription for K-Dur 20 mEq twice daily. The stock
bottle is labeled 10 mEq per tablet. How many tablets should be dispensed per
dose?
A. 1
B. 2
C. 3
D. 4
✅ Correct Answer: B
Rationale: Required dose = 20 mEq; each tablet = 10 mEq; 20 ÷ 10 = 2 tablets per dose.
3. Under the Controlled Substances Act, which schedule is oxycodone?
A. Schedule II
B. Schedule III
C. Schedule IV
D. Schedule V
,✅ Correct Answer: A
Rationale: Oxycodone is a Schedule II controlled substance due to high abuse potential with
accepted medical use.
4. A prescription for amoxicillin is written for 250 mg/5 mL, dispense 150 mL.
How many total milligrams of amoxicillin are dispensed?
A. 500 mg
B. 1,000 mg
C. 7,500 mg
D. 7,500 mg
✅ Correct Answer: C
Rationale: 250 mg per 5 mL; 150 mL = (150 ÷ 5) × 250 = 30 × 250 = 7,500 mg.
5. A patient asks why pseudoephedrine products are kept behind the counter.
What is the best rationale the technician should share?
A. To prevent insurance claim denials
B. Due to methamphetamine diversion mitigation laws
C. To control calories
D. To improve medication effectiveness
✅ Correct Answer: B
Rationale: Federal law restricts pseudoephedrine sales to limit methamphetamine production
and requires behind-the-counter handling.
6. When compounding an oral liquid from tablets, which step is essential before
dispensing?
A. Verify tablet color
B. Calculate final concentration and verify with pharmacist
C. Add flavoring only
D. Assign beyond expiration label
✅ Correct Answer: B
Rationale: Accurate concentration determination ensures safe and effective dosing for
compounded preparations.
,7. A prescription reads “take one tablet po bid × 10 days.” What does “po bid”
indicate?
A. Twice a day by mouth
B. Once daily before eating
C. Two tablets by mouth
D. Every other day
✅ Correct Answer: A
8. Which information must be on a newly dispensed prescription label?
A. Prescriber’s Social Security number
B. Pharmacy name, patient name, drug name, directions, date of fill
C. NDC number only
D. Birthday only
✅ Correct Answer: B
9. A technician processes a claim and receives a rejection code “DAW 2.” What
does this indicate?
A. Generic use permitted
B. Substitution not allowed — patient requested brand
C. Prior authorization required
D. Insufficient data
✅ Correct Answer: B
Rationale: DAW 2 means generic substitution is allowed but prescriber requested the brand.
10. A patient presents a refill request for alprazolam. What is the valid
maximum number of refills without a new prescription under federal law?
A. 0
B. 1
C. 5
D. Unlimited
, ✅ Correct Answer: A
Rationale: Alprazolam is Schedule IV; controlled substances require new prescription after 6
months or 5 refills, but some states require no refills; federal practice considers controlled
schedules separately — coordinate with state.
11. Which law established the requirement for child-resistant packaging for most
oral medications?
A. Poison Prevention Packaging Act
B. Harrison Narcotics Act
C. Food Drug Cosmetic Act
D. Controlled Substances Act
✅ Correct Answer: A
12. A prescription reads “hydrocodone/acetaminophen 5/325 mg #30.” How
many liters would 30 tablets occupy if the bulk density is 0.8 g/mL with average
tablet weight 0.8 g/tablet?
A. 0.03 L
B. 0.024 L
C. 0.03 L
D. 0.24 L
✅ Correct Answer: B
Rationale: Total weight = 30 × 0.8 g = 24 g; volume = mass ÷ density = 24 g ÷ 0.8 g/mL = 30
mL = 0.03 L. Revised after calculation: 30 mL = 0.03 L
13. A patient’s profile shows a severe penicillin allergy. A prescription for
amoxicillin is dropped off. What action should the technician take?
A. Fill prescription
B. Notify pharmacist immediately
C. Ask patient to sign allergy waiver
D. Substitute ampicillin
✅ Correct Answer: B
2025/2026 | QUESTIONS AND ANSWERS | 2025/2026 |
INSTANT DOWNLOAD
1. A prescription for warfarin 5 mg daily is written for a patient also starting
trimethoprim-sulfamethoxazole (Bactrim). What is the appropriate pharmacy
technician action?
A. Dispense as written
B. Notify the pharmacist due to increased INR risk
C. Advise patient to stop warfarin
D. Substitute with doxycycline without approval
✅ Correct Answer: B
Rationale: Bactrim increases warfarin effect leading to elevated INR and bleeding risk;
pharmacist must review for monitoring and possible dose adjustment.
2. A technician receives a prescription for K-Dur 20 mEq twice daily. The stock
bottle is labeled 10 mEq per tablet. How many tablets should be dispensed per
dose?
A. 1
B. 2
C. 3
D. 4
✅ Correct Answer: B
Rationale: Required dose = 20 mEq; each tablet = 10 mEq; 20 ÷ 10 = 2 tablets per dose.
3. Under the Controlled Substances Act, which schedule is oxycodone?
A. Schedule II
B. Schedule III
C. Schedule IV
D. Schedule V
,✅ Correct Answer: A
Rationale: Oxycodone is a Schedule II controlled substance due to high abuse potential with
accepted medical use.
4. A prescription for amoxicillin is written for 250 mg/5 mL, dispense 150 mL.
How many total milligrams of amoxicillin are dispensed?
A. 500 mg
B. 1,000 mg
C. 7,500 mg
D. 7,500 mg
✅ Correct Answer: C
Rationale: 250 mg per 5 mL; 150 mL = (150 ÷ 5) × 250 = 30 × 250 = 7,500 mg.
5. A patient asks why pseudoephedrine products are kept behind the counter.
What is the best rationale the technician should share?
A. To prevent insurance claim denials
B. Due to methamphetamine diversion mitigation laws
C. To control calories
D. To improve medication effectiveness
✅ Correct Answer: B
Rationale: Federal law restricts pseudoephedrine sales to limit methamphetamine production
and requires behind-the-counter handling.
6. When compounding an oral liquid from tablets, which step is essential before
dispensing?
A. Verify tablet color
B. Calculate final concentration and verify with pharmacist
C. Add flavoring only
D. Assign beyond expiration label
✅ Correct Answer: B
Rationale: Accurate concentration determination ensures safe and effective dosing for
compounded preparations.
,7. A prescription reads “take one tablet po bid × 10 days.” What does “po bid”
indicate?
A. Twice a day by mouth
B. Once daily before eating
C. Two tablets by mouth
D. Every other day
✅ Correct Answer: A
8. Which information must be on a newly dispensed prescription label?
A. Prescriber’s Social Security number
B. Pharmacy name, patient name, drug name, directions, date of fill
C. NDC number only
D. Birthday only
✅ Correct Answer: B
9. A technician processes a claim and receives a rejection code “DAW 2.” What
does this indicate?
A. Generic use permitted
B. Substitution not allowed — patient requested brand
C. Prior authorization required
D. Insufficient data
✅ Correct Answer: B
Rationale: DAW 2 means generic substitution is allowed but prescriber requested the brand.
10. A patient presents a refill request for alprazolam. What is the valid
maximum number of refills without a new prescription under federal law?
A. 0
B. 1
C. 5
D. Unlimited
, ✅ Correct Answer: A
Rationale: Alprazolam is Schedule IV; controlled substances require new prescription after 6
months or 5 refills, but some states require no refills; federal practice considers controlled
schedules separately — coordinate with state.
11. Which law established the requirement for child-resistant packaging for most
oral medications?
A. Poison Prevention Packaging Act
B. Harrison Narcotics Act
C. Food Drug Cosmetic Act
D. Controlled Substances Act
✅ Correct Answer: A
12. A prescription reads “hydrocodone/acetaminophen 5/325 mg #30.” How
many liters would 30 tablets occupy if the bulk density is 0.8 g/mL with average
tablet weight 0.8 g/tablet?
A. 0.03 L
B. 0.024 L
C. 0.03 L
D. 0.24 L
✅ Correct Answer: B
Rationale: Total weight = 30 × 0.8 g = 24 g; volume = mass ÷ density = 24 g ÷ 0.8 g/mL = 30
mL = 0.03 L. Revised after calculation: 30 mL = 0.03 L
13. A patient’s profile shows a severe penicillin allergy. A prescription for
amoxicillin is dropped off. What action should the technician take?
A. Fill prescription
B. Notify pharmacist immediately
C. Ask patient to sign allergy waiver
D. Substitute ampicillin
✅ Correct Answer: B
