Mastering the Utah Notary Exam: Your Ultimate Study Guide
A pharmacy technician receives a prescription for Dilaudid 4 mg tablets DAW. The
pharmacy is out of Dilaudid. The technician fills the prescription with hydromorphone. The
pharmacist performs the final check and tells the technician that hydromorphone cannot
be dispensed because:
A. the pharmacist cannot substitute any medications due to "the patient's right."
B. generic substitution is not authorized by prescriber.
C. the prescription is written as Dilaudid, not hydromorphone.
D. hydromorphone and Dilaudid are two different Schedule controlled substances
- Answer The key (B) is correct because "DAW" is an abbreviation for "Dispense as Written,"
a notation that indicates that the prescriber wants only the medication named on the
prescription to be dispensed. This means that brand name Dilaudid must be dispensed for
this prescription; Dilaudid's generic, hydromorphone, is not authorized by the prescriber.
A patient diagnosed with type 2 diabetes requests a refill of a prescription for extended-
release glipizide. The patient is approximately 15 days late in refilling the prescription. The
patient, when asked if the medication is being taken as directed, says, "Yes, I always take it
at breakfast, but many days I simply don't have time to eat before I leave for work." How
should the pharmacy technician respond?
A. Tell the patient that the medication is being taken incorrectly and advise that the
medication should be taken every morning
,B. Ask the patient to speak with the pharmacist to clarify the prescription directions
,C. Ask the patient to call the prescriber immediately to have blood sugar testing ordered at
once
D. Tell the patient that the medication is being taken incorrectly and the prescriber should
be seen at once - Answer The key (B) is correct because the patient appears to have been
taking the medication incorrectly and needs to be counseled, which can only be done by a
pharmacist.
When withdrawing an injectable drug from a glass ampule to transfer it into a sterile empty
vial, the pharmacy technician should use a:
A.transfer needle.
B.29-gauge needle.
C.needle with filter paper.
D.filter needle.
- Answer The key (D) is correct because filter needles must be used to withdraw
solutions from ampules. This is because filter needles are able to keep glass or paint chips
that may have fallen into the solution when the ampule's neck was broken from being
drawn into the syringe. A regular needle may then be used to inject the drug into a sterile
vial.
A pharmacy technician receives a telephone call from a worried patient who heard on the
news that an inhaler is being recalled. The technician should tell the patient to:
A. discard any of this medication on hand and request a refill.
B. continue to use the medication on hand if it seems to be working.
C. contact the prescriber to consider a therapy change.
, D. bring the medication to the pharmacy to check the lot number and manufacturer.
- Answer The key (D) is correct because items affected by a recall may be identified
using the product's National Drug Code (NDC) number (which includes manufacturer
information) and lot or batch number. Further action may then be taken if necessary.
Upon receipt of a medication order, two important steps should be taken, which include
reviewing the order for:
A. completeness and prioritizing the order based upon urgency.
B. dangerous abbreviations and placing the order in sequential order.
C. special handling precautions and contacting the onsite OSHA representative.
D. REMS and calling the appropriate insurance number.
- Answer The key (A) is correct because new medication orders must be reviewed for
completeness and clarity, meaning that all required information is present and legible, and
prioritized on the basis of a numberof factors, including the time the medication is
needed, the seriousness of the condition being treated, and the urgency of the other orders
waiting to be processed.
A physician orders phenobarbital elixir 60 mg for a patient. The drug is available in a 20
mg/5 mL concentration. How many teaspoonfuls should be given for each dose?
A.1
B.2
C.3
A pharmacy technician receives a prescription for Dilaudid 4 mg tablets DAW. The
pharmacy is out of Dilaudid. The technician fills the prescription with hydromorphone. The
pharmacist performs the final check and tells the technician that hydromorphone cannot
be dispensed because:
A. the pharmacist cannot substitute any medications due to "the patient's right."
B. generic substitution is not authorized by prescriber.
C. the prescription is written as Dilaudid, not hydromorphone.
D. hydromorphone and Dilaudid are two different Schedule controlled substances
- Answer The key (B) is correct because "DAW" is an abbreviation for "Dispense as Written,"
a notation that indicates that the prescriber wants only the medication named on the
prescription to be dispensed. This means that brand name Dilaudid must be dispensed for
this prescription; Dilaudid's generic, hydromorphone, is not authorized by the prescriber.
A patient diagnosed with type 2 diabetes requests a refill of a prescription for extended-
release glipizide. The patient is approximately 15 days late in refilling the prescription. The
patient, when asked if the medication is being taken as directed, says, "Yes, I always take it
at breakfast, but many days I simply don't have time to eat before I leave for work." How
should the pharmacy technician respond?
A. Tell the patient that the medication is being taken incorrectly and advise that the
medication should be taken every morning
,B. Ask the patient to speak with the pharmacist to clarify the prescription directions
,C. Ask the patient to call the prescriber immediately to have blood sugar testing ordered at
once
D. Tell the patient that the medication is being taken incorrectly and the prescriber should
be seen at once - Answer The key (B) is correct because the patient appears to have been
taking the medication incorrectly and needs to be counseled, which can only be done by a
pharmacist.
When withdrawing an injectable drug from a glass ampule to transfer it into a sterile empty
vial, the pharmacy technician should use a:
A.transfer needle.
B.29-gauge needle.
C.needle with filter paper.
D.filter needle.
- Answer The key (D) is correct because filter needles must be used to withdraw
solutions from ampules. This is because filter needles are able to keep glass or paint chips
that may have fallen into the solution when the ampule's neck was broken from being
drawn into the syringe. A regular needle may then be used to inject the drug into a sterile
vial.
A pharmacy technician receives a telephone call from a worried patient who heard on the
news that an inhaler is being recalled. The technician should tell the patient to:
A. discard any of this medication on hand and request a refill.
B. continue to use the medication on hand if it seems to be working.
C. contact the prescriber to consider a therapy change.
, D. bring the medication to the pharmacy to check the lot number and manufacturer.
- Answer The key (D) is correct because items affected by a recall may be identified
using the product's National Drug Code (NDC) number (which includes manufacturer
information) and lot or batch number. Further action may then be taken if necessary.
Upon receipt of a medication order, two important steps should be taken, which include
reviewing the order for:
A. completeness and prioritizing the order based upon urgency.
B. dangerous abbreviations and placing the order in sequential order.
C. special handling precautions and contacting the onsite OSHA representative.
D. REMS and calling the appropriate insurance number.
- Answer The key (A) is correct because new medication orders must be reviewed for
completeness and clarity, meaning that all required information is present and legible, and
prioritized on the basis of a numberof factors, including the time the medication is
needed, the seriousness of the condition being treated, and the urgency of the other orders
waiting to be processed.
A physician orders phenobarbital elixir 60 mg for a patient. The drug is available in a 20
mg/5 mL concentration. How many teaspoonfuls should be given for each dose?
A.1
B.2
C.3
