Pharmacy Exam Review


Law Quiz

 

A Rx is written for lorazepam 1 mg take 1 tablet at bedtime as needed on December 12, 2016 by an APRN with her DEA printed on the script. The pharmacist received the prescription to fill on March 22, 2017. Choose the correct statement:

  1. The pharmacist cannot fill the prescription; controlled prescriptions must be filled within 30 days.
  2. The pharmacist cannot fill the prescription; controlled prescriptions must be filled within 60 days.
  3. The pharmacist cannot fill the prescription; controlled prescriptions must be filled within 90 days.
  4. The pharmacist can fill the prescription; controlled prescriptions must be filled within six months.
  5. The pharmacist can fill the prescription; controlled prescriptions must be filled within one year.

D. 6 months from the date written for controlled prescriptions only.

 

Choose the correct statement concerning the Power of Attorney signing a DEA 222 form:

  1. Only registered pharmacists are allowed to fill out a DEA Form 222.
  2. The power of attorney must be signed by the same person who signed the most recent application for DEA registration.
  3. A pharmacy may authorize persons to obtain and execute DEA Forms 222 by granting a power of attorney to each person.
  4. Only the pharmacy manager is allowed to fill out a DEA Form 222.
  5. B and C

E. Pharmacy manager may not be the only POA.

 

A patient received a lethal overdose of potassium chloride (KCl). All of the following practices would reduce this risk in the future except:

  1. Remove KCl vials from floor stock and centralize KCl infusion preparation in the pharmacy.
  2. Protocols that include indication, infusion rates and monitoring (including ECG) should be developed and followed.
  3. Permit KCl vials on floor stock only in pediatric and intensive care units.
  4. KCl infusions should be given in programmable (smart) pumps.
  5. Allow for automatic substitution of oral potassium for IV potassium, when appropriate, by pharmacy.

C. K is never given by IV push. Administration may require cardiac monitoring. All protocols for K replacement will have a maximum infusion concentration and rate to reduce the risk of overdose.

 

The HIPAA Privacy Rule states that:

I) Patients are able to take their medical insurance with them when they change employers. 

II) Patients are notified regarding their rights to the privacy of their sexual identification and status. 

III) Patients are notified regarding their rights to the privacy of their personal health information. 

IV) The Notice of Privacy outlines how far back the patients in line must stand so that counseling in the community setting is not overheard by strangers. 

V) It is a constitutional requirement to uphold and defend the Bill of Rights.

  1. I and II
  2. II and III
  3. I, II, and III
  4. II, III, and IV
  5. I, II, and IV

Answer: C. The Department of Human Services (DHS) requires pharmacies to maintain the privacy of patients’ Protected Health Information (PHI) and to provide individuals with the Notice of Privacy with respect to PHI. The Notice of Privacy must be provided on the first day of service.



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