[Jan 22, 2026] Get New PTCE Practice Test Questions Answers [Q155-Q180]

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[Jan 22, 2026] Get New PTCE Practice Test Questions Answers

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NEW QUESTION # 155
Which of the following questions from a nurse must be referred to a pharmacist?

  • A. "What is the schedule for my patient's IV antibiotic?"
  • B. "What is the generic name for the antibiotic the prescriber wrote?"
  • C. "Can I piggyback my patient's IV antibiotic with her heparin drip?"
  • D. "Does the IV antibiotic require prior authorization from my patient's insurance?"

Answer: C

Explanation:
* Drug interactions (like IV compatibility with heparin)must be evaluated bya pharmacisttoavoid adverse effects.
* Pharmacy technicians can answer questions about generic names, drug schedules, and insurance issues but cannot provide clinical recommendations.
#Reference:ASHP Pharmacy Technician Scope of Practice, PTCE Guidelines.


NEW QUESTION # 156
SIMULATION
The term prophylaxis means____.

Answer:

Explanation:
Preventative treatment


NEW QUESTION # 157
It may be appropriate for Apidra to serve as a therapeutic substitution for:

  • A. Novolog.
  • B. Lovaza.
  • C. Lanoxin.
  • D. Namenda.

Answer: A

Explanation:
Apidra (insulin glulisine) and Novolog (insulin aspart) are both rapid-acting insulins with similar onset and duration profiles, and many formularies allow therapeutic interchange within this class per protocol. Namenda (memantine), Lovaza (omega-3-acid ethyl esters), and Lanoxin (digoxin) are unrelated drug classes and are not appropriate substitutions for a rapid-acting insulin.
References: Pharmacy Technician pharmacology guides (insulin classes and brand/generic mapping), formulary/therapeutic interchange policies for rapid-acting insulins.


NEW QUESTION # 158
Which route of administration has the quickest onset of action?

  • A. PO
  • B. PR
  • C. IV
  • D. IM

Answer: C

Explanation:
Explanation/Reference:
Explanation:
IV goes directly into the bloodstream. No first - pass effect.


NEW QUESTION # 159
CORRECT TEXT
Medications for ophthalmic administration are usually available in what two ways?

Answer:

Explanation:
Sterile isotonic drops or sterile ointment


NEW QUESTION # 160
SIMULATION
Lozenges.

Answer:

Explanation:
See the solution below
Explanation/Reference:
-troches, or pastilles
-meant to dissolve slowly in the mouth to keep the drug in contact longer


NEW QUESTION # 161
CORRECT TEXT
When adding weights to a Class A balance, you should use tweezers because?

Answer:

Explanation:
The oils from your skin will dirty and alter the actual weights


NEW QUESTION # 162
Convert 25C to F.

  • A. 69F
  • B. 36F
  • C. 77F
  • D. 50F

Answer: C


NEW QUESTION # 163
What is the first thing a pharmacy technician should do when a body area is exposed to a hazardous substance?

  • A. Thoroughly flush with water
  • B. Call environmental services for help with cleanup
  • C. Go to the emergency department
  • D. Notify the pharmacy manager

Answer: A

Explanation:
When abody area is exposed to a hazardous substance, thefirst actionshould be tothoroughly flush the area with watertoimmediately remove the contaminantand reduce absorption into the skin.
* Flush the affected area with water for at least 15 minutes.
* Remove contaminated clothing.
* Seek medical attention if needed.
* Report the incident to the pharmacy manager.
* A. Notify the pharmacy manager# Incorrect;the immediate priorityis to flush the area.Reporting comes after decontamination.
* C. Call environmental services for cleanup# Incorrect; personal exposure should be addressed before worrying about cleanup.
* D. Go to the emergency department# Incorrect; first aid (flushing with water) should beperformed immediatelybefore seeking additional care if necessary.
Proper Emergency Response:Other Answer Choices Explained:References:
* USP <800> Guidelines for Handling Hazardous Drugs
* OSHA (Occupational Safety and Health Administration) Hazardous Substance Exposure Protocols
* PTCB PTCE Exam Content Outline (Medication Safety & Hazardous Drug Handling)


NEW QUESTION # 164
You are filling prescriptions at a retail pharmacy. A script is presented for Lopressor 100mg QD X30D.
Your pharmacy is currently out of Lopressor. Which of the following may the pharmacist substitute in its place to fill the order?

  • A. Generic Metoprolol
  • B. None of the above
  • C. Toprol
  • D. Propranolol

Answer: B


NEW QUESTION # 165
CORRECT TEXT
Of the following drug combinations, which would be a drug-drug interaction?

Answer:

Explanation:
Coumadin and aspirin


NEW QUESTION # 166
Water freezes at 0C and Boils at 100C. What tempe rature in Farenheit will water freeze and boil?

  • A. 32F, 212F
  • B. 14F, 325F
  • C. 10F, 177F
  • D. 29F, 180F

Answer: A


NEW QUESTION # 167
An enteral nutrition product may be used for:

  • A. Hyperalimentation
  • B. Tube feedings
  • C. Patients with non-functional gastrointestinal tracts
  • D. Intravenous administration

Answer: B

Explanation:
Enteral nutrition delivers nutrients via the gastrointestinal tract, commonly through tube feedings (e.g., nasogastric, gastrostomy, or jejunostomy tubes). Parenteral nutrition (often called hyperalimentation) is administered intravenously and is used when the GI tract is non-functional. Therefore, enteral products are not intended for IV administration and are not used when the GI tract cannot be used.
References:* ASPEN (American Society for Parenteral and Enteral Nutrition) definitions and routes of nutrition support.* PTCB/ExCPT Study Guides: Enteral vs. parenteral nutrition.* ASHP best practices:
Nutrition support terminology and routes.


NEW QUESTION # 168
Which of the followingmedications should be pulled from inventorydue to incorrect storage?

  • A. Varivax that was stored in a freezer.
  • B. Shingrix that was stored in a freezer.
  • C. Havrix that was stored in a refrigerator.
  • D. Boostrix that was stored in a refrigerator.

Answer: B

Explanation:
Comprehensive and Detailed Step-by-Step Explanation:
Shingrix (Zoster Vaccine Recombinant)must be stored in therefrigerator (2°C to 8°C / 36°F to 46°F)and shouldnever be frozen.
#Explanation of Answer Choices:#C. Shingrix that was stored in a freezer#Correct.Shingrixloses potencywhen frozen.#A. Boostrix (Tdap) stored in a refrigerator# Incorrect.Proper storage condition.# B). Havrix (Hepatitis A vaccine) stored in a refrigerator# Incorrect.Proper storage condition.#D. Varivax (Varicella vaccine) stored in a freezer# Incorrect.Varivax must be stored frozen (-50°C to -15°C).
#Reference:
* CDC Vaccine Storage & Handling Guidelines
* USP <1079>: Vaccine Storage


NEW QUESTION # 169
When handling hazardous drugs, exposure control must begin when the drug:

  • A. is compounded.
  • B. enters the facility.
  • C. is dispensed.
  • D. is placed on the pharmacy shelf.

Answer: B

Explanation:
According toUSP <800>andOSHA guidelines, exposure control forhazardous drugs (HDs)must begin as soon as the drugenters the facilityto ensure proper handling, storage, and administration safety. This includes:
* Receiving:
* Hazardous drugs must beunpacked in a designated areathat isseparate from regular medications.
* They shouldnot be opened in sterile or positive-pressure areasto prevent contamination.
* Storage:
* HDs must be stored in anegative-pressure room with proper ventilation.
* They must be placed indesignated binsto reduce exposure risks.
* Handling and Compounding:
* Usepersonal protective equipment (PPE)such as gloves, gowns, and masks when handling hazardous drugs.
* Use abiological safety cabinet (BSC) or compounding aseptic containment isolator (CACI)when preparing hazardous drugs.
* A. Is dispensed# Incorrect;control measures must start earlier, before dispensing.
* C. Is compounded# Incorrect; safety measures beginbefore compounding, when the drug arrives at the pharmacy.
* D. Is placed on the pharmacy shelf# Incorrect;exposure control measuresbegin before storage, duringreceiving and handling.
Other Answer Choices Explained:References:
* USP <800> Hazardous Drug Handling Guidelines
* OSHA Hazardous Drug Safety Standards
* NIOSH (National Institute for Occupational Safety and Health) Hazardous Drug List
* PTCB PTCE Exam Content Outline (Medication Safety & Hazardous Drug Handling)


NEW QUESTION # 170
According to the Institute for Safe Medication Practices (ISMP), which of thefollowing is an approved abbreviation?

  • A. AU for both ears
  • B. gtt for drop
  • C. AD for right ear
  • D. U for units

Answer: B

Explanation:
TheInstitute for Safe Medication Practices (ISMP)maintains a list oferror-prone abbreviationsthat shouldnot be usedin medication orders to prevent misinterpretation and medication errors.
Analysis of the Answer Choices:Abbreviation
Meaning
ISMP Recommendation
U
Units
#Do NOT use# Can be mistaken for "0" or "4" (e.g., 10U could be misread as 100).Use"unit"instead.
AD
Right ear
#Do NOT use# Can be confused with "OD" (right eye).Use"right ear"instead.
AU
Both ears
#Do NOT use# Can be confused with "OU" (both eyes).Use"both ears"instead.
gtt
Drop
#Accepted# Common and not considered error-prone.
Since"gtt" for drop is not on ISMP's "Do Not Use" list, it is the correct answer.
* ISMP List of Error-Prone Abbreviations- Confirms that "U," "AD," and "AU" should not be used in prescriptions.
* Joint Commission "Do Not Use" List- Prohibits "U" and similar abbreviations to prevent dosing errors.
* PTCB PTCE Exam Content Outline- Covers error prevention strategies, including abbreviation safety.
Key References:


NEW QUESTION # 171
Which of the following should be a characteristic of a successfulroot-cause analysis (RCA)used to investigate a significant medication error?

  • A. Focusing primarily on systems and processes rather than individual performance.
  • B. Criminal charges against the responsible pharmacist if a patient experienced serious injury or death.
  • C. Immediate reporting of the error to the state board of pharmacy for a third-party investigation.
  • D. Termination of employment for the individuals involved in the medication error.

Answer: A

Explanation:
Comprehensive and Detailed Step-by-Step Explanation:
Root-Cause Analysis (RCA)is asystematic approachused toidentify the underlying causes of medication errors. RCA focuses onsystems and processes, not individual blame.
#Explanation of Answer Choices:#B. Focusing primarily on systems and processes rather than individual performance#Correct.RCA aims toprevent future errors by improving systems.#A.
Termination of employment# Incorrect.Blaming individuals does not address system failures.#C.
Immediate reporting to the state board# Incorrect.RCA is an internal investigation process.#D.
Criminal charges# Incorrect.RCA focuses on improvement, not legal punishment.
#Reference:
* ISMP Guidelines on Root-Cause Analysis
* PTCB Medication Safety Principles


NEW QUESTION # 172
SIMULATION
Pellets.

Answer:

Explanation:
Cylinder shaped tablets for implantation just under the skin for continuous drug absorption.


NEW QUESTION # 173
CORRECT TEXT
The four middle numbers of the NDC represent ______.

Answer:

Explanation:
The product, strength, and dosage form.


NEW QUESTION # 174
Adsorptionis most likely to cause a medication to:

  • A. Lose potency.
  • B. Trigger anaphylaxis.
  • C. Require refrigeration.
  • D. Become contaminated.

Answer: A

Explanation:
Comprehensive and Detailed Step-by-Step Explanation:
Adsorption occurs when a drug binds to a surface (e.g., IV tubing), reducing its potency.Some drugs, like insulin and nitroglycerin,canadhere to plastic tubing, reducing the active dose the patient receives.
#Explanation of Answer Choices:#A. Lose potency#Correct.Adsorptionreduces drug strength.#B.
Become contaminated# Incorrect.Adsorption does not introduce contaminants.#C. Require refrigeration
# Incorrect.Refrigeration is unrelated to adsorption.#D. Trigger anaphylaxis# Incorrect.Adsorption does not cause allergic reactions.
#Reference:
* USP <797>: Sterile Compounding
* ISMP Guidelines on IV Drug Stability


NEW QUESTION # 175
Your Pharmacy has a 40% markup and $1.75 dispensing fee. The wholesale price for 10 Sildenafil is
$ 120.00, what will the retail price be.

  • A. $169.75
  • B. $201.75
  • C. $125.75
  • D. $188.50

Answer: A


NEW QUESTION # 176
Which of the following medications is indicated to treatdiabetes?

  • A. Glimepiride
  • B. Galantamine
  • C. Granisetron
  • D. Gemfibrozil

Answer: A

Explanation:
Comprehensive and Detailed Step-by-Step Explanation:
Glimepiride (Amaryl)is asulfonylureaused tolower blood sugar in type 2diabetesby increasinginsulin secretion from the pancreas.
#Explanation of Answer Choices:#C. Glimepiride#Correct.Atype 2 diabetes medication(sulfonylurea).# A). Galantamine# Incorrect.Used for Alzheimer's disease.#B. Gemfibrozil# Incorrect.Used to lower cholesterol (fibrate).#D. Granisetron# Incorrect.Used for nausea and vomiting (antiemetic).
#Reference:
* FDA Drug Database: Glimepiride
* PTCB Pharmacology Section: Diabetes Medications


NEW QUESTION # 177
CORRECT TEXT
Of the following group names, which one would be used for a cough?
1 -antihelmintics
2 -antitussives
3 -antihistamines
4 -anticholinerginics

  • A. 0
  • B. 1
  • C. 2
  • D. 3

Answer: B


NEW QUESTION # 178
Handling hazardous substances should be done:

  • A. In a chemical safety cabinet.
  • B. Wearing personal protective equipment.
  • C. In a positive-pressure clean room.
  • D. Using disposable gloves washed between each use.

Answer: B

Explanation:
Comprehensive and Detailed Step-by-Step Explanation:
Hazardous drugs (HDs)must be handled withpersonal protective equipment (PPE), including:
* Gloves (chemotherapy-rated)
* Gown (disposable, impermeable material)
* Eye protection (if splashing risk exists)
* Respirator (if airborne exposure is possible)
#Explanation of Answer Choices:#B. Wearing personal protective equipment#Correct.USP <800> mandatesPPEfor handling hazardous drugs.#A. In a chemical safety cabinet# Incorrect.Only sterile hazardous drugs require a biological safety cabinet.#C. Using disposable gloves washed between each use# Incorrect.Disposable gloves should be discarded, not washed.#D. In a positive-pressure clean room# Incorrect.Hazardous drugs require negative pressure rooms, not positive pressure.
#Reference:
* USP <800>: Hazardous Drug Handling
* NIOSH Guidelines on PPE for Hazardous Drugs


NEW QUESTION # 179
If 3 Grams of active ingredient is needed to make 1 pint of a suspension, how much active ingredients is
needed to make 1 Gallon of the suspension?

  • A. 50 grams
  • B. 18 grams
  • C. 24 grams
  • D. 30 grams

Answer: C


NEW QUESTION # 180
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Medical Tests PTCE Exam Syllabus Topics:

TopicDetails
Topic 1
  • Federal Requirements: This section assesses the competencies of Pharmacy Managers in federal laws and regulations related to handling and disposal of substances, controlled substance prescriptions, restricted drug programs, and FDA recall requirements12. It emphasizes compliance and regulatory expertise.
Topic 2
  • Patient Safety and Quality Assurance: This section measures the skills of Pharmacy Technicians and covers high-alert medications, error prevention strategies, issues requiring pharmacist intervention, event reporting, prescription error types, and hygiene standards12. It focuses on safe pharmacy practices and error handling.
Topic 3
  • Order Entry and Processing: This section measures the skills of Pharmacy Technicians and assesses procedures for compounding non-sterile products, calculations, ratios, proportions, conversions, Sig codes, abbreviations, medical terminology, administration equipment, lot numbers, expiration dates, NDC numbers, and procedures for handling medications and supplies12. It emphasizes accuracy and efficiency in prescription processing.
Topic 4
  • Medications: This section measures the skills of Pharmacy Technicians and covers knowledge of generic and brand names, classifications, therapeutic equivalence, drug interactions, contraindications, strengths, dosage forms, administration routes, side effects, indications, drug stability, narrow therapeutic index medications, incompatibilities, and proper storage1246. It requires a comprehensive understanding of medication properties and handling.

 

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