CPJE Practice Exam 309 Questions and 100

CPJE Practice Exam 309 Questions and 100% Verified Correct Answers Latest Update 2024- 2025 Guaranteed A+ A 37-year old patient with schizophrenia has been treated with clozapine 500 mg daily x

4 months. The patient has the following CBC results:

June 30: wbc 10.1, neutrophils 7.3

June 22: wbc 10.7, neutrophils 7.4

June 16: wbc 6.5, neutrphils 3.5

June 9: wbc 6.3, neutrophils 3.4

June 2: wbc 6.7, neutrophils 3.8

Only July 7, the patients WBC is 7.2, and neutrophils are 4.3. The most appropriate

recommendation for the pharmacist to make is to:

• Continue current therapy
• d/c therapy
• hold therapy x 1 week, then resume at 400 mg daily

D. Repeat CBC and fill if WBC is greater than 8 - CORRECT ANSWER: A

A 67-year old man was started on ticlopidine 1 month ago for stroke prevention. The patient complains of recent fever, chills, sore throat. Which of the following is the MOST appropriate for the pharmacist to ask the physician?

• "Has the patient had an INR check recently?"
• "Has the patient had a CBC done yet?"
• "Has the patients diet changed over the past month?"
• "Has the patient had LFTs done in the past 2 weeks?" - CORRECT ANSWER: B

A 75-year-old patient was taking clopidogrel, ASA, an ace inhibitor, a beta-blocker, a loop diuretic, and potassium chloride. The patient recently expired and the family is asking the pharmacist what to do with his medications. Choose the MOST appropriate

option for disposing these drugs:

• Place the drugs in a DEA-authorized collection recepticle
• Remove the patient identifying information and put them in the trash.
• Flush the pills down the toilet and throw the empty containers in the trash.

D. Bring the drugs back to he pharmacy since they are unused. - CORRECT ANSWER:

A

A compounding pharmacist has received the following prescription for a 44-pound five-

year-old child:

Metronidazole oral suspension 50mg/ml; give 6 ml BID x 10 days (NOTE: 30

mg/kg/day)

Which of the following is MOST appropriate action for the pharmacist to take? 1 / 4

• Dispense as written
• Contact the physician to change the dose
• Contact physician to change the frequency
• Contact the physician since metronidazole is contraindicated with pediatric patients -

CORRECT ANSWER: A

A mother is picking up a new antibiotics prescription for her child. Which of the pharmacy staff can provide an offer to counsel?

• The pharmacist interns
• The pharmacy technicians
• The pharmacists
• The pharmacy clerk

• 1 and 2
• 3 and 4
• 1 and 3

D. 2 and 4 - CORRECT ANSWER:

A new patient enrolling in an HIV adherance program is started on the following

medications:

Reyataz 300 mg PO QD Norvir 100 mg PO QD Videx EC 250 mg PO QD Viread 300 mg PO QD

The dosing regimen that the pharmacist should give the patient is:

• Reyataz, Norvir, Videx EC, and Viread with breakfast
• Reyataz, Norvir, Videx EC and Viread at bedtime with empty stomach
• Reyataz, Norvir, Viread with breakfast, and Videx EC at bedtime with an empty

stomach

• Videx EC and Viread with breakfast and Reyataz and Norvir at bedtime on empty

stomach - CORRECT ANSWER: C

A non-scheduled drug will become re-classified as a controlled substance, effective Jan 30,2022. When does inventory need to be taken for this drug?

• On Jan 30, 2022
• By Mar 30, 2022
• During the regular biennial inventory

D. On Feb 3, 2022 - CORRECT ANSWER: A

A patient calls the pharmacy and asks how she can properly return or throw away an unused container of Percocet. Which of the following is the preferred method to dispose of Percocet?

• Mail the Percocet tablets to a DEA authorized collector through a mail-back program.
• Mail the Percocet tablets to the local DEA office in an unmarked package. 2 / 4

• Dispose of the Percocet tablets by flushing them down the toilet.

D. Mail the Percocet tablets to the local pharmacy - CORRECT ANSWER: A

A patient comes into the pharmacy with a prescription for erythromycin. During a consultation, the patient mentions that her new job in construction has made her allergies unbearable. The patient asks the pharmacist to call her physician for a new prescription for this condition. The physician asks for the pharmacists recommendation.Which of the following antihistamines should be suggested for this patient?

• Loratidine
• Clemastine
• Cetirizine

D. Diphenhydramine - CORRECT ANSWER: A

A patient has been using Qnasl for the past month. She calls in a refill of the medication. When she arrives at the pharmacy, the prescription is filled and checked, but the pharmacist is on lunch. What is the MOST appropriate action for the technician to take?

• Do not dispense, no medications can be dispensed if a pharmacist is not available in

the pharmacy

• Do not dispense because the pharmacist needs to counsel the patient
• Dispense because the medication is a refill, and it has been checked by the

pharmacist

• Dispense if a pharmacy intern is available to counsel the patient - CORRECT

ANSWER: C

A patient has clonidine 0.2 mg tablets at her house that she no longer needs. There is no local drug take-back program in her area. How can the pharmacist instruct her to dispose of this medication safely?

• Flush the tabs down the toilet
• Mix with water and an undesirable substance (i.e kitty litter), seal the bottle with tape

and dispose of in the trash

• Give the tabs to a friend or family member who uses the same strength

D. Mail the tabs back to the manufacturer - CORRECT ANSWER: B

A patient has just been counseled on appropriate use of Niaspan. Which of the following statements would confirm patient understanding of the purpose for taking this medication?

• This medication will treat my high BP and lower risk of stroke.
• This medication will treat my high cholesterol and lower my risk of heart attack.
• This medication will treat my enlarged prostate and I won't have to get up at night to

urinate.

• This medication will help keep my mood stable and allow me to sleep better at night.

- CORRECT ANSWER: B

• / 4

A patient presents a prescription for Prevacid, but the pharmacy is out of this medication. Which of the following is MOST appropriate for the pharmacist to recommend to the physician as an alternative?

• Pantoprazole
• Aripirprazole
• Sulfisoxazole

D. Mebendazole - CORRECT ANSWER: A

A patient presents a prescription with legible license number, but the doctors name and signature are illegible. Which of the following is MOST appropriate advice for the pharmacist to give the staff?

• Ask if the patient remembers the doctors name
• Tell the patient the prescription cannot be filled
• Call the prescribers telephone number printed on the prescription
• Have the patient return the prescription to the doctor and ask for a legible name -

CORRECT ANSWER: C

A patient presents the following prescription:

Levofloxacin 750 mg PO q24h x 7 days

The patient is currently taking the following medications:

Pepcid AC prn Amlodipine 5 mg daily Ovrette daily Coumadin 3 mg daily

Which of the following recommendations is MOST appropriate for the pharmacist to make?

• Monitor for bruising and bleeding while taking levo
• Continue to take OVrette and use back up contraception while taking levo
• Monitor for muscle aches while taking levo

D. D/c pepcid AC use until completion of levo - CORRECT ANSWER: A

A patient with diabetes and HTN is being managed by a pharmacist. Which of the following medications is MOST likely to cause a dry cough in this patient?

• Doxazosin
• Lisinpril
• Hydralazine

D. Spironolactone - CORRECT ANSWER: B

A patientcalls the pharmacy for a refill of antihypertensive medication previously filled at a pharmacy that is no longer in business. The patient provides the pharmacy with the

• / 4