Trial test · Pharmacist (Prometric)

Question 1 of 10

Prednisone 10 mg tablets are prescribed as 40 mg daily for 3 days, then 30 mg daily for 3 days, then 20 mg daily for 3 days, then 10 mg daily for 3 days. How many tablets are required for the complete taper?

24 tablets

36 tablets

40 tablets

30 tablets

Question 2 of 10

A nurse reports that a patient received 10 units of rapid-acting insulin instead of the prescribed 4 units. The patient currently has no symptoms. What should the pharmacist prioritize first?

Document error without monitoring

Initiate glucose monitoring immediately

Wait until symptoms develop

Give next dose unchanged

Question 3 of 10

A pharmacist inspects an emulsion that has separated into two distinct layers and does not return to a uniform appearance after gentle shaking. Which formulation problem is most likely?

Irreversible emulsion breaking has occurred

Reversible creaming has occurred

Normal suspension sedimentation has occurred

Reversible particle flocculation has occurred

Question 4 of 10

A pharmacist receives a prescription whose directions are clinically ambiguous because the dose frequency could reasonably be interpreted in two different ways. The patient is waiting and asks the pharmacist to choose the more convenient interpretation. What should the pharmacist do?

Let the patient choose the schedule

Print both possible directions on the label

Clarify the intended directions before dispensing

Select the more convenient interpretation

Question 5 of 10

Probenecid is added to a stable penicillin regimen while renal function remains unchanged. Which mechanism best explains the expected increase in penicillin plasma exposure?

Intestinal drug absorption increases

Glomerular filtration rate increases

Hepatic oxidative metabolism decreases

Renal tubular secretion decreases

Question 6 of 10

A hospitalized adult with community-acquired pneumonia has a new order for daptomycin as sole antibacterial therapy. Blood cultures are negative, and there is no concurrent bacteremia or endocarditis. What should the pharmacist do?

Increase daptomycin dosing for pulmonary penetration

Clarify the order because daptomycin is unsuitable for pneumonia

Add a daptomycin loading dose before maintenance

Dispense daptomycin as sole pneumonia therapy

Question 7 of 10

A 71-year-old with heart failure with preserved ejection fraction remains symptomatic despite appropriate blood-pressure and diuretic management. The patient has type 2 diabetes, eGFR 54 mL/min/1.73 m², and no contraindication to additional therapy. Which medicine class has demonstrated benefit in reducing heart-failure events?

DPP-4 inhibitor

Thiazolidinedione

Sulfonylurea

SGLT2 inhibitor

Question 8 of 10

A patient with type 2 diabetes, obesity, and symptomatic heart failure with preserved ejection fraction remains limited by exertional symptoms despite appropriate cardiovascular therapy. Which glucose-lowering class can provide additional heart-failure-related benefit in this setting?

A sulfonylurea with strong glucose-lowering activity

A GLP-1 receptor agonist with demonstrated benefit

A DPP-4 inhibitor with weight-neutral effects

Short-acting insulin before each main meal

Question 9 of 10

A close photograph shows an alendronate sodium 35 mg oral tablet with its identifying imprint.

A patient with osteoporosis and established achalasia presents a new prescription for the oral medicine shown. During prescription assessment, what should the pharmacist do?

Dispense with extra water and counseling

Dispense with bedtime administration instructions

Dispense after crushing tablet into water

Withhold and contact prescriber for alternative

Question 10 of 10

A patient wants an OTC nasal decongestant spray for congestion and reports using the same type continuously for two weeks because symptoms return quickly when it is stopped. What should the pharmacist suspect?

Rebound congestion from prolonged decongestant use

Normal congestion requiring indefinite spray use

Inadequate dosing requiring stronger decongestant treatment

Need for a second topical decongestant