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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A patient with hepatic encephalopathy is being treated with lactulose 15 mL four times daily.
Over the next 72 hours, the patient becomes less agitated but remains disoriented. Which of the following should be the next step?

A) Begin branched-chain amino-acid supplementation.
B) Measure stool pH to ensure that it is greater than 7.
C) Add neomycin 1 g four times daily.
D) Determine the frequency of bowel movements.

2. A nurse administering an injectable narcotic is stuck with the needle. Which of the following is the most important information about the nurse's immune status to determine appropriate bloodborne pathogen/hepatitis B procedures?

A) Current hepatitis B surface antigen (HBsAg) status
B) Dates of last hepatitis B vaccination
C) Current hepatitis B surface antibody (anti-HBs) status
D) Date of last dose of hepatitis B immune globulin

3. A postmenopausal patient with osteoporosis is being switched from conjugated estrogen to raloxifene treatment. Which of the following should be communicated to this patient as the best outcome that has been documented with raloxifene?

A) Decreased incidence of hot flushes
B) Decreased incidence of Vertebral fractures
C) Lower likelihood of thromboembolic events
D) Decreased incidence of cardiovascular events

4. A 54-year-old male patient (BSA = 1.8 m2) is being treated for head and neck cancer with the following regimen:
* Cisplatin 100 mg/m2 intravenously on day 1
* 5-Fluorouracil 1000 mg/m2 intravenously by continuous infusion on days 1 through 5
* Ondansetron 16 mg intravenously
Which of the following is the appropriate administration instruction for ondansetron?

A) Thirty minutes prior to Cisplatin, thereafter as needed for nausea
B) One dose 30 minutes before Cisplatin and a repeat dose immediately before 5- fluorouracil on day 1; then repeat daily before 5-fluorouracil
C) Daily prior to 5-fluorouracil infusion on days 1 through 5
D) Thirty minutes before Cisplatin on day 1

5. Which is the most effective method to improve the safety of the use of phytonadione in an institution with a 24-hour pharmacy?

A) Computer order sets that default to using a standardized number of vials or amps of phytonadione per dose
B) Yearly in-service education and medical staff presentation about phytonadione use
C) Establishment of emergency preparedness kits containing phytonadione to be stored in the patient care areas where warfarin is used
D) Removal of phytonadione from all patient care areas of the facility coupled with strict usage guidelines

Solutions: