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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A patient in an ICU has been receiving heparin 5,000 units subcutaneously three times daily for the last 7 days. Today the patient's platelet count has dropped by more than 50%, and the patient has developed a pulmonary embolism. The patient's heparin platelet factor 4 antibody test is positive.
What is the most appropriate treatment for this patient's pulmonary embolism?

A) Argatroban 2 mcg/kg/min intravenously
B) Warfarin 5 mg orally once daily
C) Unfractionated heparin 18 units/kg/h intravenously
D) Dabigatran 150 mg orally twice daily

2. A mother mistakenly gives her 2-year-old child 1 tablespoon of albuterol sulfate (2 mg/5mL) instead of 1 teaspoon. The child experiences no harm from the extra amount. Which statement is correct?

A) This is only an error if the child had experienced harm.
B) This is not an error since the mother is not a healthcare professional.
C) This is considered a medication error.
D) This is only an error if the labeling or directions were wrong.

3. A hospital requests a policy and procedure document for the monitoring and reporting of significant adverse drug reactions. Which agency requires a policy for the reporting of adverse drug reactions by hospitals?

A) Institute for Safe medication Practices
B) National Committee for Quality Assurance
C) Food and Drug Administration
D) Joint Commission

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

5. Which of the following quality performance measures would be most appropriate to evaluate in relation to anticoagulation management in the outpatient setting?

A) Percentage of time in therapeutic range
B) Bleeding and thromboembolic complication rates
C) Medication adherence rates
D) Percentage of extremely high INRS

Solutions: