KAPS Cheat Sheet 2026

The 30 highest-yield KAPS facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

200 questions
240 min time limit
50.00% to pass
  1. Which mechanism best explains the hepatotoxicity seen with acetaminophen overdose? → Accumulation of NAPQI depleting glutathione and binding hepatic proteins
  2. An emergency dispensing without a valid prescription is LEGALLY permitted under which condition? → During a declared public health emergency under state board authority
  3. What is the purpose of transmission-based precautions? → To provide additional protection for patients with specific infections
  4. What is the primary purpose of maintaining sterile technique during procedures? → To prevent infection and cross-contamination
  5. Which pharmacokinetic parameter is most useful for calculating a loading dose? → Volume of distribution (Vd)
  6. When preparing a sterile IV admixture in a horizontal laminar airflow workbench (LAFW), the pharmacist should work at least how far inside the hood? → 6 inches
  7. Under USP , personnel who are pregnant or trying to conceive: → Must be informed of risks and may request alternative duty
  8. When assessing a patient's medication history, the BEST source for reconciling home medications in an unconscious patient is: → The patient's pharmacy dispensing records and pill bottles
  9. Which communication technique is most effective for verifying understanding? → Asking the person to explain the information back in their own words
  10. Which of the following best exemplifies the ethical obligation of 'professional competence' for a licensed pharmacist? → Engaging in ongoing continuing education and staying current with evidence-based practice
  11. When performing CPR on an adult, what is the recommended compression depth? → At least 2 inches (5 cm)
  12. A patient requests that their prescription information not be shared with other healthcare providers. How should the pharmacist respond ethically? → Respect the request while explaining situations where disclosure may be legally required
  13. A drug has a Vd of 500 L in a 70 kg patient. This indicates the drug is most likely: → Extensively distributed into tissues
  14. The optical rotation of a chiral drug is measured using which instrument? → Polarimeter
  15. Which regulatory body oversees drug approvals in the United States? → Food and Drug Administration (FDA)
  16. Under the Americans with Disabilities Act (ADA), a pharmacy is required to: → Make reasonable accommodations to ensure equal access to pharmacy services
  17. Which USP general chapter establishes the requirements for validation of compendial procedures? → USP
  18. Which of the following is an example of a subjective assessment finding? → Patient reports chest tightness and shortness of breath when climbing stairs
  19. Oseltamivir (Tamiflu) exerts its antiviral effect against influenza through which mechanism? → Inhibiting neuraminidase to prevent new viral particle release from host cells
  20. Which ISO classification corresponds to the cleanroom environment required for compounding sterile preparations under USP ? → ISO Class 5
  21. The NIOSH list of hazardous drugs categorizes drugs into three groups. Group 1 consists of: → Antineoplastic agents
  22. The pharmacy profession's Code of Ethics is BEST described as: → A set of aspirational standards that guide professional behavior and decision-making
  23. The primary purpose of using a closed-system drug transfer device (CSTD) is to: → Prevent environmental contamination and worker exposure to hazardous drugs
  24. A drug that blocks the effects of an agonist by binding to an allosteric site on the receptor (not the active site) is best described as: → Non-competitive antagonist
  25. Which spectroscopic technique measures the absorption of infrared radiation to identify functional groups in a drug molecule? → Infrared spectroscopy
  26. Which adverse effect is most associated with long-term corticosteroid use and is caused by suppression of the HPA axis? → Addisonian crisis upon abrupt withdrawal
  27. A patient experiences bronchospasm, urticaria, and hypotension within minutes of receiving IV penicillin. What is the first-line treatment? → Intramuscular epinephrine 1:1000 concentration
  28. During a power outage, which refrigerated medications require IMMEDIATE action to preserve? → Insulin and certain biologics
  29. Why is it important to check for drug allergies before administration? → To prevent potentially life-threatening allergic reactions
  30. According to DEA regulations, which form must be used to document the return of Schedule II substances to a reverse distributor? → DEA Form 222 (or CSOS equivalent)
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