Nevada MPJE Latest Update - Actual Exam

Nevada MPJE Latest Update - Actual Exam 350 Questions and 100% Verified Correct Answers Guaranteed A+

A freezer should alarm when it gets above what temperature? - CORRECT ANSWER: above 32 F

A patient is getting a refill of their medication from your pharmacy. What conditions should you provide counseling again? - CORRECT ANSWER: in your clinical judgement, you feel that more information would further or improve the drug therapy of the patient, OR, reviewing their record brings up reasonable concern relating to the safety or efficacy of the drug therapy.

A patient is new to your pharmacy. They're picking up ibuprofen 800 mg. they've had it before at another

pharmacy. Does this patient require counseling? - CORRECT ANSWER: YES

A pharmacist who orally transfers a prescription to another pharmacy, what must be done to the original prescription? - CORRECT ANSWER: write "void" on the face of the RX. On the back, record the name of the transferring pharmacist, the date of transfer, the name and address of the pharmacy who is receiving, and the pharmacist who is receiving.

A refrigerator in a pharmacy that stores medications must be equipped with... - CORRECT ANSWER: a thermometer and an alarm that records when the temperature falls outside of the range required.

A written prescription must contain what information? - CORRECT ANSWER: (1) name and signature (unless given orally) of the prescriber, and address unless readily available. (2) classification of prescriber license. (3) name of the patient and address (unless readily available). (4) name, strength, and quantity of drug prescribed. (5) symptom or purpose, if included by the prescriber. (6) directions for use. (7) date of issue.

All pharmacies must maintain reference materials that include which of the following: (1) preparation and compounding. (2) biological and therapeutical equivalencies. (3) pharmacology and pharmacokinetics. (4) indications and usage. (5) contraindications, ADRs, warnings. (6) dosage and administration. (7) overdosages of drugs. (8) wholesale vs patient costs. (9) coverage plans for most commonly used insurances. (10) manufacturer discount cards for expensive drugs. - CORRECT ANSWER: must include 1-7. 1 / 4

APRNs are limited to prescribing no more than how many day-supply? - CORRECT ANSWER: max 365 day supply, so long as it's for a legitimate medical purpose. This limitation does not apply to birth control.

Are APRNs allows to prescribe C2s? - CORRECT ANSWER: NO - UNLESS, the APRN has had at least 2 years or 2000 hrs of clinical experience, or the controlled substance is prescribed following a protocol approved by a collaborating physician.

Are patients allowed to refuse generic substitutions provided by the pharmacist? - CORRECT ANSWER: It depends. Before the pharmacist substitutes, they should advise the patient they are intending to substitute. Let the patient know they are able to refuse the substitution unless the drug is being paid for (insurance) by a governmental agency (medicare/Medicaid).

Are pharmacists allowed to dispense a partial fill on C2 medications? - CORRECT ANSWER: YES. If the pharmacist is unable to supply the full quantity, you can fill a partial quantity - note the quantity dispensed on the RX. The remaining quantity must be filled within 72 hours. If the remainder cannot be filled within 72 hours, the pharmacist must notify the prescriber. No further quantity may be supplied beyond the 72-hour period without a new prescription.

Are prescribers required to obtain a patient utilization report? - CORRECT ANSWER: No. They're only required to look at the patient's utilization report for the past 12 months IF the prescriber has reason to believe the patient may be drug seeking for an illegitimate reason, and if the patient is unknown to the prescriber or the patient hasn't received any CS rxs from the prescriber in the past 12 months.

Are supplements evaluated by the FDA? - CORRECT ANSWER: NO. in fact, their labeling must include "this statement has not been evaluated by the FDA. The product is not intended to diagnose, treat, cure, or prevent any disease."

At what temperature must the refrigerator be maintained? - CORRECT ANSWER: between 36-46 degrees F

Before a pharmacist/intern can administered immunizations, what kind of training is required? - CORRECT ANSWER: Training and certification by completing a course approved by the ACPE (accreditation council for pharmacy education) - minimum of 20 hours of instruction and practical training. If giving live influenza vaccine intranasally only, then may complete < 20 hours. 2 / 4

Can a patient ask for a copy of their prescription? What is the process? - CORRECT ANSWER: yes. Make a copy of the prescription. Note on the copy "copy, not refillable - for reference purposes only." And write on the copy name/initials of the pharmacist who prepared the copy. Then, the original prescription must be voided. Note the date and the name of the person to whom the copy was furnished.

Can a pharmacist fill or refill a prescription that was written by a physician who has since passed away, retired, or moved out of the community or has had their license suspended or revoked? - CORRECT ANSWER: NO! these situations all indicate a loss of relationship between patient/provider - provider is no longer available to oversee the use of the prescribed drug.

Can a pharmacist implement modifications or monitoring to drug therapy in a patient? - CORRECT ANSWER: yes - but must have prescriber approval. Can make changes is pharmacist has a collaborative agreement with a physician - this protocol outlines what a pharmacist can change and in which situations this is possible - must be approved by the board.

Can a pharmacist receive a temporary license in Nevada? - CORRECT ANSWER: yes - for up to 6 months if they qualify.

Can a pharmacist return a written C2 prescription? - CORRECT ANSWER: yes, only if the medication has not already been dispensed. If the medication has been dispensed, the pharmacist shall not return the rx to the patient.

Can a pharmacist whose license has been suspended petition the board? - CORRECT ANSWER: yes. They submit an application/petition. The board will conduct a hearing. They will review the facts of their investigation. A majority vote from the board members is necessary to reinstate a certificate. The board may require that the petitioner pass an examination (oral or written) to determine the petitioner's present fitness to resume practice.

Can a pharmacy receive a temporary license in Nevada? - CORRECT ANSWER: YES, if they move to a new location, they may be issued a temporary license. The board will issue a permanent license once a satisfactory inspection of the premises occurs at the next scheduled board meeting.

Can a pharmacy that compounds both sterile and non-sterile share the same equipment for compounding? - CORRECT ANSWER: YES, but only if the non-sterile compounding equipment has been cleaned and sanitized 3 / 4

Can a prescription blank contain more than one CII medication? - CORRECT ANSWER: YES. If it's being filled immediately, the prescription can contain multiple CIIs, other controlled medications, or non- controlled medications. They just have to be filed appropriately. (make copies, reference the original rx/C2 on the copies)

Can a prescription for a narcotic be given to a patient who is dependent with the sole purpose of extending their dependence on the medication? - CORRECT ANSWER: ONLY if they are in an authorized investigation in the development of a program for rehabilitating narcotic addicts.

Can anyone be a nuclear pharmacist? - CORRECT ANSWER: NO. must be certified as a nuclear pharmacist and hold a current license issued by the board.

Can C-3 to 5 be partially filled by the pharmacist? What counts as a full refill? - CORRECT ANSWER: YES, schedule 3 to 5 can be partially filled. A patient will not receive a full refill until the entire quantity of the first prescription has been dispensed. Example: patient has RX for Xanax 2 mg, # 60. Patient can pick up #20. It will not count as a "full" fill until the patient picks up a total of 60.

Can C3-5 rxs be transferred to another pharmacy? - CORRECT ANSWER: If it's a different pharmacy, it can be transferred ONCE. If it's a chain pharmacy that shares an online database, the rx can be transferred back and forth up to the maximum refills permitted by law and the prescribers authorization.

Can CII prescriptions be transmitted via fax? - CORRECT ANSWER: Only if the prescription is for compounding and direct administration to a patient (parenteral), if a patient is in a LTCF, or if they're in hospice care or "terminally ill"

Can controlled substances be mailed via USPS? What are the requirements? - CORRECT ANSWER: YES.The inner container should be marked and sealed and placed in a plain outer container or securely wrapped in plain paper. The inner container should contain the name and address of the pharmacy, practitioner, or other person dispensing the medication. The outside wrapper should be free of markings that would indicate the nature of the contents.

Can controlled substances be shipped to individuals in another country? - NO! not without proper authorization. The registrant must be registered with the DEA as an "exporter" and has an export permit.

- CORRECT ANSWER:

• / 4