NEBRASKA MPJE ACTUAL UPDATED QUESTIONS AND
ANSWERS RATED A+
✔✔Duties of a consultant pharmacist - ✔✔-Be in clinic once q30 days
-Monthly inspections
-*Policies/Procedures* around pharm products
-Approve info/instructions dispensed to patients
-Annual *assessment/record of clinical proficiency* for workers dispensing
contraceptives
-Approve *training* of the clinic workers
-*Report inventory discrepancies* to the Board and the clinic administrator
-Periodically review *fridge storage conditions*
✔✔Define availability of a constultant pharmacist - ✔✔-*Pharmacist available in person
or by phone while dispensing taking place*
-Notify clinic if won't be available during the required time-must be documented
✔✔Can dispensing occur in a public health clinic if there is no consultant pharmacist or
on-call pharmacist? - ✔✔No
✔✔Copy of initial inventories taken pursuant to a PIC change must be forwarded to the
Dept. within ______ of completion - ✔✔30 days
✔✔When a pharmacy goes out of business, the unused DEA 222
forms must be: - ✔✔Returned to DHHS
-Includes forms A and D
✔✔A delegated dispensing agreement shall include what things: - ✔✔-Address of
dispensing site
-Name & License # of each RPH
-Name/Signature of each dispenser
-Inspection procedures
-Documentation of inspections
✔✔Q4: Which of the following activities is (are) the responsibility of a pharmacist-in-
charge? (Select ALL that apply.)
A) Must be present for the initial on-site inspection
B) Notify patients of pharmacy closing
C) Annually submit a report to DEA of all CII sales
D) Annually submit a completed Pharmacy Quality Assurance
Report - ✔✔A
B
D
,✔✔What can pharmacy technicians NOT do? - ✔✔-Take oral Rx's except for refills
-Counseling
-Evaluation/clarification of orders
-Supervision of other techs
-Interpretation/Evaluation of patient records
-Release confidential info
-Perform consultations
-Drug product selection
✔✔Can techs receive verbal orders? - ✔✔Only for refills
✔✔Define supervision of pharmacy technician - ✔✔-*Personal guidance/direction by a
pharmacist* subject to verification by such
pharmacist.
-*May occur via real-time AUDIOVISUAL connection*
✔✔Can verification and supervision of techs occur through real-time audiovisual
communication? - ✔✔Yes, if:
(a) *Pharmacy technician performs authorized activities or functions* to assist a
pharmacist and the
prescribed drugs or devices will be administered to persons who are patients or
residents of a facility by a credentialed individual authorized to administer medications
or
(b) a pharmacy technician is engaged in *Remote dispensing*
✔✔Are techs required to be registered? - ✔✔Yes, via Pharmacy Technician Registry
✔✔Tech registration requirements (timing) - ✔✔Certified within *1 year* of being
registered by *State* or *National Certifying Body* (as of 1/1/16)
✔✔Tech registration requirements - ✔✔-High school graduate or equivalent
-No *Non-Alcohol* drug related misdemeanors/felonies
-File application with *Division of Public Health* of DHHS
-Pay fee
✔✔Tech identification requirements - ✔✔Must be identified as a pharmacy tech while
performing tech duties
✔✔Define pharmacist intern (requirements for interns) - ✔✔-Student/Graduate of
accredited pharmacy program completing internship .
-Graduate of an unaccredited pharmacy program located outside the United States
who has successfully passed equivalency
examinations approved by the board
,✔✔How long is an intern license valid for? - ✔✔15 months after graduation or at time of
professional licensure
If based on graduation from non-accredited program, expires 15 months from date of
issuance or at time of professional licensure
✔✔Components of intern application - ✔✔-Name
-Place/DOB
-SSN
-Mailing Address
-Permanent Address
-Phone/email/fax (optional)
-Name/location of Pharm School
-Official documentation of *month/year of enrollment and graduation*
-Statement that *must not practice w/o immediate supervision* of licensed pharmacist
-Statement that all info is correct
-Fee
-Birth certificate/marriage license/driver's license/other age verification
✔✔Intern identification requirements - ✔✔-Registration card at all times .
-Intern name tag, etc...
✔✔Intern supervision requirements - ✔✔*At all times by Nebraska pharmacist*
-Does not apply to IPPE/APPE students (experiential training)
*Interns can't supervise other interns/techs*
✔✔Supervision ratio - ✔✔Up to 3 techs/interns (in combination)
✔✔Q1: Who may counsel a patient, according to Nebraska Pharmacy
Law? (Select ALL that apply.)
A) Pharmacists
B) Certified pharmacy technicians
C) Pharmacist interns
D) Registered pharmacy technicians
E) Cashiers employed by a pharmacy - ✔✔A
C
✔✔Q2: A pharmacy technician may perform all of the following duties EXCEPT:
A) Entering prescription data into a data processing system
B) Taking a new oral medical order from a prescriber
C) Receiving refill authorization requests
D) Reconstituting medications
E) Compounding sterile preparations of medications - ✔✔B
, ✔✔Q3: A registered pharmacy technician shall: (Select ALL that apply.)
A) Be a high school graduate or be officially recognized by the State Department of
Education as possessing the equivalent degree of education
B) Have never been convicted of any nonalcohol, drug-related
misdemeanor or felony
C) Become certified within a period of six months
D) Submit to a mandatory preliminary urine drug screen - ✔✔A
B
✔✔Q4: Which of the following statements are TRUE according to Nebraska
Pharmacy Law? (Select ALL that apply.)
A) A pharmacist may supervise up to three pharmacy technicians at any time
B) A pharmacist may supervise up to three pharmacist interns at any time
C) A pharmacist may supervise any combination of pharmacy technicians and
pharmacist interns at any time up to a total of three people
D) Supervision ratios do not apply to pharmacist interns receiving experiential training
E) Ratios for pharmacist supervision of technicians and pharmacist interns are not
explicitly defined - ✔✔A
B
C
D
✔✔Q5: What combination of pharmacy employees is allowed by law?
A) One pharmacist, two technicians, and one student who is receiving experiential
training, directed by their accredited school
B) One pharmacist, one intern, and three technicians
C) One pharmacist, one intern, two technicians, and one APPE student
D) A and C only
E) All of the above - ✔✔D
✔✔Food and Drug Act 1906 - ✔✔-*Prohibited interstate commerce of adulterated
food/drinks/drugs*
Not cosmetic products or medical devices
✔✔Fair Packaging and Labeling Act of 1967 - ✔✔Requires consumer products in
interstate commerce to be *properly labeled (including OTC)*
✔✔Prescription Drug Marketing Act of 1987 - ✔✔-Products manufactured domestically
and exported can only be *re-imported by original manufacturer*
-States required to establish *controls on wholesale distribution* of legend drugs
ANSWERS RATED A+
✔✔Duties of a consultant pharmacist - ✔✔-Be in clinic once q30 days
-Monthly inspections
-*Policies/Procedures* around pharm products
-Approve info/instructions dispensed to patients
-Annual *assessment/record of clinical proficiency* for workers dispensing
contraceptives
-Approve *training* of the clinic workers
-*Report inventory discrepancies* to the Board and the clinic administrator
-Periodically review *fridge storage conditions*
✔✔Define availability of a constultant pharmacist - ✔✔-*Pharmacist available in person
or by phone while dispensing taking place*
-Notify clinic if won't be available during the required time-must be documented
✔✔Can dispensing occur in a public health clinic if there is no consultant pharmacist or
on-call pharmacist? - ✔✔No
✔✔Copy of initial inventories taken pursuant to a PIC change must be forwarded to the
Dept. within ______ of completion - ✔✔30 days
✔✔When a pharmacy goes out of business, the unused DEA 222
forms must be: - ✔✔Returned to DHHS
-Includes forms A and D
✔✔A delegated dispensing agreement shall include what things: - ✔✔-Address of
dispensing site
-Name & License # of each RPH
-Name/Signature of each dispenser
-Inspection procedures
-Documentation of inspections
✔✔Q4: Which of the following activities is (are) the responsibility of a pharmacist-in-
charge? (Select ALL that apply.)
A) Must be present for the initial on-site inspection
B) Notify patients of pharmacy closing
C) Annually submit a report to DEA of all CII sales
D) Annually submit a completed Pharmacy Quality Assurance
Report - ✔✔A
B
D
,✔✔What can pharmacy technicians NOT do? - ✔✔-Take oral Rx's except for refills
-Counseling
-Evaluation/clarification of orders
-Supervision of other techs
-Interpretation/Evaluation of patient records
-Release confidential info
-Perform consultations
-Drug product selection
✔✔Can techs receive verbal orders? - ✔✔Only for refills
✔✔Define supervision of pharmacy technician - ✔✔-*Personal guidance/direction by a
pharmacist* subject to verification by such
pharmacist.
-*May occur via real-time AUDIOVISUAL connection*
✔✔Can verification and supervision of techs occur through real-time audiovisual
communication? - ✔✔Yes, if:
(a) *Pharmacy technician performs authorized activities or functions* to assist a
pharmacist and the
prescribed drugs or devices will be administered to persons who are patients or
residents of a facility by a credentialed individual authorized to administer medications
or
(b) a pharmacy technician is engaged in *Remote dispensing*
✔✔Are techs required to be registered? - ✔✔Yes, via Pharmacy Technician Registry
✔✔Tech registration requirements (timing) - ✔✔Certified within *1 year* of being
registered by *State* or *National Certifying Body* (as of 1/1/16)
✔✔Tech registration requirements - ✔✔-High school graduate or equivalent
-No *Non-Alcohol* drug related misdemeanors/felonies
-File application with *Division of Public Health* of DHHS
-Pay fee
✔✔Tech identification requirements - ✔✔Must be identified as a pharmacy tech while
performing tech duties
✔✔Define pharmacist intern (requirements for interns) - ✔✔-Student/Graduate of
accredited pharmacy program completing internship .
-Graduate of an unaccredited pharmacy program located outside the United States
who has successfully passed equivalency
examinations approved by the board
,✔✔How long is an intern license valid for? - ✔✔15 months after graduation or at time of
professional licensure
If based on graduation from non-accredited program, expires 15 months from date of
issuance or at time of professional licensure
✔✔Components of intern application - ✔✔-Name
-Place/DOB
-SSN
-Mailing Address
-Permanent Address
-Phone/email/fax (optional)
-Name/location of Pharm School
-Official documentation of *month/year of enrollment and graduation*
-Statement that *must not practice w/o immediate supervision* of licensed pharmacist
-Statement that all info is correct
-Fee
-Birth certificate/marriage license/driver's license/other age verification
✔✔Intern identification requirements - ✔✔-Registration card at all times .
-Intern name tag, etc...
✔✔Intern supervision requirements - ✔✔*At all times by Nebraska pharmacist*
-Does not apply to IPPE/APPE students (experiential training)
*Interns can't supervise other interns/techs*
✔✔Supervision ratio - ✔✔Up to 3 techs/interns (in combination)
✔✔Q1: Who may counsel a patient, according to Nebraska Pharmacy
Law? (Select ALL that apply.)
A) Pharmacists
B) Certified pharmacy technicians
C) Pharmacist interns
D) Registered pharmacy technicians
E) Cashiers employed by a pharmacy - ✔✔A
C
✔✔Q2: A pharmacy technician may perform all of the following duties EXCEPT:
A) Entering prescription data into a data processing system
B) Taking a new oral medical order from a prescriber
C) Receiving refill authorization requests
D) Reconstituting medications
E) Compounding sterile preparations of medications - ✔✔B
, ✔✔Q3: A registered pharmacy technician shall: (Select ALL that apply.)
A) Be a high school graduate or be officially recognized by the State Department of
Education as possessing the equivalent degree of education
B) Have never been convicted of any nonalcohol, drug-related
misdemeanor or felony
C) Become certified within a period of six months
D) Submit to a mandatory preliminary urine drug screen - ✔✔A
B
✔✔Q4: Which of the following statements are TRUE according to Nebraska
Pharmacy Law? (Select ALL that apply.)
A) A pharmacist may supervise up to three pharmacy technicians at any time
B) A pharmacist may supervise up to three pharmacist interns at any time
C) A pharmacist may supervise any combination of pharmacy technicians and
pharmacist interns at any time up to a total of three people
D) Supervision ratios do not apply to pharmacist interns receiving experiential training
E) Ratios for pharmacist supervision of technicians and pharmacist interns are not
explicitly defined - ✔✔A
B
C
D
✔✔Q5: What combination of pharmacy employees is allowed by law?
A) One pharmacist, two technicians, and one student who is receiving experiential
training, directed by their accredited school
B) One pharmacist, one intern, and three technicians
C) One pharmacist, one intern, two technicians, and one APPE student
D) A and C only
E) All of the above - ✔✔D
✔✔Food and Drug Act 1906 - ✔✔-*Prohibited interstate commerce of adulterated
food/drinks/drugs*
Not cosmetic products or medical devices
✔✔Fair Packaging and Labeling Act of 1967 - ✔✔Requires consumer products in
interstate commerce to be *properly labeled (including OTC)*
✔✔Prescription Drug Marketing Act of 1987 - ✔✔-Products manufactured domestically
and exported can only be *re-imported by original manufacturer*
-States required to establish *controls on wholesale distribution* of legend drugs
