NEBRASKA MPJE 2026 TEST PAPER QUESTIONS AND
ANSWERS RATED A+
✔✔Required components of automated medication system policies - ✔✔-The
*description & location* within location of robots
-*Pharmacist name* (Responsibility) for policies/implementation/procedures Compliance
-Medication *access and information access procedures*
-Proper *security of inventory*
-Description of workflow process
-*Who uses and how*: including processes for verifying, dispensing, and distributing
medications;
-Staff *Training*
-Quality assurance/improvement
-Inoperability or *emergency downtime procedures*
-Periodic system maintenance; and
-Medication security and controls.
✔✔Requirements for pharmacist providing pharmacist remote order entry - ✔✔-Located
in the US
-Adequate security/privacy
-Computer, video, audio, or facsimile connection
-Access to pt medical info necessary via computer, video, or fax to perform DUR
-Employed or contracted with the facility
✔✔Licensure requirements for automated medication system in LTC - ✔✔-PIC of a
pharmacy licensed in NE must *anually license the LTC automated pharmacy*
-Register it with DEA if CS stocked
-Initial/periodic inspection
✔✔PIC responsibilities for LTC automated pharmacy - ✔✔-ID pharmacist responsible
for it
-Implement policies/procedures
-Assure compliance with storage/records/labeling
-Develop policies for verificaiton of drugs by pharmacist prior to being loaded into
machine or administered to resident
-Develop policies for CS
-Assure that order reviewed by pharmacist prior to release of drugs from machine
(unless emergency-develop policy)
✔✔Record keeping requirements for LTC automated pharmacy - ✔✔-Monitor
automated system electronically
-*Compliance records kept for 5 years*
✔✔Labeling requirements for drugs dispensed from LTC automated pharmacy - ✔✔-
Name/address of LTC automated pharmacy
,-Script#
-Name/strength/dosage form
-Name of resident
-Name of prescriber
-Date of fill
-Directions
✔✔Does the inventory transferred to an LTC automated pharmacy get included in the
percent of total prescription drug sales revenue? - ✔✔No
✔✔Current REMS programs - ✔✔Buprenorphine transmucosal products for opioid
dependence
ER/LA opioids
Isotretinoin
Mycophenolate
Rosiglitazone
Transmucosal IR fentanyl
✔✔Can a pharmacy be open for the practice of pharmacy without the pharmacist there?
- ✔✔No
✔✔What must the board be notified of in regards to practice agreements? - ✔✔Initiation
Changes
(provided to BOP and board of the other HCP)
✔✔Requirements for practice agreement signing - ✔✔-All parties must sign at initiation
-review/sign/date *every 2 years*
✔✔When does a practice agreement end? - ✔✔-*Death* of pharmacist or practitioner
-*Loss of license* to practice by either
-*Disciplinary action* limiting either party to enter into practice agreement
-*Individual/mutual decision* by either to terminate
✔✔Can interns participate in agreements? - ✔✔Yes
They do not have to be mentioned in the agreement if they are supervised by a
pharmacist in the agreement
✔✔Can pharmacists/interns administer drugs/devices? - ✔✔Yes, pursuant to a
prescription, chart order, or practice agreement
✔✔Q1: A chart order in a hospital must contain all of the following:
(Select ALL that apply.)
A) Patient's name
,B) Date of the order
C) Prescriber's signature
D) Directions for administration
E) Prescriber's name - ✔✔A
B
D
E
✔✔Q2: In Nebraska, a pharmacist should not dispense any noncontrolled
drug or device if the prescription is presented:
A) More than 180 days after the date of issuance
B) More than 90 days after the date of issuance
C) More than 365 days after the date of issuance
D) More than 30 days after the date of issuance
E) More than 60 days after the date of issuance - ✔✔C
✔✔Q3: According to Nebraska Pharmacy Law, a pharmacist may enter into a practice
agreement with a licensed medical practitioner to provide pharmaceutical care
according to written protocols. These practice agreements and written protocols must
be signed and reviewed by the pharmacist and the medical practitioner every:
A) 30 days
B) 6 months
C) 12 months
D) 2 years
E) 3 years - ✔✔D
✔✔Requirements for labeling of poisons - ✔✔MUST have label on it
-name
-*"poison"*
-name/place of seller
-manufacturer/packager/distributor
-date of sale
✔✔What is the Poison Register? - ✔✔Before delivery, must document
-date of sale
-name/address of purchaser
-name/quantity of poison
-*purpose for purchasing*
-name of dispenser
-*signed by person to whom it was delivered*
✔✔Requirements for selling poison - ✔✔Keep Poison Register (see card) for at least *2
years after the last entry*
, ✔✔Which drugs have restricted distribution programs? - ✔✔thalidomide (STEPS)
iPLEDGE
Lotronex (PPL)
Tracleer (TAP)
Clozaril
Tikosyn (TIPS)
Exjade
IRESSA
REACH
✔✔Does a pharmacist/intern have the right to refuse to dispense? - ✔✔Yes
✔✔Forms that practitioners/agents can transmit medical orders to pharmacists/interns -
✔✔-Written
-Oral
-Fax of written order or electronic transmission of order signed
-verbally verified unsigned fax
✔✔Requirements for fax or electronic transmission - ✔✔-Direct to licensed pharmacy
-Callback #
-Time/date of transmission
-Pharmacy intended to receive it
-Other info as required by law
Electronic
-Non-CS: electronic signature
-CS: digital signature
✔✔Quantity for LTC scripts - ✔✔*60 days*
-*unless otherwise limited* by the prescribing practitioner
✔✔Q1: Permission to dispense a prescription in a non-child-resistant container
may be requested by the:
I. Patient
II. Prescriber
III. Pharmacist
IV. Patient's family member
A) I only
B) I and II
C) I and III
D) I and IV
E) I, II and IV - ✔✔B
ANSWERS RATED A+
✔✔Required components of automated medication system policies - ✔✔-The
*description & location* within location of robots
-*Pharmacist name* (Responsibility) for policies/implementation/procedures Compliance
-Medication *access and information access procedures*
-Proper *security of inventory*
-Description of workflow process
-*Who uses and how*: including processes for verifying, dispensing, and distributing
medications;
-Staff *Training*
-Quality assurance/improvement
-Inoperability or *emergency downtime procedures*
-Periodic system maintenance; and
-Medication security and controls.
✔✔Requirements for pharmacist providing pharmacist remote order entry - ✔✔-Located
in the US
-Adequate security/privacy
-Computer, video, audio, or facsimile connection
-Access to pt medical info necessary via computer, video, or fax to perform DUR
-Employed or contracted with the facility
✔✔Licensure requirements for automated medication system in LTC - ✔✔-PIC of a
pharmacy licensed in NE must *anually license the LTC automated pharmacy*
-Register it with DEA if CS stocked
-Initial/periodic inspection
✔✔PIC responsibilities for LTC automated pharmacy - ✔✔-ID pharmacist responsible
for it
-Implement policies/procedures
-Assure compliance with storage/records/labeling
-Develop policies for verificaiton of drugs by pharmacist prior to being loaded into
machine or administered to resident
-Develop policies for CS
-Assure that order reviewed by pharmacist prior to release of drugs from machine
(unless emergency-develop policy)
✔✔Record keeping requirements for LTC automated pharmacy - ✔✔-Monitor
automated system electronically
-*Compliance records kept for 5 years*
✔✔Labeling requirements for drugs dispensed from LTC automated pharmacy - ✔✔-
Name/address of LTC automated pharmacy
,-Script#
-Name/strength/dosage form
-Name of resident
-Name of prescriber
-Date of fill
-Directions
✔✔Does the inventory transferred to an LTC automated pharmacy get included in the
percent of total prescription drug sales revenue? - ✔✔No
✔✔Current REMS programs - ✔✔Buprenorphine transmucosal products for opioid
dependence
ER/LA opioids
Isotretinoin
Mycophenolate
Rosiglitazone
Transmucosal IR fentanyl
✔✔Can a pharmacy be open for the practice of pharmacy without the pharmacist there?
- ✔✔No
✔✔What must the board be notified of in regards to practice agreements? - ✔✔Initiation
Changes
(provided to BOP and board of the other HCP)
✔✔Requirements for practice agreement signing - ✔✔-All parties must sign at initiation
-review/sign/date *every 2 years*
✔✔When does a practice agreement end? - ✔✔-*Death* of pharmacist or practitioner
-*Loss of license* to practice by either
-*Disciplinary action* limiting either party to enter into practice agreement
-*Individual/mutual decision* by either to terminate
✔✔Can interns participate in agreements? - ✔✔Yes
They do not have to be mentioned in the agreement if they are supervised by a
pharmacist in the agreement
✔✔Can pharmacists/interns administer drugs/devices? - ✔✔Yes, pursuant to a
prescription, chart order, or practice agreement
✔✔Q1: A chart order in a hospital must contain all of the following:
(Select ALL that apply.)
A) Patient's name
,B) Date of the order
C) Prescriber's signature
D) Directions for administration
E) Prescriber's name - ✔✔A
B
D
E
✔✔Q2: In Nebraska, a pharmacist should not dispense any noncontrolled
drug or device if the prescription is presented:
A) More than 180 days after the date of issuance
B) More than 90 days after the date of issuance
C) More than 365 days after the date of issuance
D) More than 30 days after the date of issuance
E) More than 60 days after the date of issuance - ✔✔C
✔✔Q3: According to Nebraska Pharmacy Law, a pharmacist may enter into a practice
agreement with a licensed medical practitioner to provide pharmaceutical care
according to written protocols. These practice agreements and written protocols must
be signed and reviewed by the pharmacist and the medical practitioner every:
A) 30 days
B) 6 months
C) 12 months
D) 2 years
E) 3 years - ✔✔D
✔✔Requirements for labeling of poisons - ✔✔MUST have label on it
-name
-*"poison"*
-name/place of seller
-manufacturer/packager/distributor
-date of sale
✔✔What is the Poison Register? - ✔✔Before delivery, must document
-date of sale
-name/address of purchaser
-name/quantity of poison
-*purpose for purchasing*
-name of dispenser
-*signed by person to whom it was delivered*
✔✔Requirements for selling poison - ✔✔Keep Poison Register (see card) for at least *2
years after the last entry*
, ✔✔Which drugs have restricted distribution programs? - ✔✔thalidomide (STEPS)
iPLEDGE
Lotronex (PPL)
Tracleer (TAP)
Clozaril
Tikosyn (TIPS)
Exjade
IRESSA
REACH
✔✔Does a pharmacist/intern have the right to refuse to dispense? - ✔✔Yes
✔✔Forms that practitioners/agents can transmit medical orders to pharmacists/interns -
✔✔-Written
-Oral
-Fax of written order or electronic transmission of order signed
-verbally verified unsigned fax
✔✔Requirements for fax or electronic transmission - ✔✔-Direct to licensed pharmacy
-Callback #
-Time/date of transmission
-Pharmacy intended to receive it
-Other info as required by law
Electronic
-Non-CS: electronic signature
-CS: digital signature
✔✔Quantity for LTC scripts - ✔✔*60 days*
-*unless otherwise limited* by the prescribing practitioner
✔✔Q1: Permission to dispense a prescription in a non-child-resistant container
may be requested by the:
I. Patient
II. Prescriber
III. Pharmacist
IV. Patient's family member
A) I only
B) I and II
C) I and III
D) I and IV
E) I, II and IV - ✔✔B
