CPJE Review Questions
A licensed nurse midwife if appearing pursuant to a health practitioner's protocol might not do
which one of the following
A. May furnish a prescription for a CIII with out being registered with the DEA due to the fact it's
miles pursuant to the doctor's protocol permitting this drug to be ordered for a given patient
B. May provide a prescription for a CII provided that they are registered with the DEA and it's
miles in accordance with the medical doctor's protocol and is provided in connection to a
prenatal, perinatal, circle of relatives plani - ANS-Answer A; A certified nurse midwife might also
most effective write for CS pursuant to a prescriber's protocol if he or she has a legitimate DEA
registration. All other answers can be carried out by means of the CNM pursuant to a written
prescriber directed protocol
A community pharmacy must maintain a Rx report on a patient for what period of time after the
final allotting of the drug?
A. 2 years
B. 3 years
C. 5 years
D. 7 years
E. Nine years - ANS-Answer B
A shipping man or woman leaves an Rx for Haldol with the patient's neighbor due to the fact the
affected person isn't home on the time of shipping. This movement is...
A. A violation of the regulation however within the excellent interest of the affected person
B. A violation of the regulation and now not in the great hobby of the patient
C. Not a violation of the law and within the quality interest of the affected person
D. Not a contravention of the regulation but not within the exceptional hobby of the patient -
ANS-Answer B; Since the deliveryof the drug did not appear to be an emergency, giving it to an
unathorized birthday celebration due to comfort would now not appear like inside the affected
person's exceptional interest and would be a breach of confidentiality.
A for-income pharmacy does now not have Augmentin in inventory for a affected person, so the
pharmacist buys it from the county health center pharmacy at $0.30 in keeping with tablet, that's
less than the fee of the wholesaler. The affected person is charged in keeping with the usual
wholesale fee. This movement is...
A. A violation of the law however in the first-rate hobby of the affected person
B. A violation of the law and no longer within the best interest of the patient
C. Not a violation of the law however inside the great hobby of the patient
D. Not a violatio - ANS-Answer A; the resale of medicine at low expenses is usually prohibited
besides whilst offered to a walk-in purchaser pursuant to a Rx, provided that the sales
,constitute<1% of the drugs purchased by the seller.And when there are no other sources readily
available in the community.
A medication profile must be kept at a pharmacy record for what period of time from the last
date a medication was filled?
A. One year
B. Two years
C. Three years
D. Five years
E. Seven years - ANS-Answer A
A ND may do all of the following except
A. Work with a licensed physician under a protocol
B. Independently furnish epinephrine to treat anaphylaxis in patient
C. Apply and qualify to receive a DEA registration number so the ND can furnish CS pursuant to
a physician authorized protocol
D. Independently furnish thyroid tablets to apatient
E. Independently furnish testosterone tablets to a patient - ANS-Answer E; NDs can only
prescribe CS pursuant to a protocol under a physician
A non-profit hospital of 100 or less beds that does not have outpatient pharmacy services and
purchases its Rx drugs for inpatient care is not allowed to do which one of the following
A. Dispense drugs for patients treated for emergency medical problems after visiting the
hospital's emergency room
B. Dispense drugs for outpatient use pursuant to a physician's prescription
C. To treat patients with the Rx drugs that are registered as inpatient of the hospital
D. Dispense drugs to outpatients wher - ANS-Answer B; Hospitals of 100 beds or less can
purchase drugs in order to be dispensed by physicians to: a) persons registered as inpatients of
the hospital; b) emergency cases under treatment in the hospital; c) outpatients of a rural
hospital that are relatively isolated from outpatient prescription services and reasonably unable
to get the drugs in a timely and convenient manner. A general definition of a rural hospital is that
other pharmacy services are not available within a 30 minute or 30 mile relationship to the rural
hospital.
A nonscheduled drug comes to the pharmacy over the internet? Regarding teh filling of this Rx,
which one of the following is most correct?
A. Any Rx that is sent over the Internet cannot be filled
B. Any internet generated prescription may only be filled if it sent from the prescriber with his or
her initials and it is not sent by a n employee or designee
C. Any internet generated Rx may be filled if it sent by an employee or designee of the
prescriber as long as it indicates who sent the Rx
D. - ANS-Answer D; No personal shall dispense or furnish dangerous drugs on the Internet to
any person without a Rx issued pursuant to a good fatih exam. A Rx sent over the internet shall
also indicate the name of the sender.
,A patient brings a refill Rx for Vasotec 10 mg #60 one tablet daily and has been receiving the Rx
for the last year,. The refill designation is PRN, but the physician died two weeks ago. Which
action is most correct?
A. If you do not know the patient's doctor died, you may containue refilling the Rx until youfind
out about his death
B. If you do not know the patient's doctor died, you are still obligated under law not to refill the
medication since it is your responsibility tofind out if the doc - ANS-Answer D; The CA codes to
not appear to address this issue, so the pharmacist should use his or her clinical judgement in
the best interest of the patient.
A patient brings a Rx on a special security Rx form for Percodan tablets #20 dated on January
12, 20xy. What is the last date you can fill this Rx?
A. By January 17, 20xy
B. By January 23, 20xy
C. By January 21, 20xy
D. By March 12, 20xy
E. By July 10, 20xy - ANS-Answer E; CS Rxs cannot be filled after 6 months have elasped from
the date written.
A patient come in with a new Rx for Coumadin 5 mg but all you have in stock is warfarin 5 mg.
What do you do in this situation?
A. You are obligated to fill with Coumadin because that is what the physician ordered; unless
you call the physician to get approval for generic substitution
B. Substitute with generic without communicating the substitution to either the patient or doctor
C. Explain to the patient that generic is cheaper and substitute with generic if the patient agrees
to it
D. Since w - ANS-Answer C; The substitution must have the approval of the patient and the
patient is to be aware of the cost savings of generic substitution.
A patient comes in for a refill of Tyelnol III #20. The Rx originally had 5 refills (20 tablets each)
that have all been filled. The Rx was written on March 20xy and she now comes in on May 20xy
to get the Rx refilled. How should additional refills be obtained?
A. A clerk call the prescriber's office to acquire the refill and if a continuance of the Rx is
approved for an additional 5 refills, that info may be noted on the original Rx and then filled
B. A pharmacy technician can call the prescrib - ANS-Answer D; If a Rx for CIII drugs is no
longer refillable, only the pharmacist or intern can contact the prescriber to further continue the
Rx. Because the Rx is to be treated like a new Rx, it must be rewritten, and because it is like a
new Rx only the pharmaicst or intern can get the approval from the prescriber's office to
continue it.
A patient from TX wants to get her digoxin refilled in CA. The doctor cannot be reached. Giving
a 72 hr ES for a patient who ran out of digoxin 0.25 would be???
A. A violation of the law, but in the best interest of the patient
, B. A violation of the law and not in the best interest of the patient
C. Not a violation of the law but in the best interest of the patient
D. Not a violation of the law and not in the best interest of the patient - ANS-Answer A. Since
there is no record of a previous prescription, dispensing the drug would be illegal.
A patient has been getting Tylenol with Codeine 1 gr tablets #50 for 2 years for a severe chronic
back injury. His doctor is out of town until Monday and because the patient is in a great deal of
pain, you decide to extend him to a 3 DS. This is a...
A. Violation of the law but in the best interest of the patient
B. A violation of the law and not in the best interest of the patient
C. NOt a violation of the law and in the best interest of the patient
D. Not a violation of the law but not in the - ANS-Answer C; A Rx for a CS (except for CII) can
be refilled without the prescriber's authorization if the prescriber is unavilable according to the
General Emergency Refill Statute. On the reverse side of the Rx, the pharmacist must record
the date and qty of the mergency refill, documentation that the prescriber was unavailable, and
the basis for the pharmacist's judgment in providing an emergency supply.
A patient presents a Rx to be refilled from a prescriber who has passed away two weeks ago.
The medication is for a 30 DS of a non-scheduled Rx drug that was ordered 3 months ago with
4 refills remaining. Which action is allowed?
A. Refill the Rx for the entire 30 DS
B. Only provide a 24 hr supply of the drug
C. Do not fill Rx - ANS-Answer A
A patient provides a Rx for gabapentin that is written on a non-security form with directions to
take one-half tablets as directed for pain. Which of the following is the most appropriate and
correct as required by law?
A. Even though you have the drug in stock, you tell the patient that you cannot fill it since the Rx
is not written on a special security form
B. Tell the patient that you cannot fill the Rx because the directions are unclear
C. Tell the patient you cannot fill the Rx since the F - ANS-Answer D
A patient recently got his tooth extracted and his complaining of pain and sleep difficulty. He
asks for one Tylenol with Codeine 1 gr tablet and one Dalmane 30 mg capsule and to call his
dentist in the morning for an extended prescription for these medications. The patient has never
had a prescription for these medications. Providing the patient with one tablet and one capsule
of each would be...
A. A violation of the law, but in the best interest of the patient
B. A violation of the law and no - ANS-Answer B
A patient with dementia calls the pharmacy daily asking the same questions over and over
again. In regards to her daily calls, what is your obligation under the law in dealing with her
repetitious questions about her medications?
A. Ignore her
A licensed nurse midwife if appearing pursuant to a health practitioner's protocol might not do
which one of the following
A. May furnish a prescription for a CIII with out being registered with the DEA due to the fact it's
miles pursuant to the doctor's protocol permitting this drug to be ordered for a given patient
B. May provide a prescription for a CII provided that they are registered with the DEA and it's
miles in accordance with the medical doctor's protocol and is provided in connection to a
prenatal, perinatal, circle of relatives plani - ANS-Answer A; A certified nurse midwife might also
most effective write for CS pursuant to a prescriber's protocol if he or she has a legitimate DEA
registration. All other answers can be carried out by means of the CNM pursuant to a written
prescriber directed protocol
A community pharmacy must maintain a Rx report on a patient for what period of time after the
final allotting of the drug?
A. 2 years
B. 3 years
C. 5 years
D. 7 years
E. Nine years - ANS-Answer B
A shipping man or woman leaves an Rx for Haldol with the patient's neighbor due to the fact the
affected person isn't home on the time of shipping. This movement is...
A. A violation of the regulation however within the excellent interest of the affected person
B. A violation of the regulation and now not in the great hobby of the patient
C. Not a violation of the law and within the quality interest of the affected person
D. Not a contravention of the regulation but not within the exceptional hobby of the patient -
ANS-Answer B; Since the deliveryof the drug did not appear to be an emergency, giving it to an
unathorized birthday celebration due to comfort would now not appear like inside the affected
person's exceptional interest and would be a breach of confidentiality.
A for-income pharmacy does now not have Augmentin in inventory for a affected person, so the
pharmacist buys it from the county health center pharmacy at $0.30 in keeping with tablet, that's
less than the fee of the wholesaler. The affected person is charged in keeping with the usual
wholesale fee. This movement is...
A. A violation of the law however in the first-rate hobby of the affected person
B. A violation of the law and no longer within the best interest of the patient
C. Not a violation of the law however inside the great hobby of the patient
D. Not a violatio - ANS-Answer A; the resale of medicine at low expenses is usually prohibited
besides whilst offered to a walk-in purchaser pursuant to a Rx, provided that the sales
,constitute<1% of the drugs purchased by the seller.And when there are no other sources readily
available in the community.
A medication profile must be kept at a pharmacy record for what period of time from the last
date a medication was filled?
A. One year
B. Two years
C. Three years
D. Five years
E. Seven years - ANS-Answer A
A ND may do all of the following except
A. Work with a licensed physician under a protocol
B. Independently furnish epinephrine to treat anaphylaxis in patient
C. Apply and qualify to receive a DEA registration number so the ND can furnish CS pursuant to
a physician authorized protocol
D. Independently furnish thyroid tablets to apatient
E. Independently furnish testosterone tablets to a patient - ANS-Answer E; NDs can only
prescribe CS pursuant to a protocol under a physician
A non-profit hospital of 100 or less beds that does not have outpatient pharmacy services and
purchases its Rx drugs for inpatient care is not allowed to do which one of the following
A. Dispense drugs for patients treated for emergency medical problems after visiting the
hospital's emergency room
B. Dispense drugs for outpatient use pursuant to a physician's prescription
C. To treat patients with the Rx drugs that are registered as inpatient of the hospital
D. Dispense drugs to outpatients wher - ANS-Answer B; Hospitals of 100 beds or less can
purchase drugs in order to be dispensed by physicians to: a) persons registered as inpatients of
the hospital; b) emergency cases under treatment in the hospital; c) outpatients of a rural
hospital that are relatively isolated from outpatient prescription services and reasonably unable
to get the drugs in a timely and convenient manner. A general definition of a rural hospital is that
other pharmacy services are not available within a 30 minute or 30 mile relationship to the rural
hospital.
A nonscheduled drug comes to the pharmacy over the internet? Regarding teh filling of this Rx,
which one of the following is most correct?
A. Any Rx that is sent over the Internet cannot be filled
B. Any internet generated prescription may only be filled if it sent from the prescriber with his or
her initials and it is not sent by a n employee or designee
C. Any internet generated Rx may be filled if it sent by an employee or designee of the
prescriber as long as it indicates who sent the Rx
D. - ANS-Answer D; No personal shall dispense or furnish dangerous drugs on the Internet to
any person without a Rx issued pursuant to a good fatih exam. A Rx sent over the internet shall
also indicate the name of the sender.
,A patient brings a refill Rx for Vasotec 10 mg #60 one tablet daily and has been receiving the Rx
for the last year,. The refill designation is PRN, but the physician died two weeks ago. Which
action is most correct?
A. If you do not know the patient's doctor died, you may containue refilling the Rx until youfind
out about his death
B. If you do not know the patient's doctor died, you are still obligated under law not to refill the
medication since it is your responsibility tofind out if the doc - ANS-Answer D; The CA codes to
not appear to address this issue, so the pharmacist should use his or her clinical judgement in
the best interest of the patient.
A patient brings a Rx on a special security Rx form for Percodan tablets #20 dated on January
12, 20xy. What is the last date you can fill this Rx?
A. By January 17, 20xy
B. By January 23, 20xy
C. By January 21, 20xy
D. By March 12, 20xy
E. By July 10, 20xy - ANS-Answer E; CS Rxs cannot be filled after 6 months have elasped from
the date written.
A patient come in with a new Rx for Coumadin 5 mg but all you have in stock is warfarin 5 mg.
What do you do in this situation?
A. You are obligated to fill with Coumadin because that is what the physician ordered; unless
you call the physician to get approval for generic substitution
B. Substitute with generic without communicating the substitution to either the patient or doctor
C. Explain to the patient that generic is cheaper and substitute with generic if the patient agrees
to it
D. Since w - ANS-Answer C; The substitution must have the approval of the patient and the
patient is to be aware of the cost savings of generic substitution.
A patient comes in for a refill of Tyelnol III #20. The Rx originally had 5 refills (20 tablets each)
that have all been filled. The Rx was written on March 20xy and she now comes in on May 20xy
to get the Rx refilled. How should additional refills be obtained?
A. A clerk call the prescriber's office to acquire the refill and if a continuance of the Rx is
approved for an additional 5 refills, that info may be noted on the original Rx and then filled
B. A pharmacy technician can call the prescrib - ANS-Answer D; If a Rx for CIII drugs is no
longer refillable, only the pharmacist or intern can contact the prescriber to further continue the
Rx. Because the Rx is to be treated like a new Rx, it must be rewritten, and because it is like a
new Rx only the pharmaicst or intern can get the approval from the prescriber's office to
continue it.
A patient from TX wants to get her digoxin refilled in CA. The doctor cannot be reached. Giving
a 72 hr ES for a patient who ran out of digoxin 0.25 would be???
A. A violation of the law, but in the best interest of the patient
, B. A violation of the law and not in the best interest of the patient
C. Not a violation of the law but in the best interest of the patient
D. Not a violation of the law and not in the best interest of the patient - ANS-Answer A. Since
there is no record of a previous prescription, dispensing the drug would be illegal.
A patient has been getting Tylenol with Codeine 1 gr tablets #50 for 2 years for a severe chronic
back injury. His doctor is out of town until Monday and because the patient is in a great deal of
pain, you decide to extend him to a 3 DS. This is a...
A. Violation of the law but in the best interest of the patient
B. A violation of the law and not in the best interest of the patient
C. NOt a violation of the law and in the best interest of the patient
D. Not a violation of the law but not in the - ANS-Answer C; A Rx for a CS (except for CII) can
be refilled without the prescriber's authorization if the prescriber is unavilable according to the
General Emergency Refill Statute. On the reverse side of the Rx, the pharmacist must record
the date and qty of the mergency refill, documentation that the prescriber was unavailable, and
the basis for the pharmacist's judgment in providing an emergency supply.
A patient presents a Rx to be refilled from a prescriber who has passed away two weeks ago.
The medication is for a 30 DS of a non-scheduled Rx drug that was ordered 3 months ago with
4 refills remaining. Which action is allowed?
A. Refill the Rx for the entire 30 DS
B. Only provide a 24 hr supply of the drug
C. Do not fill Rx - ANS-Answer A
A patient provides a Rx for gabapentin that is written on a non-security form with directions to
take one-half tablets as directed for pain. Which of the following is the most appropriate and
correct as required by law?
A. Even though you have the drug in stock, you tell the patient that you cannot fill it since the Rx
is not written on a special security form
B. Tell the patient that you cannot fill the Rx because the directions are unclear
C. Tell the patient you cannot fill the Rx since the F - ANS-Answer D
A patient recently got his tooth extracted and his complaining of pain and sleep difficulty. He
asks for one Tylenol with Codeine 1 gr tablet and one Dalmane 30 mg capsule and to call his
dentist in the morning for an extended prescription for these medications. The patient has never
had a prescription for these medications. Providing the patient with one tablet and one capsule
of each would be...
A. A violation of the law, but in the best interest of the patient
B. A violation of the law and no - ANS-Answer B
A patient with dementia calls the pharmacy daily asking the same questions over and over
again. In regards to her daily calls, what is your obligation under the law in dealing with her
repetitious questions about her medications?
A. Ignore her
