MPJE RxPrep Practice Test.Final Exam 2026\2027.
What drug/s can a pharmacy stock in an emergency kit for a long-term care facility? (Select ALL
that apply.)
A. Schedule I drugs
B. Schedule Ill drugs
C. Schedule IV drugs
D. Schedule V drugs
E. Non-controlled drugs
A. Schedule I drugs
B. Schedule Ill drugs
C. Schedule IV drugs
D. Schedule V drugs
E. Non-controlled drugs
A patient was recently started on Syndros. He said that ever since he started the drug two weeks
ago, he has been having frequent nightmares about falling from a skyscraper. What FDA program
should the pharmacist use to report the possible side effect of Syndros?
A. ISMP
B. AWARXE
C. MedWatch
D. MedAware
E. VAERS
C. MedWatch
Single-use nitroglycerin is currently in shortage. The hospital pharmacy decides to use a 250 mL
bulk vial of nitroglycerin 200 mcg/mL to prepare multiple 5 mL vials of nitroglycerin 200
mcg/mL for use in the cath lab. Each 5 mL vial is labeled appropriately and packaged with a light-
protected zip lock bag. Which of the following is the MOST appropriate term to describe this
process?
A. Alteration
B. Drug manipulation
C. Batching
,MPJE RxPrep Practice Test.Final Exam 2026\2027.
D. Compounding
E. Repackaging
E. Repackaging
The medication safety officer at a 220-bed hospital is reviewing the hazard communication
program for handling hazardous drugs. Each of the following components is currently included in
the hospital's hazard communication program. Which component listed below complies with
current USP 800 standards?
A. Safety Data Sheets are maintained on a hard drive with encrypted access for each hazardous
chemical used
B. Pharmacists do not need training if they spend less than 50% of their time around hazardous
drugs
C. Only female staff members of reproductive capability must confirm in writing that they
understand the risk of handling hazardous drugs
D. Maintenance staff must receive training before disposing of trace and bulk chemotherapy
waste
E. All containers of hazardous drugs are label-free to prevent theft and diversion
D. Maintenance staff must receive training before disposing of trace and bulk chemotherapy waste
What can the pharmacist use to order Actiq?
A. CSOS
B. DEAForm 106
C. DEA Form 224
D. DEA Form 225
E. DEA Form 363
A. CSOS
Actiq (fentanyl, schedule II)
CSOS is the electronic equivalent to the DEA Form 222 and allows for the ordering of schedule I-V drugs.
A pharmacy intern prints a prescription label and realizes that he typed the directions
incorrectly. Which of the following is an appropriate method to dispose of the prescription label?
(Select ALL that apply.)
A. Throw away the label (as is) in an unlocked and publicly accessible trash can.
,MPJE RxPrep Practice Test.Final Exam 2026\2027.
B. Redact the patient's name, address and prescription number, and throw away the label in an
unlocked, publicly accessible trash can.
C. Put the label in a paper shredder, and throw away the contents in a public dumpster.
D. Throw away the label (as is) in an opaque trash bag, which will then be thrown away in a public
dumpster.
E. Throw away the label (as is) in a secure and locked trash can, which will be picked up by a
disposal vendor.
C. Put the label in a paper shredder, and throw away the contents in a public dumpster.
E. Throw away the label (as is) in a secure and locked trash can, which will subsequently be picked up by a
disposal vendor.
A pharmacist is dispensing Loestrin to a patient. Which of the following must be provided with this
medication?
A. Medication Guide
B. Patient package insert
C. Risk evaluation and mitigation strategies
D. Vaccine Information Statement
E. No supplemental information is needed
B. Patient package insert
FDA requires that the patient package insert (PPI) is dispensed with all oral contraceptives.
Which of the following drugs must be packaged in a child-resistant container unless a patient-
specific waiver exists?
A. Nitrostat
B. Medroxyprogesterone
C. Creon
D. Valsartan
E. Levalbuterol
D. Valsartan
Child-resistant packaging is required for most prescription medications to prevent ingestion by young
children. The other answer choices do not require child-resistant packaging.
, MPJE RxPrep Practice Test.Final Exam 2026\2027.
The pharmacist placed a drug order with the wholesaler for Focalin, TussiCaps and methadone.
According to the Drug Supply Chain Security Act, which of the following must the wholesaler send
to the pharmacy along with the drug order?
A. Medication Guides
B. Patient package inserts
C. Copy 1 of DEA Form 222
D. Transaction information
E. DEA Form 41
D. Transaction information
CSOS allows for electronic ordering of schedule I-V drugs. Those authorized to order schedule I and II
drugs (DEA registrant and power of attorney) must obtain a personal digital certificate to sign orders
electronically. The purchaser can then create an electronic order, sign it using the digital certificate and
transmit it to the supplier. The supplier is responsible for verifying the certificate, filling the order
and reporting the transaction to the DEA within 2 business days from when the order was filled.
A technician is garbing up before preparing a cisplatin I admixture in the hospital's cleanroom.
The technician must wear two layers of which of the following items before compounding? (Select
ALL that apply.)
A. Shoe covers
B. Gowns
C. Hair covers
D. Gloves
E. Face masks
A. Shoe covers
D. Gloves
A patient runs out of his Vyvanse while his doctor is out of town. The doctor calls in an emergency
prescription to the pharmacy to prevent interruption of the patient's treatment. The pharmacist
fills the verbal emergency prescription but does not receive the hard copy prescription within the
time period allowed by law. It is MOST appropriate for the pharmacist to report this to the:
A. Drug Enforcement Administration
B. Food and Drug Administration
C. Federal Emergency Management Agency
What drug/s can a pharmacy stock in an emergency kit for a long-term care facility? (Select ALL
that apply.)
A. Schedule I drugs
B. Schedule Ill drugs
C. Schedule IV drugs
D. Schedule V drugs
E. Non-controlled drugs
A. Schedule I drugs
B. Schedule Ill drugs
C. Schedule IV drugs
D. Schedule V drugs
E. Non-controlled drugs
A patient was recently started on Syndros. He said that ever since he started the drug two weeks
ago, he has been having frequent nightmares about falling from a skyscraper. What FDA program
should the pharmacist use to report the possible side effect of Syndros?
A. ISMP
B. AWARXE
C. MedWatch
D. MedAware
E. VAERS
C. MedWatch
Single-use nitroglycerin is currently in shortage. The hospital pharmacy decides to use a 250 mL
bulk vial of nitroglycerin 200 mcg/mL to prepare multiple 5 mL vials of nitroglycerin 200
mcg/mL for use in the cath lab. Each 5 mL vial is labeled appropriately and packaged with a light-
protected zip lock bag. Which of the following is the MOST appropriate term to describe this
process?
A. Alteration
B. Drug manipulation
C. Batching
,MPJE RxPrep Practice Test.Final Exam 2026\2027.
D. Compounding
E. Repackaging
E. Repackaging
The medication safety officer at a 220-bed hospital is reviewing the hazard communication
program for handling hazardous drugs. Each of the following components is currently included in
the hospital's hazard communication program. Which component listed below complies with
current USP 800 standards?
A. Safety Data Sheets are maintained on a hard drive with encrypted access for each hazardous
chemical used
B. Pharmacists do not need training if they spend less than 50% of their time around hazardous
drugs
C. Only female staff members of reproductive capability must confirm in writing that they
understand the risk of handling hazardous drugs
D. Maintenance staff must receive training before disposing of trace and bulk chemotherapy
waste
E. All containers of hazardous drugs are label-free to prevent theft and diversion
D. Maintenance staff must receive training before disposing of trace and bulk chemotherapy waste
What can the pharmacist use to order Actiq?
A. CSOS
B. DEAForm 106
C. DEA Form 224
D. DEA Form 225
E. DEA Form 363
A. CSOS
Actiq (fentanyl, schedule II)
CSOS is the electronic equivalent to the DEA Form 222 and allows for the ordering of schedule I-V drugs.
A pharmacy intern prints a prescription label and realizes that he typed the directions
incorrectly. Which of the following is an appropriate method to dispose of the prescription label?
(Select ALL that apply.)
A. Throw away the label (as is) in an unlocked and publicly accessible trash can.
,MPJE RxPrep Practice Test.Final Exam 2026\2027.
B. Redact the patient's name, address and prescription number, and throw away the label in an
unlocked, publicly accessible trash can.
C. Put the label in a paper shredder, and throw away the contents in a public dumpster.
D. Throw away the label (as is) in an opaque trash bag, which will then be thrown away in a public
dumpster.
E. Throw away the label (as is) in a secure and locked trash can, which will be picked up by a
disposal vendor.
C. Put the label in a paper shredder, and throw away the contents in a public dumpster.
E. Throw away the label (as is) in a secure and locked trash can, which will subsequently be picked up by a
disposal vendor.
A pharmacist is dispensing Loestrin to a patient. Which of the following must be provided with this
medication?
A. Medication Guide
B. Patient package insert
C. Risk evaluation and mitigation strategies
D. Vaccine Information Statement
E. No supplemental information is needed
B. Patient package insert
FDA requires that the patient package insert (PPI) is dispensed with all oral contraceptives.
Which of the following drugs must be packaged in a child-resistant container unless a patient-
specific waiver exists?
A. Nitrostat
B. Medroxyprogesterone
C. Creon
D. Valsartan
E. Levalbuterol
D. Valsartan
Child-resistant packaging is required for most prescription medications to prevent ingestion by young
children. The other answer choices do not require child-resistant packaging.
, MPJE RxPrep Practice Test.Final Exam 2026\2027.
The pharmacist placed a drug order with the wholesaler for Focalin, TussiCaps and methadone.
According to the Drug Supply Chain Security Act, which of the following must the wholesaler send
to the pharmacy along with the drug order?
A. Medication Guides
B. Patient package inserts
C. Copy 1 of DEA Form 222
D. Transaction information
E. DEA Form 41
D. Transaction information
CSOS allows for electronic ordering of schedule I-V drugs. Those authorized to order schedule I and II
drugs (DEA registrant and power of attorney) must obtain a personal digital certificate to sign orders
electronically. The purchaser can then create an electronic order, sign it using the digital certificate and
transmit it to the supplier. The supplier is responsible for verifying the certificate, filling the order
and reporting the transaction to the DEA within 2 business days from when the order was filled.
A technician is garbing up before preparing a cisplatin I admixture in the hospital's cleanroom.
The technician must wear two layers of which of the following items before compounding? (Select
ALL that apply.)
A. Shoe covers
B. Gowns
C. Hair covers
D. Gloves
E. Face masks
A. Shoe covers
D. Gloves
A patient runs out of his Vyvanse while his doctor is out of town. The doctor calls in an emergency
prescription to the pharmacy to prevent interruption of the patient's treatment. The pharmacist
fills the verbal emergency prescription but does not receive the hard copy prescription within the
time period allowed by law. It is MOST appropriate for the pharmacist to report this to the:
A. Drug Enforcement Administration
B. Food and Drug Administration
C. Federal Emergency Management Agency
