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Nevada MPJE EXAM 2024 EDITION. ALL QUESTIONS AND CORRECT, VERIFIED ANSWERS. GRADED A+
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Nevada MPJE EXAM 2024 EDITION. ALL QUESTIONS AND CORRECT, VERIFIED ANSWERS. GRADED A+
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Nevada MPJE EXAM 2024 EDITION. ALLQUESTIONS AND CORRECT, VERIFIED
ANSWERS. GRADED
A freezer should alarm when it gets above what temperature? - ANSabove 32 F
A patient is getting a refill of their medication from your pharmacy. What conditions
should you provide counseling again? - ANSin 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? - ANSYES
A pharmacist who orally transfers a prescription to another pharmacy, what must be
done to the original prescription? - ANSwrite "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... - ANSa
thermometer and an alarm that records when the temperature falls outside of the range
required.
A written prescription must contain what information? - ANS(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. - ANSmust include 1-7.
APRNs are limited to prescribing no more than how many day-supply? - ANSmax 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? - ANSNO - 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? - ANSIt
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? - ANSYES. 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? - ANSNo. 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? - ANSNO. 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? - ANSbetween 36-46 degrees
F
Before a pharmacist/intern can administered immunizations, what kind of training is
required? - ANSTraining 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.
Can a patient ask for a copy of their prescription? What is the process? - ANSyes. 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? - ANSNO! 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? -
ANSyes - 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? - ANSyes - for up to 6
months if they qualify.
Can a pharmacist return a written C2 prescription? - ANSyes, 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? - ANSyes.
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? - ANSYES, 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? - ANSYES, but only if the non-sterile compounding equipment has
been cleaned and sanitized
Can a prescription blank contain more than one CII medication? - ANSYES. 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? - ANSONLY if they are in an
authorized investigation in the development of a program for rehabilitating narcotic
addicts.
Can anyone be a nuclear pharmacist? - ANSNO. 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? -
ANSYES, 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? - ANSIf 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? - ANSOnly 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? -
ANSYES. 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. - ANS
Can multiple drugs be on a single prescription blank if the medication is issued for future
use? - ANSNO. any C2 with "do not fill before" or some version thereof must be alone
on that prescription blank.
Can pharmacists carry over any excess CEs into the next registration period? - ANSNO
Can pharmacists use oral authorization to dispense CII medications? - ANSYES, but
only in emergency situations. The quantity prescribed/dispensed must be limited to the
amount adequate to treat the patient during the emergency period. Any quantity beyond
this requires a written prescription.
Can the board suspend a prescriber's privilege of sending electronic prescriptions? -
ANSyes - if they deem a prescription transmitted to be unlawful, fraudulent, or not for a
legitimate medical purpose.
Can the pharmacist accept prescriptions from a prescriber not authorized in NV, but
authorized in another state? - ANSYES. So long as the pharmacist verifies the
prescription is authentic, and that there is a bona fide relationship between the patient
and the prescriber did exist when the rx was written; record on the RX or in the
computer the name of the person who gave this information from the office, the date
and time of the conversation, and the date and time the patient was examined by the
prescriber (must be 6 months within written date of rx)
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