Tennessee MPJE Practice Questions

Below you will find a selection of our Tennessee MPJE practice questions. Passing the Multistate Pharmacy Jurisprudence Examination (MPJE) is an important step in becoming a licensed pharmacist in Tennessee. Our free online test includes challenging questions with detailed explanations.

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Question 1

How often must a pharmacist renew their pharmacist’s license?

A
Every year
B
Every two (2) years
C
Every five (5) years
D
Every ten (10) years
E
License renewal is not necessary
Question 1 Explanation: 
The correct answer is (B). All licenses and certificates of registration granted by the board are for a two (2) year period beginning on the date the license is initially granted. All licenses and certificates of registration shall be renewed on or before the last day of the two (2) year license cycle. A pharmacist or pharmacy technician serving in the uniformed services of the United States is not required to pay license or registration renewal fees during the period of active duty and the pharmacist is not required to complete continuing pharmacy education requirements during the period of active duty.
Question 2

A patient presents to the pharmacy to return a previously filled prescription. In which of the following cases could the prescription be kept without being destroyed?

I.    Unit dose packaging

II.   Unopened, commercially prepackaged containers

III.  Unused prescription vial containing tablets

A
I only
B
III only
C
I and II
D
I and III
E
I, II, and III
Question 2 Explanation: 
The correct answer is (C). All drugs, devices or related materials returned to the pharmacy must be destroyed unless in unit dose packaging or unopened commercially prepackaged containers. In addition, the pharmacist must use professional judgment that the product continues to meet federal and state standards of integrity. For example, if a patient returns an unopened box of insulin, there is no way for the pharmacist to verify the product has been stored properly and thus should be destroyed.
Question 3

Which of the following is a Schedule V controlled substance under Tennessee law?

A
Alprazolam
B
Carisoprodol
C
Zolpidem
D
Tramadol
E
Gabapentin
Question 3 Explanation: 
The correct answer is (E). Gabapentin (Neurontin) is a Schedule V controlled substance in Tennessee and many other states but is not deemed a controlled substance by federal law.

Alprazolam (Xanax), carisoprodol (Soma), tramadol (Ultram) and zolpidem (Ambien) are Schedule IV controlled substances in Tennessee and federally.
Question 4

Any licensed pharmacy that compounds sterile products must submit a report of high risk or batched sterile products to the Board every quarter. In which of the following circumstances is this quarterly reporting NOT required?

A
Community pharmacy compounding for long term care
B
Hospital pharmacy compounding for inpatient use
C
Hospital pharmacy compounding for outpatient use
D
Outsourcing facility compounding for hospice care
E
Nuclear pharmacy compounding for clinic use
Question 4 Explanation: 
The correct answer is (B). A quarterly report for high risk or batch sterile products is required for all pharmacies engaged in sterile compounding unless it is a hospital pharmacy that is administering the product to inpatients or the Board has given approval. The report must be submitted by the 15th day of the month following the end of each calendar quarter. In the case of weekends and holidays the report is to be submitted on the following business day.
Question 5

How much is the pharmacist in charge (PIC) required to work at the pharmacy practice site?

A
10% of hours the pharmacy is open
B
25% of hours the pharmacy is open
C
50% of hours the pharmacy is open
D
75% of hours the pharmacy is open
E
There is no requirement for the PIC to be present at the pharmacy practice site
Question 5 Explanation: 
The correct answer is (C). The pharmacist in charge (PIC) can only serve as the PIC for one pharmacy unless it is approved by the Board. The PIC must work at the pharmacy practice site 50% of hours the pharmacy is in operation but is not required to work more than forty (40) hours per week.
Question 6

What is/are the requirement(s) for storing prescription order records?

I.    Each prescription order must be serially numbered

II.   Each prescription order must be filed sequentially by date filled

III.  Each prescription order must be stored at the pharmacy practice site for at least one (1) year after the last date dispensed

A
I only
B
III only
C
I and II
D
I and III
E
I, II, and III
Question 6 Explanation: 
The correct answer is (A). Each medical and prescription order when dispensed must be serially numbered, filed numerically and maintained so as to be readily retrievable at the pharmacy practice site for at least two (2) years from the date the medical and prescription order was last dispensed. Institutional pharmacies shall not be required to serially number medical and prescription orders dispensed for administration to inpatients of that institution.
Question 7

What is the maximum number of technicians one (1) pharmacist may supervise?

A
Four (4) technicians, if two (2) are certified technicians
B
Four (4) technicians, no matter certification
C
One (1) technician, no matter certification
D
There is no pharmacist to technician ratio in Tennessee
E
Two (2) technicians, if one (1) is a certified technician
Question 7 Explanation: 
The correct answer is (A). The pharmacy technician to pharmacist ratio is 2:1, meaning one pharmacist can only supervise two technicians at a time. This ratio may be increased up to a maximum of 4:1 if the additional technicians are certified.

The pharmacist in charge may request a modification of the ratio from the Board of Pharmacy in writing. The pharmacist in charge must address:

  • The pharmacy technician’s experience, skill, knowledge and training
    •   
  • The workload at the practice site
    •   
  • Detailed information regarding the numbers of pharmacy technicians and the specific duties and responsibilities of each of the pharmacy technicians
    •   
  • Justification that patient safety and quality of pharmacy services and care can be maintained at the pharmacy
Question 8

A patient presents to the pharmacy with a written prescription for Plavix 75mg, one every day, #30. The pharmacist dispenses the least expensive generic equivalent, clopidogrel 75mg, to the patient. What is the pharmacist’s obligation when substituting a generic equivalent?

A
The pharmacist may not make a generic substitution unless approved by the prescriber before dispensing.
B
The pharmacist does not need to notify the patient that a generic equivalent has been substituted.
C
The pharmacist must notify the patient of the substitution with a generic equivalent by a “face to face” interaction or phone call.
D
The pharmacist must notify the patient of the substitution with a generic equivalent by noting the substitution on the prescription label.
E
The pharmacist must notify the prescriber of the substitution with a generic equivalent by a facsimile or phone call.
Question 8 Explanation: 
The correct answer is (D). The pharmacist must notify the patient of the substitution with a generic equivalent by noting the substitution on the prescription label. This provision does not apply to prescriptions dispensed for inpatients of a hospital, a nursing home or an assisted care living facility.
Question 9

Which of the following is necessary for compounding cisplatin chemotherapy?

A
Anteroom
B
Bypass fume cabinet
C
Horizontal flow cabinet
D
Powder containment cabinet
E
Vertical flow cabinet
Question 9 Explanation: 
The correct answer is (E). A dedicated Class II type A contained vertical flow cabinet is the minimally acceptable site for compounding hazardous sterile products. Hazardous sterile products must be separated in the pharmacy practice site and storage areas must be identified.
Question 10

What quantity of prescription drug may a pharmacy practice site package to be dispensed for outpatient use from an emergency room?

A
12-hour supply
B
24-hour supply
C
48-hour supply
D
72-hour supply
E
1-week supply
Question 10 Explanation: 
The correct answer is (A). Prescription drugs in an emergency room that are to be dispensed for outpatient use (other than by pharmacy staff) must be dispensed by the physician or an emergency room nurse or certified physician assistant at the direction of a physician. If the physician in an emergency room does not personally dispense, then prescription drugs for outpatient use must be packaged in containers from the pharmacy practice site in amounts not to exceed a twelve (12) hour period. Products commercially prepared for multiple dose therapy must be issued in the smallest available package size. (i.e. ophthalmic, topical and otic products). A prescription order must be issued and recorded in the emergency room and the products must be labeled with appropriate labeling.
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