Try out our free Washington MPJE practice test. It includes an assortment of challenging practice questions to help you prepare for the Washington state pharmacy law exam. The Multistate Pharmacy Jurisprudence Examination (MPJE) is a requirement for pharmacist licensure in WA. Our online practice questions feature instant scoring and provide detailed explanations.
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Question 1 |
A drug has been changed from non-controlled to controlled substance status. When does a pharmacy need to conduct an inventory of controlled substances?
On the effective date when the drug is added to the controlled substance schedule | |
One week before the drug is added to the controlled substance schedule | |
Within one week after the drug is added to the controlled substance schedule | |
Within one month after the drug is added to the controlled substance schedule | |
Conducting controlled substance inventory is not required in this case |
Question 1 Explanation:
Per WAC 246-945-420, when a drug is added to the controlled substance schedule, the pharmacy must conduct an inventory of controlled substances on the effective date that the drug becomes scheduled. The drug then becomes included in the controlled substance inventories thereafter.
Question 2 |
Which of the following is/are true regarding transferring a prescription?
I. Sufficient information needs to be exchanged to maintain an auditable trail
II. Pharmacies sharing a secure real-time database are not required to transfer prescription information for dispensing
III. Prescriptions must be transferred by electronic means or facsimile except in emergency situations
I only | |
II only | |
I and II only | |
I and III only | |
I, II, and III |
Question 2 Explanation:
Per WAC 246-945-345, upon patient request, a prescription may be transferred within the limits of state and federal law. In addition:
• Sufficient information needs to be exchanged in the transfer of a prescription to maintain an auditable trail, as well as all elements of a valid prescription.
• Pharmacies sharing a secure real-time database are not required to transfer prescription information for dispensing.
• Prescriptions must be transferred by electronic means or facsimile except in emergency situations.
• Sufficient information needs to be exchanged in the transfer of a prescription to maintain an auditable trail, as well as all elements of a valid prescription.
• Pharmacies sharing a secure real-time database are not required to transfer prescription information for dispensing.
• Prescriptions must be transferred by electronic means or facsimile except in emergency situations.
Question 3 |
All of the following are true regarding a pharmacy’s electronic systems for patient medication records, prescriptions, chart orders, and controlled substance records EXCEPT:
A pharmacy shall use an electronic record-keeping system to store patient information, prescription information, and other relevant information for patient care | |
The electronic system must have security features to protect confidentiality of records | |
The electronic system must be capable of real-time retrieval of information pertaining to ordering, verification, and processing of prescriptions | |
The pharmacy must have policies and procedures for system downtime | |
A retail pharmacy may opt out of using electronic record-keeping systems with permission from the Board. |
Question 3 Explanation:
Previously, using an electronic record-keeping system was optional for a pharmacy. The new rule, WAC 246-945-417, mandates that pharmacies use electronic record-keeping systems.
Record-keeping rules are slightly different for health care entities (HCE) and hospital pharmacy associated clinics (HPAC). HCEs and HPACs may use a paper record-keeping procedure per WAC 246-945-418.
Record-keeping rules are slightly different for health care entities (HCE) and hospital pharmacy associated clinics (HPAC). HCEs and HPACs may use a paper record-keeping procedure per WAC 246-945-418.
Question 4 |
Which of the following is true regarding controlled substance recordkeeping?
Controlled substance records must be kept for five years | |
Records for Schedule II controlled substances can be maintained separately from or together with controlled substance records | |
A pharmacy that operates without a pharmacist on-site must maintain a perpetual inventory | |
Controlled substance inventory must be conducted annually | |
Invoices for controlled substances only need to be kept for one year |
Question 4 Explanation:
Per WAC 246-945-420, pharmacies operating without a pharmacist are required to maintain a perpetual inventory record. Records for Schedule II controlled substances must be maintained separately from all other records. Controlled substance records must be kept for two years.
Question 5 |
Which of the following can be a function of the pharmacy technician?
Consult with a prescriber regarding a patient’s prescription | |
Interpret data in a patient medication record | |
Patient counseling | |
Enter a prescription into the pharmacy computer | |
Accept call-in prescriptions from a physician’s office |
Question 5 Explanation:
A pharmacy technician may enter prescriptions into the computer. Technicians are also allowed to fill prescriptions, compound medications, and call a prescriber’s office for refill authorization.
Per WAC 246-945-320, there are several pharmacist responsibilities that cannot be delegated to pharmacy ancillary personnel (technicians and assistants), including receiving and transferring verbal prescriptions from a physician’s office (an exception is refill authorization), consultation with the patient regarding the prescription, interpreting data from the patient medication record system, consulting a prescriber, final verification of dispensed drugs, patient counseling, drug or biologic substitutions, and refusal to dispense drugs or devices based on restricted distribution regulations.
Per WAC 246-945-320, there are several pharmacist responsibilities that cannot be delegated to pharmacy ancillary personnel (technicians and assistants), including receiving and transferring verbal prescriptions from a physician’s office (an exception is refill authorization), consultation with the patient regarding the prescription, interpreting data from the patient medication record system, consulting a prescriber, final verification of dispensed drugs, patient counseling, drug or biologic substitutions, and refusal to dispense drugs or devices based on restricted distribution regulations.
Question 6 |
A Medicare-approved dialysis center may sell, deliver, or dispense to its dialysis patients all of the following legend drugs, if prescribed by a physician, EXCEPT:
Sterile heparin, 1000 units/mL in vials | |
Sterile potassium chloride 2 mEq/mL for injection | |
Commercially available dialysate | |
Sterile sodium chloride, 0.9% for injection in containers of not less than 150ml | |
Epoetin alfa (Epogen) in vials |
Question 6 Explanation:
Per WAC 246-945-090, a Medicare-approved dialysis center may dispense sterile heparin, sterile potassium chloride, dialysate, and sterile sodium chloride, in cases or full shelf package lots, to their home dialysis patients if prescribed by a physician. Epoetin alfa, which treats anemia, is not included within this law.
Question 7 |
Prescriptions for legend drugs are NOT allowed from which out-of-state prescriber?
Physicians (MD) | |
Dentists (DMD, DDS) | |
Advanced registered nurse practitioners (ARNP) | |
Optometrists (OD) | |
Veterinarians (DVM) |
Question 7 Explanation:
Out-of-state prescriptions from optometrists cannot be filled. Out-of-state prescriptions are allowed from only the following prescribers: physicians (MD or DO), podiatric physicians (DPM), dentists (DDS, DMD), veterinarians (DVM), advanced registered nurse practitioners (ARNP), and physician assistants (PA).
Question 8 |
Whenever a pharmacy closes, the owner is to notify the commission no later than how many days prior to the anticipated closing date?
2 days | |
5 days | |
15 days | |
20 days | |
30 days |
Question 8 Explanation:
The pharmacy owner must notify the Pharmacy Commission at least 30 days prior to the anticipated closing date. The owner must provide a written statement containing:
• The date the pharmacy will close
• The names and addresses of the persons who will have custody of prescription files, bulk compounding records, repackaging records, and the controlled substance inventory
• The names and addresses of any persons who will acquire the legend drugs, if known
More information needs to be provided to the commission after the pharmacy has closed, which is stated in WAC 246-945-480.
• The date the pharmacy will close
• The names and addresses of the persons who will have custody of prescription files, bulk compounding records, repackaging records, and the controlled substance inventory
• The names and addresses of any persons who will acquire the legend drugs, if known
More information needs to be provided to the commission after the pharmacy has closed, which is stated in WAC 246-945-480.
Question 9 |
Which of the following statements is/are true regarding syringe and needle sales?
I. A prescription is required to purchase syringes and needles
II. Syringe and needle sales are restricted to the pharmacy
III. An individual may purchase syringes and needles without having a prescription
I only | |
II only | |
III only | |
I and II only | |
II and III only |
Question 9 Explanation:
In Washington, an individual may purchase syringes/needles without a prescription. The sale of syringes/needles is not restricted to the pharmacy in Washington (in a few states, the sale of syringes/needles is restricted to the pharmacy).
Per Chapter 70.115 RCW, for the retail sale of syringes and needles, the retailer shall satisfy themselves that the device will be used for the legal use intended. The retailer is not required to sell syringes and needles to any person.
In other words, the retailer may refuse to sell syringes/needles depending on the circumstances.
Per Chapter 70.115 RCW, for the retail sale of syringes and needles, the retailer shall satisfy themselves that the device will be used for the legal use intended. The retailer is not required to sell syringes and needles to any person.
In other words, the retailer may refuse to sell syringes/needles depending on the circumstances.
Question 10 |
In an emergency situation where a Schedule II controlled substance is dispensed by verbal order but there is insufficient stock, how soon shall the rest of the partial fill be dispensed?
Within 24 hours | |
Within 36 hours | |
Within 48 hours | |
Within 72 hours | |
The partial fill is not permitted and a new prescription would be required |
Question 10 Explanation:
Per 21 U.S.C. Sec. 829, in an emergency situation where a Schedule II controlled substance is partially dispensed, the remaining fill shall be dispensed no later than 72 hours after the prescription is issued.
Question 11 |
A patient is requesting a refill on a non-controlled prescription that has run out of refills. The pharmacist has attempted but is unable to reach the prescriber. The pharmacist is permitted to renew the non-controlled prescription once within what time period?
24 months | |
12 months | |
6 months | |
3 months | |
The pharmacist is not permitted to renew this prescription |
Question 11 Explanation:
Per WAC 246-945-330, pharmacists are permitted to renew a prescription for a non-controlled legend drug once in a six-month period if the prescriber is unable to be reached. The refill quantity must equal the most recent quantity dispensed or a 30-day supply, whichever is less. The pharmacist must also notify the prescriber of the prescription refill within 1 business day.
Question 12 |
Which of the following is/are true of drug substitution in an institutional facility?
I. Drug substitution is permitted as long as the prescriber is licensed in the state
II. Drug substitution is permitted without consultation if there is a formulary developed by an interdisciplinary team
III. The drug formulary listing permitted substitutions is readily retrievable by the pharmacist
I only | |
II only | |
III only | |
II and III only | |
I, II, and III |
Question 12 Explanation:
A pharmacist may substitute a drug product or a biologic product when the substitution is permitted by a formulary of an institutional facility. The following criteria must be met:
• An employee or contractor of the institutional facility prescribed the drug or biologic product to be substituted
• The interdisciplinary team was composed of a non-pharmacist prescriber and a pharmacist
• The formulary is readily retrievable by the pharmacist.
• An employee or contractor of the institutional facility prescribed the drug or biologic product to be substituted
• The interdisciplinary team was composed of a non-pharmacist prescriber and a pharmacist
• The formulary is readily retrievable by the pharmacist.
Question 13 |
Which of the following professions has unrestricted prescribing authority?
Naturopathic doctor | |
Physician | |
Optometrist | |
Veterinarian | |
Certified registered nurse anesthetist |
Question 13 Explanation:
Physicians do not have restrictions on prescribing authority. Naturopathic doctors can only prescribe certain controlled substances. Optometrists cannot prescribe oral steroids or Schedule II controlled substances except for hydrocodone combination products. Veterinarians can only prescribe for animal treatment. Certified nurse anesthetists can only prescribe legend and Schedule II–IV substances for anesthesia per protocol.
Question 14 |
If a Schedule II controlled substance is verbally ordered in an emergency, the practitioner must deliver a signed prescription to the dispenser within how many days?
3 days | |
5 days | |
7 days | |
10 days | |
14 days |
Question 14 Explanation:
Per WAC 246-945-010, if a practitioner authorizes an emergency oral prescription for a Schedule II controlled substance, the practitioner must deliver a signed prescription to the pharmacy within 7 days. If the prescription is delivered by mail, it must be postmarked within the 7-day period. The pharmacist must make a note on the prescription that it was filled on an emergency basis.
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