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Virginia MPJE Flashcards 2025. Real Questions & Correct Answers. Graded A+.pdf, Exams of Nursing

Lancaster University Nursing

Virginia MPJE Flashcards 2025. Real Questions & Correct Answers. Graded A+.pdf

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2024/2025

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Virginia MPJE Flashcards 2025. Real Questions

& Correct Answers. Graded A+

A facility wants to handle CI drugs for research purposes. The facility already has a

DEA number. What else is the facility required to do? - ANS-apply for a modified DEA

registration by submitting 3 copies of the research protocol

Additional requirements for a faxed prescription - ANS-date the prescription is faxed

-name, address, phone number and fax number of prescriber

-name, address, phone and fax number of the institution

Any restriction on who a pharmacy can employ? - ANS1. Felony convicted

2. DEA registration application denied

Are c2 that has NOT been filled transferrable? - ANSNO transfer of c2

Are community pharmacists allowed to partially fill a prescription for a c2? - ANSyes if

pharmacy doesnt have enough

Are computer generated prescriptions allowed in VA? - ANSYes, with hand signed

Are hospital pharmacists required to review drug therapy for hospital patients? -

ANSyes for each order

Are medical interns and residents who work in a hospital allowed to write Rx? -

ANSYes, only with their duties as part of their residency program

Are Np and PA allowed to write c2-c6? - ANSYes

Are pharmacies required to obtain a DEA registration? - ANSyes, if it possesses c1-5.

Does not need if only possesses c6

Are pharmacist allowed to refill c3-6 any time the patient requests a refill? - ANSNO,

has to follow prescriber's direction of use.

Pharmacist can refill early with documentation of the reason

Are pharmacists allowed to make any changes to a written c2 prescriptions? - ANSYes

1. add or correct a pt's name after verifying it

2. add a pt's address after verifying it

3. add the prescriber's DEA number

4. add or change dosage form, strength, quantity, issue date, direction for use after

direct consultation and agreement with the prescriber

Partial preview of the text

Download Virginia MPJE Flashcards 2025. Real Questions & Correct Answers. Graded A+.pdf and more Exams Nursing in PDF only on Docsity!

Virginia MPJE Flashcards 2025. Real Questions

& Correct Answers. Graded A+

A facility wants to handle CI drugs for research purposes. The facility already has a DEA number. What else is the facility required to do? - ANS-apply for a modified DEA registration by submitting 3 copies of the research protocol Additional requirements for a faxed prescription - ANS-date the prescription is faxed

name, address, phone number and fax number of prescriber
name, address, phone and fax number of the institution Any restriction on who a pharmacy can employ? - ANS1. Felony convicted

DEA registration application denied Are c2 that has NOT been filled transferrable? - ANSNO transfer of c Are community pharmacists allowed to partially fill a prescription for a c2? - ANSyes if pharmacy doesnt have enough Are computer generated prescriptions allowed in VA? - ANSYes, with hand signed Are hospital pharmacists required to review drug therapy for hospital patients? - ANSyes for each order Are medical interns and residents who work in a hospital allowed to write Rx? - ANSYes, only with their duties as part of their residency program Are Np and PA allowed to write c2-c6? - ANSYes Are pharmacies required to obtain a DEA registration? - ANSyes, if it possesses c1-5. Does not need if only possesses c Are pharmacist allowed to refill c3-6 any time the patient requests a refill? - ANSNO, has to follow prescriber's direction of use. Pharmacist can refill early with documentation of the reason Are pharmacists allowed to make any changes to a written c2 prescriptions? - ANSYes
add or correct a pt's name after verifying it
add a pt's address after verifying it
add the prescriber's DEA number
add or change dosage form, strength, quantity, issue date, direction for use after direct consultation and agreement with the prescriber

Are pharmacists usually required to dispense prescriptions in special packaging? - ANSyes Are there any additional documentation requirements that aply when a pharmacist partially fills a c2 for lack of drug? - ANSrph must record on the back of rx the amount partially dispensed and date Are there any conditions that TPA-certified optometrists are specifically prohibited from treating? - ANSYes

cannot treat infantile or congenital glaucoma
can only treat closed angle glaucoma in emergency situation Are there any organization that are exempt from paying DEA registration fees (but not exempt from getting the appropriate DEA registration) - ANSFacilities operated by a US agency Are there any other requirements for unauthorizes refill of c6? - ANSYes, pharmacist has to:

inform pt that the refill is made without the prescriber's authorization
inform the prescriber the refill
Document on the back of the rx: date and quantity of refill, prescribers unavailability, and reason for refill Are there any other situations when a pharmacy may partially dispense c2 prescription?

ANSYes, for pts in LCTF or terminally ill, record:

date of dispensing
quantity dispense
remaining quantity
rph identity Are there any records off limits to the board and drug division officers? - ANSYes, these include:

financial data
sales data other than shipment data
pricing data
personnel data
research dataa Are there any restrictions on the prescribing of drugs by MD, DO, DDS, DPM, and DVM? - ANS1. cannot write Rx for animal if not DVM

cannot write for human if a DVM
DDS only can do for mouth conditions
DPM only can write for foot and ankle Are there any special record keeping when selling insulin - ANSNo

Can a pharmacist be a PIC of more than 1 pharmacy? - ANSyes, 2 max Can a pharmacist substitue a generic and charge more than brand name? - ANSNO Can a pharmacy ever act as a wholesale distributor of small quantities of prescription drugs without being a licensed wholsaler? - ANSyes wholesale controlled substance sales cant exceed 5% of pharmacy's total c2-5 annual dispense in dosage units Can a pharmacy process an electronic prescription and dispense a c2-5 drug before the certification report is received? - ANSNO CAn a prescriber fax a c3-6 refill authorization? - ANSYes

date of authorization
pt's name and address
drug name, strength and quantity, direction for use
prescriber's names, signature or agnet's first and last name for an oral rx Can a prescriber give an oral prescription to his agent to be faxed - ANS-Yes, the faxed order must have prescriber's name and signature

oral rx does not need a signature Can a prescriber write multiple c2 prescriptions for the same drug for a single patient on the same day and place the instructions on the prescriptions as to when they may be filled? - ANSyes Can a rx be written in pencil? - ANSNo Must be ink, typed, or printed Can a tech compound extemporaneous preparations? - ANSYes, rph must personally supervise can a VA pharmacy fill Rxs written by out of state practitioners? - ANSexcept for written by NP, PA, or OD if they dont have a license in VA Can an electronic prescription be converted to a fax and printed out on the pharmacy's fax machine? - ANS-only c
VA law prohibited the printing and converting c2-5 to a faxed prescription Can drugs be transferred between a healthcare entities' hospitals? - ANSYes if they are under common control, with the involve of dea Can precriptions for c3-6 drugs be faxed to a pharmacy? - ANSYes, with prescriber's signature

CAn the inspection date be requested in the permit application? - ANSYes, if given within 14 days at least Can the pahramcy store executed dea 222 form, inventories and prescription for c2- 5 offiste? - ANSno can the pharmacy get the drug back from being seized by the board? - ANSyes, by paying the storage cost and have to provide proper disposition of the drugs within 6 months Can the VA Board of Pharmacy schedule or deschedule drugs? - ANSYes Can you give a patient a copy of their prescription after you have transferred it? - ANS"For Information Only" Can you stock drugs before the inspection? - ANSNo, cannot stock drugs until having the permit Celcius to Farenheit - ANS(1.8 X C) + 32 cold temperature - ANS<8C COntrolled substances under federal law - ANSc1 to c controlled substances under VA law - ANSc1-c5 and other drugs that require prescription c Cool temp - ANS8 to 15 C (46 to 59 F) Describe situations in which a drug is misbranded - ANS-false or misleading labeling

missing name of manufacturer, packer, distributor
label missing required information
missing "warning..mabe habit forming" on habit-forming drugs
missing generic name (established name) or not at least half size of brand (proprietary) name
missing quantity (mg) of active ingredient
missing direction for use
not label as described in the usp compendium
drug is dangerous when use according to labeling or advertising
missing a required batch certificate of release in effect in INSULIN, ABX
counterfeit trademark
missing side effects, CI, effectiveness as described by FDCA DEscribe situations in which a drug would be considered adulterated - ANS- contaminated
the drug or its container contain harmful substances

federal prphibits the sale to minor under 16 Does VA law has a minimum age requirement to purchase dextromethorphan - ANS Does VA restric the sale of certain controlled paraphernalia? - ANSYes Freezer temp - ANS-20 to - 10 C (-4 to 14 F) Fridge temp - ANS2 to 8 C (36 to 46 F) FRom what entities are pharmacists allowed to purchase their c2-6 medications? - ANSWholeslaer and warehouses that have a license or registration from the board Hat if dea 222 lost but not during transport? - ANS-pharmacy immediately report to DEA division for that area

the report must include serial number of the lost form
if the entire book was lost and serial number cannot be found, pharmacist reports the approximate dates it was issued
immediately report back to the dea if the form was found Hos long does the pharmacy have to keep the ID records of the person who picking up c2? - ANSat least 1 month how are inventory records filed? - ANS-c
c3-5 (ok wiht 6) How can a VA pahrmacy legally dispose of controlled substance c 2 - 5? - ANS-drugs be transferred to a dea regiastraion entities (they have to fill out dea222)
pharmacy can destroy the drugs by themselves after:
give the BOARD 14 days notce, indicate time, date and pharmacist who will conduct the process
witness by another pharmacist not working at the location how deos a 24 hours store conduct an inventory? - ANSbased on the receipt or distribution of the drugs (before or after the inventory) How do registrants get additional DEA 222 forms? - ANS-order by using DEA 222a forms
order online at deadiversion.usdoj.gov (1 book in quantity of 7 or 14) How do registrants get their initial DEA222 forms? - ANSthe forms are given to registrants by the DEA when they are first registed if requested on the application form How do you inventory c2? - ANScount

how do you inventory c3-5? - ANS<1000: estimate if open bottles How do you obtain 1500 hrs in VA? - ANS-internship during pharmD school (ACPE accredited)

must be in US
if outside of schoold curriculum, must obtained after 2 semesters being in school How does a pharmacist whose license is suspended apply for a reinstatement? - ANSIf 3/4 of the board members at the hearing vote for reinstatement How does a RPh gets an extension on CE completion? - ANS-written request to the board
have 1 year extension to complete the previous CE hours
still have to complete the coming CE requirements How does a tech get registration in VA? - ANS-hold a PTCB certification or complete an approved training program
pass the VA exam
complete the application
pay fee How does initially licensed RPh renew their license? - ANS-If obtain license on or after 10/01, does not renew until next year
if obtain prior to 10/01, need to renew for this year but doe not need 15hr CE How does the DEA 224 registrant authorize his agents (other pharmacists) to order CII drugs? - ANSComplete a Power of Attorney form How does VA refer to drugs approved for generic substitutions? - ANSTherapeutically equivalent HOw long are c3-5 rx valid in VA and how many times it can be refilled? - ANS6 months 5 refills How long are prescription for c2-5 valid? - ANS6 months from the date of issuance How long are Rx for c6 are valid? - ANS1 tear, unless specified by prescriber How long are you require to keep a record of your CE completion? - ANS2 years after license renewal How long can a PIC be absent for a scheduled leave before the pharmacy has to designate a new PIC? - ANS30 days How long can a PIC be absent for an unscheduled leave? - ANS15 days

how may a pharmacy dispose a controlleddrugs when it goes out of business? - ANSMaybe:

transfer to another pharmacy
transfer to another DEA registrant
transfer to a manufacturer or wolsaler How may a pharmacy legally dispoe of FEDERAL controled substanceS? - ANSSubmit DEA 41 to the Special Agent in Cahrge. The Special Agent incharge then can athorize the pharmacy to dispoe the controlled substances by:

transfer the substance to a regiestered agent to dispose
deliever the drug to the DEA
destroy the drug in the presence of a authorzied person how often are manufacturer/distributors being inspected by DEA? - ANSevery year How often are other dea registrants (pharmacy) being inspected by DEA - ANSPRN How often does a manufacturer being inspceted by FDA - ANSevery 2 years How often does a manufacturer need to re-register with the DEA? - ANSannually How often does a pharmacy permit have to be renewed? - ANSannually How often does a pharmacy renew its DEA 224? - ANSevery 3 years how soon does copy 2 of the dea222 go to the dea? - ANSby the close of the month inwhich the order was filled, or within 60 days vailidity of the order was filled partially How to renew a RPh license in VA? - ANS-complete and submit renewal orm

pay renewal fee of $
complete CE requirements How to renew your license thru "reinstatement" - ANS-complete reinstatement form
submit CE hour
renewal fee
reinstatement fe How will a pharmacy know that the application provide is certified? - ANSThe application provider must provide a copy of its certification report to the pharmacy How will you know if a NP or PA is prescribing a drug that is NOT allowed under his agreement with a team care physician, physician or podiatrist? - ANSMay not be able to tell but you should examine the practice the prescriber is in.

if a non 24 hours invenotry, what additional info is needed when conducting a inventory? - ANSwhether the inventory is taken before or after the opening If a pharmacist is unavalable in an emergency situation, can a technician go into the prescription department to get a rx that already filled and checked? - ANSyes, must be accompanied by pharmacy management or administration If a pharmacist satisfies VA requirements for handling a questionable prescription, are the federal DEA requirements satisfied? - ANSNO, except for c if a pharmacy ceases business, what are its responsibilities to the DEA? - ANS-notify the DEA

surrenders the registration and unexecuted DEA forms
dispose properly control substances if a supplier is unable to fill all or part of an order, what can the supplier do with the dea 222? - ANScan partially fill and provide the balance in additional shipment during the 60 days vailidity of the dea 222 if apharmacy fails to complete its initial inventory for 3 days, how many separate offenses does it constitute? - ANS If the pharmacist violates the laws that control the storage, distribution or recordkeeping of controlled paraphernalia, what are the possible legal consequences? - ANSclass 1 misdemeanor If there is a change in ownership (cvs to wag) what records must be transferred? - ANS2 years of
dispensing records
patient records If there is a change in ownership, does the board need to be notified? - ANS-Yes, the board needs to be notified 14 days, and the pic needs to get new permit is a dea form required to transfer c2 drugs from a central fill pharmacy to a retail pharmacy? - ANSno Is a pharmacist required to counsel a pt in a hospital or a nursing home? - ANSNO Is a pharmacy allowed to accepted, for re-dispensing, a prescription that was already dispensed to a patient? - ANSonly when the medication is in the menufacturer's original sealed container (be careful on relying upon a laypersons's words of how the med was stored- mostly only accepted if the drug has not left the pharmacy) Is a pharmacy allowed to store its c2 drugs with other schedules? - ANSYes if they are dispensed throughout the pharmacy

currently accepted medical use
may lead to high psychic and moderate/low physical dependence Schedule 4 under VA law - ANS1. lower potential for abuse
accepted medical use . may lead to limited psychic and physical dependence schedule 5 under VA law - ANS1. lower potential for abuse
accepted medical use
may lead to limited psychic and physical abuse schedule 6 under VA law - ANSRx only drugs or devices, not listed in c1- 5 SInce interns and some residents do not have their own DEA number, what do they use in place of their own number? - ANS-use hospital DEA number plus a suffix assigned to them

include the inter/resident name/address/phone number special rules for the defense supply center if they want to order c2 to arm services in the us? - ANS-can get partial shipments within 6 months (instead of 2 months) from the order date subpoena (record) duces tecum - ANS-bring relevant document to a court subpoena quashed - ANS-order to bring relevant document is dismissed Waht are the requriements for selling a OTC CV? - ANS-dipsnesed by a pharmacist directly to the person who wants it
must be 18 and older WHat about in case of an emergency? - ANSIn case of an emergencey, a pharmacy can purchase drugs c2-6 from another pharmacy with the use of DEA what about invoices for c2-5? - ANSthey can be sotred offsite, but must be readly retreivable What about the rx written as chart orders for a hospital or LCTF whip is then being discharged? - ANSThese hart orders can be filled at a outpatient pharmacy if:

the pahrmacist has all the information necessary for a valid outpatient prescription
there is a written or verbal directions indicating that the chart orders are intended to serve as prescription order
the orders include some directions related to the quantity to be dispensed or duration of the orders What are requirements for intern hour that obtained outside of school curriculum? - ANS-Min: 20 hr/wk

Max: 50 hr/wk What are the dispensing limits on each CV OTC per 48 hours period? - ANSCodeine - 270 mg Opium - 200 mg Dihydrocodeinone - 130 mg Ethylmorphine - 65 mg Diphenoxylate - 32.5 mg What are the exceptions to the general rule? - ANS1. chart order for patients in hospitals

chart orders for pts in LTCF
home infusion services
hospice patients
Rx being filled at: corrections, juvenile justice, health, behavioral health and development services WHat are the grounds for sanctions, suspension, or revocation of a RPh's license? - ANS1. In the practice of pharmacy:

incompetent
unprofessional
negligent
practice beyond the scope of his practice
allowed unlicensed person to involve in practice that requires license
violate or coop. with other activities that violate the law/regulation of pharmacy practice
has license/permit/registration issued by DEA/Fed agency revoked/denied/suspended
fail to comply CE requirements
dangerous practie to the public

unsafe to public

abuse alcohol/drug
theft or diversion of controlled substances
violate federal/state drug law
convicted of a felony
convicted of misdemeanor
deceptive/fraudulent statements What are the intangible prescription requirements in VA? - ANSA rx is not valid unless it was?

issued for a medicinal or therapeutic purpose
bone fide practictioner-patient relationship What are the physical requirements for a VA licensed Rx department? - ANSAt least 240 sq ft What are the potential consequences for a pharmacist who knowingly fill an invalid prescription? - ANSmay be criminally prosecuted for drug distribution

What conditions are TPA certified optometrists allowed to treat? - ANSdiseases of the eyes and itsadnexa (tissues adjoining the eye) What constitutes "unprofessional conduct" in VA? - ANSRelate to patient and staff

patient related

fail to comply with Hippa
breaching (leaking) pt confidentiality
violate confidentiality provisions of PMP
engaging in disruptive behavior in a healthcare setting
engaging in inappropriate relationship with a pt
failing to response to a known dispensing error
failing to maintain adequate safeguarg against a drug diversion
fail to use professional judgement before dispensing a medication

pharmacy staff

delegate a task to a person who is not adequately trained
failure to ensure that all personnell are currently license (As a PIC) What controlled paraphernalia may only be sold by a pharmacist? - ANS-hypodermic needles and syringes
gelatin capsules
quinine or any of its salt in excess of 1/4 ozWhat What do these record need to contain? - ANS-date repackaged
drug name/strength/ quanity
assigned lot control number
manufacture lot. ndc
exp date
rph signature What do you need to obtain RPh in VA? - ANS-18 or older
graduate from a ACPE school
1500 hr intern
passing naplex and mpje
good moral characters What documents must be maintain at a pharmacy when a tech is hired? - ANS1. tech license

training completion of each tech, maintained for 2 yrs after tech leaves the employer
if a trainee, proof that they are enrolled in a approved program What does "supervision" mean? - ANS-RPh has to be physically present and available for direct oral conversation What does a new PIC have to do when taking over a pharmacy? - ANS-apply for a new permit

inventory controlled substances (I to V) on the date he becomes the PIC. The inventory must be done before the pharmacy opens. What does a pharmacist have to do when she receives a oral prescription that was originally electronically transmitted to ANOTHER pharmacy? - ANS-check with the other pharmacy to determined if it was received and dispensed by the other pharmacy
if they did not dispensed, they need to void the rx
if they already dispensed, must void and return the med to stock What does a pharmacist have to do when she receives a paper or oral prescription that was originally electronically transmitted to the pharmacy? - ANS-check to make sure that the electronic version was not received and dispensed
if both were received, void one of the prescription What does a prescriber need to prescribe c2-5 electronically in VA? - ANS-federally approved Credential Service Provider (CSP) OR
CErtification authority (CA) THese certificates will give prescriber a two-factor authentication credential or a digital certificate What does the DEA need to inspect a pharmacy? - ANSeither a adminitration warrant or a pharmacy's written consent WHat does the DEA need to show a judge to receive an administrative warrant? - ANSan administrative probable cause What does the practictioner have to do to create a bone fide practictioner-patient relationship? - ANS1. obtain a medical or drug history

provide information to the patient about the benefits and risks of the drug being prescribed
perform an appropriate examniation of the patient, either physically or by using equipment to electronically transmit images and medical records
follow up care What does the supplier do after a lost dea 222 in the mail? - ANS-accept the new order. get copies 1,2 of the lost and new order and the statement *if supplier ever reveices the lost form, mark "not accepted" and return to the purchaser. the purchaser will keep these once lost copies 1,2 with the lost copy 3 and the statment together What does VA law require a pharmacist to do when presented with a questionable rx? - ANSrph must contact the prescriber or his agent and verify:
patient's identity
name of medication prescribed
quantity of med prescribed

types of ownership and names of partner/directors
PIC name and other RPh who will practice there
owner's name if other than the PIC
operation hours What i the pharmacy fails to dispose the drugs and devices? - ANSBoard will seize what if a 222 form lost in the mail? - ANSpurchaser executes ANOTHER form, attaches a statment with the serial number and date of the lost form, and statment that the drugs were not received

the purchaser then keep copy 3 of the lost form, copy 3 of the new form, and copy of the statment WHat if a patient requests for non-special packaging? - ANSall of his rx will be complied (pt must sign a release form what if a pharmacy fails to designate a new pic in 14 days? - ANS-if inform the board prior to the original deadline, maybe extend by the director of the board.
otherwise, will receive a notive from the board to dispose all drugs from c2-6 and devices within 15 days WHat if a pharmacy is changing its location? - ANS-giving 14 days notice to the board
being inspected on both the old and new locations What if a tech renew his license late? - ANS-within 1 year: pay late fee
1 year to 5 year: reinstatement fee, plus renewal fee
more than 5 years: re-certification as if never been licensed what if an agent takes the original record? - ANShe must leave a receipt and a copy of the record within a reasonable time frame WHat if the opening date for the pharmacy changes? - ANS-notify the board
RPh continues to be on site on a daily basis WHat if the patient is an animal? - ANS-owner's name
owner's address
animal species What if the prescriber fails to provide a written rx in 7 days? - ANS1. contact the prescriber

contact the DEA what if the prescriber requests that a patinet's medicine be dispensed in non-special packaging? - ANSonly one rx is complied What if you fail to renew your license for more than 1 year? - ANS-become "inactive"

have to reapply thru "reinstatement" What if you fail to renew your license on Dec 31? - ANS-still complete renewal form
submit CE hours
pay renewal fee
pay a late fee What info does the purchaser add to copy 3 when the order is received? - ANS-number of package received
date each package was received What info does the purchaser fill on the DEA form? - ANS-supplier: name, address
date it was filled
drugs name
number of packages, size of packages
signature of person filling the form What info does the suplier add to copy 1 and 2 of the dea 222 when the order is shipped? - ANS-the NDC
number of package shipped
date of each package shipped What info is a person purchasing controlled paraphernalia required to produce? - ANS- ID
written legitimate purpose for buying (not required for customer of known good standing) What info is required ot be on theinventory? - ANS-date of the inventory
time (initial, after theft, transfer business, new PIC, or biennial)
drugname/from/quanity/commercial containers
signature of the person who does the inventory What information does an electronically transmitted prescription need to include? - ANS-all of the info required for a written rx
full name of the authorized agent if needed
date of transmission What information is pre-printed on dea222 form? - ANS-date it was issued
registrant's dea number/name/address
registrant's business
schedules drugs that registrant is allowed to order
dea222 serial number What information must be recorded when selling CV OTC? - ANS-date of sale
name and quantity of drug
name and address of the person purchasing it

Virginia MPJE Flashcards 2025. Real Questions & Correct Answers. Graded A+.pdf, Exams of Nursing

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Virginia MPJE Flashcards 2025. Real Questions

& Correct Answers. Graded A+