Nebraska MPJE Actual Practice Examination:
Questions with Authoritative Verified
Solutions & Legal References
Domain 1: Nebraska Pharmacy Practice Act & State Regulations (Questions
1-30)
1. A Nebraska pharmacy technician has completed a Board-approved training program
and wishes to perform prospective drug utilization review (DUR) and provide drug
information to patients under pharmacist supervision. According to Nebraska
administrative rules, which action is legally permissible?
A. The technician may perform prospective DUR and provide drug information if a
pharmacist is available in the building.
B. The technician may perform data entry only and is prohibited from any clinical review
or patient counseling.
C. The technician may perform prospective DUR and relay drug information provided the
supervising pharmacist verifies the review and is readily available for consultation.
D. The technician may provide drug information independently after completing the
training program without direct supervision.
Correct Answer: C
Rationale: C is correct because Title 247, Nebraska Administrative Code § 247-006.04B
permits certified pharmacy technicians to perform prospective drug utilization review
and relay drug information to patients, provided the supervising pharmacist verifies the
technician's work and remains readily available for consultation. Choice A is incorrect
because general availability in the building is insufficient; the pharmacist must verify the
specific DUR performed. Choice B is incorrect as it describes the limitations on
uncertified technicians, not those who have completed the required training. Choice D is
,incorrect because technicians may never provide drug information independently of
pharmacist verification and supervision.
2. A pharmacist in Nebraska receives a prescription for a Schedule II controlled
substance written by a physician licensed in Iowa. The prescription is dated 45 days
ago. Under Nebraska law, what is the pharmacist's most appropriate initial action?
A. Fill the prescription as written since Iowa law may allow longer validity periods.
B. Refuse to fill the prescription because Nebraska does not recognize out-of-state
prescribers for controlled substances.
C. Verify the Iowa prescriber is registered with the Nebraska Department of Health and
Human Services (DHHS) and DEA, and ensure the prescription is filled within 7 days of
issuance per Nebraska's stricter limitation.
D. Fill the prescription only if the patient provides a valid Nebraska ID proving residency.
Correct Answer: C
Rationale: C is correct because Neb. Rev. Stat. § 71-2454 requires that prescriptions for
Schedule II controlled substances be filled within 7 days of issuance, a stricter standard
than the federal 21-day period, and the pharmacist must verify the out-of-state
prescriber holds a valid Nebraska controlled substance registration (if required for the
specific drug) and DEA registration. Choice A is incorrect because Nebraska law
governs the dispensing act within its borders, regardless of the prescriber's state of
licensure. Choice B is incorrect because Nebraska does permit filling prescriptions from
out-of-state prescribers provided they are appropriately registered. Choice D is incorrect
because patient residency status does not determine the validity of a prescription from
a registered prescriber.
3. According to Nebraska Board of Pharmacy regulations regarding prescription
labeling, which statement must appear on the label of a prescription dispensed to a
patient?
A. "Federal law prohibits the transfer of this drug to any person other than the patient for
whom it was prescribed."
B. "This medication may be refilled [number] times before [date] or until [date]."
C. "Generic substitution permitted" if a generic was dispensed.
D. The name and address of the patient for whom the prescription was ordered.
,Correct Answer: D
Rationale: C is correct because Title 247, Nebraska Administrative Code § 247-004.05B
specifically requires the prescription label to include, among other elements, the name
and address of the patient for whom the prescription was ordered. Choice A is incorrect
because while federal law prohibits transfer, Nebraska's specific labeling requirements
do not mandate this exact statutory warning on every label. Choice B is incorrect
because refill information is required, but the specific statutory language format in
Nebraska emphasizes the expiration date of the prescription authority, not necessarily
both "times before date" and "until date" in that exact phrasing. Choice C is incorrect
because while generic substitution is regulated, the label does not require a statement
indicating substitution was permitted; rather, it must identify the drug dispensed.
4. A Nebraska pharmacist receives a request to transfer a prescription for a Schedule IV
controlled substance from Pharmacy A to Pharmacy B. Under Nebraska law, which
procedure is required?
A. The transferring pharmacist must record the transfer on the original prescription and
void it, while the receiving pharmacist treats it as a new prescription.
B. The prescription may be transferred only if both pharmacies share a common
electronic database that provides real-time access to prescription information.
C. The prescription may be transferred one time only, and the transferring pharmacist
must write "VOID" on the face of the original prescription and record the date, name of
receiving pharmacy, and receiving pharmacist.
D. The prescription may be transferred an unlimited number of times within 6 months of
the original issuance date.
Correct Answer: C
Rationale: C is correct because Title 247, Nebraska Administrative Code § 247-004.08
adopts the federal standard allowing one-time transfer of Schedule III-V controlled
substances, requiring the transferring pharmacist to void the original prescription and
document the transfer details. Choice A is incorrect because the original prescription is
voided, but the receiving pharmacy does not treat it as a "new" prescription requiring a
new prescription number; it continues under the original authorization with transfer
, notation. Choice B is incorrect because while electronic sharing facilitates the process,
Nebraska law does not require a common database for transfer; telephone transfer is
permitted with proper documentation. Choice D is incorrect because Nebraska follows
the federal 21 CFR 1306.25 limitation of one transfer for Schedule III-V controlled
substances.
5. Under the Nebraska Pharmacy Practice Act, what is the maximum ratio of pharmacy
technicians to pharmacists permitted in a community pharmacy setting?
A. 2 technicians per 1 pharmacist
B. 3 technicians per 1 pharmacist
C. 4 technicians per 1 pharmacist
D. The Act does not specify a numerical ratio; the pharmacist-in-charge determines
appropriate staffing.
Correct Answer: C
Rationale: C is correct because Title 247, Nebraska Administrative Code § 247-006.03
establishes a maximum ratio of four pharmacy technicians (including certified
technicians) per one licensed pharmacist on duty at any time in a community pharmacy
setting. Choice A and B represent ratios that are permissible but not the maximum
allowed. Choice D is incorrect because Nebraska law explicitly caps the
technician-to-pharmacist ratio to ensure patient safety and proper supervision.
6. A pharmacist-in-charge (PIC) in Nebraska discovers that a controlled substance
inventory discrepancy cannot be resolved through internal investigation. According to
Nebraska law, the PIC must report this to:
A. The Nebraska Board of Pharmacy within 30 days of discovery.
B. The local law enforcement agency immediately.
C. The Drug Enforcement Administration (DEA) and the Nebraska Board of Pharmacy as
soon as the discrepancy is confirmed as a significant loss.
D. The wholesaler from whom the drugs were purchased within 10 days.
Correct Answer: C
Rationale: C is correct because Neb. Rev. Stat. § 71-2456 and federal DEA regulations
(21 CFR 1301.76c) require the pharmacist-in-charge to report significant losses or
Questions with Authoritative Verified
Solutions & Legal References
Domain 1: Nebraska Pharmacy Practice Act & State Regulations (Questions
1-30)
1. A Nebraska pharmacy technician has completed a Board-approved training program
and wishes to perform prospective drug utilization review (DUR) and provide drug
information to patients under pharmacist supervision. According to Nebraska
administrative rules, which action is legally permissible?
A. The technician may perform prospective DUR and provide drug information if a
pharmacist is available in the building.
B. The technician may perform data entry only and is prohibited from any clinical review
or patient counseling.
C. The technician may perform prospective DUR and relay drug information provided the
supervising pharmacist verifies the review and is readily available for consultation.
D. The technician may provide drug information independently after completing the
training program without direct supervision.
Correct Answer: C
Rationale: C is correct because Title 247, Nebraska Administrative Code § 247-006.04B
permits certified pharmacy technicians to perform prospective drug utilization review
and relay drug information to patients, provided the supervising pharmacist verifies the
technician's work and remains readily available for consultation. Choice A is incorrect
because general availability in the building is insufficient; the pharmacist must verify the
specific DUR performed. Choice B is incorrect as it describes the limitations on
uncertified technicians, not those who have completed the required training. Choice D is
,incorrect because technicians may never provide drug information independently of
pharmacist verification and supervision.
2. A pharmacist in Nebraska receives a prescription for a Schedule II controlled
substance written by a physician licensed in Iowa. The prescription is dated 45 days
ago. Under Nebraska law, what is the pharmacist's most appropriate initial action?
A. Fill the prescription as written since Iowa law may allow longer validity periods.
B. Refuse to fill the prescription because Nebraska does not recognize out-of-state
prescribers for controlled substances.
C. Verify the Iowa prescriber is registered with the Nebraska Department of Health and
Human Services (DHHS) and DEA, and ensure the prescription is filled within 7 days of
issuance per Nebraska's stricter limitation.
D. Fill the prescription only if the patient provides a valid Nebraska ID proving residency.
Correct Answer: C
Rationale: C is correct because Neb. Rev. Stat. § 71-2454 requires that prescriptions for
Schedule II controlled substances be filled within 7 days of issuance, a stricter standard
than the federal 21-day period, and the pharmacist must verify the out-of-state
prescriber holds a valid Nebraska controlled substance registration (if required for the
specific drug) and DEA registration. Choice A is incorrect because Nebraska law
governs the dispensing act within its borders, regardless of the prescriber's state of
licensure. Choice B is incorrect because Nebraska does permit filling prescriptions from
out-of-state prescribers provided they are appropriately registered. Choice D is incorrect
because patient residency status does not determine the validity of a prescription from
a registered prescriber.
3. According to Nebraska Board of Pharmacy regulations regarding prescription
labeling, which statement must appear on the label of a prescription dispensed to a
patient?
A. "Federal law prohibits the transfer of this drug to any person other than the patient for
whom it was prescribed."
B. "This medication may be refilled [number] times before [date] or until [date]."
C. "Generic substitution permitted" if a generic was dispensed.
D. The name and address of the patient for whom the prescription was ordered.
,Correct Answer: D
Rationale: C is correct because Title 247, Nebraska Administrative Code § 247-004.05B
specifically requires the prescription label to include, among other elements, the name
and address of the patient for whom the prescription was ordered. Choice A is incorrect
because while federal law prohibits transfer, Nebraska's specific labeling requirements
do not mandate this exact statutory warning on every label. Choice B is incorrect
because refill information is required, but the specific statutory language format in
Nebraska emphasizes the expiration date of the prescription authority, not necessarily
both "times before date" and "until date" in that exact phrasing. Choice C is incorrect
because while generic substitution is regulated, the label does not require a statement
indicating substitution was permitted; rather, it must identify the drug dispensed.
4. A Nebraska pharmacist receives a request to transfer a prescription for a Schedule IV
controlled substance from Pharmacy A to Pharmacy B. Under Nebraska law, which
procedure is required?
A. The transferring pharmacist must record the transfer on the original prescription and
void it, while the receiving pharmacist treats it as a new prescription.
B. The prescription may be transferred only if both pharmacies share a common
electronic database that provides real-time access to prescription information.
C. The prescription may be transferred one time only, and the transferring pharmacist
must write "VOID" on the face of the original prescription and record the date, name of
receiving pharmacy, and receiving pharmacist.
D. The prescription may be transferred an unlimited number of times within 6 months of
the original issuance date.
Correct Answer: C
Rationale: C is correct because Title 247, Nebraska Administrative Code § 247-004.08
adopts the federal standard allowing one-time transfer of Schedule III-V controlled
substances, requiring the transferring pharmacist to void the original prescription and
document the transfer details. Choice A is incorrect because the original prescription is
voided, but the receiving pharmacy does not treat it as a "new" prescription requiring a
new prescription number; it continues under the original authorization with transfer
, notation. Choice B is incorrect because while electronic sharing facilitates the process,
Nebraska law does not require a common database for transfer; telephone transfer is
permitted with proper documentation. Choice D is incorrect because Nebraska follows
the federal 21 CFR 1306.25 limitation of one transfer for Schedule III-V controlled
substances.
5. Under the Nebraska Pharmacy Practice Act, what is the maximum ratio of pharmacy
technicians to pharmacists permitted in a community pharmacy setting?
A. 2 technicians per 1 pharmacist
B. 3 technicians per 1 pharmacist
C. 4 technicians per 1 pharmacist
D. The Act does not specify a numerical ratio; the pharmacist-in-charge determines
appropriate staffing.
Correct Answer: C
Rationale: C is correct because Title 247, Nebraska Administrative Code § 247-006.03
establishes a maximum ratio of four pharmacy technicians (including certified
technicians) per one licensed pharmacist on duty at any time in a community pharmacy
setting. Choice A and B represent ratios that are permissible but not the maximum
allowed. Choice D is incorrect because Nebraska law explicitly caps the
technician-to-pharmacist ratio to ensure patient safety and proper supervision.
6. A pharmacist-in-charge (PIC) in Nebraska discovers that a controlled substance
inventory discrepancy cannot be resolved through internal investigation. According to
Nebraska law, the PIC must report this to:
A. The Nebraska Board of Pharmacy within 30 days of discovery.
B. The local law enforcement agency immediately.
C. The Drug Enforcement Administration (DEA) and the Nebraska Board of Pharmacy as
soon as the discrepancy is confirmed as a significant loss.
D. The wholesaler from whom the drugs were purchased within 10 days.
Correct Answer: C
Rationale: C is correct because Neb. Rev. Stat. § 71-2456 and federal DEA regulations
(21 CFR 1301.76c) require the pharmacist-in-charge to report significant losses or
