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WASHINGTON MPJE FINAL ACTUAL EXAM
PREP 2026 ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT
FEEDBACK | NEW AND REVISED
1. A prescriber faxes a prescription for a Schedule II opioid to a community
pharmacy. Which statement is true regarding dispensing?
A. The pharmacist may dispense without further verification because a fax
was received.
B. The fax is acceptable as the original prescription in all situations.
C. The pharmacist must verify the prescriber’s original signed
prescription, and federal/state rules for CII prescriptions must be
followed before dispensing.
D. A fax automatically converts the prescription to Schedule III.
Rationale: Schedule II prescriptions require strict verification and
compliance with CSA and state law before dispensing; a fax alone does not
eliminate controlled-substance requirements.
2. A Washington prescriber issues a 30-day supply of a Schedule III
medication. Under typical PMP and state expectations, the pharmacist
should:
A. Never check the state PMP because it applies only to doctors.
B. Query the Prescription Monitoring Program (PMP) when required
by WAC/RCW and use PMP data as part of clinical judgment prior to
dispensing controlled substances.
C. Dispense without documentation of clinical review because PMP checks
,2|Page
are voluntary always.
D. Refuse to dispense any Schedule III medications.
Rationale: Washington’s PMP is an important tool; pharmacists must
consult PMP reports per applicable rules and use that information in safe
dispensing decisions.
3. A pharmacist receives an electronic prescription for a noncontrolled legend
drug that contains an obvious dosing error. The pharmacist’s best immediate
action is to:
A. Fill as written and let the prescriber know later.
B. Contact the prescriber to clarify and document the clarification prior
to dispensing.
C. Substitute a different drug at pharmacist’s discretion without
documentation.
D. Destroy the prescription and refuse to contact prescriber.
Rationale: Pharmacists are required to verify and resolve ambiguous or
erroneous prescriptions; proper documentation of communications is part of
good practice and legal defensibility.
4. Under federal controlled-substances law, which recordkeeping practice is
generally required for Schedule II controlled substances at a retail
pharmacy?
A. Keep all CII records mixed indistinguishably with noncontrolled records.
B. Maintain a separate, readily retrievable, or electronic record of
Schedule II prescriptions and inventories as required by DEA
regulations.
C. Only document CIIs when a complaint is filed.
D. Destroy CII records after 30 days.
Rationale: Federal law and DEA regulations require pharmacies to
maintain appropriate controlled substance records and inventories for audit
and legal compliance.
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5. A Washington licensed pharmacist supervising a pharmacy technician
notices the technician preparing prescriptions without technician
registration/endorsement required by the commission. The pharmacist
should:
A. Allow the technician to continue; training is all that matters.
B. Stop the technician’s delegated activities, ensure compliance with
WAC/RCW, and report/rectify the regulatory deficiency per
commission rules.
C. Delegate more tasks to the technician to speed workflow.
D. Replace the technician with an unregulated volunteer.
Rationale: Pharmacy professionals must ensure support personnel meet
state certification/endorsement requirements and must not permit
uncredentialed practice.
6. A controlled substance prescription bearing a valid prescriber signature is
presented 13 months after the date written for a Schedule III medication.
Which is correct?
A. All non-controlled prescriptions expire after 6 months only.
B. Many state and federal rules limit the period of validity for
controlled-substance prescriptions; pharmacists must ensure
prescriptions are within the lawful timeframe before dispensing.
C. A pharmacist may extend the date legally without prescriber contact.
D. Schedule III medications never expire.
Rationale: Controlled-substance prescriptions have defined validity periods;
pharmacists must verify timeliness per law and policy.
7. A patient requests a transfer of a valid noncontrolled prescription to another
pharmacy in Washington. Under typical rules the pharmacist should:
A. Refuse any transfer requests.
B. Transfer the prescription record to the receiving pharmacy following
state transfer procedures and document the transfer appropriately.
C. Give the patient a copy of the prescription and let them manually re-
present it elsewhere.
D. Report the patient to the board.
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Rationale: Transfers of prescriptions between pharmacies are allowed with
proper documentation and compliance with state transfer rules.
8. A pharmacist is asked to dispense an emergency 72-hour supply of a chronic
medication when the prescriber is unavailable and the patient is without
medication. The pharmacist should:
A. Refuse automatically — no exceptions.
B. Evaluate whether an emergency refill is permitted under Washington
law (including conditions for emergencies), document the rationale, and
dispense only if criteria are met.
C. Always dispense a 90-day emergency supply without documentation.
D. Charge the patient double and dispense freely.
Rationale: Emergency dispensing exceptions exist in many jurisdictions but
require pharmacist judgment, documentation, and compliance with statutory
limitations.
9. Under the Pharmacy Quality Assurance Commission rules, a pharmacy’s
sterile compounding area must meet staffing and environmental controls.
The pharmacist in charge (PIC) is primarily responsible for:
A. Only greeting patients at the door.
B. Ensuring policies, personnel training, environmental controls, and
quality assurance programs meet WAC standards.
C. Allowing unqualified staff to compound unsupervised.
D. Destroying all environmental monitoring records weekly.
Rationale: The PIC has operational responsibility to ensure compounding
complies with state professional standards.
10.A Washington prescriber sends an e-prescription for a controlled substance.
Which federal/state requirement applies to electronic prescribing of
controlled substances (EPCS)?
A. EPCS is banned federally.
B. EPCS must comply with DEA requirements for authentication and
auditing, and the pharmacy must validate the e-prescribing system per
WASHINGTON MPJE FINAL ACTUAL EXAM
PREP 2026 ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT
FEEDBACK | NEW AND REVISED
1. A prescriber faxes a prescription for a Schedule II opioid to a community
pharmacy. Which statement is true regarding dispensing?
A. The pharmacist may dispense without further verification because a fax
was received.
B. The fax is acceptable as the original prescription in all situations.
C. The pharmacist must verify the prescriber’s original signed
prescription, and federal/state rules for CII prescriptions must be
followed before dispensing.
D. A fax automatically converts the prescription to Schedule III.
Rationale: Schedule II prescriptions require strict verification and
compliance with CSA and state law before dispensing; a fax alone does not
eliminate controlled-substance requirements.
2. A Washington prescriber issues a 30-day supply of a Schedule III
medication. Under typical PMP and state expectations, the pharmacist
should:
A. Never check the state PMP because it applies only to doctors.
B. Query the Prescription Monitoring Program (PMP) when required
by WAC/RCW and use PMP data as part of clinical judgment prior to
dispensing controlled substances.
C. Dispense without documentation of clinical review because PMP checks
,2|Page
are voluntary always.
D. Refuse to dispense any Schedule III medications.
Rationale: Washington’s PMP is an important tool; pharmacists must
consult PMP reports per applicable rules and use that information in safe
dispensing decisions.
3. A pharmacist receives an electronic prescription for a noncontrolled legend
drug that contains an obvious dosing error. The pharmacist’s best immediate
action is to:
A. Fill as written and let the prescriber know later.
B. Contact the prescriber to clarify and document the clarification prior
to dispensing.
C. Substitute a different drug at pharmacist’s discretion without
documentation.
D. Destroy the prescription and refuse to contact prescriber.
Rationale: Pharmacists are required to verify and resolve ambiguous or
erroneous prescriptions; proper documentation of communications is part of
good practice and legal defensibility.
4. Under federal controlled-substances law, which recordkeeping practice is
generally required for Schedule II controlled substances at a retail
pharmacy?
A. Keep all CII records mixed indistinguishably with noncontrolled records.
B. Maintain a separate, readily retrievable, or electronic record of
Schedule II prescriptions and inventories as required by DEA
regulations.
C. Only document CIIs when a complaint is filed.
D. Destroy CII records after 30 days.
Rationale: Federal law and DEA regulations require pharmacies to
maintain appropriate controlled substance records and inventories for audit
and legal compliance.
,3|Page
5. A Washington licensed pharmacist supervising a pharmacy technician
notices the technician preparing prescriptions without technician
registration/endorsement required by the commission. The pharmacist
should:
A. Allow the technician to continue; training is all that matters.
B. Stop the technician’s delegated activities, ensure compliance with
WAC/RCW, and report/rectify the regulatory deficiency per
commission rules.
C. Delegate more tasks to the technician to speed workflow.
D. Replace the technician with an unregulated volunteer.
Rationale: Pharmacy professionals must ensure support personnel meet
state certification/endorsement requirements and must not permit
uncredentialed practice.
6. A controlled substance prescription bearing a valid prescriber signature is
presented 13 months after the date written for a Schedule III medication.
Which is correct?
A. All non-controlled prescriptions expire after 6 months only.
B. Many state and federal rules limit the period of validity for
controlled-substance prescriptions; pharmacists must ensure
prescriptions are within the lawful timeframe before dispensing.
C. A pharmacist may extend the date legally without prescriber contact.
D. Schedule III medications never expire.
Rationale: Controlled-substance prescriptions have defined validity periods;
pharmacists must verify timeliness per law and policy.
7. A patient requests a transfer of a valid noncontrolled prescription to another
pharmacy in Washington. Under typical rules the pharmacist should:
A. Refuse any transfer requests.
B. Transfer the prescription record to the receiving pharmacy following
state transfer procedures and document the transfer appropriately.
C. Give the patient a copy of the prescription and let them manually re-
present it elsewhere.
D. Report the patient to the board.
, 4|Page
Rationale: Transfers of prescriptions between pharmacies are allowed with
proper documentation and compliance with state transfer rules.
8. A pharmacist is asked to dispense an emergency 72-hour supply of a chronic
medication when the prescriber is unavailable and the patient is without
medication. The pharmacist should:
A. Refuse automatically — no exceptions.
B. Evaluate whether an emergency refill is permitted under Washington
law (including conditions for emergencies), document the rationale, and
dispense only if criteria are met.
C. Always dispense a 90-day emergency supply without documentation.
D. Charge the patient double and dispense freely.
Rationale: Emergency dispensing exceptions exist in many jurisdictions but
require pharmacist judgment, documentation, and compliance with statutory
limitations.
9. Under the Pharmacy Quality Assurance Commission rules, a pharmacy’s
sterile compounding area must meet staffing and environmental controls.
The pharmacist in charge (PIC) is primarily responsible for:
A. Only greeting patients at the door.
B. Ensuring policies, personnel training, environmental controls, and
quality assurance programs meet WAC standards.
C. Allowing unqualified staff to compound unsupervised.
D. Destroying all environmental monitoring records weekly.
Rationale: The PIC has operational responsibility to ensure compounding
complies with state professional standards.
10.A Washington prescriber sends an e-prescription for a controlled substance.
Which federal/state requirement applies to electronic prescribing of
controlled substances (EPCS)?
A. EPCS is banned federally.
B. EPCS must comply with DEA requirements for authentication and
auditing, and the pharmacy must validate the e-prescribing system per
