CPJE FINAL EXAM SIMULATION
2026: GRADED A+ PRACTICE TEST
:QUESTIONS AND ANSWERS
WITH RATIONALS/GRADED A+
UPDATE 100% CORRECT
California Pharmacy Jurisprudence & Clinical Competency
Assessment
*80+ Questions | Latest 2026 Updates | Evidence-Based
Rationales*
SECTION 1: PHARMACY LAW & JURISPRUDENCE
(Questions 1-25)
California-specific laws, Board of Pharmacy regulations, and federal controlled
substance acts
1. A pharmacist receives a prescription for oxycodone 30 mg #120 with "DAW-
1" written. The patient presents a valid California ID. Under current CA BOP
regulations, which action is MOST appropriate?
A) Dispense as written, no further verification needed
B) Verify CURES 2.0 report for the past 12 months and document consultation
C) Call prescriber to change to generic due to cost
D) Refuse to dispense because quantity exceeds 90 tablets
,Rationale: California requires CURES check for all Schedule II-V controlled
substances before dispensing. AB 528 (2024) extended CURES query requirements to
all prescribers and pharmacists. DAW-1 indicates brand medically necessary, but
does not override controlled substance verification requirements.
2. A technician asks to perform "tech-check-tech" for a long-term care facility
refill. Under CA law, which statement is CORRECT?
A) Technicians may perform final verification only in hospitals
B) Technicians certified by the CA BOP may perform final verification in skilled
nursing facilities under protocols
C) Tech-check-tech is prohibited in California entirely
D) Only intern pharmacists can perform final verification in any setting
Rationale: California Title 16 CCR § 1793.6 allows trained, certified pharmacy
technicians to perform final verification for medication carts, emergency kits, and
refills for skilled nursing facilities under a written protocol and pharmacist oversight
(effective 2024-2026 expansion).
3. A pharmacist discovers a dispensing error from 3 days ago - patient received
lisinopril 20 mg instead of lisinopril 10 mg. The patient is asymptomatic. Within
what timeframe must the CA BOP be notified?
A) 24 hours
B) 48 hours
C) 7 days
D) 30 days
Rationale: Business and Professions Code § 4110 requires reporting of significant
dispensing errors (those that reach the patient, regardless of harm) to the CA BOP
within 7 calendar days. Minor errors not reaching patient require internal
documentation only.
4. Which prescription requires a written informed consent form signed by the
patient under California law?
,A) Amoxicillin for pediatric otitis media
B) Isotretinoin (Accutane)
C) Metformin for diabetes
D) Atorvastatin for hyperlipidemia
Rationale: California Health & Safety Code § 110423.5 mandates iPLEDGE program
compliance AND a CA-specific written informed consent for isotretinoin, discussing
psychiatric risks, pregnancy prevention, and potential inflammatory bowel disease.
5. A pharmacist receives a verbal prescription for alprazolam 1 mg #30 from a
covering physician. The caller states "I'm Dr. Smith covering for Dr. Jones." The
pharmacist has never spoken to Dr. Smith before. What is required?
A) Dispense as verbal order is legal
B) Obtain written prescription within 7 days
C) Refuse and request written prescription only
D) Require prescriber to provide DEA number now over phone
Rationale: California Title 16 CCR § 1717 allows verbal controlled substance
prescriptions for Schedule III-V, but if the pharmacist does not know the prescriber, a
written prescription must be received within 7 days. Schedule II cannot be verbal
except in emergencies.
6. A patient requests an emergency refill of their carbamazepine on a Saturday
evening. Their pharmacy is closed. The patient calls a 24-hour pharmacy. Under
CA law, the pharmacist may:
A) Refuse because no valid prescription exists at that pharmacy
B) Dispense up to a 30-day supply
C) Dispense up to a 72-hour emergency supply
D) Only dispense if patient has ID and insurance card
Rationale: Business and Professions Code § 4063 allows an emergency refill of up to
72 hours for non-controlled medications if the pharmacist attempts to contact
prescriber and documents the emergency. Carbamazepine withdrawal risk justifies
emergency supply.
, 7. Which of the following CANNOT be delegated to a pharmacy technician
under current CA law?
A) Counting and pouring medications
B) Entering prescription data into computer system
C) Receiving verbal prescriptions over the phone from prescribers
D) Filing filled prescriptions
Rationale: Title 16 CCR § 1793.5 prohibits technicians from receiving verbal
prescriptions (new or refill) from prescribers. Only pharmacists or properly supervised
interns may take verbal orders.
8. A pharmacist notices their own name on a hydrocodone prescription
presented by a neighbor. Under CA BOP regulations, the appropriate action is:
A) Dispense as a professional courtesy
B) Have another pharmacist at the same pharmacy dispense
C) Refuse to dispense and report to the BOP
D) Dispense but document the relationship
Rationale: Title 16 CCR § 1716.5 prohibits pharmacists from dispensing controlled
substances to themselves, immediate family members, or individuals with whom they
have a close personal relationship unless a bona fide prescriber-patient relationship
exists. Self-dispensing is prohibited entirely.
9. The CA BOP may suspend a pharmacist's license immediately (without
hearing) under which circumstance?
A) First-time DUI conviction
B) Diversion of controlled substances for personal use
C) Failure to complete CE requirements
D) Dispensing error with no patient harm
Rationale: Business and Professions Code § 4301 allows the BOP Executive Officer to
issue an interim suspension order if the pharmacist poses an imminent threat to
public health and safety. Drug diversion qualifies. Due process hearing follows within
10 days.
2026: GRADED A+ PRACTICE TEST
:QUESTIONS AND ANSWERS
WITH RATIONALS/GRADED A+
UPDATE 100% CORRECT
California Pharmacy Jurisprudence & Clinical Competency
Assessment
*80+ Questions | Latest 2026 Updates | Evidence-Based
Rationales*
SECTION 1: PHARMACY LAW & JURISPRUDENCE
(Questions 1-25)
California-specific laws, Board of Pharmacy regulations, and federal controlled
substance acts
1. A pharmacist receives a prescription for oxycodone 30 mg #120 with "DAW-
1" written. The patient presents a valid California ID. Under current CA BOP
regulations, which action is MOST appropriate?
A) Dispense as written, no further verification needed
B) Verify CURES 2.0 report for the past 12 months and document consultation
C) Call prescriber to change to generic due to cost
D) Refuse to dispense because quantity exceeds 90 tablets
,Rationale: California requires CURES check for all Schedule II-V controlled
substances before dispensing. AB 528 (2024) extended CURES query requirements to
all prescribers and pharmacists. DAW-1 indicates brand medically necessary, but
does not override controlled substance verification requirements.
2. A technician asks to perform "tech-check-tech" for a long-term care facility
refill. Under CA law, which statement is CORRECT?
A) Technicians may perform final verification only in hospitals
B) Technicians certified by the CA BOP may perform final verification in skilled
nursing facilities under protocols
C) Tech-check-tech is prohibited in California entirely
D) Only intern pharmacists can perform final verification in any setting
Rationale: California Title 16 CCR § 1793.6 allows trained, certified pharmacy
technicians to perform final verification for medication carts, emergency kits, and
refills for skilled nursing facilities under a written protocol and pharmacist oversight
(effective 2024-2026 expansion).
3. A pharmacist discovers a dispensing error from 3 days ago - patient received
lisinopril 20 mg instead of lisinopril 10 mg. The patient is asymptomatic. Within
what timeframe must the CA BOP be notified?
A) 24 hours
B) 48 hours
C) 7 days
D) 30 days
Rationale: Business and Professions Code § 4110 requires reporting of significant
dispensing errors (those that reach the patient, regardless of harm) to the CA BOP
within 7 calendar days. Minor errors not reaching patient require internal
documentation only.
4. Which prescription requires a written informed consent form signed by the
patient under California law?
,A) Amoxicillin for pediatric otitis media
B) Isotretinoin (Accutane)
C) Metformin for diabetes
D) Atorvastatin for hyperlipidemia
Rationale: California Health & Safety Code § 110423.5 mandates iPLEDGE program
compliance AND a CA-specific written informed consent for isotretinoin, discussing
psychiatric risks, pregnancy prevention, and potential inflammatory bowel disease.
5. A pharmacist receives a verbal prescription for alprazolam 1 mg #30 from a
covering physician. The caller states "I'm Dr. Smith covering for Dr. Jones." The
pharmacist has never spoken to Dr. Smith before. What is required?
A) Dispense as verbal order is legal
B) Obtain written prescription within 7 days
C) Refuse and request written prescription only
D) Require prescriber to provide DEA number now over phone
Rationale: California Title 16 CCR § 1717 allows verbal controlled substance
prescriptions for Schedule III-V, but if the pharmacist does not know the prescriber, a
written prescription must be received within 7 days. Schedule II cannot be verbal
except in emergencies.
6. A patient requests an emergency refill of their carbamazepine on a Saturday
evening. Their pharmacy is closed. The patient calls a 24-hour pharmacy. Under
CA law, the pharmacist may:
A) Refuse because no valid prescription exists at that pharmacy
B) Dispense up to a 30-day supply
C) Dispense up to a 72-hour emergency supply
D) Only dispense if patient has ID and insurance card
Rationale: Business and Professions Code § 4063 allows an emergency refill of up to
72 hours for non-controlled medications if the pharmacist attempts to contact
prescriber and documents the emergency. Carbamazepine withdrawal risk justifies
emergency supply.
, 7. Which of the following CANNOT be delegated to a pharmacy technician
under current CA law?
A) Counting and pouring medications
B) Entering prescription data into computer system
C) Receiving verbal prescriptions over the phone from prescribers
D) Filing filled prescriptions
Rationale: Title 16 CCR § 1793.5 prohibits technicians from receiving verbal
prescriptions (new or refill) from prescribers. Only pharmacists or properly supervised
interns may take verbal orders.
8. A pharmacist notices their own name on a hydrocodone prescription
presented by a neighbor. Under CA BOP regulations, the appropriate action is:
A) Dispense as a professional courtesy
B) Have another pharmacist at the same pharmacy dispense
C) Refuse to dispense and report to the BOP
D) Dispense but document the relationship
Rationale: Title 16 CCR § 1716.5 prohibits pharmacists from dispensing controlled
substances to themselves, immediate family members, or individuals with whom they
have a close personal relationship unless a bona fide prescriber-patient relationship
exists. Self-dispensing is prohibited entirely.
9. The CA BOP may suspend a pharmacist's license immediately (without
hearing) under which circumstance?
A) First-time DUI conviction
B) Diversion of controlled substances for personal use
C) Failure to complete CE requirements
D) Dispensing error with no patient harm
Rationale: Business and Professions Code § 4301 allows the BOP Executive Officer to
issue an interim suspension order if the pharmacist poses an imminent threat to
public health and safety. Drug diversion qualifies. Due process hearing follows within
10 days.
