Nevada MPJE | 328 Questions
with 100% Correct Answers
True or false: "take as directed" does not fulfill the directions for use requirements for controlled
substances. Correct Answer: true. Controlled Rx must clearly specify dosage, frequency, and manner in
which the drug is to be taken.
How often must practitioners or other people who dispense controlled substances obtain registration
from the DEA? Correct Answer: every 2 years
True or false: an agent or employee of a registered dispenser is not required to register with the DEA.
Correct Answer: True, so long as they are acting in the usual course of their business/employment.
True or false: a common or contract carrier or warehouseman does not need registration with the DEA.
Correct Answer: True.
Which of the following activities requires separate registration with the DEA? (1) manufacturing. (2)
distributing. (3) dispensing, prescribing, conducting research. (4) conducting chemical analysis. Correct
Answer: they all do. A separate registration for each of these activities is required.
True or false: a person who engages in more than one group of independent activities must obtain a
separate registration for each group of activities. Correct Answer: TRUE.
True or false: a separate registration is required for each place of business or professional practice
where controlled substances are manufactured, distributed, used in research or scientific investigation,
prescribed or dispensed. Correct Answer: TRUE
True or false: a warehouse that stores controlled substances requires a separate registration. Correct
Answer: FALSE.
True or false: a practitioner's office where controlled substances are prescribed but not stored or
dispensed still requires a separate registration. Correct Answer: FALSE. If they are only prescribed, and
not stored/dispensed/administered, the location does not require registration.
True or false: a practitioner's office where controlled substances are stored does not require a separate
registration. Correct Answer: FALSE - if controlled substances are being stored, they require separate
registration.
What items are required on the certificate of registration? Correct Answer: (1) name of registrant. (2)
address of registrant. (3) registration number (DEA#) of registrant). (4) activity authorized (is it
dispensing, research, etc). (5) the schedules of the controlled substances which the registrant is
authorized to handle.
,For a practitioner who dispenses controlled substances for use by his patients outside of his presence,
what record-keeping is required? Correct Answer: (1) name of the patient. (2) address, unless readily
available (then indicated). (3) date of dispensing. (4) name of the prescribing practitioner and
classification of license. (5) DEA #. (6) initials of the dispensing practitioner if the dispensing is different
from the prescribing. (7) directions for use. (8) signature of the prescribing practitioner.
True or false: a practitioner may dispense controlled drugs to a patient only after he has issues a written
RX that allows the patient to have it filled at another location of the patient's choosing. Correct Answer:
TRUE
True or false: an individual practitioner may dispense a controlled substance (2-4) for his own personal
use. Correct Answer: FALSE - they may not. Exception: medical emergency.
Can pharmacists use oral authorization to dispense CII medications? Correct Answer: YES, but only in
emergency situations. The quantity prescribed/dispensed must be limited to the amount adequate to
treat the patient during the emergency period. Any quantity beyond this requires a written prescription.
What are the requirements for dispending a CII in an emergency situation? Correct Answer: Reduce the
oral authorization to writing immediately. RX must contain all information required of controlled
medications, except the signature of the prescriber. Write on the face of the RX "authorization for
emergency dispensing" and date or oral order. Make reasonable effort to confirm validity of registered
practitioner if they are personally unknown to the pharmacist. A written prescription must be received,
either by person or by mail, within 72 hours (if by mail, then post-marked by 72 hours). Attach this
written rx to the oral authorization. If the written RX is not received, the pharmacist must notify the
board of the prescribers' failure to deliver.
True or false: an individual practitioner may issue a prescription order in order to obtain controlled
substances for the purpose of general dispensing to patients. Correct Answer: FALSE - they should be
filling out an order form - prescribers cannot write an RX to a pharmacy with "for office use," for
example.
Can a prescription for a narcotic be given to a patient who is dependent with the sole purpose of
extending their dependence on the medication? Correct Answer: ONLY if they are in an authorized
investigation in the development of a program for rehabilitating narcotic addicts.
True or false: the prescribing of narcotic's to a person dependent on a narcotic for the purpose of
continuining his dependence is persmissible as long as that patient is in a authorized clinical
investigation in the development of a program for rehabilitating narcotic addicts. Correct Answer: FALSE
- narcotics may be administered or dispensed directly - but they cannot be prescribed! (this is unsafe for
the patient, who should be supervised while taking medication they are dependent upon)
What schedules of controlled medications can be accepted through fax? Correct Answer: C3-5. C2s can
be accepted via fax in only 3 circumstances: (1) compounded for direct administration, (2) for a patient
in a LTCF, or (3) for a patient in hospice-care (or is "terminally ill")
What items must be included in an written prescription? (nor oral or electronic) Correct Answer: for the
prescriber: (1) name, (2) address - unless readily available, (3) signature, (4) type of license, (5) DEA#. For
, the patient: (1) name of the patient, (2) address, unless readily available, (3) name, strength, quantity of
drug, (4) directions for use, (5) date issued
What items can be changed on a CII prescription? Correct Answer: strength of drug, quantity of drug,
directions for use, and the date the RX was issued. All changes require prescribing practitioner approval.
Note the date and time of change, and the reason for the change.
Which items can NOT be changed on a CII prescription? Correct Answer: name of the patient, name of
the drug, signature of the prescribing practitioner.
Can a prescription blank contain more than one CII medication? Correct Answer: YES. If it's being filled
immediately, the prescription can contain multiple CIIs, other controlled medications, or non-controlled
medications. They just have to be filed appropriately. (make copies, reference the original rx/C2 on the
copies)
Can a pharmacist return a written C2 prescription? Correct Answer: yes, only if the medication has not
already been dispensed. If the medication has been dispensed, the pharmacist shall not return the rx to
the patient.
Can multiple drugs be on a single prescription blank if the medication is issued for future use? Correct
Answer: NO. any C2 with "do not fill before" or some version thereof must be alone on that prescription
blank.
When must a C2 prescription for future use be tendered? Correct Answer: within 14 days of the future
date indicated (on or before the 14th day).
True or false: the date indicated on a C2 for future use must not be later than 4 months after the date
on which the prescription is written. Correct Answer: FALSE - no later than THREE months.
True or false: for C2s with future fill date; "no combination of prescriptions for the same medication may
exceed a 90-day supply based on the date indicated." Correct Answer: TRUE.
Are pharmacists allowed to dispense a partial fill on C2 medications? Correct Answer: YES. If the
pharmacist is unable to supply the full quantity, you can fill a partial quantity - note the quantity
dispensed on the RX. The remaining quantity must be filled within 72 hours. If the remainder cannot be
filled within 72 hours, the pharmacist must notify the prescriber. No further quantity may be supplied
beyond the 72-hour period without a new prescription.
How long is a C2 prescription valid for after a partial fill? Correct Answer: if it's a regular patient, the
remainder must be filled within 72 hours. For patients in LTCF or hospice/terminally-ill, the prescription
is valid for 60 days after its written date unless the rx is terminated earlier by d/c of the medication.
Can C-3 to 5 be partially filled by the pharmacist? What counts as a full refill? Correct Answer: YES,
schedule 3 to 5 can be partially filled. A patient will not receive a full refill until the entire quantity of the
first prescription has been dispensed. Example: patient has RX for Xanax 2 mg, # 60. Patient can pick up
#20. It will not count as a "full" fill until the patient picks up a total of 60.
with 100% Correct Answers
True or false: "take as directed" does not fulfill the directions for use requirements for controlled
substances. Correct Answer: true. Controlled Rx must clearly specify dosage, frequency, and manner in
which the drug is to be taken.
How often must practitioners or other people who dispense controlled substances obtain registration
from the DEA? Correct Answer: every 2 years
True or false: an agent or employee of a registered dispenser is not required to register with the DEA.
Correct Answer: True, so long as they are acting in the usual course of their business/employment.
True or false: a common or contract carrier or warehouseman does not need registration with the DEA.
Correct Answer: True.
Which of the following activities requires separate registration with the DEA? (1) manufacturing. (2)
distributing. (3) dispensing, prescribing, conducting research. (4) conducting chemical analysis. Correct
Answer: they all do. A separate registration for each of these activities is required.
True or false: a person who engages in more than one group of independent activities must obtain a
separate registration for each group of activities. Correct Answer: TRUE.
True or false: a separate registration is required for each place of business or professional practice
where controlled substances are manufactured, distributed, used in research or scientific investigation,
prescribed or dispensed. Correct Answer: TRUE
True or false: a warehouse that stores controlled substances requires a separate registration. Correct
Answer: FALSE.
True or false: a practitioner's office where controlled substances are prescribed but not stored or
dispensed still requires a separate registration. Correct Answer: FALSE. If they are only prescribed, and
not stored/dispensed/administered, the location does not require registration.
True or false: a practitioner's office where controlled substances are stored does not require a separate
registration. Correct Answer: FALSE - if controlled substances are being stored, they require separate
registration.
What items are required on the certificate of registration? Correct Answer: (1) name of registrant. (2)
address of registrant. (3) registration number (DEA#) of registrant). (4) activity authorized (is it
dispensing, research, etc). (5) the schedules of the controlled substances which the registrant is
authorized to handle.
,For a practitioner who dispenses controlled substances for use by his patients outside of his presence,
what record-keeping is required? Correct Answer: (1) name of the patient. (2) address, unless readily
available (then indicated). (3) date of dispensing. (4) name of the prescribing practitioner and
classification of license. (5) DEA #. (6) initials of the dispensing practitioner if the dispensing is different
from the prescribing. (7) directions for use. (8) signature of the prescribing practitioner.
True or false: a practitioner may dispense controlled drugs to a patient only after he has issues a written
RX that allows the patient to have it filled at another location of the patient's choosing. Correct Answer:
TRUE
True or false: an individual practitioner may dispense a controlled substance (2-4) for his own personal
use. Correct Answer: FALSE - they may not. Exception: medical emergency.
Can pharmacists use oral authorization to dispense CII medications? Correct Answer: YES, but only in
emergency situations. The quantity prescribed/dispensed must be limited to the amount adequate to
treat the patient during the emergency period. Any quantity beyond this requires a written prescription.
What are the requirements for dispending a CII in an emergency situation? Correct Answer: Reduce the
oral authorization to writing immediately. RX must contain all information required of controlled
medications, except the signature of the prescriber. Write on the face of the RX "authorization for
emergency dispensing" and date or oral order. Make reasonable effort to confirm validity of registered
practitioner if they are personally unknown to the pharmacist. A written prescription must be received,
either by person or by mail, within 72 hours (if by mail, then post-marked by 72 hours). Attach this
written rx to the oral authorization. If the written RX is not received, the pharmacist must notify the
board of the prescribers' failure to deliver.
True or false: an individual practitioner may issue a prescription order in order to obtain controlled
substances for the purpose of general dispensing to patients. Correct Answer: FALSE - they should be
filling out an order form - prescribers cannot write an RX to a pharmacy with "for office use," for
example.
Can a prescription for a narcotic be given to a patient who is dependent with the sole purpose of
extending their dependence on the medication? Correct Answer: ONLY if they are in an authorized
investigation in the development of a program for rehabilitating narcotic addicts.
True or false: the prescribing of narcotic's to a person dependent on a narcotic for the purpose of
continuining his dependence is persmissible as long as that patient is in a authorized clinical
investigation in the development of a program for rehabilitating narcotic addicts. Correct Answer: FALSE
- narcotics may be administered or dispensed directly - but they cannot be prescribed! (this is unsafe for
the patient, who should be supervised while taking medication they are dependent upon)
What schedules of controlled medications can be accepted through fax? Correct Answer: C3-5. C2s can
be accepted via fax in only 3 circumstances: (1) compounded for direct administration, (2) for a patient
in a LTCF, or (3) for a patient in hospice-care (or is "terminally ill")
What items must be included in an written prescription? (nor oral or electronic) Correct Answer: for the
prescriber: (1) name, (2) address - unless readily available, (3) signature, (4) type of license, (5) DEA#. For
, the patient: (1) name of the patient, (2) address, unless readily available, (3) name, strength, quantity of
drug, (4) directions for use, (5) date issued
What items can be changed on a CII prescription? Correct Answer: strength of drug, quantity of drug,
directions for use, and the date the RX was issued. All changes require prescribing practitioner approval.
Note the date and time of change, and the reason for the change.
Which items can NOT be changed on a CII prescription? Correct Answer: name of the patient, name of
the drug, signature of the prescribing practitioner.
Can a prescription blank contain more than one CII medication? Correct Answer: YES. If it's being filled
immediately, the prescription can contain multiple CIIs, other controlled medications, or non-controlled
medications. They just have to be filed appropriately. (make copies, reference the original rx/C2 on the
copies)
Can a pharmacist return a written C2 prescription? Correct Answer: yes, only if the medication has not
already been dispensed. If the medication has been dispensed, the pharmacist shall not return the rx to
the patient.
Can multiple drugs be on a single prescription blank if the medication is issued for future use? Correct
Answer: NO. any C2 with "do not fill before" or some version thereof must be alone on that prescription
blank.
When must a C2 prescription for future use be tendered? Correct Answer: within 14 days of the future
date indicated (on or before the 14th day).
True or false: the date indicated on a C2 for future use must not be later than 4 months after the date
on which the prescription is written. Correct Answer: FALSE - no later than THREE months.
True or false: for C2s with future fill date; "no combination of prescriptions for the same medication may
exceed a 90-day supply based on the date indicated." Correct Answer: TRUE.
Are pharmacists allowed to dispense a partial fill on C2 medications? Correct Answer: YES. If the
pharmacist is unable to supply the full quantity, you can fill a partial quantity - note the quantity
dispensed on the RX. The remaining quantity must be filled within 72 hours. If the remainder cannot be
filled within 72 hours, the pharmacist must notify the prescriber. No further quantity may be supplied
beyond the 72-hour period without a new prescription.
How long is a C2 prescription valid for after a partial fill? Correct Answer: if it's a regular patient, the
remainder must be filled within 72 hours. For patients in LTCF or hospice/terminally-ill, the prescription
is valid for 60 days after its written date unless the rx is terminated earlier by d/c of the medication.
Can C-3 to 5 be partially filled by the pharmacist? What counts as a full refill? Correct Answer: YES,
schedule 3 to 5 can be partially filled. A patient will not receive a full refill until the entire quantity of the
first prescription has been dispensed. Example: patient has RX for Xanax 2 mg, # 60. Patient can pick up
#20. It will not count as a "full" fill until the patient picks up a total of 60.
