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The TN-MPJE exam has 120 questions and runs 2 hours 30 minutes.
These 10 free TN-MPJE questions are organized by exam domain, so you can see how each part of the MPJE Tennessee (Multistate Pharmacy Jurisprudence Examination - Tennessee) blueprint is tested. Reveal the answer and explanation under each question.
At a community pharmacy, one pharmacist will supervise six Tennessee-registered technicians who are not certified, one additional Tennessee-registered technician who is certified, and two registered pharmacy interns. All personnel will perform only tasks within their authority. How should the staffing plan be evaluated?
Correct answer: A - It is permitted: the seventh technician is certified, and interns do not count in the technician ratio
A Tennessee pharmacist took the pharmacy's only temporary absence of the day. The absence lasted 45 minutes; the required sign and floor-to-ceiling barrier were in place, and no prescription was compounded or dispensed. The pharmacist has returned. Which statement describes the pharmacy's status?
Correct answer: A - The prescription department may reopen now, but the pharmacist may not take a second temporary absence that day
At 11:30 p.m., an emergency-department physician telephones an oral prescription for morphine sulfate for a patient in acute crisis. Immediate administration is necessary, no appropriate alternative is available, and it is not reasonably possible for the physician to issue a signed paper or compliant electronic prescription before the drug is needed. The physician is known to the pharmacist. Which dispensing procedure complies with federal law?
Correct answer: D - Dispense only the emergency quantity, reduce the order to writing immediately, and process a compliant follow-up within seven days
A 17-year-old requests an influenza vaccine at a Tennessee pharmacy. The pharmacist has satisfied all applicable training, screening, consent, emergency-preparedness, documentation, registry, and reporting requirements. Which course is authorized by Tennessee law?
Correct answer: B - Prescribe and administer the influenza vaccine under the pharmacist's statutory authority
An adult asks a Tennessee pharmacist for a progesterone-only hormonal contraceptive. The pharmacist completes every assessment, documentation, labeling, and referral step required for the independent statutory pathway and finds no contraindication or exclusion. What may the pharmacist do?
Correct answer: A - Issue the prescription under the independent progesterone-only authority
A patient presents an oxycodone prescription for a dose increase, plans to pay cash, and lives 90 miles away. Before deciding, the pharmacist verifies the prescriber's active DEA registration, speaks directly with the prescriber and confirms a documented postoperative complication and dose change, reviews the CSMD showing one prescriber, one pharmacy, and no early or overlapping fills, and confirms the patient's identity. No other irregularity remains. What is the most defensible next step?
Correct answer: C - Dispense if otherwise valid and document the resolution of each concern
Pharmacy A receives an unfilled electronic Schedule II prescription but cannot obtain the medication. At the patient's request, Pharmacy B agrees to fill it. Both are retail pharmacies, Tennessee law permits the transfer, and their systems can transmit the prescription unchanged in electronic form directly between licensed pharmacists. How may the prescription be moved?
Correct answer: D - Transfer it once electronically for initial dispensing and document the transfer at both pharmacies
A new patient presents a two-day, no-refill opioid prescription. The quantity ordinarily fits Tennessee's three-day CSMD-check exemption, but the patient's identification details conflict with the prescription and the prescriber contact number printed on it differs from the verified practice number. The pharmacist is reasonably certain that the person is attempting to obtain the drug for a fraudulent purpose. Before making the final dispensing decision, what is required?
Correct answer: C - Check the CSMD personally or through an authorized delegate; the suspicion-based duty overrides the routine exemption
A Tennessee outpatient has remained seizure-free on the same strength and regimen of generic lamotrigine from Manufacturer X. The pharmacy's next refill would use the same generic drug from Manufacturer Y. The prescription does not otherwise prohibit substitution. What must occur before the manufacturer is changed?
Correct answer: B - The patient or designated person and the prescriber must both be notified before the interchange
An ambulatory surgery center wants a standing weekly supply of 100 sterile prefilled syringes compounded without patient names for use as office stock. The center is not asking for limited quantities tied to a 503A pharmacy's established history of patient-specific prescriptions. Which supply arrangement is legally supportable under federal compounding law?
Correct answer: C - A compliant FDA-registered 503B outsourcing facility may supply office stock without a patient-specific prescription
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