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DE MPJE practice questions

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Question 1Delaware Pharmacy Law

Under Delaware pharmacy law, which individual holds the ultimate responsibility for the professional conduct of a licensed pharmacy's operations?

  1. The pharmacist-in-charge Correct answer.
  2. The store manager
  3. The pharmacy owner
  4. The pharmacy technician supervisor

Explanation

Delaware requires each licensed pharmacy to designate a pharmacist-in-charge who is responsible for compliance with pharmacy law and the safe conduct of dispensing operations. That responsibility is professional and personal, so it cannot be delegated to non-pharmacist staff or to an owner who is not a pharmacist.

Question 2Delaware Pharmacy Law

A Delaware pharmacy receives a prescription for a controlled substance that appears to have been altered. What is the most appropriate immediate action?

  1. Refuse to dispense and return the prescription to the patient
  2. Dispense the prescription and note the concern in the patient record
  3. Verify the prescription with the prescriber before dispensing Correct answer.
  4. Report the prescription to law enforcement and dispense as written

Explanation

When a prescription's authenticity or content is in doubt, the pharmacist must resolve the question with the prescriber before dispensing. Dispensing first would expose the pharmacy to liability, and simply returning the document does not discharge the pharmacist's corresponding responsibility.

Question 3Delaware Pharmacy Law

Which body within the Delaware Division of Professional Regulation licenses pharmacists and adopts regulations governing pharmacy practice?

  1. The Board of Medical Practice
  2. The Office of Controlled Substances
  3. The Department of Health and Social Services
  4. The Board of Pharmacy Correct answer.

Explanation

The Delaware Board of Pharmacy, housed within the Division of Professional Regulation, licenses pharmacists and pharmacies and adopts regulations implementing the pharmacy practice act. Other boards and agencies have different scopes and do not license pharmacists.

Question 4Delaware Pharmacy Law

A Delaware pharmacy technician is performing duties under pharmacist supervision. Which task may the technician generally perform?

  1. Performing the final verification of a filled prescription
  2. Counseling a patient on a new inhaler technique
  3. Entering prescription data into the pharmacy system Correct answer.
  4. Transferring a prescription to another pharmacy

Explanation

Delaware permits technicians to perform supportive tasks such as data entry and counting under supervision, while reserving clinical judgment functions for pharmacists. Counseling, final verification, and certain transfers require the pharmacist's professional involvement.

Question 5Delaware Pharmacy Law

How often must a Delaware pharmacist renew a license to practice, absent any special Board order?

  1. Every three years
  2. Every five years
  3. Every two years Correct answer.
  4. Every year

Explanation

Delaware pharmacist licenses are renewed on a biennial cycle, with continuing education completed during each renewal period. Annual, triennial, and five-year cycles do not match the Delaware renewal schedule.

Question 6Delaware Pharmacy Law

A Delaware pharmacy discovers that a large quantity of a Schedule II medication is unaccounted for during a biennial inventory. What must the pharmacy do?

  1. Report the loss only if the value exceeds a set dollar threshold
  2. Report the loss to the Board of Pharmacy and appropriate authorities Correct answer.
  3. Wait until the next inventory to confirm the discrepancy
  4. Adjust the inventory record to reflect the current count

Explanation

Significant losses of controlled substances must be reported promptly to the Board of Pharmacy and to the appropriate drug enforcement authorities. Quietly adjusting records or waiting conceals the loss and violates recordkeeping duties.

Question 7Delaware Pharmacy Law

Which statement best describes the requirement for a Delaware pharmacy to provide patient counseling?

  1. Counseling is required only for prescriptions dispensed to minors
  2. Counseling is optional and offered only when the patient asks
  3. Counseling is required only for controlled substances
  4. Counseling must be offered to each patient receiving a new prescription Correct answer.

Explanation

Delaware requires that the pharmacist offer counseling to each patient receiving a new prescription, and the offer and its outcome should be documented. Counseling is not limited to controlled substances or to patients who request it.

Question 8Delaware Pharmacy Law

A Delaware pharmacist receives an oral prescription for a Schedule II controlled substance in a genuine emergency. What must occur for the prescription to be valid?

  1. The pharmacist must obtain a second pharmacist's approval
  2. The prescriber must deliver a written prescription within seven days Correct answer.
  3. The prescriber must confirm the order by email within thirty days
  4. The patient must sign a written acknowledgment

Explanation

Federal and Delaware rules allow an oral emergency Schedule II prescription only when the prescriber follows up with a written prescription within seven days. Email confirmation, second-pharmacist approval, and patient acknowledgments do not substitute for the written follow-up.

Question 9Delaware Pharmacy Law

Which record must a Delaware pharmacy maintain for each controlled substance dispensed?

  1. A record of the patient's counseling consent
  2. A record of the patient's insurance provider
  3. A record showing the date, quantity, and prescriber Correct answer.
  4. A copy of the prescriber's DEA registration certificate

Explanation

Controlled substance dispensing records must identify the drug, date, quantity, patient, and prescriber so that accountability can be traced. Insurance data, prescriber registration copies, and counseling consents are not the required dispensing audit trail.

Question 10Delaware Pharmacy Law

A Delaware pharmacy wants to operate a remote automated dispensing system at a satellite location. What is the key regulatory prerequisite?

  1. Registration with the state medical society
  2. Notification of the local police department only
  3. A signed lease filed with the Division of Professional Regulation
  4. Approval of the Board of Pharmacy for the additional location Correct answer.

Explanation

Each pharmacy location, including one using automated dispensing equipment, must be separately licensed and approved by the Board of Pharmacy before operation. Police notification, medical society registration, and lease filings do not authorize pharmacy operations.

Question 11Delaware Pharmacy Law

Which action by a Delaware pharmacist would most likely constitute unprofessional conduct subject to Board discipline?

  1. Refusing to fill a prescription for a valid therapeutic reason and documenting it
  2. Dispensing a generic equivalent when authorized
  3. Declining to stock a particular non-controlled product
  4. Practicing while impaired by alcohol or drugs Correct answer.

Explanation

Practicing while impaired endangers patients and is a classic ground for Board discipline. Substituting an authorized generic, documenting a legitimate refusal, and making inventory choices are ordinary professional activities.

Question 12Delaware Pharmacy Law

A patient presents a Delaware prescription that is missing the quantity to be dispensed. What is the pharmacist's best course of action?

  1. Dispense a standard thirty-day supply and note the assumption
  2. Refuse to dispense and tell the patient to return later
  3. Fill the prescription for the smallest available package size
  4. Contact the prescriber to obtain the missing information Correct answer.

Explanation

A prescription lacking an essential element is incomplete, and the pharmacist must obtain the missing information from the prescriber before dispensing. Guessing a quantity, refusing outright, or defaulting to package size substitutes assumption for verification.

Question 13Delaware Pharmacy Law

Which statement about continuing education for Delaware pharmacist license renewal is accurate?

  1. Continuing education is required only for pharmacists who dispense controlled substances
  2. No continuing education is required after initial licensure
  3. Continuing education hours may be carried over without limit
  4. Continuing education must be completed within each renewal period Correct answer.

Explanation

Delaware requires pharmacists to complete continuing education during each renewal period to maintain licensure. It is not waived after initial licensure, not limited to controlled substance dispensers, and carryover is subject to limits.

Question 14Delaware Pharmacy Law

A Delaware pharmacy receives a prescription for a compounded sterile preparation. Which requirement applies to the pharmacy's operations?

  1. Sterile compounding requires no documentation of ingredients
  2. Sterile compounding must occur in an appropriate environment with trained personnel Correct answer.
  3. Sterile compounding may be delegated entirely to untrained staff
  4. Sterile compounding may be performed in any unclassified space

Explanation

Delaware expects sterile compounding to occur in a suitable controlled environment by trained personnel with documented procedures and ingredients. Unclassified space, absent documentation, and untrained delegation all compromise sterility and patient safety.

Question 15Delaware Pharmacy Law

Which of the following is a valid basis for a Delaware pharmacist to refuse to fill a prescription?

  1. The patient's race or national origin
  2. The prescriber's membership in a particular medical society
  3. A reasonable belief that the prescription is fraudulent Correct answer.
  4. The patient's inability to speak English

Explanation

A pharmacist may decline to fill a prescription when there is a reasonable, documented belief that it is fraudulent or otherwise invalid. Refusals based on protected characteristics, language, or association are discriminatory and unlawful.

Question 16Delaware Pharmacy Law

A Delaware pharmacy's prescription department is left without a pharmacist on duty for part of the day. What is the appropriate response?

  1. Continue dispensing under technician supervision
  2. Close the prescription department until a pharmacist is present Correct answer.
  3. Dispense only refills during the gap
  4. Have the store manager verify prescriptions

Explanation

A pharmacy may not dispense prescriptions without a pharmacist on duty; the prescription department must close until a pharmacist is present. Technician supervision, manager verification, and limited refill dispensing do not cure the absence of a pharmacist.

Question 17Delaware Pharmacy Law

Which type of prescription may a Delaware pharmacist refill without specific prescriber authorization, subject to the drug's schedule?

  1. A Schedule III prescription with refills authorized Correct answer.
  2. A Schedule II prescription marked PRN
  3. A Schedule II prescription for a chronic condition
  4. A Schedule II prescription

Explanation

Schedule III prescriptions may be refilled when the prescriber has authorized refills and applicable limits are observed. Schedule II prescriptions may not be refilled, and PRN or chronic-condition labeling does not change that prohibition.

Question 18Delaware Pharmacy Law

A Delaware pharmacy technician needs to transfer a prescription to another pharmacy. Under Delaware practice, who should handle the transfer?

  1. The patient, by carrying the original prescription
  2. A pharmacist, with the required documentation Correct answer.
  3. The store manager, by phone
  4. Any technician at the pharmacy

Explanation

Prescription transfers involve professional verification and documentation, so a pharmacist handles them. Technicians, patients, and managers do not have the authority to execute a lawful transfer between pharmacies.

Question 19Delaware Pharmacy Law

What is the primary purpose of the Delaware prescription monitoring program?

  1. To set maximum retail prices for medications
  2. To license pharmacy technicians
  3. To track controlled substance dispensing to identify misuse and diversion Correct answer.
  4. To approve new drug applications

Explanation

The prescription monitoring program collects controlled substance dispensing data so prescribers and pharmacists can identify potential misuse, diversion, and unsafe patterns. It does not set prices, license technicians, or approve drugs.

Question 20Delaware Pharmacy Law

A Delaware pharmacist discovers an error in a previously filled prescription that could harm the patient. What is the appropriate action?

  1. Wait for the patient to call and report a problem
  2. Quietly correct the record without telling the patient
  3. Notify the patient promptly and document the error and response Correct answer.
  4. Report the error only if the patient is hospitalized

Explanation

When a dispensing error poses a risk, the pharmacist must promptly notify the patient and document the error and the corrective response. Waiting, silently altering records, or conditioning notification on hospitalization fails the duty to disclose.

Question 21Delaware Pharmacy Law

Which requirement applies to a Delaware pharmacy's labeling of a dispensed prescription?

  1. Labels must include the pharmacy name, prescription number, and directions for use Correct answer.
  2. Labels must include the patient's diagnosis
  3. Labels must include the prescriber's home address
  4. Labels must list the wholesale acquisition cost

Explanation

Delaware labeling requirements focus on information the patient needs to use the medication safely, such as pharmacy identification, prescription number, and directions. Diagnosis, acquisition cost, and the prescriber's home address are not required label elements.

Question 22Delaware Pharmacy Law

A Delaware pharmacist suspects that a prescriber is issuing prescriptions outside the usual course of professional practice. What is the most appropriate response?

  1. Ask the patient to obtain a second prescription from another prescriber
  2. Fill the prescriptions and report later at renewal
  3. Fill the prescriptions but reduce the quantity
  4. Decline to fill and report the concern to the Board of Pharmacy Correct answer.

Explanation

A pharmacist has a corresponding responsibility to refuse prescriptions that appear to fall outside legitimate professional practice and to report the concern to the Board. Filling with modifications or delaying the report does not satisfy that duty.

Question 23Delaware Pharmacy Law

Which statement about the storage of controlled substances in a Delaware pharmacy is correct?

  1. Controlled substances may be stored in unlocked drawers accessible to all staff
  2. Controlled substances must be secured to prevent diversion Correct answer.
  3. Controlled substances may be stored at the pharmacist's home
  4. Controlled substances must be stored in the pharmacy's front window

Explanation

Delaware requires controlled substances to be stored securely, with access limited to authorized personnel, to prevent theft and diversion. Open access, display in a window, and home storage all create unacceptable diversion risk.

Question 24Delaware Pharmacy Law

A Delaware pharmacy plans to install a new pharmacy information system that generates prescription records electronically. What should the pharmacy ensure?

  1. The system stores records only on the pharmacist's personal device
  2. The system records are maintained and retrievable for the required retention period Correct answer.
  3. The system deletes records after ninety days to save storage
  4. The system requires no backup or audit trail

Explanation

Electronic pharmacy records must be maintained, retrievable, and retained for the period Delaware requires, with appropriate backup and audit capability. Short deletion cycles, personal-device storage, and absent audit trails violate recordkeeping obligations.

Question 25Delaware Pharmacy Law

Which situation would most likely require a Delaware pharmacy to report to the Board of Pharmacy?

  1. A pharmacist takes approved continuing education
  2. A pharmacist is convicted of a crime related to pharmacy practice Correct answer.
  3. A pharmacy changes its hours of operation
  4. A technician completes data entry training

Explanation

Convictions related to pharmacy practice, along with certain disciplinary and impairment events, must be reported to the Board. Routine education, training, and hour changes are ordinary operational matters.

Question 26Delaware Pharmacy Law

Under Delaware law, which individual may lawfully administer a vaccine to an adult patient in a community pharmacy?

  1. A pharmacy intern who has completed the first professional year
  2. A registered nurse employed by the pharmacy on a part-time basis
  3. A pharmacist holding a current license and the required immunization training Correct answer.
  4. A certified pharmacy technician under direct pharmacist supervision

Explanation

Delaware permits licensed pharmacists who have completed the required immunization training and hold current certification to administer vaccines to adults under a protocol or prescription. Technicians and interns do not independently administer immunizations under this authority, and a nurse would act under separate nursing licensure rather than pharmacy law.

Question 27Delaware Pharmacy Law

A Delaware pharmacy's license renewal is approaching. Which statement best describes the licensure requirement for the pharmacy itself (distinct from individual pharmacist licenses)?

  1. The pharmacy license is renewed only when the ownership of the business changes
  2. The pharmacy license never expires once issued to a fixed physical address
  3. The pharmacy must renew its Delaware license on the schedule set by the Board and pay the required fee Correct answer.
  4. The pharmacy license renews automatically as long as one pharmacist renews a personal license

Explanation

Delaware requires each pharmacy to hold and periodically renew a pharmacy license, with renewal tied to the Board's schedule and payment of the applicable fee. It is a facility credential independent of any individual pharmacist's license, and it does not lapse or persist based on ownership changes alone.

Question 28Delaware Pharmacy Law

A Delaware pharmacist is verifying a new prescription and notices the prescriber's DEA number appears inconsistent with the format expected for that registrant type. What is the most appropriate immediate action?

  1. Dispense the prescription and note the concern in the patient profile for later review
  2. Verify the prescriber's DEA registration before dispensing the controlled substance Correct answer.
  3. Change the DEA number to a plausible value so the record is complete
  4. Refuse to ever fill prescriptions from that prescriber going forward

Explanation

A pharmacist has a corresponding responsibility to ensure controlled substance prescriptions are issued by a legitimate prescriber with valid registration. Verifying the DEA number before dispensing satisfies that duty. Altering the number would falsify a record, and permanently refusing all future prescriptions is an overreaction to a single unverified entry.

Question 29Delaware Pharmacy Law

Which federal scheduling category corresponds to drugs with high abuse potential and no currently accepted medical use in treatment in the United States?

  1. Schedule IV
  2. Schedule III
  3. Schedule II
  4. Schedule I Correct answer.

Explanation

Schedule I substances are defined as having a high potential for abuse and no currently accepted medical use in treatment in the United States, so they cannot be prescribed. Schedules II through IV all have accepted medical uses and progressively lower abuse potential.

Question 30Delaware Pharmacy Law

A Delaware pharmacy is closing permanently. Which obligation applies regarding its controlled substance inventory and records?

  1. The pharmacy may discard remaining controlled substances in the regular trash once closed
  2. The pharmacy is relieved of recordkeeping duties once the doors close
  3. The pharmacy may transfer all records to the owner's home without any notification
  4. The pharmacy must conduct a final inventory and retain records as required while notifying the appropriate authorities Correct answer.

Explanation

A closing pharmacy must account for its controlled substances through a final inventory and surrender or transfer them through lawful channels, and it must preserve required records and notify the DEA and state authorities. Controlled substances cannot simply be discarded in ordinary trash, and closing does not extinguish recordkeeping duties.

Question 31Delaware Pharmacy Law

A Delaware patient asks the pharmacist to dispense a 90-day supply of a maintenance medication. Which consideration governs whether the pharmacist may do so?

  1. The prescription's directions and any quantity limits set by the prescriber and applicable law Correct answer.
  2. The pharmacy's inventory level on the day of dispensing
  3. The number of refills the patient has already used at another pharmacy
  4. The patient's preference alone, regardless of what the prescriber wrote

Explanation

The quantity dispensed must be consistent with the prescriber's authorization and any legal limits, including controlled substance rules. A patient's preference cannot override the prescriber's directions, and inventory or prior use elsewhere do not authorize a larger supply.

Question 32Delaware Pharmacy Law

A Delaware pharmacist is asked to dispense a prescription written by a prescriber located in another state. Which principle applies?

  1. Out-of-state prescribers can never issue prescriptions filled in Delaware
  2. The pharmacist may fill it only if the patient is also from that other state
  3. The prescription is valid only if the prescriber's state has identical pharmacy laws
  4. The prescriber must be authorized to prescribe and the prescription must meet Delaware requirements for validity Correct answer.

Explanation

Delaware pharmacies may fill prescriptions from out-of-state prescribers provided the prescriber is lawfully authorized to prescribe and the prescription satisfies Delaware's requirements for a valid prescription. Identical laws across states are not required, and the patient's residence is irrelevant to validity.

Question 33Delaware Pharmacy Law

Which statement about the Delaware Board of Pharmacy's authority over pharmacy technicians is most accurate?

  1. The Board establishes registration or certification requirements and may discipline technicians for violations Correct answer.
  2. Technicians hold the same independent practice authority as pharmacists
  3. Technicians are regulated solely by their employers with no Board involvement
  4. Technicians are licensed by the medical board rather than the pharmacy board

Explanation

The Delaware Board of Pharmacy oversees pharmacy personnel, including technicians, setting registration or certification requirements and exercising disciplinary authority. Technicians do not practice independently like pharmacists, and their regulation rests with the pharmacy board rather than employers alone or the medical board.

Question 34Delaware Pharmacy Law

A Delaware pharmacy wants to provide prescription refills by mail to patients. Which requirement is most relevant to this service?

  1. The pharmacy must maintain the same dispensing standards, records, and counseling access as for in-person dispensing Correct answer.
  2. Mail-order dispensing requires no pharmacist involvement
  3. Only nonprescription items may be shipped to patients
  4. Mail service is prohibited for all prescriptions in Delaware

Explanation

Delaware pharmacies offering delivery or mail service must still meet the same standards for valid prescriptions, recordkeeping, labeling, and patient access to counseling as any other dispensing channel. The mode of delivery does not lower the regulatory bar, and pharmacist oversight remains required.

Question 35Delaware Pharmacy Law

A Delaware pharmacy is preparing to destroy expired controlled substances on site. Which statement best reflects the applicable requirement?

  1. Only the pharmacy owner's signature is needed with no other records
  2. Expired controlled substances may be returned to stock and dispensed if not yet expired by the manufacturer date
  3. Destruction must follow DEA and state requirements, be documented, and be witnessed as required Correct answer.
  4. On-site destruction requires no documentation if the drugs are expired

Explanation

Destruction of controlled substances must comply with DEA and Delaware requirements, including proper documentation and witnessing, so the drugs are accounted for. Expired stock cannot be dispensed, and destruction without records would undermine the accountability chain.

Question 36Delaware Pharmacy Law

Which of the following best describes the pharmacist's role in verifying a prescription before dispensing in a Delaware pharmacy?

  1. The pharmacist reviews the prescription for validity, therapeutic appropriateness, and completeness before dispensing Correct answer.
  2. Verification is unnecessary when the patient has used the medication before
  3. Verification is required only for controlled substances
  4. The technician performs the final clinical check and the pharmacist only signs the label

Explanation

Delaware law and practice require a pharmacist to review each prescription for validity, completeness, and clinical appropriateness before it is dispensed. This duty applies to all prescriptions, not only controlled substances, and cannot be delegated to a technician as the final clinical check.

Question 37Delaware Pharmacy Law

A Delaware pharmacy receives a request from a patient for a copy of their prescription records. What is the pharmacist's best response?

  1. Provide records only if the patient's employer requests them
  2. Refuse because prescription records belong only to the prescriber
  3. Release records to anyone who calls and states the patient's name
  4. Provide the patient access to their prescription records consistent with confidentiality and applicable law Correct answer.

Explanation

Patients are entitled to access their own prescription records, subject to confidentiality rules and proper identity verification. Records are not the exclusive property of the prescriber, and releasing them to a caller who merely states a name would violate patient confidentiality.

Question 38Delaware Pharmacy Law

Which statement about the Delaware prescription monitoring program's reporting obligation for dispensers is most accurate?

  1. Reporting is required only when the patient requests it
  2. Only Schedule II dispensing must be reported
  3. Dispensers must report controlled substance dispensing to the program within the timeframe the program specifies Correct answer.
  4. Reporting is optional and left to each pharmacy's discretion

Explanation

Delaware requires dispensers to report controlled substance dispensing to the state monitoring program within the established timeframe. Reporting is mandatory rather than optional, and it covers controlled substances beyond Schedule II, not only Schedule II drugs.

Question 39Delaware Pharmacy Law

A Delaware pharmacy technician is asked to perform a task that exceeds the technician's permitted scope. What should the pharmacist do?

  1. Ask the patient to consent to the technician performing the task
  2. Allow the technician to proceed if the pharmacist is busy
  3. Document the delegation and proceed anyway
  4. Decline to delegate the task and perform or reassign it within lawful scope Correct answer.

Explanation

Pharmacists may delegate only tasks that fall within the lawful scope of technician practice, and they remain responsible for proper supervision. A task outside that scope cannot be authorized by convenience or patient consent. The pharmacist should retain or reassign the task to someone lawfully permitted to perform it.

Question 40Delaware Pharmacy Law

A Delaware pharmacist is counseling a patient on a new medication. Which element is most important to include in the counseling?

  1. Only the name of the manufacturer
  2. Directions for use, common adverse effects, and when to seek further care Correct answer.
  3. The prescriber's office address
  4. The pharmacy's internal inventory codes

Explanation

Effective patient counseling covers how to use the medication, important adverse effects, and circumstances that warrant contacting the prescriber or pharmacist. Manufacturer names, internal inventory codes, and office addresses do not advance the patient's understanding of safe use.

Question 41Delaware Pharmacy Law

A Delaware pharmacy discovers that a pharmacist's license has lapsed while the individual continued working. What is the most appropriate action?

  1. Ignore the lapse until the next renewal cycle
  2. Have the technician sign off on the pharmacist's work
  3. Remove the individual from pharmacist duties and report the matter as required until licensure is restored Correct answer.
  4. Allow continued practice because the pharmacist is experienced

Explanation

Practicing pharmacy without a current license is unlawful, so the individual must stop performing pharmacist functions until licensure is restored, and the situation may require reporting. Experience does not substitute for licensure, and a technician cannot validate an unlicensed person's work.

Question 42Delaware Pharmacy Law

Which standard applies to a Delaware pharmacist's duty when a prescription appears forged?

  1. The pharmacist may dispense and simply note suspicions in the file
  2. The pharmacist should decline to dispense and take appropriate steps such as contacting the prescriber or authorities Correct answer.
  3. The pharmacist should alter the prescription to make it valid
  4. The pharmacist must dispense because a prescription form was presented

Explanation

A pharmacist who reasonably suspects forgery should not dispense and should verify with the prescriber or notify appropriate authorities. The mere presentation of a form does not compel dispensing, and altering a suspicious prescription would compound the problem.

Question 43Delaware Pharmacy Law

A Delaware pharmacy is considering using an automated counting device that dispenses a high-risk medication. Which requirement is most directly applicable?

  1. The device may be operated without any pharmacist oversight
  2. The pharmacist must verify the final product and the device must be used consistent with pharmacy standards and records Correct answer.
  3. Automated devices are prohibited in Delaware pharmacies
  4. The device may replace the pharmacist's final verification entirely

Explanation

Automated counting and dispensing devices may be used, but the pharmacist remains responsible for final verification and the device must operate within established standards and recordkeeping. Such devices do not replace pharmacist verification, and they are not categorically prohibited.

Question 44Delaware Pharmacy Law

Which statement about a Delaware pharmacist's ability to administer a legend drug by injection is most accurate?

  1. Pharmacists may administer any injectable drug without additional requirements
  2. Only physicians may administer injections in any setting
  3. Authority depends on the specific statutory authorization, training, and any required protocol or prescription Correct answer.
  4. Pharmacists may administer injections only to minors

Explanation

Pharmacist administration of injectable medications in Delaware is limited to the specific authority granted by statute and any training, protocol, or prescription requirements that accompany it. A blanket statement that pharmacists may administer any injectable is too broad, and the authority is not restricted to minors.

Question 45Delaware Pharmacy Law

A Delaware pharmacy is asked to fill a prescription for a drug that is subject to a risk evaluation and mitigation strategy (REMS) with restricted distribution. What is the pharmacist's best approach?

  1. Refer the patient to the internet to obtain the drug
  2. Dispense and document that REMS requirements were unknown
  3. Dispense because a valid prescription is sufficient for any drug
  4. Confirm the pharmacy and pharmacist meet the REMS requirements before dispensing Correct answer.

Explanation

When a drug is subject to a REMS with restricted distribution, only certified pharmacies and prescribers that meet the program requirements may dispense it. A valid prescription alone does not override those restrictions, and ignorance of the requirements is not a defense.

Question 46Delaware Pharmacy Law

Which statement best describes the requirement for a Delaware pharmacy to maintain a prescription department that is secure when closed?

  1. The department may remain open to the public as long as a cashier is present
  2. Security is required only if controlled substances are stored there
  3. The prescription department must be locked or otherwise secured to prevent unauthorized access Correct answer.
  4. The department may be secured only during business hours

Explanation

Delaware requires the prescription department to be secured against unauthorized access when a pharmacist is not on duty, regardless of whether controlled substances happen to be stored there. A cashier's presence does not substitute for securing the department, and security obligations are not limited to business hours.

Question 47Delaware Pharmacy Law

A Delaware pharmacist receives a prescription for a controlled substance that was transmitted electronically. Which statement is most accurate?

  1. Electronic prescribing is permitted only for noncontrolled drugs
  2. An electronic prescription is valid only if a paper copy follows within 24 hours
  3. The electronic prescription must meet applicable federal and state requirements to be valid Correct answer.
  4. Electronic prescriptions for controlled substances are never valid in Delaware

Explanation

Electronic prescriptions for controlled substances are valid in Delaware when they satisfy the applicable federal and state requirements for electronic prescribing. They do not require a follow-up paper copy, and they are not limited to noncontrolled medications.

Question 48Delaware Pharmacy Law

A Delaware pharmacy wants to compound a nonsterile preparation for a patient. Which requirement is most relevant?

  1. Compounding is prohibited unless the patient is hospitalized
  2. Compounding requires no documentation if the preparation is simple
  3. The pharmacy must follow applicable compounding standards and maintain appropriate records for the preparation Correct answer.
  4. Only manufacturers may prepare compounded medications

Explanation

Delaware pharmacies that compound must follow applicable compounding standards and keep records documenting the preparation. Compounding is a recognized pharmacy activity that does not require hospitalization, and even simple preparations require appropriate documentation.

Question 49Delaware Pharmacy Law

A Delaware pharmacy learns that a patient has been receiving overlapping controlled substance prescriptions from multiple prescribers. What is the pharmacist's most appropriate step?

  1. Dispense all prescriptions without review because each is separately valid
  2. Review the prescription monitoring data, contact the prescriber as needed, and document the action taken Correct answer.
  3. Refuse to ever serve the patient again without explanation
  4. Report the patient to law enforcement without any further inquiry

Explanation

When overlapping controlled substance prescriptions are identified, the pharmacist should review monitoring data, communicate with the prescriber to resolve the concern, and document the steps taken. Dispensing without review ignores corresponding responsibility, while immediate law enforcement referral or permanent refusal without inquiry is premature.

Question 50Delaware Pharmacy Law

Which statement about the Delaware Board of Pharmacy's disciplinary process is most accurate?

  1. Discipline requires a criminal conviction before any action
  2. The Board may discipline only pharmacists, not pharmacies
  3. The Board cannot act unless a patient files a lawsuit
  4. The Board may investigate complaints and impose discipline such as reprimand, suspension, or revocation after proceedings Correct answer.

Explanation

The Delaware Board of Pharmacy may investigate complaints against licensees and impose a range of sanctions, including reprimand, suspension, or revocation, following its proceedings. Discipline does not depend on a prior criminal conviction or a civil lawsuit filed by a patient.