10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The IL-MPJE exam has 120 questions and runs 2 hours 30 minutes.
These 10 free IL-MPJE questions are organized by exam domain, so you can see how each part of the MPJE Illinois (Multistate Pharmacy Jurisprudence Examination - Illinois) blueprint is tested. Reveal the answer and explanation under each question.
Domain 1: Licensure/Personnel 22% of exam
Question 1
In September 2026, an applicant who has passed the NAPLEX elects Illinois's ILPRO pathway instead of taking the Illinois MPJE. Under IDFPR's transition instructions, what should the applicant do about the jurisprudence examination requirement?
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Correct answer: C - Ask Continental Testing Services to waive the Illinois MPJE while completing ILPRO
Question 2
A patient starting warfarin hands a registered pharmacy technician a medication list and asks whether ibuprofen is safe to take. Which response keeps the technician within Illinois scope?
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Correct answer: A - Record the medication history and allergies, then refer the clinical question to the pharmacist
Question 3
An Illinois pharmacist is disciplined by another state's board on April 8. The order concerns recordkeeping and does not restrict the pharmacist's Illinois practice. What must the pharmacist do?
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Correct answer: D - Inform the Illinois Division within 60 days
Question 4
At the second Illinois pharmacist-license renewal after original licensure, a pharmacist documents 30 CE hours completed during the preceding 24 months. None of the hours concerns pharmacy law. Which conclusion is correct under the law effective in 2026?
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Correct answer: B - The pharmacist lacks the 2 pharmacy-law CE hours required after the first renewal
Domain 2: Pharmacist Practice 33% of exam
Question 5
Two prescriptions are ready for a returning patient: an unchanged lisinopril refill and a metformin prescription whose strength increased from 500 mg to 1,000 mg. The patient has not refused counseling. What does Illinois require?
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Correct answer: A - The pharmacist must counsel verbally on metformin and offer counseling on lisinopril
Question 6
An 8-year-old arrives with a parent for influenza vaccination under a valid physician standing order. The vaccine information statement is provided, all protocol requirements are met, and a trained registered pharmacy technician will administer the dose while the pharmacist directly supervises and has determined it is appropriate. Which action is permitted?
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Correct answer: C - Allow the technician to administer the vaccine under the pharmacist's direct supervision
Question 7
In February 2026, a trained registered pharmacy technician collects a specimen and runs a CLIA-waived influenza test under pharmacist supervision. The result is positive, the patient meets the protocol with no referral criteria, and the technician proposes selecting and ordering the antiviral. Which allocation of duties complies with Illinois law?
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Correct answer: B - The technician may perform delegated technical tasks; the pharmacist must interpret the result and order therapy
Question 8
An emergency-department physician treating a disoriented patient calls the patient's community pharmacy for the current medication profile. The pharmacist verifies the physician's identity and treatment purpose. Which response complies with HIPAA?
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Correct answer: D - Disclose the relevant medication profile for treatment without a signed authorization
Question 9
A licensed long-term-care facility returns unused unit-dose tablets dispensed for a resident. Licensed personnel controlled administration; the sealed packages were stored correctly, remain within date, show no contamination, and the return can be documented without duplicate payment. What may the dispensing pharmacy do under Illinois law?
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Correct answer: B - Accept the drugs under the institutional-facility return exception
Question 10
A pharmacist oversees a pharmacy technician's lawful vaccination on May 6. No adverse event occurs, and the patient names a primary healthcare provider. By when and to whom must the pharmacist ensure the administration is reported?
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Correct answer: C - Within 30 days, to I-CARE or the patient's named primary healthcare provider