NUR 650 MIDTERM QUIZ QUESTIONS
and ANSWERS
Module 1a – RX Authority
QUIZ #1:
1. Which of the following components is/are legally required on a written prescription for
a controlled substance, in order to be dispensed in NYS? (select all that apply)
a. Indication of no refills
b. Patient sex
c. Patient address
d. MDD
2. Which of the following statements does NOT coincide with the prescriptive authority
of a NP in NYS?
a. The ability for an NP to prescribe comes with licensure and does not
require physician oversight
b. Schedule II controlled substances must be prescribed under the
collaborating physician’s DEA number
c. NPs can prescribe all schedule classes for controlled substances
d. NPs are required to have a written practice agreement or be approved to
practice with a collaborative physician relationship
3. A patient comes to the clinic for their routine follow-up. Their controlled medications
include: alprazolam, carisoprodol, pregabalin, & hydrocodone. The patient states he
will be visiting family in another state and expresses the concern of running out before
next month’s appointment. The record indicates compliance and no suspected abuse.
Without ordering an excess of 30-day supply, a NYS prescriber can legally address this
concern by:
a. Carisoprodol: ordering the 30-day supply and up to 5 refills
b. Pregabalin: ordering an emergency supply up to 30 days when needed
c. Alprazolam: ordering the 30-day supply 1 refill
d. Hydrocodone: ordering an emergency supply up to 10 days when needed
4. Which of the following scenarios does NOT describe a situation for which a
NYS prescriber can issue a written prescription in place of e-scribing?
a. The prescription is in response to a non-patient specific standing order
b. The prescription will be dispensed at a pharmacy outside of NYS
c. The prescription is for a patient who does not have a preferred pharmacy
on file
d. The prescription is for a medication that is commonly backordered as per
current drug shortage
5. Which of the following statements is true in regards to the NYS Prescription
Monitoring Program and I-Stop platform?
,a. I-Stop is a platform that is only valuable from a dispensing perspective
, b. The history for controlled substances includes those drugs prescribed to a
patient within the last year
c. The platform will display if a controlled substance was processed
through insurance or paid for out-of-pocket
d. The platform has the disadvantage of only reporting a history of
controlled substances that were dispensed in NYS
6. Which of the following medications/drug classes does Not typically require
the practitioner to frequently monitor therapy?
a. Warfarin
b. Oral contraceptives
c. Immunosuppressants
d. Lithium
7. A prescriber can consider refills for a longer duration between prescription when:
a. The patient is requesting refills over the phone
b. The medication requires frequent monitoring
c. The patient has not already reported undesired effects
d. New medications are expected to be added to the current regimen
8. Which of the following statements is true regarding the expiration of prescriptions
in NYS, in respect to the date written?
a. Medicaid patients have up to 6 months to fill a controlled substance
b. Controlled substances must always be filled before the corresponding date
of following month
c. Medicaid patients have up to 1 year to fill a non-controlled substance
d. Patients who do not use Medicaid have up to 1 year to fill a non-
controlled substance
9. Which of the following actions by a practitioner FAILS to address an issue for
non- compliance regarding drug therapy?
a. Suggest a patient cuts tablets to double the supply if cost is an
issue, subtherapeutic dosing is preferable over no drug given
b. Utilizing extended-release formulations of a medication in place of
immediate- acting products
c. Suggesting patients use mail-order services in place of community pharmacies
d. Suggesting a patient align their medication schedule with daily activities
10. A patient calls the clinic to request an emergency supply of insulin syringes. The
patient’s record indicates use of 1 insulin product, injections are administered 4 times
daily. Insulin syringes are available in packages of 10 and boxes of 100. In order to
legally fulfill this request in NYS.
a. The practitioner will prescribe a max 30-day supply, 1 box and 2 packages
b. The pharmacy must receive a follow-up prescription within 48-hours
c. A follow-up prescription must be sent, only a written hardcopy is accepted
d. Indication of “for emergency dispensing” is required on the follow-
up prescription
11. A Medicaid patient seen at the clinic 4 hours ago now calls because the pharmacy
has not received the e-script for her maintenance medication. Upon confirming
, transmission, the provider realizes the software is down. To resolve such issues, a NYS
prescriber can call-in or fax the order:
a. Up to a 6-month supply, regardless of the medication
b. Up to a 1-year supply, if the medication is a non-controlled substance
c. For an emergency supply, regardless of the medication
d. Up to 6-month supply, if the medication is a non-controlled substance
12. Simvastatin is generic medication used for hyperlipidemia. The drug is also available as
brand, under the trade name Zocor. If the brand is desired the prescriber can/will
order the drug:
a. As “simvastatin”, but needs to indicate “DAW”
b. Under any name, the pharmacy can fill the brand when requested by the patient
c. As “Zocor”, indicating “DAW” is not necessary if the trade name is ordered
d. None of these
13. Which of the following scenarios describes inappropriate prescribing when issuing
a written prescription in NYS?
a. A prescriber post-dates a prescription for a schedule CV medication
b. A prescriber signs a prescription using an electronically generated signature
c. A prescriber issues a single prescription listing multiple drugs to be
compounded for topical administration
d. A prescriber issues a prescription for a medication that is available OTC
14. A practitioner is issuing a prescription for clonazepam to a patient with established
panic disorder. The patient states she will be traveling outside of the country and
expresses the concern of running out before next month’s appointment. The record
indicates compliance and no suspected abuse. A NYS prescriber can legally address this
concern by
a. Indicating “CODE E” and ordering up to a 90-day supply with no refills
b. Indicating “CODE A” and ordering up to a 30-day supply with 3 refills
c. Indicating “CODE A” and ordering up to a 90-day supply with no refills
d. Indicating “CODE B” and ordering up to a 30-day supply with 3 refills
15. Which of the following actions by a practitioner addresses a potential issue
when prescribing a controlled substance?
a. Issuing a prescription for an anticholinergic medication to
counteract constipation when also prescribing an opioid
b. Instructing a patient with insomnia to use their medication nightly to
prevent rebound
c. Suggesting a parent considers “drug holidays” for a child prescribed
ADHD medication
d. Educating a patient to take ADHD medication immediately upon waking
up before breakfast
and ANSWERS
Module 1a – RX Authority
QUIZ #1:
1. Which of the following components is/are legally required on a written prescription for
a controlled substance, in order to be dispensed in NYS? (select all that apply)
a. Indication of no refills
b. Patient sex
c. Patient address
d. MDD
2. Which of the following statements does NOT coincide with the prescriptive authority
of a NP in NYS?
a. The ability for an NP to prescribe comes with licensure and does not
require physician oversight
b. Schedule II controlled substances must be prescribed under the
collaborating physician’s DEA number
c. NPs can prescribe all schedule classes for controlled substances
d. NPs are required to have a written practice agreement or be approved to
practice with a collaborative physician relationship
3. A patient comes to the clinic for their routine follow-up. Their controlled medications
include: alprazolam, carisoprodol, pregabalin, & hydrocodone. The patient states he
will be visiting family in another state and expresses the concern of running out before
next month’s appointment. The record indicates compliance and no suspected abuse.
Without ordering an excess of 30-day supply, a NYS prescriber can legally address this
concern by:
a. Carisoprodol: ordering the 30-day supply and up to 5 refills
b. Pregabalin: ordering an emergency supply up to 30 days when needed
c. Alprazolam: ordering the 30-day supply 1 refill
d. Hydrocodone: ordering an emergency supply up to 10 days when needed
4. Which of the following scenarios does NOT describe a situation for which a
NYS prescriber can issue a written prescription in place of e-scribing?
a. The prescription is in response to a non-patient specific standing order
b. The prescription will be dispensed at a pharmacy outside of NYS
c. The prescription is for a patient who does not have a preferred pharmacy
on file
d. The prescription is for a medication that is commonly backordered as per
current drug shortage
5. Which of the following statements is true in regards to the NYS Prescription
Monitoring Program and I-Stop platform?
,a. I-Stop is a platform that is only valuable from a dispensing perspective
, b. The history for controlled substances includes those drugs prescribed to a
patient within the last year
c. The platform will display if a controlled substance was processed
through insurance or paid for out-of-pocket
d. The platform has the disadvantage of only reporting a history of
controlled substances that were dispensed in NYS
6. Which of the following medications/drug classes does Not typically require
the practitioner to frequently monitor therapy?
a. Warfarin
b. Oral contraceptives
c. Immunosuppressants
d. Lithium
7. A prescriber can consider refills for a longer duration between prescription when:
a. The patient is requesting refills over the phone
b. The medication requires frequent monitoring
c. The patient has not already reported undesired effects
d. New medications are expected to be added to the current regimen
8. Which of the following statements is true regarding the expiration of prescriptions
in NYS, in respect to the date written?
a. Medicaid patients have up to 6 months to fill a controlled substance
b. Controlled substances must always be filled before the corresponding date
of following month
c. Medicaid patients have up to 1 year to fill a non-controlled substance
d. Patients who do not use Medicaid have up to 1 year to fill a non-
controlled substance
9. Which of the following actions by a practitioner FAILS to address an issue for
non- compliance regarding drug therapy?
a. Suggest a patient cuts tablets to double the supply if cost is an
issue, subtherapeutic dosing is preferable over no drug given
b. Utilizing extended-release formulations of a medication in place of
immediate- acting products
c. Suggesting patients use mail-order services in place of community pharmacies
d. Suggesting a patient align their medication schedule with daily activities
10. A patient calls the clinic to request an emergency supply of insulin syringes. The
patient’s record indicates use of 1 insulin product, injections are administered 4 times
daily. Insulin syringes are available in packages of 10 and boxes of 100. In order to
legally fulfill this request in NYS.
a. The practitioner will prescribe a max 30-day supply, 1 box and 2 packages
b. The pharmacy must receive a follow-up prescription within 48-hours
c. A follow-up prescription must be sent, only a written hardcopy is accepted
d. Indication of “for emergency dispensing” is required on the follow-
up prescription
11. A Medicaid patient seen at the clinic 4 hours ago now calls because the pharmacy
has not received the e-script for her maintenance medication. Upon confirming
, transmission, the provider realizes the software is down. To resolve such issues, a NYS
prescriber can call-in or fax the order:
a. Up to a 6-month supply, regardless of the medication
b. Up to a 1-year supply, if the medication is a non-controlled substance
c. For an emergency supply, regardless of the medication
d. Up to 6-month supply, if the medication is a non-controlled substance
12. Simvastatin is generic medication used for hyperlipidemia. The drug is also available as
brand, under the trade name Zocor. If the brand is desired the prescriber can/will
order the drug:
a. As “simvastatin”, but needs to indicate “DAW”
b. Under any name, the pharmacy can fill the brand when requested by the patient
c. As “Zocor”, indicating “DAW” is not necessary if the trade name is ordered
d. None of these
13. Which of the following scenarios describes inappropriate prescribing when issuing
a written prescription in NYS?
a. A prescriber post-dates a prescription for a schedule CV medication
b. A prescriber signs a prescription using an electronically generated signature
c. A prescriber issues a single prescription listing multiple drugs to be
compounded for topical administration
d. A prescriber issues a prescription for a medication that is available OTC
14. A practitioner is issuing a prescription for clonazepam to a patient with established
panic disorder. The patient states she will be traveling outside of the country and
expresses the concern of running out before next month’s appointment. The record
indicates compliance and no suspected abuse. A NYS prescriber can legally address this
concern by
a. Indicating “CODE E” and ordering up to a 90-day supply with no refills
b. Indicating “CODE A” and ordering up to a 30-day supply with 3 refills
c. Indicating “CODE A” and ordering up to a 90-day supply with no refills
d. Indicating “CODE B” and ordering up to a 30-day supply with 3 refills
15. Which of the following actions by a practitioner addresses a potential issue
when prescribing a controlled substance?
a. Issuing a prescription for an anticholinergic medication to
counteract constipation when also prescribing an opioid
b. Instructing a patient with insomnia to use their medication nightly to
prevent rebound
c. Suggesting a parent considers “drug holidays” for a child prescribed
ADHD medication
d. Educating a patient to take ADHD medication immediately upon waking
up before breakfast
