BSNC 1020 Midterm Exam with correct
Answers
What is the difference between section 6 and section 7 in the BCCNM Scope of
Practice Standards? - Answer -Exceptions in section 6 do NOT require an order
When can a nurse treat using Schedule 1 drugs under section 6? - Answer -1)
anaphylaxis
2) cardiac dysrhythmia
3) opiate overdose
4) respiratory distress in a known asthmatic
5) hypoglycemia
6) post-partum hemorrhage
7) conditions symptomatic of influenza-like illness
What else can nurses do with Schedule 1 drugs under section 6? - Answer -prevent
disease using immunoprophylactic agents and post-exposure chemoprophylactic
agents
When can nurses use autonomous practice to administer Schedule 2 drugs? - Answer
--when a pre-existing diagnosis exists from physician or NP
-when a nursing diagnosis following their nursing assessment indicates the need to do
so
What is different from an RN nursing diagnosis and a regular diagnosis? - Answer
--"nursing diagnosis" is an assessment of a current condition (e.g. hypoxia), but does
not include the formal diagnosis of a disease or disorder (e.g. sleep apnea)
True or False: Registered nurses can induce a state of unconsciousness (e.g.
anesthesia at the start of a surgery) - Answer -False: Nurses can NOT induce
unconsciousness. They cannot administer the first dose of anesthesia, but they can
administer subsequent anesthesia during a procedure with a client-specific order
, What does section 7 of the Scope of Practice allow nurses to do? - Answer -Compound,
dispense, and administer any Schedule 1 or 1A drug under a client-specific order
What factors should a nurse consider and in what order before determining if something
is in their Scope of Practice? - Answer -1. Legislation (HPA, FDA, etc)
2. BCCNM
3. Employer policies
4. Personal competence
True or false: nurses can generally accept verbal medication orders - Answer -FALSE:
Verbal orders increase the chance of a mistake
Verbal medication orders should only be used in an emergency situation
What is the minimum knowledge a nurse must about a drug have before administering
it? - Answer --therapeutic use (e.g. for what conditions is the drug indicated)
-expected effects (e.g. raise bp, increase respiratory rate)
-possible side effects/adverse reactions
-appropriate dosing, precautions, interactions, and contraindications
-form and route
True or False: I can help my friend document her medication administrations because
she looks pretty busy tonight. - Answer -False: The administering nurse needs to
complete the documentation unless it's an emergency
True or False: Anyone can access Schedule 3 drugs at a pharmacy without a
prescription - Answer -True
True or False: Pharmacists are not allowed to prescribe Schedule 4 drugs. - Answer -
False: Pharmacists ARE able to prescribe Schedule 4 drugs
What does it mean if a drug is unscheduled? - Answer -Anyone can buy it from any
general store. No pharmacist is needed
Describe the role of the Food and Drugs Act? - Answer -Regulates the production, sale,
and distribution of food and drugs in Canada
BC Drug Schedules Regulation - Answer -Classifies drugs into Schedules I, IA, II, III, IV
and unscheduled to regulate access and distribution within BC
Controlled Drugs and Substances Act - Answer -establishes the requirements for the
import, production, export, distribution, and possession of substances classified as
narcotics and substances of abuse in Canada
BSN students must use the abbreviation _____________ when signing official
documentation. - Answer -"BCIT SN" for "BCIT student nurse"
Answers
What is the difference between section 6 and section 7 in the BCCNM Scope of
Practice Standards? - Answer -Exceptions in section 6 do NOT require an order
When can a nurse treat using Schedule 1 drugs under section 6? - Answer -1)
anaphylaxis
2) cardiac dysrhythmia
3) opiate overdose
4) respiratory distress in a known asthmatic
5) hypoglycemia
6) post-partum hemorrhage
7) conditions symptomatic of influenza-like illness
What else can nurses do with Schedule 1 drugs under section 6? - Answer -prevent
disease using immunoprophylactic agents and post-exposure chemoprophylactic
agents
When can nurses use autonomous practice to administer Schedule 2 drugs? - Answer
--when a pre-existing diagnosis exists from physician or NP
-when a nursing diagnosis following their nursing assessment indicates the need to do
so
What is different from an RN nursing diagnosis and a regular diagnosis? - Answer
--"nursing diagnosis" is an assessment of a current condition (e.g. hypoxia), but does
not include the formal diagnosis of a disease or disorder (e.g. sleep apnea)
True or False: Registered nurses can induce a state of unconsciousness (e.g.
anesthesia at the start of a surgery) - Answer -False: Nurses can NOT induce
unconsciousness. They cannot administer the first dose of anesthesia, but they can
administer subsequent anesthesia during a procedure with a client-specific order
, What does section 7 of the Scope of Practice allow nurses to do? - Answer -Compound,
dispense, and administer any Schedule 1 or 1A drug under a client-specific order
What factors should a nurse consider and in what order before determining if something
is in their Scope of Practice? - Answer -1. Legislation (HPA, FDA, etc)
2. BCCNM
3. Employer policies
4. Personal competence
True or false: nurses can generally accept verbal medication orders - Answer -FALSE:
Verbal orders increase the chance of a mistake
Verbal medication orders should only be used in an emergency situation
What is the minimum knowledge a nurse must about a drug have before administering
it? - Answer --therapeutic use (e.g. for what conditions is the drug indicated)
-expected effects (e.g. raise bp, increase respiratory rate)
-possible side effects/adverse reactions
-appropriate dosing, precautions, interactions, and contraindications
-form and route
True or False: I can help my friend document her medication administrations because
she looks pretty busy tonight. - Answer -False: The administering nurse needs to
complete the documentation unless it's an emergency
True or False: Anyone can access Schedule 3 drugs at a pharmacy without a
prescription - Answer -True
True or False: Pharmacists are not allowed to prescribe Schedule 4 drugs. - Answer -
False: Pharmacists ARE able to prescribe Schedule 4 drugs
What does it mean if a drug is unscheduled? - Answer -Anyone can buy it from any
general store. No pharmacist is needed
Describe the role of the Food and Drugs Act? - Answer -Regulates the production, sale,
and distribution of food and drugs in Canada
BC Drug Schedules Regulation - Answer -Classifies drugs into Schedules I, IA, II, III, IV
and unscheduled to regulate access and distribution within BC
Controlled Drugs and Substances Act - Answer -establishes the requirements for the
import, production, export, distribution, and possession of substances classified as
narcotics and substances of abuse in Canada
BSN students must use the abbreviation _____________ when signing official
documentation. - Answer -"BCIT SN" for "BCIT student nurse"
