FNP Final Quiz exam with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
Controlled substances - correct answer✔✔these include: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Narcotics
|||\\\ |||\\\
• Depressants
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• Stimulants
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• Hallucinogenic drugs
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true - correct answer✔✔In all states, NPs may prescribe controlled substances
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Schedule I - correct answer✔✔This schedule of drug class:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Little or no accepted medical use in US
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• High abuse potential
|||\\\ |||\\\ |||\\\
• Includes heroin, LSD, marijuana, ecstasy, peyote
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Schedule II - correct answer✔✔This schedule of drug class:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• High abuse potential
|||\\\ |||\\\ |||\\\
• Severe psychic or physical dependence liability
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Includes morphine, codeine, hydromorphone, fentanyl, Demerol, methadone, pantopon,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
opium, amphetamines, pentobarbital |||\\\ |||\\\
Schedule III - correct answer✔✔This schedule of drug class:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Stimulants and depressants
|||\\\ |||\\\ |||\\\ |||\\\
• Narcotics are combinations of limited quantities (i.e. Tylenol with codeine)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,Schedule IV - correct answer✔✔This schedule of drug class: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Includes depressants such as alprazolam, phenobarbital, and chloral hydrate
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Schedule V - correct answer✔✔This schedule of drug class: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Includes preparations containing limited quantities of certain narcotic and stimulant drugs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
given for antitussive, antidiarrheal, and analgesic purposes
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Includes buprenorphine, and propylhexedrin
|||\\\ |||\\\ |||\\\ |||\\\
Drug Enforcement Administration registration - correct answer✔✔To prescribe controlled
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
substances, NPs must register with DEA and obtain a DEA number |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
DEA number - correct answer✔✔NP must use this number to prescribe controlled substances
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
DEA number - correct answer✔✔Use of this number is method of minimizing unauthorized
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
prescribing and eliminating fraudulent prescriptions |||\\\ |||\\\ |||\\\ |||\\\
Guidelines for Prescribing - correct answer✔✔When prescribing, NPs should: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Prescribe the right medicine at the right time, for the right indication, for the right patient
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Follow any facility practice protocols or guidelines
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• If no facility protocol exists, adhere to the standard of care for prescribing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Guidelines for Prescribing - correct answer✔✔Prior to prescribing, ask a patient: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Are you pregnant or trying to be?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Are you breastfeeding?
|||\\\ |||\\\ |||\\\
• Are you allergic to any medication?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Have you taken (medicine) before? Results?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, • Do you have any liver or kidney problems?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• What other medications are you on?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• What other medical problems do you have?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Address any cross-sensitivities
|||\\\ |||\\\ |||\\\
Guidelines for Prescribing - correct answer✔✔When prescribing, NPs should: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Assess the patient's need and current function
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Determine whether a patient is at high-risk for abuse
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Evaluate the patient's underlying condition to determine the need for pain medication
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Perform a urine drug screen to determine whether the patient has controlled drugs in his
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
system (before prescribing an opioid) |||\\\ |||\\\ |||\\\ |||\\\
Guidelines for Prescribing - correct answer✔✔When prescribing, NPs should: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Address any contraindications
|||\\\ |||\\\ |||\\\
• Address any drug interactions
|||\\\ |||\\\ |||\\\ |||\\\
• Inform the patient of potential side effects
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Instruct the patient to call or return if any adverse changes are noticed
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Guidelines for Prescribing - correct answer✔✔Other considerations include: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Can the patient afford the medication?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Is the prescribed drug in the formulary for the agency or HMO?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Is there potential for abuse of medication?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Can the patient read?
|||\\\ |||\\\ |||\\\ |||\\\
true - correct answer✔✔NPS CAN PRACTICE WITHOUT HOSPITAL PRIVILEGES IF THEY
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ARRANGE FOR PATIENTS WHO NEED HOSPITALIZATION TO BE COVERED BY A PROVIDER WITH
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
HOSPITAL PRIVILEGES OR A HOSPITALIST |||\\\ |||\\\ |||\\\ |||\\\
answers
Controlled substances - correct answer✔✔these include: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Narcotics
|||\\\ |||\\\
• Depressants
|||\\\
• Stimulants
|||\\\
• Hallucinogenic drugs
|||\\\ |||\\\
true - correct answer✔✔In all states, NPs may prescribe controlled substances
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Schedule I - correct answer✔✔This schedule of drug class:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Little or no accepted medical use in US
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• High abuse potential
|||\\\ |||\\\ |||\\\
• Includes heroin, LSD, marijuana, ecstasy, peyote
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Schedule II - correct answer✔✔This schedule of drug class:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• High abuse potential
|||\\\ |||\\\ |||\\\
• Severe psychic or physical dependence liability
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Includes morphine, codeine, hydromorphone, fentanyl, Demerol, methadone, pantopon,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
opium, amphetamines, pentobarbital |||\\\ |||\\\
Schedule III - correct answer✔✔This schedule of drug class:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Stimulants and depressants
|||\\\ |||\\\ |||\\\ |||\\\
• Narcotics are combinations of limited quantities (i.e. Tylenol with codeine)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,Schedule IV - correct answer✔✔This schedule of drug class: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Includes depressants such as alprazolam, phenobarbital, and chloral hydrate
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Schedule V - correct answer✔✔This schedule of drug class: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Includes preparations containing limited quantities of certain narcotic and stimulant drugs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
given for antitussive, antidiarrheal, and analgesic purposes
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Includes buprenorphine, and propylhexedrin
|||\\\ |||\\\ |||\\\ |||\\\
Drug Enforcement Administration registration - correct answer✔✔To prescribe controlled
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
substances, NPs must register with DEA and obtain a DEA number |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
DEA number - correct answer✔✔NP must use this number to prescribe controlled substances
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
DEA number - correct answer✔✔Use of this number is method of minimizing unauthorized
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
prescribing and eliminating fraudulent prescriptions |||\\\ |||\\\ |||\\\ |||\\\
Guidelines for Prescribing - correct answer✔✔When prescribing, NPs should: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Prescribe the right medicine at the right time, for the right indication, for the right patient
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Follow any facility practice protocols or guidelines
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• If no facility protocol exists, adhere to the standard of care for prescribing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Guidelines for Prescribing - correct answer✔✔Prior to prescribing, ask a patient: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Are you pregnant or trying to be?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Are you breastfeeding?
|||\\\ |||\\\ |||\\\
• Are you allergic to any medication?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Have you taken (medicine) before? Results?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, • Do you have any liver or kidney problems?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• What other medications are you on?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• What other medical problems do you have?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Address any cross-sensitivities
|||\\\ |||\\\ |||\\\
Guidelines for Prescribing - correct answer✔✔When prescribing, NPs should: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Assess the patient's need and current function
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Determine whether a patient is at high-risk for abuse
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Evaluate the patient's underlying condition to determine the need for pain medication
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Perform a urine drug screen to determine whether the patient has controlled drugs in his
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
system (before prescribing an opioid) |||\\\ |||\\\ |||\\\ |||\\\
Guidelines for Prescribing - correct answer✔✔When prescribing, NPs should: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Address any contraindications
|||\\\ |||\\\ |||\\\
• Address any drug interactions
|||\\\ |||\\\ |||\\\ |||\\\
• Inform the patient of potential side effects
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Instruct the patient to call or return if any adverse changes are noticed
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Guidelines for Prescribing - correct answer✔✔Other considerations include: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Can the patient afford the medication?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Is the prescribed drug in the formulary for the agency or HMO?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Is there potential for abuse of medication?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Can the patient read?
|||\\\ |||\\\ |||\\\ |||\\\
true - correct answer✔✔NPS CAN PRACTICE WITHOUT HOSPITAL PRIVILEGES IF THEY
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ARRANGE FOR PATIENTS WHO NEED HOSPITALIZATION TO BE COVERED BY A PROVIDER WITH
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
HOSPITAL PRIVILEGES OR A HOSPITALIST |||\\\ |||\\\ |||\\\ |||\\\