N677 CS Exam
List 3 common classes/examples of drugs often prescribed as adjunctive first line
therapies in combination with analgesics, opioids and non-opioid for pain - answerSNRI
- Effexor, Cymbalta
TCA - Amitriptyline
Muscle relaxants - Cyclobenzaprine
Which DEA schedule has the least potential for abuse? - answerSchedule V
Which DEA Schedule has the most potential for abuse? - answerSchedule 1
What are some common side effects of opioid medications? - answerConstipation
Nausea
Vomiting
Drowsiness
Agitation
Respiratory Depression
What is the maximum dose of Lidocaine into a subcutaneous site at one time? What
drug can be added to Lidocaine for subcutaneous injection to potentiate its effects? -
answerMax dose: 4.5 mg/kg dose
Epinephrine
Can Nurse Practitioners furnish or prescribe drugs or devices to family members or
friends? - answerState specific laws
Patient must be clinically assessed, there must be a record of this assessment
Not ethical to prescribe to oneself
Certified NPs who hold active prescribing or furnishing licenses and valid DEA
registration numbers can prescribe or order controlled substances from what
schedules? - answerSchedule II-V
What are the criteria for being classified as dangerous controlled substance drugs by
the federal Drug Enforcement Agency (DEA)? - answerBased on their potential for
abuse, accepted medical use, diversion potential
Schedule 1 drugs - answermarijuana, heroin, LSD
Schedule II drugs - answerMostly narcotics:
Fentanyl
Morphine
, Methadone
Adderall (amphetamine/dextroamohetamine)
Methylphenidate (Ritalin)
Guaifenesin/Hydrocodone (Hycotuss)
Acetaminophen/Hydrocodone (Norco, Vicodin)
Schedule III drugs - answerAndroGel (Testosterone)
Acetaminophen and Codeine mixtures
Ketamine (non-narcotic)
Schedule IV drugs - answerMostly benzos
Alprazolam (Xanax)
Diazepam (Valium)
Zolpidem (Ambien)
Phentermine (Anorectic)
Carisoprodol (Soma)
Naloxone
Schedule 5 controlled substances - answerAntidiarrheal
Antitussive
Why was Vicodin changed form a Schedule II to a Schedule III drug? - answerDue to its
increased risk for abuse and addiction
List 2 Schedule 1 substances (that NPs cannot prescribe) - answerMarijuan, LSD
What class of pain medications typically should not be ordered for a renal-impaired
patient (GFR < 50 ml/min)? - answerNSAIDs
What is an ultrarapid metabolizer? - answerPeople in this group have very high activity
of CYP2D6 enzymes. metabolize drugs very quickly, and may need less or different
dosage/drug
How does codeine affect ultra-rapid metabolizers? - answerrespiratory depression and
fatalities in some children
What class of pain medications typically should not be ordered for a moderately hepatic-
impaired patient, or must be hepatic dosed adjusted? - answerAcetaminophen
Pure opioid agonists such as Morphine have the effects such as respiratory depression.
List 5 more possible effects of pure opioid agonists. - answerHypotension, confusion,
sedation, nausea, vomiting, constipation
Cough medications with codeine or antidiarrheal are what type of Scheduled
medication? - answerSchedule V
List 3 common classes/examples of drugs often prescribed as adjunctive first line
therapies in combination with analgesics, opioids and non-opioid for pain - answerSNRI
- Effexor, Cymbalta
TCA - Amitriptyline
Muscle relaxants - Cyclobenzaprine
Which DEA schedule has the least potential for abuse? - answerSchedule V
Which DEA Schedule has the most potential for abuse? - answerSchedule 1
What are some common side effects of opioid medications? - answerConstipation
Nausea
Vomiting
Drowsiness
Agitation
Respiratory Depression
What is the maximum dose of Lidocaine into a subcutaneous site at one time? What
drug can be added to Lidocaine for subcutaneous injection to potentiate its effects? -
answerMax dose: 4.5 mg/kg dose
Epinephrine
Can Nurse Practitioners furnish or prescribe drugs or devices to family members or
friends? - answerState specific laws
Patient must be clinically assessed, there must be a record of this assessment
Not ethical to prescribe to oneself
Certified NPs who hold active prescribing or furnishing licenses and valid DEA
registration numbers can prescribe or order controlled substances from what
schedules? - answerSchedule II-V
What are the criteria for being classified as dangerous controlled substance drugs by
the federal Drug Enforcement Agency (DEA)? - answerBased on their potential for
abuse, accepted medical use, diversion potential
Schedule 1 drugs - answermarijuana, heroin, LSD
Schedule II drugs - answerMostly narcotics:
Fentanyl
Morphine
, Methadone
Adderall (amphetamine/dextroamohetamine)
Methylphenidate (Ritalin)
Guaifenesin/Hydrocodone (Hycotuss)
Acetaminophen/Hydrocodone (Norco, Vicodin)
Schedule III drugs - answerAndroGel (Testosterone)
Acetaminophen and Codeine mixtures
Ketamine (non-narcotic)
Schedule IV drugs - answerMostly benzos
Alprazolam (Xanax)
Diazepam (Valium)
Zolpidem (Ambien)
Phentermine (Anorectic)
Carisoprodol (Soma)
Naloxone
Schedule 5 controlled substances - answerAntidiarrheal
Antitussive
Why was Vicodin changed form a Schedule II to a Schedule III drug? - answerDue to its
increased risk for abuse and addiction
List 2 Schedule 1 substances (that NPs cannot prescribe) - answerMarijuan, LSD
What class of pain medications typically should not be ordered for a renal-impaired
patient (GFR < 50 ml/min)? - answerNSAIDs
What is an ultrarapid metabolizer? - answerPeople in this group have very high activity
of CYP2D6 enzymes. metabolize drugs very quickly, and may need less or different
dosage/drug
How does codeine affect ultra-rapid metabolizers? - answerrespiratory depression and
fatalities in some children
What class of pain medications typically should not be ordered for a moderately hepatic-
impaired patient, or must be hepatic dosed adjusted? - answerAcetaminophen
Pure opioid agonists such as Morphine have the effects such as respiratory depression.
List 5 more possible effects of pure opioid agonists. - answerHypotension, confusion,
sedation, nausea, vomiting, constipation
Cough medications with codeine or antidiarrheal are what type of Scheduled
medication? - answerSchedule V
