NURS 3517 EXAM 2026 COMPLETE
QUESTION COMPENDIUM WITH CORRECT
SOLUTIONS
◉Controlled Acts. Answer: - Acts considered harmful if performed
by unqualified persons.
- 5 of 14 authorized to nursing when ordered
◉Controlled Acts for Nursing. Answer: 1) Perform a prescribed
procedure below the dermis/mucous membrane.
2) Administer a substance by injection or inhalation
3) Put an instrument, hand or finger beyond a body orifice or
artificial opening in the body.
4) Dispensing a drug. (NEW for RPNs)
5) Treating by means of Psychotherapy
◉Authorizing Mechanisms. Answer: - Order
,- Directive
Having the authority to administer a medication does not
necessarily mean it is appropriate to do so!
◉Order. Answer: Written, client-specific
◉Directive. Answer: Written, pre-existing orders, a group of clients
◉When is an order required?. Answer: - Controlled act
- Injection or inhalation
- Below the dermis
- Instrument or hand/finger beyond body orifice
- Dispensing a drug
- Part of medical POC
- Lab tests
- Not included within RHPA but included in other legislation (eg. X-
Ray)
◉Canadian Food and Drug Act. Answer: - Primary piece of
legislation governing foods, drugs, cosmetics, and medical devices
- According to the Act, drugs must comply with official prescribed
standards
,- Recognized formularies
- Various schedules
- Health Products and FoodBranch federal regulator
◉Open Access/Unscheduled. Answer: Pharmacist not required, sold
in any store, used to Tx minor discomforts i.e. Tylenol
◉Open Access/Scheduled. Answer: Pharmacist must be available to
answer questions, used for self-limiting problems i.e. suppositories,
ulcer medications, antihistamines
◉Restricted Access/Scheduled. Answer: "BTC", dispensed by
pharmacist i.e. low dose codeine Tylenol #1
◉Non-Narcotic Prescription Drugs [Schedule F]. Answer: May be
prescribed and refilled only by qualified practitioners: MD, dentist
etc.
i.e. antibiotics, corticosteroids etc.
◉Controlled Drugs and Substances Act (CDSA). Answer: - Replaced
the Narcotic Control Act in 1997.
, - Provides requirements for the control and sale of narcotics,
controlled drugs, and substances of misuse
- The letter N and the symbol C are printed on the label of every
narcotic drug.
- RCMP is responsible for enforcement of the CDSA
◉Restrictions for Narcotics. Answer: - Restricted possession
- Persons in possession of these drugs must ensure their security,
promptly report any loss/theft and maintain complete records of the
disposition of the drugs
- Can only be dispensed by prescription, for a specified amount of
time before reassessment
◉Legal Possession of Narcotics by a Nurse. Answer: - When
administering to a client with a Dr.'s order
- When acting as the custodian of narcotics in a health care facility
..."carrying the keys"
QUESTION COMPENDIUM WITH CORRECT
SOLUTIONS
◉Controlled Acts. Answer: - Acts considered harmful if performed
by unqualified persons.
- 5 of 14 authorized to nursing when ordered
◉Controlled Acts for Nursing. Answer: 1) Perform a prescribed
procedure below the dermis/mucous membrane.
2) Administer a substance by injection or inhalation
3) Put an instrument, hand or finger beyond a body orifice or
artificial opening in the body.
4) Dispensing a drug. (NEW for RPNs)
5) Treating by means of Psychotherapy
◉Authorizing Mechanisms. Answer: - Order
,- Directive
Having the authority to administer a medication does not
necessarily mean it is appropriate to do so!
◉Order. Answer: Written, client-specific
◉Directive. Answer: Written, pre-existing orders, a group of clients
◉When is an order required?. Answer: - Controlled act
- Injection or inhalation
- Below the dermis
- Instrument or hand/finger beyond body orifice
- Dispensing a drug
- Part of medical POC
- Lab tests
- Not included within RHPA but included in other legislation (eg. X-
Ray)
◉Canadian Food and Drug Act. Answer: - Primary piece of
legislation governing foods, drugs, cosmetics, and medical devices
- According to the Act, drugs must comply with official prescribed
standards
,- Recognized formularies
- Various schedules
- Health Products and FoodBranch federal regulator
◉Open Access/Unscheduled. Answer: Pharmacist not required, sold
in any store, used to Tx minor discomforts i.e. Tylenol
◉Open Access/Scheduled. Answer: Pharmacist must be available to
answer questions, used for self-limiting problems i.e. suppositories,
ulcer medications, antihistamines
◉Restricted Access/Scheduled. Answer: "BTC", dispensed by
pharmacist i.e. low dose codeine Tylenol #1
◉Non-Narcotic Prescription Drugs [Schedule F]. Answer: May be
prescribed and refilled only by qualified practitioners: MD, dentist
etc.
i.e. antibiotics, corticosteroids etc.
◉Controlled Drugs and Substances Act (CDSA). Answer: - Replaced
the Narcotic Control Act in 1997.
, - Provides requirements for the control and sale of narcotics,
controlled drugs, and substances of misuse
- The letter N and the symbol C are printed on the label of every
narcotic drug.
- RCMP is responsible for enforcement of the CDSA
◉Restrictions for Narcotics. Answer: - Restricted possession
- Persons in possession of these drugs must ensure their security,
promptly report any loss/theft and maintain complete records of the
disposition of the drugs
- Can only be dispensed by prescription, for a specified amount of
time before reassessment
◉Legal Possession of Narcotics by a Nurse. Answer: - When
administering to a client with a Dr.'s order
- When acting as the custodian of narcotics in a health care facility
..."carrying the keys"
