N677 Controlled Substance Exam With
Complete Solution
List 3 common classes and examples of drugs often prescribed as adjunctive
first line therapies in combination with analgesics, opioids and non-opioid for
pain.
Serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs)
and skeletal muscle relaxants.
In addition, Cox-2 inhibitors, NSAIDs and Tylenol can be used. SSRI (antidepressants),
Antiepileptic (Neurontin and Lyrica) and Local and Regional Anesthetics (Joint
injections, cortisone injections)
Which DEA Schedule has the least potential for abuse?
Schedule V.
Which DEA Schedule has the most potential for abuse?
Schedule I. Most potential for abuse that are able to be prescribed by APRN's is
Schedule II.
What are some common side effects of opioid medications?
slowed physical activity, constriction of pupils and flushing of face & neck, constipation,
drowsiness, nausea, and vomiting, itching, respiratory depression, confusion.
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?
Lidocaine without epinephrine: 4.5 mg/kg, max 300mg or 30mL.
Lidocaine with epinephrine: 7 mg/kg, max 500 mg or 50 mL of lidocaine 1 percent with
epinephrine. Epinephrine 0.01mg/ml (just needed the strength that can be injected at
the time with Lidocaine)
Can Nurse Practitioners furnish or prescribe drugs or devices to family members
or friends?
, No. To furnish drugs, one must perform adequate physical exams, professionally and
objectively to determine needs. Prescribing controlled substances and other drugs for
self and family raises many ethical questions.
Certified NPs who hold active prescribing or furnishing licenses and valid DEA
registration numbers can prescribe or order controlled substances from what
schedules?
II-V with valid DEA number. Certain MAT/OUD medications require extra
education/training through SAMHSA in California to prescribe Suboxone,
Buprenorphine, and other OUD medications.
What are the criteria for being classified as dangerous controlled substance
drugs by the federal Drug Enforcement Agency (DEA)?
High potential for abuse
Have acceptable medical uses in the US
Have the potential to cause severe psychological or physical dependence if abused
What schedule is it?
Methylphenidate (Ritalin)
Diazepam (Valium),
Lomotil,
Marijuana (THC),
Fentanyl (Duragesic),
Morphine,
Guaifenesin/Hydrocodone (Hycotuss),
Acetaminophen/Hydrocodone (Norco, Vicodin),
AndroGel (Testosterone),
Phentermine,
Alprazolam (Xanax),
Carisoprodol (Soma),
Zolpidem (Ambien),
Adderall (amphetamine/dextroamphetamine),
Methadone
Complete Solution
List 3 common classes and examples of drugs often prescribed as adjunctive
first line therapies in combination with analgesics, opioids and non-opioid for
pain.
Serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs)
and skeletal muscle relaxants.
In addition, Cox-2 inhibitors, NSAIDs and Tylenol can be used. SSRI (antidepressants),
Antiepileptic (Neurontin and Lyrica) and Local and Regional Anesthetics (Joint
injections, cortisone injections)
Which DEA Schedule has the least potential for abuse?
Schedule V.
Which DEA Schedule has the most potential for abuse?
Schedule I. Most potential for abuse that are able to be prescribed by APRN's is
Schedule II.
What are some common side effects of opioid medications?
slowed physical activity, constriction of pupils and flushing of face & neck, constipation,
drowsiness, nausea, and vomiting, itching, respiratory depression, confusion.
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?
Lidocaine without epinephrine: 4.5 mg/kg, max 300mg or 30mL.
Lidocaine with epinephrine: 7 mg/kg, max 500 mg or 50 mL of lidocaine 1 percent with
epinephrine. Epinephrine 0.01mg/ml (just needed the strength that can be injected at
the time with Lidocaine)
Can Nurse Practitioners furnish or prescribe drugs or devices to family members
or friends?
, No. To furnish drugs, one must perform adequate physical exams, professionally and
objectively to determine needs. Prescribing controlled substances and other drugs for
self and family raises many ethical questions.
Certified NPs who hold active prescribing or furnishing licenses and valid DEA
registration numbers can prescribe or order controlled substances from what
schedules?
II-V with valid DEA number. Certain MAT/OUD medications require extra
education/training through SAMHSA in California to prescribe Suboxone,
Buprenorphine, and other OUD medications.
What are the criteria for being classified as dangerous controlled substance
drugs by the federal Drug Enforcement Agency (DEA)?
High potential for abuse
Have acceptable medical uses in the US
Have the potential to cause severe psychological or physical dependence if abused
What schedule is it?
Methylphenidate (Ritalin)
Diazepam (Valium),
Lomotil,
Marijuana (THC),
Fentanyl (Duragesic),
Morphine,
Guaifenesin/Hydrocodone (Hycotuss),
Acetaminophen/Hydrocodone (Norco, Vicodin),
AndroGel (Testosterone),
Phentermine,
Alprazolam (Xanax),
Carisoprodol (Soma),
Zolpidem (Ambien),
Adderall (amphetamine/dextroamphetamine),
Methadone
