questions with correct verified detailed
answers latest version
1. Why should APRNs have full prescriptive authority? Who would
benefit from this?--- correct precise answers --- To inc pt care,
accessibility, quality, and affordability.
Pts benefit, especially underprivileged, rural communities. Could also
improve wait times and lower hc costs for pts and hc systems by
reducing reliance on more expensive providers. APRNs could benefit
because they could practice to the full extent of their abilities
2. Schedule I Drugs--- correct precise answers --- No medical use
in the US Heroin
Marijuana LSD MDMA
3. Schedule II Drugs--- correct precise answers --- High abuse
potential w/ psych/physical dependence Stimulants and depressants
Opium Morphine Codeine Dilaudid Methadone Demerol Hydrocodone
4. Schedule III Drugs--- correct precise answers --- High abuse
potential but less than I and II Contains compounds w/ limited
amounts of certain drugs
Products containing no more than 90mg of Codeine per dosage unit
Tylenol w/ codeine
Buprenorphine (Suboxone)
,5. Schedule IV Drugs--- correct precise answers --- Abuse potential
less than I, II, and III Barbital
Phenobarbital Chloral Hydrate
Dorazepate (Tranxene) Alprazolam (Xanax) Quazepam (Dormalin)
6. Schedule V Drugs--- correct precise answers --- Abuse potential
less than I-IV
Preparations w/ limitis amounts of certain narcs/stims used for
diarrhea, cough, and pain
Buprenorphine Propylhexedrine
7. What components are necessary when writing a prescription? ---
correct precise answers --- Prescriber name, license #, contact info
Prescriber DEA # (if applicable) NPI #
Pt name/ DOB Name of med Indication for med
Med concentration if liquid prep Dose, route, freq
# of tab/cap to dispense # of refills
If ok to use generic
8. What factors should the APRN consider when prescribing
medications? --- correct precise answers --- -
Cost
Drug interactions Liver/ Renal function Guidelines
SEs
,Monitoring Parameters (Coumadin, thyroid, lithium) Availability
Allergies
Special populations (OB, BF, PED, GERI)
9. What factors should the APRN consider when refilling
medications? Espe- cially narcotics--- correct precise answers --- New
med for pt?
Changing dose/freq?
Adding new meds?
Undesired SEs
When will I follow-up? When was pt seen last?
Do they need to be seen again before refill? Is this a schedule II med?
10. Considerations with telephone, written, E-prescribing meds---
correct precise answers --- Phone- can have specified designee call in
to pharmacy but cannot call in Sch II
Written- never presign, write in ink, avoid abbrev, use tamper
resistant scripts E-prescribing- CMS incentivizes using EMR to
prescribe.
"Meaningful Use" with intent to inc pt safety/ improve outcomes.
Requires 2 factor authentication software to prescribe scheduled meds
11. What is the benefit of collaboration during drug selection and
prescription writing? --- correct precise answers --- Develop a
, relationship with pharmacist and infectious disease Pharmacist can
help with additional
information regarding drug interactions. They have firsthand
knowledge of formulary.
They can assist with dosing.
12. What information should be included in patient education
material? --- correct precise answers --- Name of med
Purpose of med Dose
Admin AEs Storage
Lab testing (what, why,when, where, how) Interactions
Duration of therapy
Limit content of edu to main points Important info first
Use active voice
Use white space to make it less overwhelming Use illustrations
Use layman's terms Check for readability
13. Why is patient education so important? --- correct precise
answers --- Education is the best way to promote positive outcomes
with drug therapy. For compliance and promoting safe outcomes
14. What is the best way to promote positive outcomes with drug
therapy? --- correct precise answers --- -
Patient education,