AMAP Controlled Substances 1 — Questions and Answers
Question 1: Which DEA schedule includes drugs with the highest potential for abuse and no accepted medical use in the United States?
- Schedule II
- Schedule I (Correct answer)
- Schedule III
- Schedule IV
Correct answer: Schedule I
Schedule I drugs have no accepted medical use and the highest potential for abuse, making them illegal for general prescriptions.
Question 2: An AMAP discovers that a controlled substance count does not match the medication administration record. What is the FIRST action to take?
- Administer the remaining doses to balance the count
- Notify the supervisor or nurse immediately (Correct answer)
- Document the discrepancy and wait until the next shift
- Ask coworkers if they administered the medication
Correct answer: Notify the supervisor or nurse immediately
Any controlled substance discrepancy must be reported to a supervisor or nurse immediately as it may indicate diversion or error.
Question 3: Which of the following is a Schedule II controlled substance commonly used for pain management?
- Ibuprofen
- Acetaminophen
- Oxycodone (Correct answer)
- Naproxen
Correct answer: Oxycodone
Oxycodone is a Schedule II opioid analgesic with high potential for abuse and physical dependence.
Question 4: How many healthcare staff members are typically required to witness and sign off on controlled substance wasting?
- One
- Two (Correct answer)
- Three
- Four
Correct answer: Two
Controlled substance wasting requires two witnesses to sign the record to ensure accountability and prevent diversion.
Question 5: Which document must accompany every controlled substance prescription dispensed to a resident?
- Incident report
- Physician's order (Correct answer)
- Diet plan
- Insurance authorization form
Correct answer: Physician's order
A valid physician's order is required before any controlled substance can be dispensed and administered to a resident.
Question 6: Under federal law, Schedule II controlled substances require a prescription that is:
- Valid for one year with unlimited refills
- Written (or electronic) with no refills permitted (Correct answer)
- Verbal only in emergency situations
- Renewable monthly without a new order
Correct answer: Written (or electronic) with no refills permitted
Schedule II substances require a written or electronic prescription with no refills allowed due to their high abuse potential.
Question 7: Which of the following behaviors may indicate that a staff member is diverting controlled substances?
- Consistently documenting medication administration on time
- Frequently volunteering to administer controlled substances alone (Correct answer)
- Always requesting a witness when wasting medications
- Reporting discrepancies immediately to the supervisor
Correct answer: Frequently volunteering to administer controlled substances alone
Frequently volunteering to administer controlled substances alone or without oversight is a common warning sign of drug diversion.
AMAP Controlled Substances 1
Which DEA schedule includes drugs with the highest potential for abuse and no accepted medical use in the United States?