CFPN General 2

Question 1

When a forensic pharmacy nurse is asked to testify as an expert witness, which standard governs the admissibility of their scientific testimony in federal court?

Accepted Answer

Daubert standard

Answer

The Daubert standard, established in Daubert v. Merrell Dow Pharmaceuticals (1993), is the federal court standard for admissibility of expert scientific testimony.

Question 2

A patient presents with miosis, bradycardia, excessive salivation, and bronchospasm. Which toxidrome does this presentation best represent?

Accepted Answer

Cholinergic

Answer

The cholinergic toxidrome (SLUDGE/DUMBELS) is characterized by miosis, bradycardia, salivation, and bronchospasm due to excess acetylcholine activity.

Question 3

In the context of drug-facilitated crimes, what is the typical detection window for GHB in urine?

Accepted Answer

4–8 hours

Answer

GHB is rapidly metabolized and typically detectable in urine for only 4–8 hours after ingestion, making timely specimen collection critical.

Question 4

Which agency maintains the National Forensic Laboratory Information System (NFLIS) in the United States?

Accepted Answer

DEA

Answer

The DEA maintains NFLIS, which collects and disseminates drug identification data from federal, state, and local forensic laboratories.

Question 5

A forensic pharmacy nurse reviewing a medical record notes that a patient received a higher-than-prescribed opioid dose. The FIRST priority in documenting this finding is to:

Accepted Answer

Ensure chain of custody for records is maintained

Answer

Maintaining chain of custody for medical records ensures the integrity of evidence and is the foundational first step in any forensic documentation process.

CFPN - Certified Forensic Pharmacy Nurse Practice Test

CFPN - Certified Forensic Pharmacy Nurse Practice Test

CFPN General 2