CFPN General 5

Question 1

In a drug-facilitated assault case, the forensic pharmacy nurse is asked about the pharmacodynamic effects of flunitrazepam (Rohypnol). Which effect is most clinically relevant to victim vulnerability?

Accepted Answer

Anterograde amnesia and sedation

Answer

Flunitrazepam produces potent anterograde amnesia and sedation, making victims unable to resist assault or recall events, which is why it is classified as a drug-facilitated assault agent.

Question 2

Under the Drug-Free Workplace Act, federally mandated workplace drug testing must use which laboratory standard for specimen testing?

Accepted Answer

SAMHSA/HHS Mandatory Guidelines

Answer

The SAMHSA/HHS Mandatory Guidelines for Federal Workplace Drug Testing Programs set the standards for certified laboratory testing, collection procedures, and MRO review.

Question 3

A Medical Review Officer (MRO) reviewing a confirmed positive amphetamine result would consider which finding as a legitimate medical explanation before reporting it to the employer?

Accepted Answer

A valid prescription for lisdexamfetamine dimesylate

Answer

A valid prescription for a Schedule II amphetamine-containing medication (e.g., lisdexamfetamine) provides a legitimate medical explanation that an MRO must consider before reporting a positive result.

Question 4

Which type of error occurs when a forensic toxicology test reports a drug as absent when it is actually present in the specimen?

Accepted Answer

False negative

Answer

A false negative (missed detection) occurs when a drug is truly present but the test fails to detect it, often due to specimen adulteration, dilution, or test sensitivity limitations.

Question 5

A forensic pharmacy nurse is reviewing a case involving a nurse anesthetist suspected of diverting propofol. What makes propofol diversion particularly dangerous and challenging to detect?

Accepted Answer

Propofol is water-soluble and rapidly excreted, with no standard urine test

Answer

Propofol is not a DEA-scheduled drug, has no standard urine immunoassay test, and is rapidly metabolized, making both detection and regulatory oversight difficult.

CFPN - Certified Forensic Pharmacy Nurse Practice Test

CFPN - Certified Forensic Pharmacy Nurse Practice Test

CFPN General 5