Pharmacology & Medication Management Flashcards
7 cards from real CHCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pharmacology & Medication Management flashcards as text
What primarily determines a nurse practitioner's authority to prescribe controlled substances?
Answer: State scope-of-practice law, plus DEA registration
State law defines NP prescriptive authority (full, reduced, or restricted practice), and the NP also needs DEA registration to prescribe controlled substances.
During ongoing monitoring, a credentialing specialist finds that a physician's DEA registration expired yesterday. What is the most appropriate action?
Answer: Notify medical staff leadership and restrict controlled-substance prescribing per bylaws until renewal is verified
A practitioner without a current DEA registration may not prescribe controlled substances, so the lapse must be escalated and related privileges restricted until the renewal is verified.
Which requirement is most commonly tied to granting moderate sedation privileges?
Answer: Documented training and competency in airway management and rescue (e.g., ACLS)
Sedation privileges usually require shown competency in airway management and the ability to rescue patients from deeper sedation, often including ACLS.
What is the main purpose of a state Prescription Drug Monitoring Program (PDMP)?
Answer: To track controlled substance prescriptions dispensed in the state
PDMPs are state databases that track controlled substance prescriptions to help find misuse and doctor shopping.
Which action affecting a practitioner's controlled substance authority is reportable to the National Practitioner Data Bank?
Answer: DEA registration revocation or surrender
Adverse actions on DEA registrations, such as revocation or surrender, are reportable federal actions in the NPDB.
A hospital resident without a personal DEA registration prescribes controlled substances within the scope of their training. Which is permitted under federal rules?
Answer: Using the hospital's institutional DEA number with an assigned internal suffix
Under 21 CFR 1301.22, interns and residents may prescribe under the hospital's DEA registration using a specific internal code suffix.
The Ryan Haight Act primarily regulates which practice?
Answer: Prescribing controlled substances via the internet/telemedicine
The Ryan Haight Act generally requires an in-person medical evaluation before controlled substances are prescribed online, with certain telemedicine exceptions.
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