Medication Administration & Emergency Response Flashcards
7 cards from real CCN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medication Administration & Emergency Response flashcards as text
An inmate with type 1 diabetes refuses breakfast but has already received his morning insulin. Which complication is the nurse's primary concern?
Answer: Hypoglycemia
Insulin administration without adequate carbohydrate intake creates an imbalance that leads to hypoglycemia, a potentially life-threatening emergency.
A nurse is drawing up two insulin types (NPH and regular) into one syringe. What is the correct sequence?
Answer: Draw regular (clear) insulin first, then NPH (cloudy) insulin
The mnemonic 'clear before cloudy' (regular before NPH) prevents contamination of the clear insulin vial with the cloudy NPH insulin.
During a facility lockdown after a riot, an inmate requires an emergency dose of an anticonvulsant. What is the nurse's best course of action?
Answer: Coordinate with custody staff to safely access and administer the medication under escort
Time-sensitive medications such as anticonvulsants must be administered even during lockdowns, requiring coordination with custody for safe nurse access.
An inmate reports they have been saving their prescribed antidepressants for several weeks. The nurse should be most concerned about which risk?
Answer: Potential overdose attempt using the stockpiled medication
Medication hoarding (cheeking) in correctional settings raises the primary concern of self-harm or suicide via intentional overdose with accumulated medication.
A nurse is defibrillating an inmate in ventricular fibrillation with an AED. Which action is most critical immediately before delivering the shock?
Answer: Ensure all rescuers are clear of the patient
Before AED shock delivery, the operator must verbally and visually confirm that no rescuer is in contact with the patient to prevent accidental electrocution.
A correctional nurse discovers that the medication count for oxycodone does not match the medication administration record at the end of the shift. What is the immediate required action?
Answer: Notify the supervisor, lock down the medication room, and initiate a controlled substance discrepancy investigation immediately
A controlled substance count discrepancy is a serious security and regulatory matter requiring immediate supervisor notification and formal investigation per DEA and facility protocols.
Which of the following best describes the nurse's ethical obligation when a correctional officer instructs the nurse not to administer a medically necessary medication as punishment for an inmate's behavior?
Answer: Refuse the instruction, administer the medication, and report the incident through appropriate channels
Withholding medically necessary treatment as punishment constitutes cruel and unusual punishment; nurses must refuse such orders, provide care, and report through proper channels.