CCN Medication Administration & Emergency Response 2

Question 1

A correctional nurse is administering medications during pill call. An inmate refuses to swallow an oral medication and attempts to cheek it. What is the most appropriate nursing action?

Accepted Answer

Require the inmate to open their mouth and lift their tongue after administration

Answer

Document the refusal and notify the provider

Answer

Crush all oral medications to prevent cheeking

Answer

Administer the medication via injection instead

Question 2

Which controlled substance schedule requires the most stringent documentation and security measures in a correctional facility?

Accepted Answer

Schedule II

Answer

Schedule III

Answer

Schedule IV

Answer

Schedule V

Question 3

An inmate on methadone maintenance therapy is found unresponsive with pinpoint pupils and a respiratory rate of 6 breaths/min. What is the priority intervention?

Accepted Answer

Administer naloxone per protocol

Answer

Obtain a stat blood glucose level

Answer

Place the inmate in recovery position and monitor

Answer

Contact the provider before intervening

Question 4

During a correctional facility mass casualty event, which triage category should receive immediate life-saving intervention?

Accepted Answer

Red — immediate

Answer

Black — expectant

Answer

Green — minor

Answer

Yellow — delayed

Question 5

A nurse is preparing to administer insulin to a diabetic inmate. Which action is most important before administration?

Accepted Answer

Verify blood glucose reading and correlate to the prescribed sliding scale

Answer

Ensure a second nurse witnesses the draw

Answer

Confirm the inmate has eaten within the last 4 hours

Answer

Check that the insulin vial has not expired

Question 6

An inmate with a history of seizures is found postictal on the unit floor. What is the nurse's first action upon arrival?

Accepted Answer

Assess airway patency and place in lateral recovery position

Answer

Administer prescribed rescue benzodiazepine immediately

Answer

Restrain the inmate to prevent injury

Answer

Obtain IV access for medication administration

Question 7

Which practice BEST reduces the risk of medication diversion during pill call in a correctional setting?

Accepted Answer

Observing ingestion and conducting mouth checks for all oral medications

Answer

Allowing inmates to take medications back to their cells

Answer

Performing pill call only in the morning

Answer

Using blister packs exclusively for all medications