CCN Medication Administration & Emergency Response 3

Question 1

An inmate begins experiencing anaphylaxis after receiving a penicillin injection. After calling for emergency assistance, what is the nurse's immediate priority action?

Accepted Answer

Administer epinephrine 1:1000 via intramuscular injection

Answer

Administer oral diphenhydramine

Answer

Start an IV line for fluid resuscitation

Answer

Apply oxygen via nasal cannula at 2 L/min

Question 2

A correctional nurse receives an order for a medication not on the facility formulary. What is the most appropriate next step?

Accepted Answer

Notify the prescribing provider and request a formulary alternative or a non-formulary exception

Answer

Substitute the closest formulary equivalent without contacting the provider

Answer

Administer the medication anyway if the nurse believes it is appropriate

Answer

Delay treatment until the next provider visit

Question 3

When performing CPR on an inmate in cardiac arrest, at what compression-to-ventilation ratio should a single rescuer without advanced airway perform CPR?

Accepted Answer

30:2

Answer

15:2

Answer

10:1

Answer

5:1

Question 4

An inmate on antipsychotic medication develops sudden-onset muscle rigidity, high fever, altered mental status, and autonomic instability. The nurse should suspect which condition?

Accepted Answer

Neuroleptic malignant syndrome

Answer

Serotonin syndrome

Answer

Tardive dyskinesia

Answer

Akathisia

Question 5

A nurse administers a medication to the wrong inmate. After ensuring patient safety, what is the next required action?

Accepted Answer

Complete an incident report and notify the provider immediately

Answer

Document the event in the medical record only if the inmate is harmed

Answer

Wait to see if any adverse effects develop before reporting

Answer

Inform the inmate's attorney of the error

Question 6

Which assessment finding in an inmate taking lithium most urgently requires the nurse to withhold the medication and notify the provider?

Accepted Answer

Coarse tremor, confusion, and ataxia

Answer

Mild hand tremor

Answer

Thirst and increased urination

Answer

Nausea with the first week of therapy

Question 7

During an emergency in a correctional facility, the nurse's role is best described as which of the following?

Accepted Answer

Providing clinical care within scope of practice while following the facility's emergency response plan

Answer

Assuming command of all emergency operations

Answer

Deferring all medical decisions to custody staff during lockdown

Answer

Evacuating all inmates before rendering any medical care