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

Intramuscular epinephrine 1:1000 (0.3–0.5 mg in adults) into the anterolateral thigh is the first-line treatment for anaphylaxis.

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

The nurse must communicate with the prescribing provider to either obtain a formulary-approved alternative or initiate the non-formulary approval process.

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

Current AHA guidelines recommend a 30:2 compression-to-ventilation ratio for single-rescuer CPR without an advanced airway in adults.

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

Neuroleptic malignant syndrome (NMS) is a life-threatening reaction to antipsychotics characterized by hyperthermia, muscle rigidity, altered consciousness, and autonomic dysfunction.

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

Medication errors require immediate provider notification for patient safety evaluation and mandatory incident reporting regardless of whether harm occurred.

(CCN) Certified Corrections Nurse Practice Test

(CCN) Certified Corrections Nurse Practice Test

CCN Medication Administration & Emergency Response 3