CCN Medication Administration & Emergency Response 4

Question 1

An inmate on warfarin therapy has an INR result of 4.9 and is not bleeding. What is the most appropriate nursing action?

Accepted Answer

Withhold the next warfarin dose and notify the provider for further orders

Answer

A supratherapeutic INR without active bleeding typically requires holding the anticoagulant and provider notification to determine whether vitamin K or dose adjustment is needed.

Question 2

Which medication used in correctional settings requires a REMS (Risk Evaluation and Mitigation Strategy) program due to risk of agranulocytosis?

Accepted Answer

Clozapine

Answer

Clozapine requires enrollment in the REMS program and regular ANC monitoring due to its risk of potentially fatal agranulocytosis.

Question 3

An inmate is found pulseless and not breathing. After activating the emergency response system, what is the correct next step per current BLS guidelines?

Accepted Answer

Begin high-quality chest compressions immediately

Answer

Current AHA BLS guidelines emphasize immediate high-quality chest compressions (C-A-B sequence) upon confirming unresponsiveness and absent breathing/pulse.

Question 4

A nurse preparing medications notices that two inmates have similar names (John Smith and John Smyth). Which is the BEST practice to prevent a medication error?

Accepted Answer

Verify identity using the inmate's date of birth and ID number in addition to name

Answer

Using at least two patient identifiers — such as name plus date of birth or ID number — is the standard to prevent wrong-patient medication errors.

Question 5

An inmate on buprenorphine/naloxone (Suboxone) for opioid use disorder is transferred to a new unit. What is the nurse's priority action regarding this medication?

Accepted Answer

Verify the active prescription and ensure continuity of the medication without interruption

Answer

Continuity of MOUD (medications for opioid use disorder) is essential; interruption can precipitate withdrawal and increase risk of relapse or overdose.

(CCN) Certified Corrections Nurse Practice Test

(CCN) Certified Corrections Nurse Practice Test

CCN Medication Administration & Emergency Response 4