CCN Medication Administration & Emergency Response 5

Question 1

An inmate with type 1 diabetes refuses breakfast but has already received his morning insulin. Which complication is the nurse's primary concern?

Accepted Answer

Hypoglycemia

Answer

Insulin administration without adequate carbohydrate intake creates an imbalance that leads to hypoglycemia, a potentially life-threatening emergency.

Question 2

A nurse is drawing up two insulin types (NPH and regular) into one syringe. What is the correct sequence?

Accepted Answer

Draw regular (clear) insulin first, then NPH (cloudy) insulin

Answer

The mnemonic 'clear before cloudy' (regular before NPH) prevents contamination of the clear insulin vial with the cloudy NPH insulin.

Question 3

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?

Accepted Answer

Coordinate with custody staff to safely access and administer the medication under escort

Answer

Time-sensitive medications such as anticonvulsants must be administered even during lockdowns, requiring coordination with custody for safe nurse access.

Question 4

An inmate reports they have been saving their prescribed antidepressants for several weeks. The nurse should be most concerned about which risk?

Accepted Answer

Potential overdose attempt using the stockpiled medication

Answer

Medication hoarding (cheeking) in correctional settings raises the primary concern of self-harm or suicide via intentional overdose with accumulated medication.

Question 5

A nurse is defibrillating an inmate in ventricular fibrillation with an AED. Which action is most critical immediately before delivering the shock?

Accepted Answer

Ensure all rescuers are clear of the patient

Answer

Before AED shock delivery, the operator must verbally and visually confirm that no rescuer is in contact with the patient to prevent accidental electrocution.

(CCN) Certified Corrections Nurse Practice Test

(CCN) Certified Corrections Nurse Practice Test

CCN Medication Administration & Emergency Response 5