Medication Administration & Emergency Response Flashcards
7 cards from real CCN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medication Administration & Emergency Response flashcards as text
An inmate on warfarin therapy has an INR result of 4.9 and is not bleeding. What is the most appropriate nursing action?
Answer: Withhold the next warfarin dose and notify the provider for further orders
A supratherapeutic INR without active bleeding typically requires holding the anticoagulant and provider notification to determine whether vitamin K or dose adjustment is needed.
Which medication used in correctional settings requires a REMS (Risk Evaluation and Mitigation Strategy) program due to risk of agranulocytosis?
Answer: Clozapine
Clozapine requires enrollment in the REMS program and regular ANC monitoring due to its risk of potentially fatal agranulocytosis.
An inmate is found pulseless and not breathing. After activating the emergency response system, what is the correct next step per current BLS guidelines?
Answer: Begin high-quality chest compressions immediately
Current AHA BLS guidelines emphasize immediate high-quality chest compressions (C-A-B sequence) upon confirming unresponsiveness and absent breathing/pulse.
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?
Answer: Verify identity using the inmate's date of birth and ID number in addition to name
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.
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?
Answer: Verify the active prescription and ensure continuity of the medication without interruption
Continuity of MOUD (medications for opioid use disorder) is essential; interruption can precipitate withdrawal and increase risk of relapse or overdose.
A correctional nurse responding to a suspected overdose finds an inmate with a GCS of 6 and a respiratory rate of 4. After administering naloxone, what is the expected response if opioids are the cause?
Answer: Rapid reversal of respiratory depression and increased level of consciousness within 2–5 minutes
Naloxone rapidly reverses opioid-induced respiratory depression, typically producing clinical improvement within 2–5 minutes of intramuscular or intravenous administration.
Which of the following is the correct technique for administering a tuberculin skin test (TST) in a correctional intake setting?
Answer: Inject 0.1 mL of PPD intradermally into the volar forearm, producing a wheal
The TST requires intradermal injection of 0.1 mL PPD into the volar forearm, which should produce a 6–10 mm wheal confirming correct placement.