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 begins experiencing anaphylaxis after receiving a penicillin injection. After calling for emergency assistance, what is the nurse's immediate priority action?
Answer: Administer epinephrine 1:1000 via intramuscular injection
Intramuscular epinephrine 1:1000 (0.3–0.5 mg in adults) into the anterolateral thigh is the first-line treatment for anaphylaxis.
A correctional nurse receives an order for a medication not on the facility formulary. What is the most appropriate next step?
Answer: Notify the prescribing provider and request a formulary alternative or a non-formulary exception
The nurse must communicate with the prescribing provider to either obtain a formulary-approved alternative or initiate the non-formulary approval process.
When performing CPR on an inmate in cardiac arrest, at what compression-to-ventilation ratio should a single rescuer without advanced airway perform CPR?
Answer: 30:2
Current AHA guidelines recommend a 30:2 compression-to-ventilation ratio for single-rescuer CPR without an advanced airway in adults.
An inmate on antipsychotic medication develops sudden-onset muscle rigidity, high fever, altered mental status, and autonomic instability. The nurse should suspect which condition?
Answer: Neuroleptic malignant syndrome
Neuroleptic malignant syndrome (NMS) is a life-threatening reaction to antipsychotics characterized by hyperthermia, muscle rigidity, altered consciousness, and autonomic dysfunction.
A nurse administers a medication to the wrong inmate. After ensuring patient safety, what is the next required action?
Answer: Complete an incident report and notify the provider immediately
Medication errors require immediate provider notification for patient safety evaluation and mandatory incident reporting regardless of whether harm occurred.
Which assessment finding in an inmate taking lithium most urgently requires the nurse to withhold the medication and notify the provider?
Answer: Coarse tremor, confusion, and ataxia
Coarse tremor, confusion, and ataxia are signs of lithium toxicity requiring immediate dose withholding and provider notification to prevent serious neurological damage.
During an emergency in a correctional facility, the nurse's role is best described as which of the following?
Answer: Providing clinical care within scope of practice while following the facility's emergency response plan
The correctional nurse provides clinical care within their scope while coordinating with custody staff and following the facility's established emergency response plan.