Question 1

The nurse computes the dose of medication as 2.4 million units of penicillin to be delivered in 4 mL. The nurse should:

Accepted Answer

A)  give the 4 mL using a 5-mL syringe. 
B)  inform the charge nurse that the dose is too large to be given IM. 
C)  divide the dose into two 3-mL syringes and give as a divided dose. 
D)  ask the physician if another drug can be used. 
A)  give the 4 mL using a 5-mL syringe. 
B)  inform the charge nurse that the dose is too large to be given IM. 
C)  divide the dose into two 3-mL syringes and give as a divided dose. 
D)  ask the physician if another drug can be used.

Question 2

A nurse has opened and used part of a new multidose vial. The nurse should ______ the vial.

Accepted Answer

A)  write the current date on 
B)  wipe the top of 
C)  check the expiration date of 
D)  replace the plastic top that covered 
A)  write the current date on 
B)  wipe the top of 
C)  check the expiration date of 
D)  replace the plastic top that covered

Question 3

The nurse understands that the only part of the syringe that can be touched and not contaminated is the:

Accepted Answer

A)  needle. 
B)  outside of the barrel. 
C)  sides of the plunger. 
D)  tip of the syringe. 
A)  needle. 
B)  outside of the barrel. 
C)  sides of the plunger. 
D)  tip of the syringe.

Question 4

A patient has a medication order for iron dextran (Imferon) to be given using the Z-track technique. The rationale for using this method is to:

Accepted Answer

A)  avoid medication irritation. 
B)  avoid tissue scarring. 
C)  cause less painful method. 
D)  protect the sciatic nerve. 
A)  avoid medication irritation. 
B)  avoid tissue scarring. 
C)  cause less painful method. 
D)  protect the sciatic nerve.

Question 5

When administering an intramuscular injection for a 4-year-old child, the best site to use is the:

Accepted Answer

A)  gluteus medius. 
B)  vastus lateralis. 
C)  ventrogluteal. 
D)  dorsogluteal. 
A)  gluteus medius. 
B)  vastus lateralis. 
C)  ventrogluteal. 
D)  dorsogluteal.

Question 6

To ensure the proper administration of a tuberculin test, the nurse will:

Accepted Answer

A)  use a 3-mL syringe. 
B)  choose a 21-gauge, 1-inch needle. 
C)  insert the needle at a 30-degree angle. 
D)  inject slowly to form a bleb. 
A)  use a 3-mL syringe. 
B)  choose a 21-gauge, 1-inch needle. 
C)  insert the needle at a 30-degree angle. 
D)  inject slowly to form a bleb.

Question 7

When administering an intramuscular injection to an adult patient using the ventrogluteal site, the nurse should use which landmark to locate the area for injection?

Accepted Answer

A)  The lower end of the trochanter and the knee 
B)  The upper end of the trochanter and the knee 
C)  The head of the trochanter and the posterior iliac spine 
D)  The head of the trochanter and the anterior iliac spine 
A)  The lower end of the trochanter and the knee 
B)  The upper end of the trochanter and the knee 
C)  The head of the trochanter and the posterior iliac spine 
D)  The head of the trochanter and the anterior iliac spine

Question 8

Which medication order should be documented in the MAR and in the nurses' notes after it is given?

Accepted Answer

A)  Digoxin 0.25 mg PO at 9:00 AM 
B)  Demerol 75 mg IM PRN pain 
C)  Lasix 40 mg PO twice daily 
D)  KCl 20 mEq PO daily 
A)  Digoxin 0.25 mg PO at 9:00 AM 
B)  Demerol 75 mg IM PRN pain 
C)  Lasix 40 mg PO twice daily 
D)  KCl 20 mEq PO daily

Question 9

When withdrawing medication from an ampule, the best needle to use is a _____ needle.

Accepted Answer

A)  beveled 
B)  1-inch 
C) 1   -inch 
D) filter 
A)  beveled 
B)  1-inch 
C) 1   -inch 
D) filter

Question 10

The best angle to insert the needle to administration an subcutaneous injection is at an angle of _____ degrees.

Accepted Answer

A)  45 to 90 
B)  30 to 45 
C)  15 to 30 
D)  5 to 15 
A)  45 to 90 
B)  30 to 45 
C)  15 to 30 
D)  5 to 15

Question 11

The nurse performs the proper technique when withdrawing medication from the vial by:

Accepted Answer

A)  wiping the rubber stopper with a povidone-iodine swab. 
B)  inserting the needle into the vial at a 90-degree angle. 
C)  injecting into the vial an amount of air that is equal to the dose. 
D)  keeping the needle above the level of solution while withdrawing into the syringe. 
A)  wiping the rubber stopper with a povidone-iodine swab. 
B)  inserting the needle into the vial at a 90-degree angle. 
C)  injecting into the vial an amount of air that is equal to the dose. 
D)  keeping the needle above the level of solution while withdrawing into the syringe.

Exam 35: Administering Intradermal, Subcutaneous, and Intramuscular Injections

The nurse computes the dose of medication as 2.4 million units of penicillin to be delivered in 4 mL. The nurse should:

A nurse has opened and used part of a new multidose vial. The nurse should ______ the vial.

The nurse understands that the only part of the syringe that can be touched and not contaminated is the:

A patient has a medication order for iron dextran (Imferon) to be given using the Z-track technique. The rationale for using this method is to:

When administering an intramuscular injection for a 4-year-old child, the best site to use is the:

To ensure the proper administration of a tuberculin test, the nurse will:

When administering an intramuscular injection to an adult patient using the ventrogluteal site, the nurse should use which landmark to locate the area for injection?

Which medication order should be documented in the MAR and in the nurses' notes after it is given?

When withdrawing medication from an ampule, the best needle to use is a _____ needle.

The best angle to insert the needle to administration an subcutaneous injection is at an angle of _____ degrees.

The nurse performs the proper technique when withdrawing medication from the vial by:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

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