Question 1

The nurse is preparing a medication that comes in an ampoule.Which action by the nurse is appropriate?

Accepted Answer

A)  Tapping the ampoule so fluid moves from the bottom of the ampoule to the neck 
B)  Avoiding inversion of the ampoule after opening to prevent spillage of the medication 
C)  Using a filter needle long enough to reach the bottom of the ampoule 
D)  Guiding the needle against the rim of the ampoule to access the medication 
A)  Tapping the ampoule so fluid moves from the bottom of the ampoule to the neck 
B)  Avoiding inversion of the ampoule after opening to prevent spillage of the medication 
C)  Using a filter needle long enough to reach the bottom of the ampoule 
D)  Guiding the needle against the rim of the ampoule to access the medication C

Question 2

The nurse is preparing an injection of 0.45 mL of medication for a pediatric patient.Which syringe is most appropriate?

Accepted Answer

A)  Tuberculin syringe 
B)  Insulin syringe 
C)  3-mL syringe 
D)  10-mL syringe 
A)  Tuberculin syringe 
B)  Insulin syringe 
C)  3-mL syringe 
D)  10-mL syringe A

Question 3

The nurse is teaching a family member of an obese patient how to administer a subcutaneous U-100 insulin injection to the patient.Which instruction should be included in the teaching plan?

Accepted Answer

A)  Carefully massage the site after the injection to aid absorption. 
B)  Draw the medication into a tuberculin syringe with a 27-gauge needle. 
C)  Insert the needle quickly and firmly at a 90-degree angle. 
D)  Rotate injection sites between the abdomen,thighs,and upper arms. 
A)  Carefully massage the site after the injection to aid absorption. 
B)  Draw the medication into a tuberculin syringe with a 27-gauge needle. 
C)  Insert the needle quickly and firmly at a 90-degree angle. 
D)  Rotate injection sites between the abdomen,thighs,and upper arms. C

Question 4

The nurse is administering a parenteral medication to the patient.Which action by the nurse demonstrates proper technique?

Accepted Answer

A)  Using strict aseptic technique 
B)  Using work-arounds to administer medications in a timely manner 
C)  Injecting the medication smoothly but rapidly 
D)  Inserting the needle into the patient's skin smoothly and slowly 
A)  Using strict aseptic technique 
B)  Using work-arounds to administer medications in a timely manner 
C)  Injecting the medication smoothly but rapidly 
D)  Inserting the needle into the patient's skin smoothly and slowly

Question 5

A patient with a continuous intravenous (IV)infusion has a prescription for ciprofloxacin to be given by IV piggyback.Which action by the nurse is appropriate for administering the medication?

Accepted Answer

A)  Hang the bag with ciprofloxacin higher than the continuous infusion bag. 
B)  Stop the continuous infusion while running the ciprofloxacin. 
C)  Connect the piggyback tubing into the Y-port on the tubing of the continuous infusion that is closest to the patient. 
D)  Occlude the tubing of the continuous infusion just above the injection port while injecting the medication. 
A)  Hang the bag with ciprofloxacin higher than the continuous infusion bag. 
B)  Stop the continuous infusion while running the ciprofloxacin. 
C)  Connect the piggyback tubing into the Y-port on the tubing of the continuous infusion that is closest to the patient. 
D)  Occlude the tubing of the continuous infusion just above the injection port while injecting the medication.

Question 6

The health care provider prescribes 4 units of regular insulin and 10 units of NPH insulin subcutaneously before breakfast.The nurse draws the regular insulin into the syringe and is preparing to draw the NPH insulin into the same syringe.When finished,the syringe should contain _________ units.

Accepted Answer

A)  10 
B)  12 
C)  14 
D)  16 
A)  10 
B)  12 
C)  14 
D)  16

Question 7

The nurse is preparing to administer an intramuscular injection via the Z-track method.Which action should be taken by the nurse?

Accepted Answer

A)  Pinch the skin between the thumb and the first finger. 
B)  Insert the needle at a 90-degree angle. 
C)  Immediately remove the needle after injecting the medication. 
D)  Release the skin before removing the needle from the site. 
A)  Pinch the skin between the thumb and the first finger. 
B)  Insert the needle at a 90-degree angle. 
C)  Immediately remove the needle after injecting the medication. 
D)  Release the skin before removing the needle from the site.

Question 8

The nurse is preparing to administer an intravenous (IV)antibiotic using a mini-infusion pump.Which action should the nurse do first?

Accepted Answer

A)  Place the syringe into the mini-infusion pump. 
B)  Hang the pump on an IV pole. 
C)  Connect the end of the mini-infusion tubing to the main IV line. 
D)  Apply pressure to the syringe plunger to fill the tubing with medication. 
A)  Place the syringe into the mini-infusion pump. 
B)  Hang the pump on an IV pole. 
C)  Connect the end of the mini-infusion tubing to the main IV line. 
D)  Apply pressure to the syringe plunger to fill the tubing with medication.

Question 9

The nurse is preparing a subcutaneous injection for a patient.The nurse is careful not to touch which part of the syringe or needle? (Select all that apply.)

Accepted Answer

A)  Needle hub 
B)  Needle shaft 
C)  Syringe outer barrel 
D)  Needle bevel 
A)  Needle hub 
B)  Needle shaft 
C)  Syringe outer barrel 
D)  Needle bevel

Question 10

The nurse is preparing to give an intramuscular injection to a toddler.To decrease pain,a eutectic mixture of local anaesthetics (EMLA)cream is applied to the injection site at least ______ hour(s)before administration of the injection.

Accepted Answer

A)  0.5 
B)  1 
C)  2 
D)  4 
A)  0.5 
B)  1 
C)  2 
D)  4

Question 11

The nurse is teaching a patient how to inject low-molecular-weight heparin.What instruction should be included in the teaching plan?

Accepted Answer

A)  The injection can be given in the abdomen or the upper thighs. 
B)  Before injecting the medication,be sure to expel the air bubble in the syringe. 
C)  After inserting the needle,pull back on the plunger of the syringe before injecting the medication. 
D)  After injecting the medication,apply gentle pressure to the injection site for 30 to 60 seconds. 
A)  The injection can be given in the abdomen or the upper thighs. 
B)  Before injecting the medication,be sure to expel the air bubble in the syringe. 
C)  After inserting the needle,pull back on the plunger of the syringe before injecting the medication. 
D)  After injecting the medication,apply gentle pressure to the injection site for 30 to 60 seconds.

Question 12

The nurse is preparing several medications that are administered parenterally.The patient receiving which medication will have an intradermal injection?

Accepted Answer

A)  Opioid 
B)  Medication for allergy testing 
C)  Low-molecular-weight heparin 
D)  Glargine insulin 
A)  Opioid 
B)  Medication for allergy testing 
C)  Low-molecular-weight heparin 
D)  Glargine insulin

Question 13

The nurse administers an injection of iron to a patient using the Z-track method.The nurse recognizes which of the following as advantages of this method? (Select all that apply.)

Accepted Answer

A)  Provides faster absorption of the medication 
B)  Reduces discomfort from the needle 
C)  Prevents leakage of the medication into subcutaneous tissue 
D)  Prevents the medication from irritating sensitive tissue 
A)  Provides faster absorption of the medication 
B)  Reduces discomfort from the needle 
C)  Prevents leakage of the medication into subcutaneous tissue 
D)  Prevents the medication from irritating sensitive tissue

Question 14

The nurse is preparing an intramuscular injection for a thin older patient.The nurse is aware that the maximum volume most likely tolerated by this patient is which amount?

Accepted Answer

A)  1 mL 
B)  2 mL 
C)  3 mL 
D)  5 mL 
A)  1 mL 
B)  2 mL 
C)  3 mL 
D)  5 mL

Question 15

The nurse follows practice guidelines when administering injections to a patient to avoid which possible complications? (Select all that apply.)

Accepted Answer

A)  Medication response that is too rapid or too slow 
B)  Nerve injury with possible pain or paralysis 
C)  Death of tissue surrounding the injection site 
D)  Death of the patient 
E)  None of the above 
A)  Medication response that is too rapid or too slow 
B)  Nerve injury with possible pain or paralysis 
C)  Death of tissue surrounding the injection site 
D)  Death of the patient 
E)  None of the above

Question 16

The nurse is preparing to administer an intradermal injection to an adult patient.Which action should be taken by the nurse?

Accepted Answer

A)  Use a tuberculin syringe with a 2.5 cm (1-inch)25-gauge needle. 
B)  Inject no more than 1 mL of solution at one site. 
C)  Insert the needle at a 5- to 15-degree angle 3 finger widths below the antecubital space. 
D)  Expect a bleb and a small amount of bleeding after injection. 
A)  Use a tuberculin syringe with a 2.5 cm (1-inch)25-gauge needle. 
B)  Inject no more than 1 mL of solution at one site. 
C)  Insert the needle at a 5- to 15-degree angle 3 finger widths below the antecubital space. 
D)  Expect a bleb and a small amount of bleeding after injection.

Question 17

The nurse is teaching a patient about continuous subcutaneous infusion with an insulin pump.What should the nurse include in the teaching plan?

Accepted Answer

A)  Rotate the site every 1 to 2 days. 
B)  Place a gauze dressing over the insertion site. 
C)  Select an insertion site in the abdomen away from the waistline. 
D)  Pull the skin laterally before inserting the needle. 
A)  Rotate the site every 1 to 2 days. 
B)  Place a gauze dressing over the insertion site. 
C)  Select an insertion site in the abdomen away from the waistline. 
D)  Pull the skin laterally before inserting the needle.

Question 18

The nurse administers a tuberculin screening test to a patient who has no known risk factors for tuberculosis (TB).When the test site is read 48 hours later,which result is considered positive?

Accepted Answer

A)  Induration of 2 mm or more 
B)  Induration of 5 mm or more 
C)  Induration of 10 mm or more 
D)  Induration of 15 mm or more 
A)  Induration of 2 mm or more 
B)  Induration of 5 mm or more 
C)  Induration of 10 mm or more 
D)  Induration of 15 mm or more

Question 19

A patient has prescriptions for 10 units of glargine insulin and 5 units of regular insulin to be given at the same time.Which action by the nurse is appropriate?

Accepted Answer

A)  Injecting 10 units of air into the glargine insulin vial first and not withdrawing the medication 
B)  Injecting 5 units of air into the regular insulin vial first and then 10 units of air into the glargine insulin vial 
C)  Giving two separate injections using different needles and syringes 
D)  Withdrawing 5 units of regular insulin first and then calculating the total dose of regular and glargine insulin combined 
A)  Injecting 10 units of air into the glargine insulin vial first and not withdrawing the medication 
B)  Injecting 5 units of air into the regular insulin vial first and then 10 units of air into the glargine insulin vial 
C)  Giving two separate injections using different needles and syringes 
D)  Withdrawing 5 units of regular insulin first and then calculating the total dose of regular and glargine insulin combined

Question 20

The nurse is preparing to administer a medication using a volume-controlled administration set or Volutrol.Which action should the nurse do first?

Accepted Answer

A)  Open the clamp between the Volutrol and the main intravenous (IV)bag. 
B)  Open the air vent on the Volutrol. 
C)  Inject the medication into the Volutrol. 
D)  Clean the injection port on top of the Volutrol. 
A)  Open the clamp between the Volutrol and the main intravenous (IV)bag. 
B)  Open the air vent on the Volutrol. 
C)  Inject the medication into the Volutrol. 
D)  Clean the injection port on top of the Volutrol.

Exam 22: Parenteral Medications

The nurse is preparing a medication that comes in an ampoule.Which action by the nurse is appropriate?

The nurse is preparing an injection of 0.45 mL of medication for a pediatric patient.Which syringe is most appropriate?

The nurse is teaching a family member of an obese patient how to administer a subcutaneous U-100 insulin injection to the patient.Which instruction should be included in the teaching plan?

The nurse is administering a parenteral medication to the patient.Which action by the nurse demonstrates proper technique?

A patient with a continuous intravenous (IV)infusion has a prescription for ciprofloxacin to be given by IV piggyback.Which action by the nurse is appropriate for administering the medication?

The health care provider prescribes 4 units of regular insulin and 10 units of NPH insulin subcutaneously before breakfast.The nurse draws the regular insulin into the syringe and is preparing to draw the NPH insulin into the same syringe.When finished,the syringe should contain _________ units.

The nurse is preparing to administer an intramuscular injection via the Z-track method.Which action should be taken by the nurse?

The nurse is preparing to administer an intravenous (IV)antibiotic using a mini-infusion pump.Which action should the nurse do first?

The nurse is preparing a subcutaneous injection for a patient.The nurse is careful not to touch which part of the syringe or needle? (Select all that apply.)

The nurse is preparing to give an intramuscular injection to a toddler.To decrease pain,a eutectic mixture of local anaesthetics (EMLA)cream is applied to the injection site at least ______ hour(s)before administration of the injection.

The nurse is teaching a patient how to inject low-molecular-weight heparin.What instruction should be included in the teaching plan?

The nurse is preparing several medications that are administered parenterally.The patient receiving which medication will have an intradermal injection?

The nurse administers an injection of iron to a patient using the Z-track method.The nurse recognizes which of the following as advantages of this method? (Select all that apply.)

The nurse is preparing an intramuscular injection for a thin older patient.The nurse is aware that the maximum volume most likely tolerated by this patient is which amount?

The nurse follows practice guidelines when administering injections to a patient to avoid which possible complications? (Select all that apply.)

The nurse is preparing to administer an intradermal injection to an adult patient.Which action should be taken by the nurse?

The nurse is teaching a patient about continuous subcutaneous infusion with an insulin pump.What should the nurse include in the teaching plan?

The nurse administers a tuberculin screening test to a patient who has no known risk factors for tuberculosis (TB).When the test site is read 48 hours later,which result is considered positive?

A patient has prescriptions for 10 units of glargine insulin and 5 units of regular insulin to be given at the same time.Which action by the nurse is appropriate?

The nurse is preparing to administer a medication using a volume-controlled administration set or Volutrol.Which action should the nurse do first?

Evidence-Informed Nursing Practice

Transitions in Care

Communication and Collaboration

Documentation and Informatics

Medical Asepsis

Sterile Technique

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Emergency Preparedness and Disaster Management

Pain Assessment and Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Nonparenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Vascular Access and Infusion Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination and Catheterization

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Prevention and Care of Skin Breakdown

Wound Care Management and Dressings

Therapeutic Use of Heat and Cold

Safety in the Community

Self-Care Teaching in the Community

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