Question 1

To add medication to the intravenous (IV)fluid bag,the nurse should:

Accepted Answer

A)  Shake the bag vigorously to mix the medication 
B)  Insert medication into the main tubing port 
C)  Label the outside of the bag with a felt-tip marker 
D)  Cleanse the injection port with antiseptic before adding the medication. 
A)  Shake the bag vigorously to mix the medication 
B)  Insert medication into the main tubing port 
C)  Label the outside of the bag with a felt-tip marker 
D)  Cleanse the injection port with antiseptic before adding the medication.

Question 2

Intradermal injections are administered correctly when the nurse:

Accepted Answer

A)  Uses a 1-inch needle 
B)  Selects a 22-gauge needle 
C)  Injects at a 45-degree angle 
D)  Identifies the site at 3 fingerwidths below the antecubital space 
A)  Uses a 1-inch needle 
B)  Selects a 22-gauge needle 
C)  Injects at a 45-degree angle 
D)  Identifies the site at 3 fingerwidths below the antecubital space

Question 3

The nurse is teaching the patient how to prepare 10 units of Regular insulin and 5 units of NPH insulin for injection.What should the nurse instruct the patient to do?

Accepted Answer

A)  Inject air into the Regular insulin, then into the NPH 
B)  Withdraw the Regular insulin before injecting the air 
C)  Inject air into and withdraw the NPH immediately 
D)  Inject air into both vials and withdraw the Regular insulin first 
A)  Inject air into the Regular insulin, then into the NPH 
B)  Withdraw the Regular insulin before injecting the air 
C)  Inject air into and withdraw the NPH immediately 
D)  Inject air into both vials and withdraw the Regular insulin first

Question 4

The nurse is preparing to start an infusion of ciprofloxacin to run as a piggyback infusion.For the system to run properly,the nurse must:

Accepted Answer

A)  Hang the bag lower than the primary infusion 
B)  Stop the primary bag from running so the piggyback can run 
C)  Plug the piggyback into the lowest port on the primary bag's tubing 
D)  Connect the bag to the upper Y-port of a primary infusion line 
A)  Hang the bag lower than the primary infusion 
B)  Stop the primary bag from running so the piggyback can run 
C)  Plug the piggyback into the lowest port on the primary bag's tubing 
D)  Connect the bag to the upper Y-port of a primary infusion line

Question 5

To administer an injection intradermally,the nurse should:

Accepted Answer

A)  Use a tuberculin or small syringe with a 1-inch needle 
B)  Inject no more than 1 mL of solution 
C)  Insert the needle at a 5- to 15-degree angle 
D)  Expect a small amount of bleeding after injection 
A)  Use a tuberculin or small syringe with a 1-inch needle 
B)  Inject no more than 1 mL of solution 
C)  Insert the needle at a 5- to 15-degree angle 
D)  Expect a small amount of bleeding after injection

Question 6

A patient is demonstrating the technique for mixing regular and NPH insulins in the same syringe.A nurse evaluates that further instruction is required if the patient first:

Accepted Answer

A)  Aspirates and injects air equal to the regular insulin dose into the vial first and withdraws the regular insulin 
B)  Aspirates and injects air equal to the NPH insulin into the vial but does not withdraw the medication 
C)  Withdraws the proper amount of NPH insulin before withdrawing the regular insulin 
D)  Calculates the combined total of insulin after withdrawing the NPH insulin 
A)  Aspirates and injects air equal to the regular insulin dose into the vial first and withdraws the regular insulin 
B)  Aspirates and injects air equal to the NPH insulin into the vial but does not withdraw the medication 
C)  Withdraws the proper amount of NPH insulin before withdrawing the regular insulin 
D)  Calculates the combined total of insulin after withdrawing the NPH insulin

Question 7

What is an advantage of providing medication via intravenous bolus?

Accepted Answer

A)  A slow onset of medication effects 
B)  Medications can be given over a longer time frame 
C)  Medications provide a more accurate dose of medication delivered 
D)  Hypersensitivity reactions are always delayed 
A)  A slow onset of medication effects 
B)  Medications can be given over a longer time frame 
C)  Medications provide a more accurate dose of medication delivered 
D)  Hypersensitivity reactions are always delayed

Question 8

A method of medication delivery that involves a small intravenous (IV)bag or bottle connected by a short tubing line connected to the upper Y-port of a primary infusion line is called a _____________ infusion.

Accepted Answer

piggyback A piggyback is a sma

Question 9

The nurse has a responsibility to ensure that every IM injection is given safely.In doing so,the nurse is trying to prevent which of the following? (Select all that apply.)

Accepted Answer

A)  Abscess formation 
B)  Sciatic nerve injury 
C)  Persistent pain 
D)  Hematoma 
E)   None of above 
A)  Abscess formation 
B)  Sciatic nerve injury 
C)  Persistent pain 
D)  Hematoma 
E)   None of above

Question 10

An appropriate technique for the nurse to implement for a patient with a continuous subcutaneous infusion is to:

Accepted Answer

A)  Change the site every day 
B)  Use a gauze dressing over the insertion site 
C)  Select an insertion site over a bony prominence 
D)  Insert the packaged needle at a 90-degree angle, or according to direction. 
A)  Change the site every day 
B)  Use a gauze dressing over the insertion site 
C)  Select an insertion site over a bony prominence 
D)  Insert the packaged needle at a 90-degree angle, or according to direction.

Question 11

The method of injecting a medication that requires pulling the skin laterally before injection is known as the ___________________.

Accepted Answer

Z-track method
The Z-track tec

Question 12

After insertion of the needle into a patient's tissue,a nurse aspirates and notices a very small amount of blood return.What should the nurse do?

Accepted Answer

A)  Continue with the injection 
B)  Discontinue the procedure and notify the nurse in charge 
C)  Remove and change the needle, and then readminister the medication 
D)  Discontinue the procedure and repeat the entire preparation of the medication 
A)  Continue with the injection 
B)  Discontinue the procedure and notify the nurse in charge 
C)  Remove and change the needle, and then readminister the medication 
D)  Discontinue the procedure and repeat the entire preparation of the medication

Question 13

_____________ syringes require special needles,which are twisted onto the tip and lock themselves in place.

Accepted Answer

Luer-Lok
Luer-Lok syringes require speci

Question 14

While checking the patient's intravenous (IV)site,the nurse notices that the site is cool,pale,and swollen.She immediately stops the IV infusion,realizing that these are signs indicating _____________.

Accepted Answer

infiltration
The patient has a

Question 15

The nurse is preparing to give an IM injection to a 6-month-old infant.Which site is the most appropriate for administration of the injection to this patient?

Accepted Answer

A)  The deltoid muscle 
B)  The dorsogluteal injection site 
C)  The vastus lateralis 
D)  All of the above 
A)  The deltoid muscle 
B)  The dorsogluteal injection site 
C)  The vastus lateralis 
D)  All of the above

Question 16

The nurse is preparing to administer an intravenous (IV)antibiotic using a tandem setup.The nurse must:

Accepted Answer

A)  Connect the tubing to the upper Y-port of the primary infusion line 
B)  Hang the antibiotic at a higher level than the main IV bag 
C)  Monitor the tandem setup closely 
D)  Be sure that the primary line is not running while the antibiotic is running 
A)  Connect the tubing to the upper Y-port of the primary infusion line 
B)  Hang the antibiotic at a higher level than the main IV bag 
C)  Monitor the tandem setup closely 
D)  Be sure that the primary line is not running while the antibiotic is running

Exam 22: Parenteral Medications

To add medication to the intravenous (IV)fluid bag,the nurse should:

Intradermal injections are administered correctly when the nurse:

The nurse is teaching the patient how to prepare 10 units of Regular insulin and 5 units of NPH insulin for injection.What should the nurse instruct the patient to do?

The nurse is preparing to start an infusion of ciprofloxacin to run as a piggyback infusion.For the system to run properly,the nurse must:

To administer an injection intradermally,the nurse should:

A patient is demonstrating the technique for mixing regular and NPH insulins in the same syringe.A nurse evaluates that further instruction is required if the patient first:

What is an advantage of providing medication via intravenous bolus?

A method of medication delivery that involves a small intravenous (IV)bag or bottle connected by a short tubing line connected to the upper Y-port of a primary infusion line is called a _____________ infusion.

The nurse has a responsibility to ensure that every IM injection is given safely.In doing so,the nurse is trying to prevent which of the following? (Select all that apply.)

An appropriate technique for the nurse to implement for a patient with a continuous subcutaneous infusion is to:

The method of injecting a medication that requires pulling the skin laterally before injection is known as the ___________________.

After insertion of the needle into a patient's tissue,a nurse aspirates and notices a very small amount of blood return.What should the nurse do?

_____________ syringes require special needles,which are twisted onto the tip and lock themselves in place.

While checking the patient's intravenous (IV)site,the nurse notices that the site is cool,pale,and swollen.She immediately stops the IV infusion,realizing that these are signs indicating _____________.

The nurse is preparing to give an IM injection to a 6-month-old infant.Which site is the most appropriate for administration of the injection to this patient?

The nurse is preparing to administer an intravenous (IV)antibiotic using a tandem setup.The nurse must:

Using Evidence in Nursing Practice

Admitting, transfer, and Discharge

Communication

Reporting and Recording

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Safety

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bedmaking

Pressure Ulcer Care

Care of Eye and Ear Prostheses

Safe Medication Preparation

Oral and Topical Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination

Ostomy Care

Preoperativepostoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Warm and Cold Therapy

Home Care Safety

Home Care Teaching

Specimen Collection

Diagnostic Procedures

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