Question 1

The nurse is teaching a patient to self-administer insulin.The patient is 5 feet tall and weighs 197 pounds.Which of the following does the nurse include in patient teaching?

Accepted Answer

A)  Insert the needle into abdominal tissue at a 90-degree angle. 
B)  Include an air space when drawing up the prescribed dose. 
C)  Aspirate before injecting to ensure that the needle is not in a vessel. 
D)  Instruct the patient to use an insulin syringe with a 1-inch needle.

Question 2

The nurse prepares an insulin injection for the patient who has diabetes mellitus.Which does the nurse implement for correct insulin administration?

Accepted Answer

A)  Gives regular insulin within 15 to 30 minutes of meals 
B)  Injects insulin just removed from the refrigerator 
C)  Examines vials of NPH insulin for abnormal cloudiness 
D)  Administers NPH insulin for sliding-scale insulin dosing

Question 3

Which technique does the nurse use to administer a parenteral medication properly?

Accepted Answer

A)  Inserts the needle with the bevel facing downward 
B)  Pushes the needle through the patient's tissue slowly 
C)  Applies sterile technique to draw up the medication 
D)  Uses a 16- or 18-gauge needle with aqueous solutions

Question 4

The nurse instructs the patient on mixing NPH and regular insulin in the same syringe. Match the steps in order that the patient should follow to ensure accurate dosing.

-9. Step 5

Accepted Answer

A) Withdraw the NPH insulin. 
B) Withdraw the regular insulin. 
C) Remove bubbles from regular insulin. 
D) Inject air equal to the NPH insulin volume into the vial. 
E) Inject air equal to the regular insulin volume into the vial.

Question 5

MATCHING
The nurse prepares to initiate a continuous subcutaneous injection (CSCI). Match the steps of the nursing interventions.

-4. Step 4

Accepted Answer

A) Insert the needle at 45- to 90-degree angle. 
B) Connect the tubing of the needle to the tubing of the pump. 
C) Cleanse the site with alcohol and chlorhexidine. 
D) Apply occlusive dressing over the insertion site.

Question 6

The nurse is providing teaching for a patient who needs an intradermal test for tuberculosis.What information should the nurse include?

Accepted Answer

A)  Check with the healthcare provider in 2 hours for test results. 
B)  Relaxation helps make this type of injection painless. 
C)  A total of 0.1 mL of solution will be injected into the muscle. 
D)  The test must be read in 48 to 72 hours.

Question 7

The nurse is caring for a 14-year-old patient with diabetes mellitus who does not want to self-administer insulin because it is too painful.Which information should the nurse use in response to the patient's concern?

Accepted Answer

A)  Adolescents are usually enthusiastic about self-care. 
B)  Insulin mixed with a local anesthetic decreases pain. 
C)  The healthcare provider orders oral insulin for patients with pain. 
D)  There are techniques that will minimize the pain of the injection, though not eliminate it.

Question 8

MATCHING
The nurse prepares to initiate a continuous subcutaneous injection (CSCI). Match the steps of the nursing interventions.

-2. Step 2

Accepted Answer

A) Insert the needle at 45- to 90-degree angle. 
B) Connect the tubing of the needle to the tubing of the pump. 
C) Cleanse the site with alcohol and chlorhexidine. 
D) Apply occlusive dressing over the insertion site.

Question 9

The nurse is instructing a nursing student in proper technique for an intradermal injection.Which does the nurse use to evaluate proper technique for a tuberculin skin test after injecting the solution?

Accepted Answer

A)  The nurse palpates a deep, firm pocket of the test solution. 
B)  The nurse observes a nearly clear bubble slightly under the skin. 
C)  A small trickle of blood appears at the puncture site within minutes. 
D)  A 2-cm (3/4-inch) pink, flattened area develops at the injection site within 1 hour.

Question 10

A patient is admitted to the emergency department after a motor vehicle accident.The nurse sustains an accidental needlestick injury while performing a venipuncture on the patient.What is the nurse's priority?

Accepted Answer

A)  Determine whether the needle was sterile. 
B)  Follow agency policy for employee injuries. 
C)  Inform the provider to screen the patient for antibodies. 
D)  Obtain patient history of communicable diseases.

Question 11

The nurse instructs the patient on mixing NPH and regular insulin in the same syringe. Match the steps in order that the patient should follow to ensure accurate dosing.

-7. Step 3

Accepted Answer

A) Withdraw the NPH insulin. 
B) Withdraw the regular insulin. 
C) Remove bubbles from regular insulin. 
D) Inject air equal to the NPH insulin volume into the vial. 
E) Inject air equal to the regular insulin volume into the vial.

Question 12

The nurse is preparing to administer the anticoagulant enoxaparin (Lovenox)subcutaneously.Which injection site is most appropriate for the nurse to use?

Accepted Answer

A)  Thighs 
B)  Deltoid area 
C)  Sides of abdomen 
D)  Ventrogluteal area

Question 13

The nurse prepares to administer 2.2 mL of an oil-based medication intramuscularly to a male patient who is 5 feet 10 inches tall and weighs 165 pounds.Which needle and syringe combination should the nurse choose to administer the injection?

Accepted Answer

A)  20-gauge, 1 1/2-inch needle on a 3-mL syringe 
B)  21-gauge, 1 1/2-inch needle on a 5-mL syringe 
C)  23-gauge, 1-inch needle on a 3-mL syringe 
D)  25-gauge, 1-inch needle on a 5-mL syringe

Question 14

When administering an intramuscular (IM)injection,the nurse obtains blood during aspiration.What action by the nurse is appropriate?

Accepted Answer

A)  Wait 30 minutes before giving the ordered medication. 
B)  Notify the healthcare provider of the situation. 
C)  Continue to administer the ordered medication. 
D)  Stop the administration and discard the syringe.

Question 15

The patient wants to receive insulin by continuous subcutaneous injection (CSCI).Which injection site does the nurse suggest for the patient?

Accepted Answer

A)  The upper arm 
B)  The upper chest 
C)  The lower abdomen 
D)  The thigh

Question 16

MATCHING
The nurse prepares to initiate a continuous subcutaneous injection (CSCI). Match the steps of the nursing interventions.

-1. Step 1

Accepted Answer

A) Insert the needle at 45- to 90-degree angle. 
B) Connect the tubing of the needle to the tubing of the pump. 
C) Cleanse the site with alcohol and chlorhexidine. 
D) Apply occlusive dressing over the insertion site.

Exam 23: Administration of Parenteral Medications

The nurse is teaching a patient to self-administer insulin.The patient is 5 feet tall and weighs 197 pounds.Which of the following does the nurse include in patient teaching?

The nurse prepares an insulin injection for the patient who has diabetes mellitus.Which does the nurse implement for correct insulin administration?

Which technique does the nurse use to administer a parenteral medication properly?

The nurse instructs the patient on mixing NPH and regular insulin in the same syringe. Match the steps in order that the patient should follow to ensure accurate dosing. -9. Step 5

MATCHING The nurse prepares to initiate a continuous subcutaneous injection (CSCI) . Match the steps of the nursing interventions. -4. Step 4

The nurse is providing teaching for a patient who needs an intradermal test for tuberculosis.What information should the nurse include?

The nurse is caring for a 14-year-old patient with diabetes mellitus who does not want to self-administer insulin because it is too painful.Which information should the nurse use in response to the patient's concern?

MATCHING The nurse prepares to initiate a continuous subcutaneous injection (CSCI) . Match the steps of the nursing interventions. -2. Step 2

The nurse is instructing a nursing student in proper technique for an intradermal injection.Which does the nurse use to evaluate proper technique for a tuberculin skin test after injecting the solution?

A patient is admitted to the emergency department after a motor vehicle accident.The nurse sustains an accidental needlestick injury while performing a venipuncture on the patient.What is the nurse's priority?

The nurse instructs the patient on mixing NPH and regular insulin in the same syringe. Match the steps in order that the patient should follow to ensure accurate dosing. -7. Step 3

The nurse is preparing to administer the anticoagulant enoxaparin (Lovenox) subcutaneously.Which injection site is most appropriate for the nurse to use?

The nurse prepares to administer 2.2 mL of an oil-based medication intramuscularly to a male patient who is 5 feet 10 inches tall and weighs 165 pounds.Which needle and syringe combination should the nurse choose to administer the injection?

When administering an intramuscular (IM) injection,the nurse obtains blood during aspiration.What action by the nurse is appropriate?

The patient wants to receive insulin by continuous subcutaneous injection (CSCI) .Which injection site does the nurse suggest for the patient?

MATCHING The nurse prepares to initiate a continuous subcutaneous injection (CSCI) . Match the steps of the nursing interventions. -1. Step 1