Question 1

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

Question 2

The nurse is preparing to give a medication by intravenous (IV)bolus.When assessing the patient's IV insertion site,the nurse notes that it is warm,reddened,and tender.What action should the nurse take first?

Accepted Answer

A) Slow the infusion rate and slowly inject the medication. 
B) Discontinue the IV infusion. 
C) Inject a local anesthetic to relieve the tenderness. 
D) Apply warm compresses over the insertion site.

Question 3

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.

Question 4

The nurse is preparing to administer an immunization to a toddler.Which action by the nurse is appropriate?

Accepted Answer

A) Grasp the body of the muscle during injection. 
B) Place one hand above the knee and one below the knee to find the site. 
C) Have the patient's knee flexed with the foot internally rotated. 
D) Ask the mother to hold the toddler on his side.

Question 5

A patient has medication ordered to be given by intravenous (IV)bolus.The nurse recognizes which advantage of this type of administration?

Accepted Answer

A) There is a slower onset of medication effects. 
B) Medications are given over a longer time frame. 
C) Medications given by IV bolus are less irritating to the veins. 
D) Small volumes are used,so fluid overload can be avoided.

Question 6

A patient has orders 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

Question 7

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.

Question 8

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

Accepted Answer

The answer of The nurse is preparing to give an...

Question 9

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.

Question 10

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.

Question 11

The health care provider orders 4 units of regular insulin and 10 units of NPH insulin subcutaneous 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

The answer of The health care provider orders 4 units...

Question 12

The nurse is preparing to administer an intramuscular medication.In determining which size needle and syringe to use to administer the medication,the nurse must consider which of the following? (Select all that apply. )

Accepted Answer

A) The volume of medication 
B) The viscosity of the medication 
C) The size and weight of the patient 
D) Whether or not the syringe has a safety needle

Question 13

An experienced nurse recognizes that the dorsogluteal injection site is no longer used for intramuscular injections because of the risk of damaging the _______________.

Accepted Answer

The answer of An experienced nurse recognizes that the dorsogluteal...

Question 14

The nurse is preparing to draw up a medication using a filter needle and a syringe.This equipment is necessary when the medication is being withdrawn from an ______________.

Accepted Answer

The answer of The nurse is preparing to draw up...

Question 15

The patient is receiving allergy testing.The nurse is using the inner forearm to inject the allergen into the ____________.

Accepted Answer

The answer of The patient is receiving allergy testing.The nurse...

Question 16

The student nurse is preparing to administer an intravenous (IV)bolus medication through a small-gauge IV catheter.The student notes that there is no blood return on aspiration.Which action by the student should the nursing instructor question?

Accepted Answer

A) Checking the IV site for redness and swelling 
B) Immediately stopping the IV infusion and removing the IV catheter 
C) Checking to see if the IV is infusing without difficulty 
D) Injecting the IV medication if no signs of infiltration

Question 17

The nurse is preparing to administer an intravenous (IV)medication that must be diluted in 60 mL of fluid and then given over 45 minutes.Which of the following methods can the nurse use to give this medication? (Select all that apply. )

Accepted Answer

A) Piggyback infusion 
B) Volume-control device 
C) Mini-infusion pump 
D) IV bolus injection

Question 18

The nurse informs the patient that the medication will be absorbed rapidly because it was injected into tissue with a rich blood supply.The patient has just received a ______________ injection.

Accepted Answer

The answer of The nurse informs the patient that the...

Question 19

A student nurse is preparing to administer an intramuscular injection into the ventrogluteal muscle.The nursing instructor should question which action by the student?

Accepted Answer

A) Asking the patient to assume a sitting position 
B) Placing the heel of the hand over the patient's greater trochanter 
C) Asking the patient to flex the knee and hip 
D) Using the right hand to locate the injection site on the patient's left side

Question 20

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

The answer of While checking the patient's intravenous (IV)site,the nurse...

Exam 22: Administration of Parenteral Medications

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?

The nurse is preparing to give a medication by intravenous (IV) bolus.When assessing the patient's IV insertion site,the nurse notes that it is warm,reddened,and tender.What action should the nurse take first?