Question 1

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

Question 2

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

Accepted Answer

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

Question 3

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to draw up a medication using a filter needle and a syringe.This equipment is necessary when the medication is being withdrawn from an ______________.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

ampule

Question 4

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 5

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?

Accepted Answer

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

Question 6

The most frequent route of exposure to bloodborne disease for health care workers is needlestick injury.The nurse recognizes that implementation of _________________ can prevent needlestick injury.

Accepted Answer

The answer of The most frequent route of exposure to...

Question 7

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 8

The nurse is preparing to administer an intramuscular (IM)injection to a 6-month-old infant.Which injection site is the most appropriate for this patient?

Accepted Answer

A)  Deltoid muscle
B)  Dorsogluteal injection site
C)  Vastus lateralis
D)  Abdomen 2 inches away from the umbilicus

Question 9

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 10

The nurse is teaching a patient how to give a subcutaneous injection.The nurse includes which sites as acceptable for this route of administration?

Accepted Answer

A)  Ventrogluteal area between the greater trochanter and the iliac crest
B)  Outer aspect of the upper arms
C)  Abdomen from below the costal margins to the iliac crests
D)  Anterior thighs

Question 11

The nurse is preparing an intramuscular injection for a thin elderly 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

Question 12

A patient with a continuous IV infusion has an order for ciprofloxacin to be given 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.

Question 13

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 14

After insertion of the needle into the patient's ventrogluteal muscle,the nurse aspirates and notices a very small amount of blood in the syringe.What action should the nurse take?

Accepted Answer

A)  Inject the medication slowly but smoothly.
B)  Withdraw the needle,expel the blood from the syringe,reinsert the needle,and inject the medication.
C)  Withdraw the needle,change the needle,insert the needle,and inject the medication.
D)  Withdraw the needle,dispose of the medication and syringe,and prepare another dose of medication.

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

A patient with multiple intravenous lines has blood infusing in the right antecubital space,parenteral nutrition infusing through a right subclavian line,and normal saline with potassium infusing in the left forearm.An intravenous medication is ordered stat.The nurse will use the line in the ____________ to administer the medication.

Accepted Answer

The answer of A patient with multiple intravenous lines has...

Question 17

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 18

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 19

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 20

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.

Exam 22: Administration of Parenteral Medications