Question 1

You are preparing to mix short-acting and long-acting insulin. Prioritize these steps accordingly. (Separate letters with a comma and space as follows: A, B, C, D, E, F.)
A) Withdraw prescribed amount of short-acting insulin.
B) Inject air into short-acting insulin.
C) Check medications with eMAR and MAR using three medication checks.
D) Choose and prepare site before injection.
E) Withdraw prescribed amount of long-acting insulin.
F) Inject air into long-acting insulin.

Accepted Answer

C, F, B, A, E, D
These are the proper steps to take when mixing short- and long-acting insulin in one syringe.

Question 2

The nurse understands that the only part of the syringe that can be touched and not contaminated is the:

Accepted Answer

A)   needle.
B)   outside of the barrel.
C)   sides of the plunger.
D)   tip of the syringe.

Question 3

A patient has an order to receive two intramuscular injections in the same syringe. The nurse should initially:

Accepted Answer

A)   determine if the two medications are compatible in the same syringe.
B)   obtain a larger syringe that will accommodate both medications.
C)   select two syringes to give the medications separately.
D)   ask the patient whether he would prefer one or two injections.

Question 4

A nurse has opened and used part of a new multidose vial. The nurse should:

Accepted Answer

A)   write the current date on the vial.
B)   wipe the top of the vial.
C)   check the expiration date of the vial.
D)   replace the plastic top that covered the vial.

Question 5

When withdrawing medication from an ampule, the best needle to use is a:

Accepted Answer

A)   beveled needle.
B)   1 inch needle.
C)   1 1/2 inch needle.
D)   filter needle. D

Question 6

A nurse has just administered a medication to a patient using a syringe that is not a safety syringe. To dispose of the needle and syringe safely, the nurse should:

Accepted Answer

A)   recap the needle and dispose of it in the trash receptacle.
B)   recap the needle and dispose of it in the sharps container.
C)   leave the needle uncapped and dispose of it in the trash receptacle.
D)   leave the needle uncapped and dispose of it in the sharps container.

Question 7

A patient has an order to receive a mixture of short- and long-acting insulin. The first step to properly draw them up in the same syringe is to:

Accepted Answer

A)   shake both vials vigorously before use.
B)   inject air into the short acting clear insulin.
C)   withdraw the short acting clear insulin.
D)   inject air into the long acting cloudy insulin.

Question 8

The nurse performs the proper technique when withdrawing medication from the vial by:

Accepted Answer

A)   wiping the rubber stopper with a povidone iodine swab.
B)   inserting the needle into the vial at a 90-degree angle.
C)   injecting into the vial an amount of air that is equal to the dose.
D)   keeping the needle above the level of solution while withdrawing into the syringe.

Question 9

The most effective nursing actions to decrease discomfort to the patient during a parenteral injection would be:

Accepted Answer

A)   inserting the needle while the skin is still wet from the alcohol wipe.
B)   asking the patient to look at the injection site for learning purposes.
C)   using the smallest gauge needle that is appropriate for the site.
D)   removing the needle slowly to avoid damaging the tissue.

Question 10

Which medication order should be documented in the MAR and in the nurses' notes after it is given?

Accepted Answer

A)   Digoxin 0.25 mg PO at 9:00 AM.
B)   Demerol 75 mg IM PRN pain.
C)   Lasix 40 mg PO twice daily.
D)   KCl 20 mEq PO daily.

Question 11

When administering an intramuscular injection to an adult patient using the ventrogluteal site, the nurse should use which landmark to locate the area for injection?

Accepted Answer

A)   The lower end of the trochanter and the knee
B)   The upper end of the trochanter and the knee
C)   The head of the trochanter and the posterior iliac spine
D)   The head of the trochanter and the anterior iliac spine

Question 12

The nurse is educating a patient who weighs 325 pounds on how to administer a subcutaneous would suggest that the patient would:

Accepted Answer

A)   require a longer needle because of his weight.
B)   experience a faster response to the medication.
C)   use a 15 degree angle to inject the medication.
D)   need extra pressure at the injection site to prevent bleeding.

Question 13

The nurse has an order to administer an injection of purified protein derivative (PPD)  by the intradermal route. The maximum amount of medication that can be given using this route is:

Accepted Answer

A)   0.1 mL.
B)   0.75 mL.
C)   0.5 mL.
D)   0.2 mL.

Question 14

When the nurse is preparing to draw medication from an ampule, the proper procedure is to:

Accepted Answer

A)   allow medication to float freely in the body, neck, and stem.
B)   wrap the neck with a gauze or alcohol sponge to the open ampule.
C)   break the ampule so that it opens toward her.
D)   inject air into the ampule to ease the withdrawal of the medication.

Question 15

When administering heparin, the nurse will avoid:

Accepted Answer

A)   using the lower abdomen as an injection site.
B)   rotating sites.
C)   massaging area for more than 3 seconds.
D)   aspirating before injection. D

Question 16

A nurse has administered a Tuberculin skin test to a patient in the outpatient clinic at 9:00 AM on Monday. The patient should be scheduled to return to the clinic to have the result read:

Accepted Answer

A)   late Monday afternoon.
B)   late Tuesday afternoon.
C)   any time on Wednesday.
D)   any time on Friday.

Question 17

A nurse giving a subcutaneous injection will select a:

Accepted Answer

A)   3 mL syringe and 22 gauge, 1 1/2 inch needle.
B)   3 mL syringe and 18 gauge, 1 1/2 inch needle.
C)   3 mL syringe and 25 gauge, 5/8 inch needle.
D)   3 mL syringe and 20 gauge, 1 inch needle.

Question 18

The IM injection site recommended for infants under 12 months of age is the _________________.

Accepted Answer

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Question 19

The nurse computes the dose of medication as 2.4 million units of penicillin to be delivered in 4 mL. The nurse should:

Accepted Answer

A)   give the 4 mL using a 5 mL syringe.
B)   inform the charge nurse that the dose is too large to be given IM.
C)   divide the dose into two 3 mL syringes and give as a divided dose.
D)   ask the primary care provider if another medication can be used.

Question 20

The best angle to insert the needle when administering a subcutaneous injection is at an angle of:

Accepted Answer

A)   45 to 90 degrees.
B)   30 to 45 degrees.
C)   15 to 30 degrees.
D)   5 to 15 degrees.

Exam 35: Administering Intradermal, Subcutaneous, and Intramuscular Injections

Correct Answer
verified
C, F, B, A, E, D These are the proper steps to take when mixing short- and long-acting insulin in one syringe.

The nurse understands that the only part of the syringe that can be touched and not contaminated is the:

Correct Answer
verified

A patient has an order to receive two intramuscular injections in the same syringe. The nurse should initially:

Correct Answer
verified

A nurse has opened and used part of a new multidose vial. The nurse should:

Correct Answer
verified

When withdrawing medication from an ampule, the best needle to use is a:

Correct Answer
verified
D

A nurse has just administered a medication to a patient using a syringe that is not a safety syringe. To dispose of the needle and syringe safely, the nurse should:

Correct Answer
verified

A patient has an order to receive a mixture of short- and long-acting insulin. The first step to properly draw them up in the same syringe is to:

Correct Answer
verified

The nurse performs the proper technique when withdrawing medication from the vial by:

Correct Answer
verified

The most effective nursing actions to decrease discomfort to the patient during a parenteral injection would be:

Correct Answer
verified

Which medication order should be documented in the MAR and in the nurses' notes after it is given?

Correct Answer
verified

When administering an intramuscular injection to an adult patient using the ventrogluteal site, the nurse should use which landmark to locate the area for injection?

Correct Answer
verified

The nurse is educating a patient who weighs 325 pounds on how to administer a subcutaneous would suggest that the patient would:

Correct Answer
verified

The nurse has an order to administer an injection of purified protein derivative (PPD) by the intradermal route. The maximum amount of medication that can be given using this route is:

Correct Answer
verified

When the nurse is preparing to draw medication from an ampule, the proper procedure is to:

Correct Answer
verified

When administering heparin, the nurse will avoid:

Correct Answer
verified
D

A nurse has administered a Tuberculin skin test to a patient in the outpatient clinic at 9:00 AM on Monday. The patient should be scheduled to return to the clinic to have the result read:

Correct Answer
verified

A nurse giving a subcutaneous injection will select a:

Correct Answer
verified

The IM injection site recommended for infants under 12 months of age is the _________________.

Correct Answer
verified
vastus lateralis
The vastus la...
View Answer

The nurse computes the dose of medication as 2.4 million units of penicillin to be delivered in 4 mL. The nurse should:

Correct Answer
verified

The best angle to insert the needle when administering a subcutaneous injection is at an angle of:

Correct Answer
verified

Exam 35: Administering Intradermal, Subcutaneous, and Intramuscular Injections

Correct AnswerverifiedC, F, B, A, E, D These are the proper steps to take when mixing short- and long-acting insulin in one syringe.

The nurse understands that the only part of the syringe that can be touched and not contaminated is the:

Correct AnswerverifiedShow Answer

A patient has an order to receive two intramuscular injections in the same syringe. The nurse should initially:

Correct AnswerverifiedShow Answer

A nurse has opened and used part of a new multidose vial. The nurse should:

Correct AnswerverifiedShow Answer

When withdrawing medication from an ampule, the best needle to use is a:

Correct AnswerverifiedD

A nurse has just administered a medication to a patient using a syringe that is not a safety syringe. To dispose of the needle and syringe safely, the nurse should:

Correct AnswerverifiedShow Answer

A patient has an order to receive a mixture of short- and long-acting insulin. The first step to properly draw them up in the same syringe is to:

Correct AnswerverifiedShow Answer

The nurse performs the proper technique when withdrawing medication from the vial by:

Correct AnswerverifiedShow Answer

The most effective nursing actions to decrease discomfort to the patient during a parenteral injection would be:

Correct AnswerverifiedShow Answer

Which medication order should be documented in the MAR and in the nurses' notes after it is given?

Correct AnswerverifiedShow Answer

When administering an intramuscular injection to an adult patient using the ventrogluteal site, the nurse should use which landmark to locate the area for injection?

Correct AnswerverifiedShow Answer

The nurse is educating a patient who weighs 325 pounds on how to administer a subcutaneous would suggest that the patient would:

Correct AnswerverifiedShow Answer

The nurse has an order to administer an injection of purified protein derivative (PPD) by the intradermal route. The maximum amount of medication that can be given using this route is:

Correct AnswerverifiedShow Answer

When the nurse is preparing to draw medication from an ampule, the proper procedure is to:

Correct AnswerverifiedShow Answer

When administering heparin, the nurse will avoid:

Correct AnswerverifiedD

A nurse has administered a Tuberculin skin test to a patient in the outpatient clinic at 9:00 AM on Monday. The patient should be scheduled to return to the clinic to have the result read:

Correct AnswerverifiedShow Answer

A nurse giving a subcutaneous injection will select a:

Correct AnswerverifiedShow Answer

The IM injection site recommended for infants under 12 months of age is the _________________.

Correct Answerverifiedvastus lateralisThe vastus la...View AnswerShow Answer

The nurse computes the dose of medication as 2.4 million units of penicillin to be delivered in 4 mL. The nurse should:

Correct AnswerverifiedShow Answer

The best angle to insert the needle when administering a subcutaneous injection is at an angle of:

Correct AnswerverifiedShow Answer

Correct Answer
verified
C, F, B, A, E, D These are the proper steps to take when mixing short- and long-acting insulin in one syringe.

Correct Answer
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D

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D

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The vastus la...
View Answer

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