Question 1

A drug that has no actual pharmacologic effect is called a(n) __________.

Accepted Answer

placebo
A drug that has not pharmacologic effect is called a placebo. The use of the "fake" drugs is unethical if the patient is unaware that placebos are being used.

Question 2

A hospitalized patient has an order for subcutaneous heparin. The best location to administer this medication is the:

Accepted Answer

A)  upper arm. 
B)  anterior thigh. 
C)  buttock. 
D)  abdomen. 
A)  upper arm. 
B)  anterior thigh. 
C)  buttock. 
D)  abdomen. D

Question 3

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 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 4

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. 
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 5

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 _____ mL.

Accepted Answer

A)  0.1 
B)  0.75 
C)  0.50 
D)  0.2 
A)  0.1 
B)  0.75 
C)  0.50 
D)  0.2

Question 6

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. 
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 7

A patient asks why the clinic nurse asked him to remain in the clinic for 30 minutes after the injection of penicillin. The nurse explains that it is part of the standards of care to monitor for:

Accepted Answer

A)  any pain reaction. 
B)  bleeding at the site. 
C)  infection at the site. 
D)  any allergic reaction. 
A)  any pain reaction. 
B)  bleeding at the site. 
C)  infection at the site. 
D)  any allergic reaction.

Question 8

A nurse has administered a Mantoux 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. 
A)  late Monday afternoon. 
B)  late Tuesday afternoon. 
C)  any time on Wednesday. 
D)  any time on Friday.

Question 9

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. 
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 10

The nurse may refuse to carry out an order for a placebo if the:

Accepted Answer

A)  medication is labeled as a placebo. 
B)  nurse has religious grounds for refusing. 
C)  placebo is to be delivered by a parenteral route. 
D)  patient is unaware that the medication is a placebo. 
A)  medication is labeled as a placebo. 
B)  nurse has religious grounds for refusing. 
C)  placebo is to be delivered by a parenteral route. 
D)  patient is unaware that the medication is a placebo.

Question 11

When reconstituting a drug from a powder, the nurse will: (Select all that apply.)

Accepted Answer

A)  confirm the type of diluent required. 
B)  use only a 23-gauge needle to inject a reconstituted drug. 
C)  thoroughly mix solute with diluent. 
D)  roll the solute between hands to warm powder. 
E)  label the drug as to the amount of medication per volume after dilution. 
A)  confirm the type of diluent required. 
B)  use only a 23-gauge needle to inject a reconstituted drug. 
C)  thoroughly mix solute with diluent. 
D)  roll the solute between hands to warm powder. 
E)  label the drug as to the amount of medication per volume after dilution.

Question 12

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

Question 13

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. 
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 14

The nurse is teaching 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. 
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 15

When the 8-year-old child complains that he does not want to have a "shot," the nurse explains that the use of a parenteral route:

Accepted Answer

A)  is the best way to give medicine. 
B)  will hasten the action of the drug. 
C)  will take less medicine to make him well. 
D)  will be painless because the needles are so sharp. 
A)  is the best way to give medicine. 
B)  will hasten the action of the drug. 
C)  will take less medicine to make him well. 
D)  will be painless because the needles are so sharp.

Question 16

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

Accepted Answer

vastus lateralis
The vastus la

Question 17

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. 
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 18

When preparing to reconstitute a drug from a powder form, the nurse should first:

Accepted Answer

A)  use sterile water. 
B)  vigorously shake the powder prior to reconstituting drug. 
C)  follow directions on label for diluent to use. 
D)  discard the vial and the unused medication. 
A)  use sterile water. 
B)  vigorously shake the powder prior to reconstituting drug. 
C)  follow directions on label for diluent to use. 
D)  discard the vial and the unused medication.

Question 19

A nurse giving a subcutaneous injection will select a:

Accepted Answer

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

Question 20

When reinforcing instructions to a patient who will self-administer insulin injections at home, it is important to remind the patient to:

Accepted Answer

A)  always use a new insulin vial with each dose. 
B)  rotate injection sites systematically. 
C)  use a tuberculin syringe to draw up insulin. 
D)  aspirate before injecting the insulin. 
A)  always use a new insulin vial with each dose. 
B)  rotate injection sites systematically. 
C)  use a tuberculin syringe to draw up insulin. 
D)  aspirate before injecting the insulin.

Exam 35: Administering Intradermal, Subcutaneous, and Intramuscular Injections

A drug that has no actual pharmacologic effect is called a(n) __________.

A hospitalized patient has an order for subcutaneous heparin. The best location to administer this medication is the:

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

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 _____ mL.

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:

A patient asks why the clinic nurse asked him to remain in the clinic for 30 minutes after the injection of penicillin. The nurse explains that it is part of the standards of care to monitor for:

A nurse has administered a Mantoux 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:

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

The nurse may refuse to carry out an order for a placebo if the:

When reconstituting a drug from a powder, the nurse will: (Select all that apply.)

When administering heparin, the nurse will avoid:

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:

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

When the 8-year-old child complains that he does not want to have a "shot," the nurse explains that the use of a parenteral route:

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

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

When preparing to reconstitute a drug from a powder form, the nurse should first:

A nurse giving a subcutaneous injection will select a:

When reinforcing instructions to a patient who will self-administer insulin injections at home, it is important to remind the patient to:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

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