Question 1

When administering an intramuscular injection for a 4-year-old child, the best site to use is the:

Accepted Answer

A)  gluteus medius. 
B)  vastus lateralis. 
C)  ventrogluteal. 
D)  dorsogluteal. 
A)  gluteus medius. 
B)  vastus lateralis. 
C)  ventrogluteal. 
D)  dorsogluteal.

Question 2

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 medication. 
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 medication. 
C)  will take less medicine to make him well. 
D)  will be painless because the needles are so sharp.

Question 3

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.

Question 4

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

Accepted Answer

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

Question 5

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.

Question 6

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 7

When reconstituting a medication 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 medication. 
C)  thoroughly mix solute with diluent. 
D)  roll the solute between hands to warm powder. 
E)  label the medication 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 medication. 
C)  thoroughly mix solute with diluent. 
D)  roll the solute between hands to warm powder. 
E)  label the medication as to the amount of medication per volume after dilution.

Question 8

To ensure the proper administration of a tuberculin test, the nurse will:

Accepted Answer

A)  use a 3 mL syringe. 
B)  choose a 21 gauge, 1 inch needle. 
C)  insert the needle at a 30-degree angle. 
D)  inject slowly to form a bleb. 
A)  use a 3 mL syringe. 
B)  choose a 21 gauge, 1 inch needle. 
C)  insert the needle at a 30-degree angle. 
D)  inject slowly to form a bleb.

Question 9

A patient has a medication order for iron dextran (Imferon) to be given using the Z-track technique. The rationale for using this method is to:

Accepted Answer

A)  avoid medication irritation. 
B)  avoid tissue scarring. 
C)  cause less painful method. 
D)  protect the sciatic nerve. 
A)  avoid medication irritation. 
B)  avoid tissue scarring. 
C)  cause less painful method. 
D)  protect the sciatic nerve.

Exam 35: Administering Intradermal, Subcutaneous, and Intramuscular Injections

When administering an intramuscular injection for a 4-year-old child, the best site to use is the:

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:

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

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

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

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

To ensure the proper administration of a tuberculin test, the nurse will:

A patient has a medication order for iron dextran (Imferon) to be given using the Z-track technique. The rationale for using this method is to:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and 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, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of 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

Nutritional 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 Older Adult

Common Psychosocial Care Problems of Older Adults

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