Deck 10: Parenteral Administration: Safe Preparation of Parenteral Medications

Question 1

An adult patient is to receive two medications IM.Which action by the nurse is most important in order to mix the medications in one syringe?

A)Assess for the presence of adequate muscle mass.
B)Ensure that the combined medication amount is less than 2 mL.
C)Determine the compatibility of the medications.
D)Use a needle that is 25 gauge.

Answer 1

Determine the compatibility of the medications.

Question 2

Which principle(s) is/are correct for mixing insulin? (Select all that apply.)

A)Insulin orders and calculations must be checked with another nurse.
B)Air is injected into the vial of the shorter acting insulin first.
C)The longer acting insulin is drawn up first.
D)The nurse must verify the compatibility of the insulin types.
E)Withdraw the shorter acting insulin first.

Answer 2

Insulin orders and calculations must be checked with another nurse.
The nurse must verify the compatibility of the insulin types.
Withdraw the shorter acting insulin first.

Question 3

Which needle will the nurse use to administer an intramuscular (IM) immunization on an 18 month old child?

A)18-gauge, 1 inch needle
B)20-gauge, 1/2 inch needle
C)27-gauge, 1 1/2 inch needle
D)25-gauge, 1/2 inch needle

Answer 3

27-gauge, 1 1/2 inch needle

Question 4

What is an advantage of administering a drug parenterally?

A)The duration of action is longer.
B)Medications given by this route are inexpensive.
C)The onset of action is more rapid.
D)The dose is usually larger than an oral dose.

Question 5

After teaching a diabetic patient about proper disposal of used syringes and needles, which statement by the patient indicates a need for further teaching?

A)"Even needles with sleeves should be disposed of appropriately."
B)"It is unusual that anyone could get a needle injury or disease from used needles."
C)"It is important for me to use the designated container to dispose of my syringes and needles."
D)"I am going to purchase the 'Sharps by Mail Disposal System' once I am home."

Question 6

The mother of a 6-year-old child informs the school nurse that the child is allergic to insect stings and requires an EpiPen.If the child is stung by an insect while in school, the nurse must:

A)hold the EpiPen perpendicularly against the thigh and activate.
B)provide additional care in the nurse's office prior to sending the child back to class.
C)call the physician prior to administration.
D)provide a second dose within 2 minutes following initial dose.

Question 7

Which nursing action is accurate when administering parenteral medication?

A)Adjust the route of the medication, if needed.
B)Document the response to PRN medications at the end of the shift.
C)Request the pharmacist to provide education about the medication to the patient.
D)Use clinical judgment when rescheduling missed doses of a medication.

Question 8

Which risk factor(s) should be considered when administering medications by injection? (Select all that apply.)

A)Trauma at the site of the needle puncture
B)Possibility of infection
C)Irretrievability of the medication once administered
D)Delayed absorption
E)Delayed onset of action
F)Chance of allergic reaction

Question 9

Which syringe will the nurse use to administer insulin subcutaneously to a patient?

A)A syringe calibrated in minims
B)A syringe calibrated in units
C)A syringe calibrated in tenths of mL
D)A syringe calibrated in mL

Question 10

The nurse is preparing to administer insulin.What does U 100 indicate?

A)100 mL per unit
B)10 units per mL
C)100 units per mL
D)10 units per 100 mL

Question 11

Which action by the nurse is most accurate when drawing up medication from an ampule?

A)Consider the rim of the ampule as sterile.
B)Use a filter needle to withdraw the medication.
C)Wrap a paper towel around the neck of the ampule before breaking it.
D)Inject 0.5 mL of air into the ampule before withdrawing the medication.

Question 12

When preparing parenteral medications, the nurse should perform which intervention(s)? (Select all that apply.)

A)Check the expiration date.
B)Use sterile technique throughout the entire procedure.
C)Check the drug dose form ordered against the source available.
D)Prepare the drug in a clean well lighted area.
E)Check calculations.

Question 13

The operating room (OR) nurse is preparing medications for use in a sterile field during a surgical procedure.While preparing these medications, the nurse will:

A)save unused portions of medication for use in another procedure.
B)differentiate between sterile and nonsterile medications to be used in the OR.
C)ensure the scrub (sterile) nurse retrieves the medication from storage.
D)read the label aloud for verification against the order from the surgeon.

Question 14

Which part of the syringe contains the calibrations for drug volume measurement?

A)Plunger
B)Tip
C)Luer Lok
D)Barrel

Question 15

Which information provided by the nurse is most important to include when teaching a patient about the use of an EpiPen?

A)"Hold the syringe at a 45-degree angle against the skin."
B)"Monitor the expiration date of this medication."
C)"After using the EpiPen, lie down for 1 hour."
D)"Place the syringe in a cartridge prior to using."

Question 16

Which type of parenteral medication container is made of glass, is scored, and needs to be broken open before withdrawing the medication?

A)Ampule
B)Carpuject
C)Mix-O-Vial
D)Vial

Question 17

Which action by the nurse is accurate when withdrawing medication into a syringe from a vial?

A)Inject an amount of air equal to the medication into the vial.
B)Break the thin neck of the vial container.
C)Remove the rubber stopper on the top of the vial.
D)Discard the initial 0.5 mL of medication to ensure sterility.