Question 1

A 65-year-old man who weighs 180 lb (81.8 kg) is to receive 1.5 mL of a viscous antibiotic by intramuscular (IM) injection.Which needle and syringe will be used?

Accepted Answer

A)  5/8 inch, 25-gauge needle with 5 mL syringe
B)  1 inch, 28-gauge needle with 4 mL syringe
C)  1 1/2 inch, 21-gauge needle with 3 mL syringe
D)  3 inch, 16-gauge needle with 1.5 mL syringe C

Question 2

Which parenteral route has the longest absorption time?

Accepted Answer

A)  Intradermal
B)  Subcut
C)  IM
D)  Intravenous (IV)  A

Question 3

The nurse cleansing the skin surface of a patient prior to injection will start at the:

Accepted Answer

A)  periphery and work inward in a back and forth motion.
B)  periphery and work inward in a cyclical motion.
C)  injection site and work outward in a straight line.
D)  injection site and work outward in a circular motion. D

Question 4

The nurse is preparing to administer allergy sensitivity testing to a patient.Which statement(s) pertain(s) to this type of administration? (Select all that apply.)

Accepted Answer

A)  Allergy sensitivity testing requires the intradermal route.
B)  Injections are made into the loose connective tissue.
C)  Equipment needed includes gloves, antiseptic pledget, metric ruler, and physician's order sheet.
D)  Record of previous injection sites is needed.
E)  The needle should be inserted at a 15-degree angle with the needle bevel up.

Question 5

The nurse is preparing to administer kindergarten immunizations at the local health clinic.Which anatomic site would be best for the injection of the immunizations containing 0.5 mL?

Accepted Answer

A)  Rectus femoris
B)  Dorsogluteal
C)  Deltoid
D)  Ventrogluteal

Question 6

Which action by the nurse is most accurate when administering an intradermal injection?

Accepted Answer

A)  Insert the needle at a 45-degree angle.
B)  Inject 0.1 mL.
C)  Use a 22-gauge needle.
D)  Wipe the site with alcohol after injection.

Question 7

Which assessment by the nurse is most important to obtain prior to performing allergy sensitivity testing?

Accepted Answer

A)  Identify areas of loose connective tissue.
B)  Question the patient about frequency of exercise.
C)  Determine if the patient is using aspirin.
D)  Palpate and measure the size of induration.

Question 8

The nurse administers a skin prick test (SPT) to a patient at 9 AM.The earliest time the nurse can expect to read the test is:

Accepted Answer

A)  the next day at 9 AM.
B)  by 9 PM the same day.
C)  by 9:10 AM the same day.
D)  one week from the date and time of administration.

Question 9

Which site is identified by the posterior superior iliac spine and greater trochanter?

Accepted Answer

A)  Ventrogluteal
B)  Dorsogluteal
C)  Vastus lateralis
D)  Rectus femoris

Question 10

The nurse is educating a patient about diabetes.Based on recommendations from the American Diabetes Association, which statement by the nurse is best regarding site rotation?

Accepted Answer

A)  "Insulin injection sites should always be in the abdomen to ensure absorption into the stomach."
B)  "It is important to rotate injection sites systematically within one area before progressing to a new site for injection."
C)  "Following exercise, site rotation is not indicated because the circulation in the muscles will absorb the medication efficiently."
D)  "If you aspirate, site rotation can be done every other day to avoid developing problems with absorption."

Question 11

Which nursing action is accurate when administering an IM injection using the Z track method?

Accepted Answer

A)  Use a 1-inch needle.
B)  Add 0.5 mL of air to the syringe.
C)  Vigorously massage the injection site.
D)  Pinch up the skin.

Question 12

Which technique by the nurse is accurate when administering heparin to a thin, older adult patient?

Accepted Answer

A)  Aspirate before injecting the medication.
B)  Inject at a 45-degree angle.
C)  Inject at a 90-degree angle.
D)  Massage site following injection.

Question 13

The vastus lateralis muscle is appropriate for injections for which patient(s)? (Select all that apply.)

Accepted Answer

A)  Children younger than 3 years of age
B)  Elderly
C)  Debilitated
D)  Nonambulatory
E)  AmbulatoryF) Healthy

Question 14

Which statement(s) about administering medications parenterally is/are true? (Select all that apply.)

Accepted Answer

A)  Subcut absorption is slower than intradermal absorption.
B)  Two mL or less should be administered in a subcut site.
C)  The gluteal area is recommended for children.
D)  Needles 1 to 1 1/2 inches in length are common for IM injections.
E)  The scapular areas of the back may be used for intradermal injections.

Question 15

Which gauge needles are used for subcut injections?

Accepted Answer

A)  14 to 16 gauge
B)  18 to 21 gauge
C)  22 to 24 gauge
D)  25 to 29 gauge

Question 16

Which is the preferred IM site for injecting a 6-month-old child?

Accepted Answer

A)  Dorsogluteal
B)  Abdominal
C)  Vastus lateralis
D)  Deltoid muscle

Question 17

When is it acceptable to use the deltoid muscle as an injection site for infants?

Accepted Answer

A)  Medication is irritating.
B)  Dose is a long acting medication.
C)  Child is combative.
D)  Volume is quite small.

Question 18

Which angle is appropriate when administering an IM medication in the dorsogluteal site to a 46 year old obese man?

Accepted Answer

A)  45 degrees
B)  60 degrees
C)  75 degrees
D)  90 degrees

Question 19

The nurse administers B12 IM to a patient in a long term care facility.After administering this medication, the nurse will: (Select all that apply.)

Accepted Answer

A)  carefully recap the needle.
B)  identify the patient.
C)  massage site of injection.
D)  dispose of the used needle according to policy.
E)  apply a small bandage to the site.

Exam 11: Parenteral Administration: Intradermal, Subcutaneous, and Intramuscular Routes