Deck 4: Administering Parenteral Medications

Question 1

Which terms describes how a standard hypodermic needle is calibrated?

A) In cubic centimeters
B) In units
C) In ounces
D) In millimeters

Answer 1

In cubic centimeters

Question 2

Which term describes how an insulin needle is calibrated?

A) In cubic centimeters
B) In units
C) In ounces
D) In millimeters

Answer 2

In units

Question 3

What is the most common route of exposure to blood-borne diseases?

A) A cut by broken glassware
B) An accidental spraying by blood or body fluids
C) A needlestick injury
D) Soiled medical equipment

Answer 3

A needlestick injury

Question 4

Which term describes the process of giving medications by injection using a needle and syringe?

A) Oral medication administration
B) Transdermal medication administration
C) Buccal medication administration
D) Parenteral medication administration

Question 5

Which term describes the part of a syringe that changes the air pressure in the syringe, pulling air or medication in, and forcing air or medication out?

A) The barrel
B) The flange
C) The plunger
D) The hub

Question 6

Which term describes a small bottle with a rubber stopper through which a needle can be inserted?

A) Ampule
B) Vial
C) Cartridge
D) Unit dose

Question 7

Which term describes a single-dose glass container with a bulb that can be broken off at the neck?

A) Ampule
B) Vial
C) Cartridge
D) Unit dose

Question 8

Which statement best describes the first step to use when withdrawing a dose of medication from an ampule?

A) Inspect the container to see if there is medication in the top portion.
B) Securely grip the neck with bare hands and break at the scored line.
C) Inject an amount of air equal to the amount of medication you plan to withdraw.
D) Use a standard hypodermic syringe and needle to withdraw the medication.

Question 9

To maintain asepsis when administering an injection, all parts of the syringe can be handled EXCEPT the:

A) flange.
B) plunger end.
C) hub.
D) outside of the barrel.

Question 10

Which term is used to describe a medication that is thin and watery?

A) Viscous
B) Gelatinous
C) Aqueous
D) Liquid

Question 11

Which term describes the part of a syringe that is a hollow cylinder and holds the medication?

A) The barrel
B) The flange
C) The plunger
D) The hub

Question 12

A needle with a length of 1 ½ inches is most commonly used for which type of injection?

A) Intradermal injection
B) Subcutaneous injection
C) Intramuscular injection
D) Intravenous injection

Question 13

Which terms describe the diameter of the lumen of the needle?

A) Length
B) Gauge
C) Circumference
D) Depth

Question 14

Which term is NOT a route that can be used to administer parenteral medications?

A) Oral
B) Intramuscular
C) Subcutaneous
D) Intradermal

Question 15

Which statement describes how a tuberculin syringe is calibrated?

A) Cubic centimeters
B) Tenths of cubic centimeters
C) Hundredths of cubic centimeters
D) Thousandths of cubic centimeters

Question 16

To maintain asepsis, which part of a needle can be handled when administering an injection?

A) Needle point
B) Needle hilt
C) Needle shaft
D) Needle cover

Question 17

Which term is used to describe a medication that is thick and sticky?

A) Viscous
B) Gelatinous
C) Aqueous
D) Liquid

Question 18

The parenteral route involves breaking through the skin's protective covering, which increases the risk of:

A) pain.
B) fear.
C) infection.
D) inflammation.

Question 19

Which statement best describes the proper technique to use when withdrawing a dose of medication from a vial?

A) Inspect the container to see if there is any medication in the top portion.
B) Carefully break the neck of the container at the score line.
C) Add a filter needle to the syringe before withdrawing.
D) Inject an amount of air equal to the amount of medication you are withdrawing.

Question 20

Which gauge needle would be used to administer a thick and sticky medication?

A) 18G
B) 22G
C) 23G
D) 25G

Question 21

Which term describes the formation of granules that cloud a liquid or settle to the bottom of a medication?

A) Granulation
B) Precipitation
C) Turbidity
D) Opaqueness

Question 22

Which of the following statements describes the time period that should elapse before reading a diagnostic skin test?

A) 12-23 hours
B) 24-35 hours
C) 36-47 hours
D) 48-72 hours

Question 23

The inner lower arm, upper chest, and back are sites that can be used when using the ___________________ route to administer an injection.

A) intramuscular
B) intradermal
C) intravenous
D) subcutaneous

Question 24

Which client information is NOT considered when choosing a site to administer an injection?

A) Client's build
B) Client's age
C) Client's gender
D) Client's other recent injections

Question 25

Which statement describes what each calibration mark represents on a 3-cc syringe?

A) 1 unit
B) 10 units
C) 1 milliliter
D) Two-tenths of a milliliter

Question 26

Which statement describes the proper way to dissolve a reconstituted medication completely?

A) Shake the vial.
B) Place the vial on a countertop and wait 10 minutes.
C) Roll the vial between your hands.
D) Rapidly invert the vial.

Question 27

When counting the number of marks between labeled units of measurement on a syringe, and there are 10 marks between units, each mark measures:

A) 1 unit.
B) 10 units.
C) one-tenth of a unit.
D) one-hundredth of a unit.

Question 28

Which reaction indicates that a patient has a negative skin test?

A) An area of erythema 20 mm in diameter
B) An area of induration and erythema 15 mm in diameter
C) An area of induration and erythema 10 mm in diameter
D) An area of induration and erythema 5 mm in diameter

Question 29

What is the correct position of the bevel of the needle when performing an intradermal injection?

A) Bevel down
B) Bevel up
C) Bevel left
D) Bevel right

Question 30

Which statement describes how to mix different types of insulin in a syringe?

A) Withdraw the long-acting type, then the fast-acting.
B) Withdraw the long-acting type, then the clear.
C) Withdraw the fast-acting type, then the long-acting.
D) Never mix long-acting and fast-acting insulin.

Question 31

Which type of syringe would be used when administering an intradermal injection?

A) Standard three cc
B) Insulin
C) Tuberculin
D) Five cc

Question 32

Which dosage range describes the amount of medication that is given by the intradermal route?

A) 0.01-0.1 mL
B) 0.01-0.2 mL
C) 0.1-0.2 mL
D) 0.02-0.1 mL

Question 33

When counting the number of marks between labeled units of measurement, and there are five marks, each mark measures:

A) one unit.
B) five units.
C) two-tenths of a unit.
D) five-tenths of a unit.

Question 34

Which statement accurately describes the total amount of liquid that should be in a syringe after mixing two drugs?

A) The total amount should be the same as the larger dose minus the smaller dose.
B) The total amount should be the same as the larger dose multiplied by the smaller dose.
C) The total amount should be the same as the larger dose converted to the smaller dose.
D) The total amount should be the same as the two individual doses added together.

Question 35

Which angle(s) should be used when administering an intradermal injection?

A) 100 $\degree$ -110 $\degree$
B) 20 $\degree$ -40 $\degree$
C) 45º-90º
D) 5º-15º when you list 90 and 45 degrees and the range you are giving away the correct answer

Question 36

Which term describes the process of adding liquid to a medication that has been stored in powdered form?

A) Liquefying
B) Suspending
C) Reconstituting
D) Dissolving

Question 37

Which statement describes a use of intradermal injections?

A) To administer allergy shots
B) To determine exposure to tuberculosis
C) To deliver medication to control diabetes mellitus
D) To reverse anaphylaxis

Question 38

Which gauge and length of the needle is used to perform an intradermal injection?

A) 25G-26G; 3/8-inch needle
B) 25G-26G; 5/8-inch needle
C) 21G-23G; 1-inch needle
D) 18G-20G; 1 1/2-inch needle

Question 39

When reading a diagnostic skin test, the healthcare worker is observing the injection site for: does not belong and not related to learning outcomes - also if different diagnostic test may observe for other reaction

A) inflammation and edema.
B) induration and erythema.
C) irritation and pruritus.
D) urticaria and pustules.

Question 40

Which term describes what is observed at the injection site if an intradermal injection is administered correctly?

A) Inflammation
B) Bleb
C) Induration
D) Wheel

Question 41

What is the maximum amount of medication that can be administered using the deltoid muscle?

A) 0.1 mL
B) 1.0 mL
C) 2.0 mL
D) 3.0 mL

Question 42

Which technique should be used when administering medications to reduce pain and prevent tissue damage?

A) Insert the needle slowly.
B) Inject the medication quickly.
C) Withdraw the needle at the same angle at which it was inserted.
D) Keep the skin loose when inserting the needle.

Question 43

Which statement describes the correct preparation of the skin prior to administering an injection?

A) Intramuscular taut; subcutaneous pinch; intradermal taut
B) Intramuscular pinch; subcutaneous taut; intradermal pinch
C) Intramuscular taut; subcutaneous taut; intradermal taut
D) Intramuscular pinch; subcutaneous pinch, intradermal pinch

Question 44

Which symptom describes a systemic reaction to a parenteral medication?

A) Erythema
B) Inflammation
C) Rash
D) Shortness of breath

Question 45

Which of the following is the correct needle angle to use when performing an intramuscular injection?

A) 5-15 $\degree$
B) 45º
C) 45-90 $\degree$
D) 90º

Question 46

Which action describes the correct way to dispose of a used syringe and needle?

A) Never recap the needle.
B) Do not break the needle.
C) Dispose of the syringe and needle in a sharps container.
D) All answers are correct.

Question 47

Which statement describes the correct way to disinfect the skin prior to performing an injection?

A) Cleanse in an up-and-down motion 2 inches above and below the injection site.
B) Cleanse in a right-and-left motion 2 inches beside the injection site.
C) Cleanse in a circular motion starting at the injection site and working outward for 2 inches.
D) Cleanse in a circular motion, starting 2 inches outside the injection site and working inward.

Question 48

Which term describes the formation of pus inside the tissues?

A) Necrosis
B) Sloughing
C) Abscess
D) Urticaria

Question 49

Which statement describes the proper procedure to follow if blood is visible in the plunger when aspiration is performed?

A) Immediately remove the needle.
B) Discard the syringe into a sharps container.
C) Repeat the procedure.
D) All answers are correct.

Question 50

All routes of parenteral medication administration require that aspiration be performed prior to injection of the medication EXCEPT:

A) intradermal.
B) subcutaneous.
C) intramuscular.
D) intravenous.

Question 51

Which term describes the process of pulling back slightly on the plunger of a syringe while administering an injection?

A) Plunging
B) Injecting
C) Aspirating
D) Backing

Question 52

Which dose is the maximum amount of medication that may be injected via the intramuscular route?

A) 1.0 mL
B) 2.0 mL
C) 3.0 mL
D) 4.0 mL

Question 53

Which statement describes the information that must be charted after administering medications?

A) The specific parenteral route
B) The location of the injection
C) Patient reaction
D) All answers are correct.

Question 54

Which term describes the type of injection performed using the fatty tissues on the outer upper arm, the front of the thigh, the abdomen, and the upper back below the shoulder blades?

A) Intradermal
B) Intramuscular
C) Intravenous
D) Subcutaneous

Question 55

Which dosage range describes the usual amount of medication that is administered using the subcutaneous route?

A) 0.1-0.2 mL
B) 0.5-1.0 mL
C) 1.0-2.0 mL
D) 2.0-3.0 mL

Question 56

What is the preferred site for intramuscular injections in infants and children?

A) Dorsogluteal sites
B) Ventrogluteal sites
C) Deltoid site
D) Vastus lateralis muscle

Question 57

Which statement describes the procedure used to inject parenteral medications?

A) Fast and completely
B) Slowly and completely
C) Hard and completely
D) Deep and completely

Question 58

Which statement describes why the healthcare worker must aspirate before administering an injection?

A) To maintain asepsis
B) As a safety check to make sure the needle has not entered a blood vessel
C) To decrease the amount of pain that the patient experiences
D) To follow OSHA guidelines

Question 59

Which statement describes a site that would NOT be used to perform an intramuscular injection?

A) Healthy muscle
B) Heavy muscle
C) Hard muscle
D) Muscle free of tenderness

Question 60

Which statement reflects the speed of absorption of medications from slowest to fastest injection types?

A) Intramuscular; subcutaneous; intradermal
B) Subcutaneous; intradermal; intramuscular
C) Intradermal; subcutaneous; intramuscular
D) Subcutaneous; intramuscular; intradermal

Question 61

Which term describes edema at the IV site and a significant slowing or complete stoppage of the intravenous flow that may be caused by a dislodging of the IV needle from the vein?

A) Local infiltration
B) Pyrogenic reaction
C) Thrombophlebitis
D) Phlebitis

Question 62

Which solution could be used as a diluent for medication administration?

A) 0.9% NaCl
B) D5W
C) Lactated Ringer's
D) 0.45% NaCl

Question 63

Which term describes the two main parts of a syringe?

A) Hub and flange
B) Barrel and plunger
C) Tip and shaft
D) Hilt and lumen

Question 64

Which statement describes a use of intravenous therapy?

A) Fluid volume maintenance and replacement therapy
B) Loss of blood, body water, electrolytes, and nutrients
C) Administer medications in a life-threatening emergency
D) All answers are correct

Question 65

Which solution could be used to treat a burn victim?

A) 0.9% NaCl
B) D5W
C) Lactated Ringer's
D) 0.45% NaCl

Question 66

Which term describes a valuable route of medication administration in emergencies?

A) Oral
B) Parenteral
C) Rectal
D) Topical

Question 67

Which body fluid is the most common vehicle for transmission of pathogens?

A) Saliva
B) Urine
C) Blood
D) Vaginal secretions

Question 68

Which term describes an injection procedure that prevents medication from backing up into other tissue layers?

A) Backflow
B) Z-track
C) Zigzag
D) Crosscut

Question 69

Which term describes glucose solutions such as dextrose 5% in water and dextrose 5% in 0.45% normal saline?

A) Hypertonic-hyperosmolar preparations
B) Hydrating solutions
C) Colloids
D) Crystalloids D5W has also been considered a crystalloid although it has very limited electrolyte composition.

Question 70

Which term describes the leaking of medication into the channel made by the needle during an injection?

A) Tracking
B) Seeping
C) Leaking
D) Channeling

Question 71

All pathways describe the primary ways healthcare workers are exposed to blood-bornepathogens EXCEPT:

A) Mucous membranes
B) Nonintact skin
C) Needlesticks
D) Spills

Question 72

All methods used to prevent tracking include all EXCEPT:

A) Z-track
B) injecting very slowly
C) advising client's to wear loose-fitting clothing
D) massaging the site

Question 73

Which term describes isotonic, hypotonic, or hypertonic solutions that contain electrolytes?

A) Hypertonic-hyperosmolar preparations
B) Hydrating solutions
C) Colloids
D) Crystalloids

Question 74

Which term describes solutions such as albumin, dextran, plasmanate, and artificial blood substitute?

A) Hypertonic-hyperosmolar preparations
B) Hydrating solutions
C) Colloids
D) Crystalloids

Question 75

What attribute must the healthcare worker develop to relieve clients' fears and concerns while administering injections?

A) Positive attitude
B) Skill
C) Confidence
D) All answers are correct

Question 76

Which term describes mixtures of partial or complete nourishment that are administered to patients who are unable to ingest or use sufficient calories and nutrients to sustain metabolic functions?

A) Hypertonic-hyperosmolar preparations
B) Hydrating solutions
C) Colloids
D) Crystalloids

Question 77

Which type of syringes is calibrated in hundredths of cubic centimeters?

A) Tuberculin
B) Insulin
C) Standard hypodermic
D) Oral medication syringe

Question 78

Which type of injections involves the use of site rotation to prevent tissue damage from repeated injections?

A) Intradermal and subcutaneous
B) Intradermal and intramuscular
C) Intramuscular and subcutaneous
D) Insulin and tuberculin

Question 79

Which term describes redness, warmth, and discomfort along the vein that may result from prolonged use of the same vein?

A) Local infiltration
B) Pyrogenic reaction
C) Thrombophlebitis
D) Phlebitis

Question 80

Which term describes the administration of fluids, medications, electrolytes, blood, or even nutrients through a vein?

A) Intramuscular therapy
B) Intradermal therapy
C) Intravenous therapy
D) Subcutaneous therapy