Question 1

Which of the following is considered an essential step for the nurse to follow while withdrawing medication from an ampule?

Accepted Answer

Using a filtered needle to withdraw medication from an ampule is essential to prevent glass particles from being drawn into the syringe, which can occur when the ampule's neck is broken.

Question 2

In which situations would the rectus femoris be used for intramuscular injections? Select all that apply.

Accepted Answer

B,C,E

Question 3

A nurse handling a syringe before administering an injection correctly keeps which parts of the syringe sterile?

Accepted Answer

A,B,C,E

Question 4

While injecting insulin into the client, the nurse rotates injection sides around the abdomen.Which is the nurse trying to prevent? Select all that apply.

Accepted Answer

Rotating injection sites helps prevent lipoatrophy (loss of subcutaneous fat) and lipohypertrophy (thickening of subcutaneous fat), both of which can occur with repeated insulin injections in the same area.

Question 5

The nurse is preparing to reconstitute a medication in a multiple-dose vial.The nurse correctly understands that the most essential step in this process is

Accepted Answer

Instilling the accurate amount of diluent into the vial is the most essential step in reconstituting a medication in a multiple-dose vial. This ensures that the medication is properly diluted and that the correct dose is administered.

Question 6

As the nurse is giving an intramuscular injection, she notes blood returning into the syringe with aspiration.Which actions should the nurse take? Select all that apply.

Accepted Answer

The answer of As the nurse is giving an intramuscular...

Question 7

The nurse recognizes that a 22 g * 1.5-inch needle would be most appropriate for a(n):

Accepted Answer

A 22 gauge, 1.5-inch needle is most appropriate for an adult intramuscular (IM) injection, as it is long and thick enough to penetrate the muscle tissue deeply without causing excessive tissue damage.

Question 8

A nurse correctly recognizes that which of the following types of syringe is calibrated in milliliters?

Accepted Answer

Regular syringes are typically calibrated in milliliters, which are used for a variety of medications and dosages.

Question 9

The nurse is preparing an intramuscular injection for a client.The presence of which of the following may contraindicate the injection? Select all that apply.

Accepted Answer

The answer of The nurse is preparing an intramuscular injection...

Question 10

A nurse correctly recognizes that the safest and most comfortable site for an intramuscular (IM)injection in adults is:

Accepted Answer

The ventrogluteal site is considered the safest and most comfortable site for IM injections in adults because it is away from major blood vessels and nerves, reducing the risk of injury.

Question 11

To prevent complications from intramuscular injections, a nurse should do which of the following? Select all that apply.

Accepted Answer

The answer of To prevent complications from intramuscular injections, a...

Question 12

The nurse is administering an intradermal injection for tuberculin testing.Unless contraindicated, the nurse will use the client's:

Accepted Answer

The answer of The nurse is administering an intradermal injection...

Question 13

The nurse is preparing to provide an intramuscular injection to a newborn client.Which size needle is appropriate for this client?

Accepted Answer

The answer of The nurse is preparing to provide an...

Question 14

The nurse educator is teaching students about the phenomenon of first-pass metabolism.Which of the statements made by the instructor are accurate? Select all that apply.

Accepted Answer

The answer of The nurse educator is teaching students about...

Question 15

The nurse is preparing to provide a subcutaneous injection.The nurse's technique would correctly include:

Accepted Answer

The correct technique for a subcutaneous injection includes pointing the bevel of the needle up before piercing the skin to ensure a smoother entry and minimize patient discomfort.

Question 16

The nurse is providing care for a 32-year-old with suspected bowel obstruction who is receiving intramuscular injections of narcotic pain medication.The client states, "I hate shots.Why can't I just take a pill?" The nurse could best respond with:

Accepted Answer

In cases of bowel obstruction, it's important to minimize anything that requires digestion, including oral medications, to avoid exacerbating the condition. Intramuscular injections bypass the digestive system, providing pain relief without impacting the bowel.

Question 17

The nurse sees that the health-care provider has ordered a subcutaneous heparin injection for a client.Which actions should the nurse take to administer this medication safely?

Accepted Answer

The answer of The nurse sees that the health-care provider...

Question 18

Under the appropriate supervision of the RN, the LPN/LVN is teaching a 40-year-old client how to self-administer insulin.The client also has impaired vision.Which actions are appropriate for this client? Select all that apply.

Accepted Answer

The answer of Under the appropriate supervision of the RN,...

Question 19

The nurse is preparing to administer insulin that was drawn up in the medication room.The nurse uses a one-handed scoop method to:

Accepted Answer

The one-handed scoop method is primarily used to avoid needle stick injuries by safely recapping the needle without using the other hand, which reduces the risk of accidental punctures.

Question 20

The student nurse is preparing to provide 25 mg meperidine (Demerol)IM for pain.The Pyxis is loaded with prefilled 50 mg meperidine syringes.The supervising nurse appropriately intervenes if the student nurse:

Accepted Answer

Recapping a needle after use is against safety protocols because it increases the risk of needle-stick injuries. The correct practice is to immediately dispose of the used needle in a sharps container without recapping.

Quiz 37: Administering Intradermal, Subcutaneous, and Intramuscular Injections