Parenteral and IV Meds. Practice Test

While administering a medication via a syringe, a client sharply moves and the nurse accidentally encounters a needlestick. What is the priority nursing action?

Report the needlestick to the nurse manager.

A hospital is in the process or replacing the current stock of conventional syringes and needles with new, redesigned models. What is the priority outcome that is sought by this change?

Reduction in nurses' risks of needlestick injuries

The nurse is teaching a client with diabetes about insulin dosing. Which teaching will the nurse include? (Select all that apply.)

"Insulin needles are very short in length." "Insulin injections are usually less painful than other injections."

The nurse is caring for a client with diabetes. Which client statement reflects that nursing teaching has been effective?

"I will eat a meal within a half hour of taking my morning insulin."

A nurse is administering a subcutaneous injection to a client. What is the maximum volume that the nurse may administer by this route?

1 mL

The nurse is preparing to administer insulin to an older client who is frail and has failure to thrive. At what angle will the nurse plan to insert the needle into the client?

45 degrees

The nurse is preparing to administer insulin to a client with obesity. At what angle will the nurse plan to insert the needle into the client?

90 degrees

A nurse should read the instructions stated on a vial container before reconstituting it and administering it to a client. Which instructions are stated on the label of a vial container?

Amount of diluent to be added

A nurse has administered an injection to a client. Which intervention should the nurse perform to reduce discomfort and provide quick relief?

Apply pressure to the site during needle withdrawal.

A nurse needs to administer a subcutaneous injection to a client. How far from the previous injection site to the area should the nurse administer the injection?

At least 1 inch (2.5 cm)

A group of nursing students have begun learning about the rationale and technique for administering injections. The students should identify which of the following parts of a syringe? Select all that apply.

Barrel Tip Plunger

As part of a postsurgical client's regimen for deep vein thrombosis prevention, she is to receive 5000 units of heparin subcutaneously b.i.d. How can the nurse reduce this client's risk of bruising at the injection sites?

By changing the needle after withdrawing the drug from the vial

The nurse is preparing to administer heparin to prevent deep venous thrombosis in a client who has had surgery. What is the appropriate nursing action? (Select all that apply.)

Change needle after filling the syringe. Press on the injection site with gauze following administration.

A nurse has just administered a subcutaneous dose of morphine to a client who is experiencing significant pain. What is the first action that the nurse should do after withdrawing the needle from the client's arm?

Deposit the syringe and needle in a designated sharps container

A nurse needs to administer an intramuscular injection to a client. The site that the nurse has chosen contains the sciatic nerve. Which action should the nurse perform first to locate the appropriate landmarks and avoid damaging the sciatic nerve?

Divide the buttock into four imaginary quadrants.

A nurse needs to administer an injection to a client in the deltoid site. Which action should the nurse perform to avoid the risk of damaging the radial nerve and artery?

Draw an imaginary line at the axilla between the acromion and brachial vessels.

A nurse works for a facility that does not utilize modified safety injection equipment. How will the nurse prevent needlesticks? (Select all that apply.)

Leave the needle uncapped and dispose of it in the nearest biohazard container. Scoop the cap back onto a used needle with one hand without touching the cap.

A hospital client with type 1 diabetes requires the administration of 4 units of regular (short-acting) insulin and 12 units of NPH (long-acting) insulin. The nurse knows to combine these two types of insulin immediately before administration. What is the rationale for the nurse's action?

Leaving the insulins combined for too long reduces the individual characteristics of each

A nurse has to administer a subcutaneous injection to a client. For which client can the nurse administer a subcutaneous injection at a 90-degree angle?

Obese clients

A nurse needs to administer an intramuscular injection to a thin and frail elderly client. Which of the following actions should the nurse perform to avoid striking the bone when injecting?

Pinch the muscular tissue.

A nurse accidentally spills some powdered antineoplastic drugs on the floor when removing them from the storage cabinet. Which of the following actions should the nurse take to clear the drug spill?

Place a wet towel over the spill area.

A nurse spills a bottle of antineoplastic drug on the unit floor. What should the nurse do to avoid self-contamination with the antineoplastic drug?

Pour a 70 percent alcohol solution over the drug spill.

The nurse is teaching a client about insulin. What teaching will the nurse include? (Select all that apply.)

Rapid-acting insulin and short-acting insulin are often combined with intermediate-acting insulin. Humulin 50/50 contains equal amounts of intermediate-acting and short-acting insulin.

A nurse is showing an older adult client the correct method of self-administering an insulin injection at home. What should the nurse tell the client in order to avoid lipoatrophy and lipohypertrophy?

Rotate the site with each injection.

The nurse is preparing to withdraw medication from an unbroken glass ampule. Which nursing actions are appropriate? (Select all that apply.)

Tap the top of the ampule. Avoid allowing the needle to touch the outside of the ampule. Invert the ampule to withdraw medication.

A nurse is administering an intramuscular injection to a client using the Z-track technique. Which of the following actions should the nurse perform during this administration?

Use the side of the hand to pull the tissue laterally about 1 in. before injection.

A nurse needs to combine two different prescribed drugs in a syringe and then administer them to a client with influenza. Which precaution should the nurse take when combining drugs?

Withdraw exact amounts of each drug from each container

A nurse is administering an intramuscular injection to a client using the Z-track method. Which action should the nurse perform to prevent leaking and ensure sealing of medication in the subcutaneous and dermal layers of tissue?

Withdraw the needle and release taut skin immediately after injection.

Which action by a licensed practical nurse (LPN) requires immediate intervention by the registered nurse (RN)? (Select all that apply.)

administering packed red blood cells to a client with anemia flushing an implanted central venous access device

A nurse needs to administer an intradermal injection to a client. What is the most common site for administering an intradermal injection?

forearm

The nurse is talking with the caregiver of a pediatric client who is fearful of receiving allergy shots. What teaching will the nurse provide regarding the eutectic mixture of local anesthesia (EMLA)?

best suited for multiple administrations such as weekly injections

After administering medication to a client subcutaneously, the nurse removes the needle at the same angle at which it was inserted. Which explains the nurse's action?

minimizes tissue trauma to the client

A nurse is administering an injection to a client at a 15-degree angle. The client has a venous access port. Which injection can be administered at this angle?

intradermal

A nurse is using the Z-track technique to administer an injection to a client. Which injection route utilizes the Z-track technique?

intramuscular

A nurse is using an 18-gauge needle to administer a medication to a client. The nurse knows that when compared to a 27-gauge needle, an 18-gauge needle has which feature?

larger diameter

A nurse is bunching the tissue of a client when administering a subcutaneous injection to that client. What is the reason for bunching when injecting subcutaneously?

to avoid instilling medication within the muscle

A nurse needs to administer a prescribed heparin injection to a client subcutaneously. Which syringe ensures accuracy when administering heparin subcutaneously?

tuberculin syringe

A nurse is caring for a client undergoing IV therapy. The nurse knows that intravenous administration of medication is appropriate in which situation?

when the client has disorders that affect the absorption of medications