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Which action represents the first priority in safe
medication administration?
A. Checking allergies after giving medication
B. Verifying medication with another nurse after
administration
C. Performing hand hygiene and verifying patient
identity
D. Documenting before giving the medication
Correct answer: C
Rationale: Patient safety begins with correct
identification and infection control. Hand hygiene
reduces infection risk, and verifying the patient
using two identifiers prevents medication errors.
Documentation and double-checking occur before or
after but never replace initial safety steps.
Which actions are part of safe medication
preparation?A. Checking expiration dates
,B. Removing labels from unused bottles
C. Verifying medication 3 times
D. Crushing all medications for easier swallowing
E. Rejecting unlabeled medications
Correct answers: A, C, E
Rationale: Safe preparation includes verifying
medication labels three times, checking expiration
dates, and refusing unlabeled medications.
Medications should never be transferred into other
containers or crushed unless specifically ordered.
Which route requires 90-degree angle Z-track
technique?
A. Subcutaneous
B. Oral
C. Intramuscular
D. Intradermal
Correct answer: C
Rationale: Intramuscular injections require deep
muscle delivery at a 90-degree angle. Z-track
prevents medication leakage and tissue irritation,
especially for irritating medications like iron.
What is the correct technique for subcutaneous
injection?
A. 10-degree angle into muscle
,B. 45–90 degree angle into fatty tissue
C. 90-degree IV push
D. Intradermal wheal formation
Correct answer: B
Rationale: Subcutaneous injections are administered
into fatty tissue at 45 degrees (thin patients) or 90
degrees (average patients).
Which insulin has NO peak time?
A. Regular insulin
B. NPH insulin
C. Glargine (Lantus)
D. Lispro (Humalog)
Correct answer: C
Rationale: Long-acting insulin (glargine) provides
steady basal insulin with no peak, reducing
hypoglycemia risk.
Which insulin is cloudy?
A. Lispro
B. Regular
C. NPH
D. Glargine
Correct answer: C
Rationale: NPH (intermediate insulin) is cloudy due
, to protein suspension and must be rolled gently
before administration.
Which insulin is given FIRST when mixing
insulin?
A. NPH
B. Regular
C. Rapid acting
D. Long acting
Correct answer: B
Rationale: Regular insulin is drawn before NPH
(“clear to cloudy”) to prevent contamination and
maintain correct dosing.
Which symptoms indicate hypoglycemia? A.
Sweating
B. Tremors
C. Fruity breath
D. Confusion
E. Polyuria
Correct answers: A, B, D
Rationale: Hypoglycemia presents with adrenergic
and neurologic symptoms such as sweating, tremors,
confusion, and irritability. Fruity breath and polyuria
indicate hyperglycemia/DKA.