TEST BANK
Pharmacology and the Nursing Process
9th Edition
Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
Chapter 09: Photo Atlas of Drug Administration
MULTIPLE CHOICE
1. Before administering any medication, what is the nurse’s priority action regarding patient
safety?
1. Verifying orders with another nurse
2. Documenting the medications given
3. Counting medications in the medication cart drawers
4. Checking the patient’s identification using two identifiers
ANS: D
Verifying the patient’s identity, using two identifiers, before administering any medication is
essential for the patient’s safety and reflects checking one of the “Nine Rights” of medication
administration. Documentation is done after the medications are given.
DIF: COGNITIVE LEVEL: Applying (Application)
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
2. The nurse is giving an intradermal (ID) injection and will choose which syringe for this
injection?
a.
b. c.
d.
,ANS: B
The proper size syringe for ID injection is 1-mL tuberculin. The other syringes pictured are
incorrect. Insulin syringes (marked in units) are not used for intradermal injections.
DIF: COGNITIVE LEVEL: Analyzing (Analysis)
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
3. A patient is to receive a penicillin intramuscular (IM) injection in the ventrogluteal site. The
nurse will use which angle for the needle insertion?
a. 15 degrees
Chapter 09: Photo Atlas of Drug Administration
41
2. 45 degrees
3. 60 degrees
4. 90 degrees
ANS: D
The proper angle for IM injections is 90 degrees. The other angles are incorrect.
DIF: COGNITIVE LEVEL: Remembering (Knowledge)
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. When administering medication by IV bolus (push), the nurse will occlude the IV line by
which method?
, 1. Not pinching the IV tubing at all
2. Pinching the tubing just above the injection port
3. Pinching the tubing just below the injection port
4. Pinching the tubing just above the drip chamber of the infusion set
ANS: B
Before a medication is injected by IV push, the IV line is occluded by pinching the tubing just
above the injection port. The other locations are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension)
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. The nurse has an order to administer an intramuscular (IM) immunization to a 2-month-old
child. Which site is considered the best choice for this injection?
1. Deltoid
2. Dorsogluteal
3. Ventrogluteal
4. Vastus lateralis
ANS: D
The vastus lateralis is the preferred site of injection of drugs such as immunizations for infants.
The other sites are not appropriate for infants. The ventrogluteal site is the preferred site for
adults and children. The deltoid site is used only for the administration of immunizations to
toddlers, older children, and adults (not infants) and only for small volumes of medication. The
dorsogluteal site is no longer recommended because of the possibility of nerve injury.
DIF: COGNITIVE LEVEL: Understanding (Comprehension)
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6. The nurse needs to administer insulin subcutaneously to an obese patient. Which is the proper
technique for this injection?
1. Using the Z-track method
2. Inserting the needle at a 5- to 15-degree angle until resistance is felt
3. Pinching the skin at the injection site, and then inserting the needle to below the
Pharmacology and the Nursing Process
9th Edition
Linda Lane Lilley, Shelly Rainforth Collins, Julie S. Snyder
Chapter 09: Photo Atlas of Drug Administration
MULTIPLE CHOICE
1. Before administering any medication, what is the nurse’s priority action regarding patient
safety?
1. Verifying orders with another nurse
2. Documenting the medications given
3. Counting medications in the medication cart drawers
4. Checking the patient’s identification using two identifiers
ANS: D
Verifying the patient’s identity, using two identifiers, before administering any medication is
essential for the patient’s safety and reflects checking one of the “Nine Rights” of medication
administration. Documentation is done after the medications are given.
DIF: COGNITIVE LEVEL: Applying (Application)
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
2. The nurse is giving an intradermal (ID) injection and will choose which syringe for this
injection?
a.
b. c.
d.
,ANS: B
The proper size syringe for ID injection is 1-mL tuberculin. The other syringes pictured are
incorrect. Insulin syringes (marked in units) are not used for intradermal injections.
DIF: COGNITIVE LEVEL: Analyzing (Analysis)
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
3. A patient is to receive a penicillin intramuscular (IM) injection in the ventrogluteal site. The
nurse will use which angle for the needle insertion?
a. 15 degrees
Chapter 09: Photo Atlas of Drug Administration
41
2. 45 degrees
3. 60 degrees
4. 90 degrees
ANS: D
The proper angle for IM injections is 90 degrees. The other angles are incorrect.
DIF: COGNITIVE LEVEL: Remembering (Knowledge)
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. When administering medication by IV bolus (push), the nurse will occlude the IV line by
which method?
, 1. Not pinching the IV tubing at all
2. Pinching the tubing just above the injection port
3. Pinching the tubing just below the injection port
4. Pinching the tubing just above the drip chamber of the infusion set
ANS: B
Before a medication is injected by IV push, the IV line is occluded by pinching the tubing just
above the injection port. The other locations are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension)
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. The nurse has an order to administer an intramuscular (IM) immunization to a 2-month-old
child. Which site is considered the best choice for this injection?
1. Deltoid
2. Dorsogluteal
3. Ventrogluteal
4. Vastus lateralis
ANS: D
The vastus lateralis is the preferred site of injection of drugs such as immunizations for infants.
The other sites are not appropriate for infants. The ventrogluteal site is the preferred site for
adults and children. The deltoid site is used only for the administration of immunizations to
toddlers, older children, and adults (not infants) and only for small volumes of medication. The
dorsogluteal site is no longer recommended because of the possibility of nerve injury.
DIF: COGNITIVE LEVEL: Understanding (Comprehension)
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6. The nurse needs to administer insulin subcutaneously to an obese patient. Which is the proper
technique for this injection?
1. Using the Z-track method
2. Inserting the needle at a 5- to 15-degree angle until resistance is felt
3. Pinching the skin at the injection site, and then inserting the needle to below the
