CPSS Final Exam ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
What length and gauge is used for IM injections? - CORRECT ANSWER 19-22
gauge
1-1.5 inch needle
Gauge size in IM injection is dependent on what? - CORRECT ANSWER drug
viscosity
Length in IM injection is dependent on what? - CORRECT ANSWER depth of
insertion
What type of muscle is utilized in IM injections? - CORRECT ANSWER Striated
mm
what are the 3 princple sites for IM injections? - CORRECT ANSWER Gluteus,
Vastus Lateralis, and Deltoid
If performing a IM injection into the gluteus maximus, what is used to determine
the length of the needle? - CORRECT ANSWER Amount of fat - if too short
injection is made into fat (no good)
Hint: women have more fat than men in the gluteus maximus, therefore they are
at higher risk for intralipomatous injection
,How many CC's of fluid can be injected in an IM injection in the DELTOID? -
CORRECT ANSWER < 2 CC
What is the location for needle insertion in an IM injection into the deltoids? -
CORRECT ANSWER 3-4 cm below acromion
Are IM deltoid injection, perferred more in infants or adults? - CORRECT ANSWER
adults
used for vaccination in adults
What is the DANGER for injecting children w/ IM injection in the deltiod? -
CORRECT ANSWER RADIAL nerve injury
What is the PERFERRED location for IM injection in pts <3 y/o? - CORRECT
ANSWER Vastus Lateralis (anterolateral thigh)
used for vaccination in children
What volume can be injected in the thigh in kids? - CORRECT ANSWER 0.5-2 cc
The vastus lateralis LACKS nerves and vessels, however the the injection can still
be painful due to what? - CORRECT ANSWER Fascia Lata
,What is the PERFERRED route for IM injections in pts > 2 y/o? - CORRECT ANSWER
Gluteus Maximus
Larger volumes OK, not used for vaccinations
Where should the needle be placed in a gluteal IM injection? - CORRECT ANSWER
UPPER/OUTER QUADRANT OF BUTTOX
In a gluteal injection, what you be careful of not to injure? - CORRECT ANSWER
sciatic nerve and superior gluteal mm
In adults, the needle is inserted:
A. Anteriorly
B. Perpendicular
C. Inferiorly
D. Laterally - CORRECT ANSWER A. Anteriorly
What gauge needle is used to draw up medication from the vial? - CORRECT
ANSWER 18-22 gauge
How much air should be pulled into the syringe after your have drawn the
appropriate amount of mediation from the vial using asceptic technique? -
CORRECT ANSWER 2 cc of air
, What method should you use when cleaning the injection site with an alcohol
wipe? - CORRECT ANSWER bulls-eye
What is the angle that you hold the syringe in reference to the injection site? -
CORRECT ANSWER 90 degrees (like a dart)
Once needle is injected into the skin, what must you do? - CORRECT ANSWER
Aspirate back to make sure you are NOT in a vessel - if blood is encountered
withraw needle, prepare new syringe, try new site
What is the MAX that can be injected in an IM injection? - CORRECT ANSWER 0.5
cc max in infants
2.0 cc max in children
Do you remove the needle from the injection side at the same angle that you
inserted? - CORRECT ANSWER YES! (90 degrees)
Do you massage IM injections? - CORRECT ANSWER yes (unless C/I)
When is massage C/I in IM injections? - CORRECT ANSWER Z-Track Method
What are the potenital complications of an IM injection? - CORRECT ANSWER (1)
Injection into vessel (Toxic reaction, vessel injury, hematoma)
(2) Injection into nerve (pain, paresthesia, nerve damage)
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
What length and gauge is used for IM injections? - CORRECT ANSWER 19-22
gauge
1-1.5 inch needle
Gauge size in IM injection is dependent on what? - CORRECT ANSWER drug
viscosity
Length in IM injection is dependent on what? - CORRECT ANSWER depth of
insertion
What type of muscle is utilized in IM injections? - CORRECT ANSWER Striated
mm
what are the 3 princple sites for IM injections? - CORRECT ANSWER Gluteus,
Vastus Lateralis, and Deltoid
If performing a IM injection into the gluteus maximus, what is used to determine
the length of the needle? - CORRECT ANSWER Amount of fat - if too short
injection is made into fat (no good)
Hint: women have more fat than men in the gluteus maximus, therefore they are
at higher risk for intralipomatous injection
,How many CC's of fluid can be injected in an IM injection in the DELTOID? -
CORRECT ANSWER < 2 CC
What is the location for needle insertion in an IM injection into the deltoids? -
CORRECT ANSWER 3-4 cm below acromion
Are IM deltoid injection, perferred more in infants or adults? - CORRECT ANSWER
adults
used for vaccination in adults
What is the DANGER for injecting children w/ IM injection in the deltiod? -
CORRECT ANSWER RADIAL nerve injury
What is the PERFERRED location for IM injection in pts <3 y/o? - CORRECT
ANSWER Vastus Lateralis (anterolateral thigh)
used for vaccination in children
What volume can be injected in the thigh in kids? - CORRECT ANSWER 0.5-2 cc
The vastus lateralis LACKS nerves and vessels, however the the injection can still
be painful due to what? - CORRECT ANSWER Fascia Lata
,What is the PERFERRED route for IM injections in pts > 2 y/o? - CORRECT ANSWER
Gluteus Maximus
Larger volumes OK, not used for vaccinations
Where should the needle be placed in a gluteal IM injection? - CORRECT ANSWER
UPPER/OUTER QUADRANT OF BUTTOX
In a gluteal injection, what you be careful of not to injure? - CORRECT ANSWER
sciatic nerve and superior gluteal mm
In adults, the needle is inserted:
A. Anteriorly
B. Perpendicular
C. Inferiorly
D. Laterally - CORRECT ANSWER A. Anteriorly
What gauge needle is used to draw up medication from the vial? - CORRECT
ANSWER 18-22 gauge
How much air should be pulled into the syringe after your have drawn the
appropriate amount of mediation from the vial using asceptic technique? -
CORRECT ANSWER 2 cc of air
, What method should you use when cleaning the injection site with an alcohol
wipe? - CORRECT ANSWER bulls-eye
What is the angle that you hold the syringe in reference to the injection site? -
CORRECT ANSWER 90 degrees (like a dart)
Once needle is injected into the skin, what must you do? - CORRECT ANSWER
Aspirate back to make sure you are NOT in a vessel - if blood is encountered
withraw needle, prepare new syringe, try new site
What is the MAX that can be injected in an IM injection? - CORRECT ANSWER 0.5
cc max in infants
2.0 cc max in children
Do you remove the needle from the injection side at the same angle that you
inserted? - CORRECT ANSWER YES! (90 degrees)
Do you massage IM injections? - CORRECT ANSWER yes (unless C/I)
When is massage C/I in IM injections? - CORRECT ANSWER Z-Track Method
What are the potenital complications of an IM injection? - CORRECT ANSWER (1)
Injection into vessel (Toxic reaction, vessel injury, hematoma)
(2) Injection into nerve (pain, paresthesia, nerve damage)
