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1. The nurse is administering an injection at the ventrogluteal site. Upon
aspiration, the nurse notices that there is blood in the syringe. Which of the
following actions should the nurse take?
a. Inject the medication.
b. Pull the needle back slightly and inject the medication.
c. Move the skin to the side and inject the medication slowly.
d. Discontinue the injection and prepare the medication again. - ANSWER d.
Discontinue the injection and prepare the medication again.
2. The nurse is teaching the client how to prepare 10 units of short-acting
(regular) insulin and 5 units of intermediate-acting NPH insulin for injection.
Which of the following instructions does the nurse give the client?
a. Inject air into the short-acting (regular) insulin, then into the intermediate-
acting NPH insulin.
b. Withdraw the short-acting (regular) insulin first.
c. Inject air into and withdraw the intermediate-acting NPH immediately.
d. Inject air into both vials and withdraw the short-acting (regular) insulin first. -
ANSWER d. Inject air into both vials and withdraw the short-acting (regular)
insulin first.
,3. The nurse is caring for a 14-year-old patient with diabetes mellitus who does
not want to self-administer insulin because it is too painful. Which information
should the nurse use in response to the patient's concern?
a. Adolescents are usually enthusiastic about self-care.
b. Insulin mixed with a local anesthetic decreases pain.
c. The health care provider orders oral insulin for patients with pain.
d. There are techniques that will minimize the pain of the injection, though not
eliminate it. - ANSWER d. There are techniques that will minimize the pain of
the injection, though not eliminate it.
4. The nurse prepares to administer a 3-mL intramuscular (IM) injection of an
antibiotic to an 85-year-old patient. What action does the nurse take to administer
the medication correctly?
a. Prepares the patient for a subcutaneous injection
b. Divides the injection into two separate syringes
c. Positions the patient for injection in the dorsogluteal area
d. Avoids aspirating when injecting in the deltoid muscle - ANSWER b. Divides
the injection into two separate syringes
5. The nurse is preparing to give an injection in the ventrogluteal injection site.
Which pair of anatomical landmarks does the nurse use for this site?
a. Greater trochanter and knee
b. Acromion process and axilla
c. Anterior superior iliac spine and iliac crest
d. Posterior superior iliac spine and iliac crest - ANSWER c. Anterior superior
iliac spine and iliac crest
,6. The patient wants to receive insulin by continuous subcutaneous injection
(CSCI). Which injection site does the nurse suggest for the patient?
a. The upper arm
b. The upper chest
c. The lower abdomen
d. The thigh - ANSWER c. The lower abdomen
7. When administering an intramuscular (IM) injection, the nurse obtains blood
during aspiration. What action by the nurse is appropriate?
a. Wait 30 minutes before giving the ordered medication.
b. Notify the health care provider of the situation.
c. Continue to administer the ordered medication.
d. Stop the administration and discard the syringe. - ANSWER d. Stop the
administration and discard the syringe.
8. The nurse prepares an IM injection to administer a medication available in a
glass ampule. Which step does the nurse take to administer the injection
properly?
a. Labels the ampule with date and time of the first dose
b. Ensures that the cartridge is fully seated into the syringe
c. Cleans the rubber top carefully before inserting the needle
d. Uses a filter needle to withdraw the contents of the ampule - ANSWER d.
Uses a filter needle to withdraw the contents of the ampule
, 9. Which angle should the nurse use to administer an intramuscular (IM) injection
for a patient who is 5 feet 6 inches tall and weighs 140 pounds?
a. 15 degrees
b. 45 degrees
c. 60 degrees
d. 90 degrees - ANSWER d. 90 degrees
10. The nurse is teaching a patient to self-administer insulin. The patient is 5 feet
tall and weighs 197 pounds. Which of the following does the nurse include in
patient teaching?
a. Insert the needle into abdominal tissue at 90-degree angle.
b. Include an air space when drawing up the prescribed dose.
c. Aspirate before injecting to ensure that the needle is not in a vessel.
d. Instruct the patient to use an insulin syringe with a 1-inch needle. - ANSWER
a. Insert the needle into abdominal tissue at 90-degree angle.
11. The nurse administers intradermal injections for allergy testing. Which is the
best technique for the nurse to use for skin testing?
a. Select a 22-gauge needle.
b. Inject at a 45-degree angle.
c. Choose the back for the first test.
d. Inject below the antecubital space. - ANSWER d. Inject below the
antecubital space.