C HAPTER 35: A DMINISTERING I NTRADERMAL ,
S UBCUTANEOUS , AND I NTRAMUSCULAR
I NJECTIONS
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. The nurse has an order to administer an injection of purified protein
derivative (PPD) by the intradermal route. The maximum amount of
medication that can be given using this route is:
a. 0.1 m L.
b. 0.75 mL.
c. 0.5 m L.
d. 0.2 m L.
ANS: A
The maximum dose that can be given via the intradermal route is 0.1
mL.
DIF: Cognitive Level: Knowledge REF: p. 675 OBJ:
Theory #7 TOP: Mantoux Test KEY: Nursing
Process Step: Planning MSC: NC LEX: Physiological
Integrit y: Pharmacological Therapies
,2. A nurse has administered a Tuberculin skin test to a patient in th e
outpatient clinic at 9:00 AM on Monday. The patient should be scheduled
to return to the clinic to have the result read:
a. late Monday afternoon.
b. late Tuesday afternoon.
c. any time on Wednesday.
d. any time on Friday.
ANS: C
The results of the Tuberculin ski n test should be read within 48 to 72
hours after injection.
DIF: Cognitive Level: Comprehension REF: p. 684
OBJ: Clinical Practice #8 TOP: Tuberculosis Testing
KEY: Nursing Process Step: Planning MSC: NC LEX:
Physiological Integrity: Pharmacological Therapies
3. A hospitalized patient has an order for subcutaneous heparin. The best
location to administer this medication is the:
a. upper arm.
b. anterior thigh.
c. buttock.
d. abdomen.
ANS: D
The optimal site for heparin injection is the abdomen, because this are a
is not involved in muscular activit y, as are the arms, buttocks, and
legs.
, DIF: Cognitive Level: Knowledge REF: p. 686 OBJ:
Clinical Practice #8 TOP: Heparin Subcutaneous Injection
KEY: Nursing Process Step: Planning MSC: NC LEX:
Physiological Inte grity: Pharmacological Therapies
4. When administering an intramuscular injection to an adult patient using
the ventrogluteal site, the nurse should use which landmark to locate the
area for injection?
a. The lower end of the trochanter and the knee
b. The upper end of the trochanter and the knee
c. The head of the trochanter and the posterior iliac spine
d. The head of the trochanter and the anterior iliac spine
ANS: D
The head of the trochanter and the anterior iliac spine are the
landmarks used to give an injection in the ventrogluteal site. The
ventrogluteal site is the safest in regard to possible injury to the
patient’s sciatic nerve.
DIF: Cognitive Level: Comprehension REF: p. 691
OBJ: Theory #10 TOP: Landmarks for Injection KEY:
Nursing Process Step: Planning MSC: NC LEX:
Physiological Integrity: Reduction of Risk
5. When administering an intramuscular injection for a 4 -year-old child, the
best site to use is the:
a. gluteus medius.
b. vastus lateralis.
S UBCUTANEOUS , AND I NTRAMUSCULAR
I NJECTIONS
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. The nurse has an order to administer an injection of purified protein
derivative (PPD) by the intradermal route. The maximum amount of
medication that can be given using this route is:
a. 0.1 m L.
b. 0.75 mL.
c. 0.5 m L.
d. 0.2 m L.
ANS: A
The maximum dose that can be given via the intradermal route is 0.1
mL.
DIF: Cognitive Level: Knowledge REF: p. 675 OBJ:
Theory #7 TOP: Mantoux Test KEY: Nursing
Process Step: Planning MSC: NC LEX: Physiological
Integrit y: Pharmacological Therapies
,2. A nurse has administered a Tuberculin skin test to a patient in th e
outpatient clinic at 9:00 AM on Monday. The patient should be scheduled
to return to the clinic to have the result read:
a. late Monday afternoon.
b. late Tuesday afternoon.
c. any time on Wednesday.
d. any time on Friday.
ANS: C
The results of the Tuberculin ski n test should be read within 48 to 72
hours after injection.
DIF: Cognitive Level: Comprehension REF: p. 684
OBJ: Clinical Practice #8 TOP: Tuberculosis Testing
KEY: Nursing Process Step: Planning MSC: NC LEX:
Physiological Integrity: Pharmacological Therapies
3. A hospitalized patient has an order for subcutaneous heparin. The best
location to administer this medication is the:
a. upper arm.
b. anterior thigh.
c. buttock.
d. abdomen.
ANS: D
The optimal site for heparin injection is the abdomen, because this are a
is not involved in muscular activit y, as are the arms, buttocks, and
legs.
, DIF: Cognitive Level: Knowledge REF: p. 686 OBJ:
Clinical Practice #8 TOP: Heparin Subcutaneous Injection
KEY: Nursing Process Step: Planning MSC: NC LEX:
Physiological Inte grity: Pharmacological Therapies
4. When administering an intramuscular injection to an adult patient using
the ventrogluteal site, the nurse should use which landmark to locate the
area for injection?
a. The lower end of the trochanter and the knee
b. The upper end of the trochanter and the knee
c. The head of the trochanter and the posterior iliac spine
d. The head of the trochanter and the anterior iliac spine
ANS: D
The head of the trochanter and the anterior iliac spine are the
landmarks used to give an injection in the ventrogluteal site. The
ventrogluteal site is the safest in regard to possible injury to the
patient’s sciatic nerve.
DIF: Cognitive Level: Comprehension REF: p. 691
OBJ: Theory #10 TOP: Landmarks for Injection KEY:
Nursing Process Step: Planning MSC: NC LEX:
Physiological Integrity: Reduction of Risk
5. When administering an intramuscular injection for a 4 -year-old child, the
best site to use is the:
a. gluteus medius.
b. vastus lateralis.
