NURS 300 Lab Exam – Questions With Accurate
Solutions
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Terms in this set (165)
When administering an intradermal B. Inability to feel resistance when injecting the
injection, which outcome would medication
require the nurse to withdraw the
needle and begin again?
A. Aspiration of blood prior to
injecting the medication
B. Inability to feel resistance when
injecting the medication
C. Formation of a 6-mm bleb at the
injection site
D. Appearance of a lesion resembling
a mosquito bite at the injection site
,Which statement might the nurse C. "Immediately report any patient complaints of
make to nursing assistive personnel itching or dyspnea."
(NAP) when caring for a patient who is
prescribed an intradermal injection?
A. "Be sure to wear clean gloves
during the injection."
B. "Tell him it's OK; the site should look
like a mosquito bite."
C. "Immediately report any patient
complaints of itching or dyspnea."
D. "Remind the patient to come back
in 48 to 72 hours so we can evaluate
the site."
Which finding tells the nurse that a C. A hard, raised area 15 mm or greater in diameter
patient may have had a positive
reaction to a tuberculin test?
A. A raised wheal the size of a
mosquito bite
B. A bruised area 10 mm or greater in
diameter
C. A hard, raised area 15 mm or
greater in diameter
D. A flat, reddened area 5 mm or
greater in diameter
,In which site would it be inappropriate C. Right deltoid of a high school softball pitcher
to administer an intradermal injection?
A. Lower abdomen of an obese
patient
B. Upper back of a patient who is on
bed rest
C. Right deltoid of a high school
softball pitcher
D. Left forearm of a patient with right-
sided weakness
How can the nurse determine that the C. The bulge of the needle tip will be visible through
needle tip for an intradermal injection the skin.
is in the dermis?
A. A bleb the size of a mosquito bite
will appear.
B. The needle will enter at a 5- to 15-
degree angle.
C. The bulge of the needle tip will be
visible through the skin.
D. The needle will penetrate through
the epidermis to a depth of about ⅛
inch.
, . Which action by the nurse ensures B. Rotating injection sites
patient safety when administering an
intramuscular injection?
A. Putting on clean gloves before
administration
B. Rotating injection sites
C. Aspirating for blood return when
administering a vaccine
D. Injecting the medication quickly
When preparing an intramuscular C. Clean the injection site with an alcohol swab
injection, what can the nurse do to
reduce the patient's risk for infection?
A. Wear clean gloves.
B. Use a 3-mL syringe.
C. Clean the injection site with an
alcohol swab.
D. Massage the injection site.
What can the nurse do to minimize the C. Pull back on the plunger after inserting the needle.
patient's risk for injury when delivering
an intramuscular injection?
A. Instruct the patient to relax.
B. Insert the needle at a 45-degree
angle.
C. Pull back on the plunger after
inserting the needle.
D. Pull the skin taut at the injection site
when inserting the needle.
Solutions
Save
Terms in this set (165)
When administering an intradermal B. Inability to feel resistance when injecting the
injection, which outcome would medication
require the nurse to withdraw the
needle and begin again?
A. Aspiration of blood prior to
injecting the medication
B. Inability to feel resistance when
injecting the medication
C. Formation of a 6-mm bleb at the
injection site
D. Appearance of a lesion resembling
a mosquito bite at the injection site
,Which statement might the nurse C. "Immediately report any patient complaints of
make to nursing assistive personnel itching or dyspnea."
(NAP) when caring for a patient who is
prescribed an intradermal injection?
A. "Be sure to wear clean gloves
during the injection."
B. "Tell him it's OK; the site should look
like a mosquito bite."
C. "Immediately report any patient
complaints of itching or dyspnea."
D. "Remind the patient to come back
in 48 to 72 hours so we can evaluate
the site."
Which finding tells the nurse that a C. A hard, raised area 15 mm or greater in diameter
patient may have had a positive
reaction to a tuberculin test?
A. A raised wheal the size of a
mosquito bite
B. A bruised area 10 mm or greater in
diameter
C. A hard, raised area 15 mm or
greater in diameter
D. A flat, reddened area 5 mm or
greater in diameter
,In which site would it be inappropriate C. Right deltoid of a high school softball pitcher
to administer an intradermal injection?
A. Lower abdomen of an obese
patient
B. Upper back of a patient who is on
bed rest
C. Right deltoid of a high school
softball pitcher
D. Left forearm of a patient with right-
sided weakness
How can the nurse determine that the C. The bulge of the needle tip will be visible through
needle tip for an intradermal injection the skin.
is in the dermis?
A. A bleb the size of a mosquito bite
will appear.
B. The needle will enter at a 5- to 15-
degree angle.
C. The bulge of the needle tip will be
visible through the skin.
D. The needle will penetrate through
the epidermis to a depth of about ⅛
inch.
, . Which action by the nurse ensures B. Rotating injection sites
patient safety when administering an
intramuscular injection?
A. Putting on clean gloves before
administration
B. Rotating injection sites
C. Aspirating for blood return when
administering a vaccine
D. Injecting the medication quickly
When preparing an intramuscular C. Clean the injection site with an alcohol swab
injection, what can the nurse do to
reduce the patient's risk for infection?
A. Wear clean gloves.
B. Use a 3-mL syringe.
C. Clean the injection site with an
alcohol swab.
D. Massage the injection site.
What can the nurse do to minimize the C. Pull back on the plunger after inserting the needle.
patient's risk for injury when delivering
an intramuscular injection?
A. Instruct the patient to relax.
B. Insert the needle at a 45-degree
angle.
C. Pull back on the plunger after
inserting the needle.
D. Pull the skin taut at the injection site
when inserting the needle.
