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Chapter 09: Parenteral Administration: Safe Preparation of Parenteral Medications
MULTIPLE CHOICE
1. Which part of the syringe contains the calibrations for drug volume measurement?
a. Plunger
b. Tip
c. Luer Lok
d. Barrel
ANS: D
The barrel contains the calibrations necessary for measurement. The plunger, the tip, and the
Luer Lok do not have the calibrations indicated on them.
DIF: Cognitive Level: Knowledge REF: Page 116 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
NOT: CONCEPT(S): Clinical Judgment; Safety
2. Which needle will the nurse use to administer an intramuscular (IM) immunization on an 18
month-old child?
a. 18-gauge, 1 inch needle
b.
20-gauge, inch needle
c.
27-gauge, 1 inch needle
d.
25-gauge, inch needle
ANS: C
The most appropriate needle gauge for pediatric IM injections is a 25- or 27-gauge, 1 inch
needle. An 18-gauge, 1 inch needle is too short and too large in diameter for pediatric
injections. A 20-gauge, inch needle is too short and too large in diameter for pediatric
injections. A 25-gauge, inch needle is too short for pediatric IM injections.
DIF: Cognitive Level: Application REF: Page 119 OBJ: 2
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety; Development
3. Which syringe will the nurse use to administer insulin subcutaneously to a patient?
a. A syringe calibrated in minims
b. A syringe calibrated in units
c. A syringe calibrated in tenths of mL
d. A syringe calibrated in mL
ANS: B
A syringe calibrated in units is used for insulin. A tuberculin syringe is not properly calibrated
for use with insulin. A syringe calibrated in mL or in tenths of mL would not be an accurate
way to measure insulin doses.
DIF: Cognitive Level: ComprehensionREF: Page 117 OBJ: 2 | 4
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TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity NOT:
CONCEPT(S): Clinical Judgment; Safety
4. Which action by the nurse is most accurate when drawing up medication from an ampule?
a. Consider the rim of the ampule as sterile.
b. Use a filter needle to withdraw the medication.
c. Wrap a paper towel around the neck of the ampule before breaking it.
d. Inject 0.5 mL of air into the ampule before withdrawing the medication.
ANS: B
Filtered needles are used to withdraw the medication and then changed before
administration of the injection. The rim of the ampule is considered to be contaminated
because of the possible presence of broken glass. Paper towels do not protect the nurse from
broken glass. The ampule is not airtight, so no air needs to be injected into it before removing
the medication.
DIF: Cognitive Level: Application REF: Page 125 OBJ: 6
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety
5. Which action by the nurse is accurate when withdrawing medication into a syringe from a
vial?
a. Inject an amount of air equal to the medication into the vial.
b. Break the thin neck of the vial container.
c. Remove the rubber stopper on the top of the vial.
d. Discard the initial 0.5 mL of medication to ensure sterility.
ANS: A
An equal amount of air is first injected into the vial to help displace the needed medication
upon withdrawal. Vials are not meant to be broken at the neck. Removal of the rubber
stopper on a vial is unsafe and not recommended. Medication should not be discarded
because it is sterile as long as the vial is airtight and has not been contaminated.
DIF: Cognitive Level: Application REF: Page 127 OBJ: 6
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety
6. An adult patient is to receive two medications IM. Which action by the nurse is most
important in order to mix the medications in one syringe?
a. Assess for the presence of adequate muscle mass.
b. Ensure that the combined medication amount is less than 2 mL.
c. Determine the compatibility of the medications.
d. Use a needle that is 25 gauge.
ANS: C
Compatibility is determined to prevent a reaction between the mixed medications. This is
important once the medication will be administered, but first it needs to be determined that
the medications can be mixed. IM injections in the adult can exceed 2 mL. A 25-gauge needle
is not appropriate for an IM injection.
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Chapter 09: Parenteral Administration: Safe Preparation of Parenteral Medications
MULTIPLE CHOICE
1. Which part of the syringe contains the calibrations for drug volume measurement?
a. Plunger
b. Tip
c. Luer Lok
d. Barrel
ANS: D
The barrel contains the calibrations necessary for measurement. The plunger, the tip, and the
Luer Lok do not have the calibrations indicated on them.
DIF: Cognitive Level: Knowledge REF: Page 116 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
NOT: CONCEPT(S): Clinical Judgment; Safety
2. Which needle will the nurse use to administer an intramuscular (IM) immunization on an 18
month-old child?
a. 18-gauge, 1 inch needle
b.
20-gauge, inch needle
c.
27-gauge, 1 inch needle
d.
25-gauge, inch needle
ANS: C
The most appropriate needle gauge for pediatric IM injections is a 25- or 27-gauge, 1 inch
needle. An 18-gauge, 1 inch needle is too short and too large in diameter for pediatric
injections. A 20-gauge, inch needle is too short and too large in diameter for pediatric
injections. A 25-gauge, inch needle is too short for pediatric IM injections.
DIF: Cognitive Level: Application REF: Page 119 OBJ: 2
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety; Development
3. Which syringe will the nurse use to administer insulin subcutaneously to a patient?
a. A syringe calibrated in minims
b. A syringe calibrated in units
c. A syringe calibrated in tenths of mL
d. A syringe calibrated in mL
ANS: B
A syringe calibrated in units is used for insulin. A tuberculin syringe is not properly calibrated
for use with insulin. A syringe calibrated in mL or in tenths of mL would not be an accurate
way to measure insulin doses.
DIF: Cognitive Level: ComprehensionREF: Page 117 OBJ: 2 | 4
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:31:38 GMT -05:00
https://www.coursehero.com/file/25297686/91rtf/
Downloaded by: Sophiie |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity NOT:
CONCEPT(S): Clinical Judgment; Safety
4. Which action by the nurse is most accurate when drawing up medication from an ampule?
a. Consider the rim of the ampule as sterile.
b. Use a filter needle to withdraw the medication.
c. Wrap a paper towel around the neck of the ampule before breaking it.
d. Inject 0.5 mL of air into the ampule before withdrawing the medication.
ANS: B
Filtered needles are used to withdraw the medication and then changed before
administration of the injection. The rim of the ampule is considered to be contaminated
because of the possible presence of broken glass. Paper towels do not protect the nurse from
broken glass. The ampule is not airtight, so no air needs to be injected into it before removing
the medication.
DIF: Cognitive Level: Application REF: Page 125 OBJ: 6
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety
5. Which action by the nurse is accurate when withdrawing medication into a syringe from a
vial?
a. Inject an amount of air equal to the medication into the vial.
b. Break the thin neck of the vial container.
c. Remove the rubber stopper on the top of the vial.
d. Discard the initial 0.5 mL of medication to ensure sterility.
ANS: A
An equal amount of air is first injected into the vial to help displace the needed medication
upon withdrawal. Vials are not meant to be broken at the neck. Removal of the rubber
stopper on a vial is unsafe and not recommended. Medication should not be discarded
because it is sterile as long as the vial is airtight and has not been contaminated.
DIF: Cognitive Level: Application REF: Page 127 OBJ: 6
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety
6. An adult patient is to receive two medications IM. Which action by the nurse is most
important in order to mix the medications in one syringe?
a. Assess for the presence of adequate muscle mass.
b. Ensure that the combined medication amount is less than 2 mL.
c. Determine the compatibility of the medications.
d. Use a needle that is 25 gauge.
ANS: C
Compatibility is determined to prevent a reaction between the mixed medications. This is
important once the medication will be administered, but first it needs to be determined that
the medications can be mixed. IM injections in the adult can exceed 2 mL. A 25-gauge needle
is not appropriate for an IM injection.
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:31:38 GMT -05:00
https://www.coursehero.com/file/25297686/91rtf/
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