NUR 270 EXAM 1 NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
What determines the length of the needle? - Correct Answer-Injection site,
weight, amount of adipose tissue, viscosity of med being given
Describe the steps of intramuscular injection - Correct Answer-Move dominant
hand to the end of the plunger without moving the syringe
Pull back on plunger for 5 seconds to aspirate for blood return
- If no blood appears, can inject the medication
- If blood appears, remove needle immediately and do not inject drug
- Aspiration only indicated for IM route, but not used with vaccines
Inject medication slowly at a rate of 10 sec/mL
Wait 10 seconds, smoothly remove needle, release skin
Activate the safety cap to prevent injury & place in Sharps
Which type of injection requires aspiration? - Correct Answer-IM, but not for
vaccines
What degree for IM injection? - Correct Answer-90
1|Page
, NUR 270 Exam 1 NEWEST ACTUAL EXAM
What are the 6 rights of medication administration? - Correct Answer-Person,
med, dose, time/frequency, route, documentation
When are the 3 med checks? - Correct Answer-- When the medications are pulled
or retrieved from the automated dispensing machine
- When preparation of the medications for administration takes place
- At the patient's bedside just before medications are given
What are the rights to injections? - Correct Answer-- Right site for volume
- Right syringe
- Right needle gauge
- Right needle length
- Right angle/depth
What happens if too much volume is injected for the site? - Correct Answer-
Extreme pain and local tissue damage
What is a luer-lok syringe? - Correct Answer-Luer-Lok syringes have needles that
are twisted onto the tip and lock themselves in place. This design prevents the
inadvertent removal of the needle.
2|Page
, NUR 270 Exam 1 NEWEST ACTUAL EXAM
What is a non-luer-lok syringe? - Correct Answer-Non-Luer-Lok syringes have
needles that slip onto the tip. Syringes have safety devices to prevent needle-stick
injury
Size of tuberculin syringe - Correct Answer-Calibrated in sixteenths of a mL and
hundredths of a mL and has a capacity of 1 mL
Size of insulin syringe - Correct Answer-0.3 to 1 mL and are calibrated in units
What is the tip of the needle called? - Correct Answer-Bevel
What is the long part of the needle called? - Correct Answer-shaft
What is the plastic piece before the needle? - Correct Answer-Hub
What are the main ways to practice needle safety? - Correct Answer-- Use a Luer-
Lok needleless system for all IV medication
For injections, always use needles with safety caps
- ALWAYS dispose needles in a Sharps container
- NEVER recap a used needle - activate the safety cap with one hand and place the
used needle in Sharps container
3|Page
, NUR 270 Exam 1 NEWEST ACTUAL EXAM
- Use a ONE-HANDED recap method to recap an unused needle - recap with
attitude!
Advantages of intramuscular injections - Correct Answer-- Has a rich blood supply
- Is absorbed faster absorption than subcutaneous injections but slower than IV
injections
What is the rate of an IM injection?
Why? - Correct Answer-Steadily and slowly.
About 1 mL per 10 seconds
To reduce pain and allow muscle to absorb drug
Process of IM injection - Correct Answer-- Insert at 90 degree angle
- Inject medicine about 1 mL per 10 seconds
- Allow 10 seconds after injecting drug and then withdraw needle at same angle
Why does IM provide faster med absorption than subq? - Correct Answer-Greater
vacularity
4|Page