AND VERIFIED ANSWER; 100%
CORRECT; 2026- 2027 UPDATE
A nurse is administering an intradermal injection. At
which angle should the nurse insert the needle?
a. 90
b. 45
c. 30
d. 15 - correct answer- d.
rationale: an IM injection is administered at 10-15
degrees.. the small amount of medication instilled just
below the epidermis causes the formation of a wheal.. an
example would be the TB test
A nurse is caring for a patient receiving bolus enteral
feedings several times daily. Which nursing intervention is
MOST important to help prevent diarrhea?
,a. flush the tube after every feedings
b. check the residual before each feeding
c. elevate the head of the bed 30 degrees continuously.
d. discard the refrigerated opened cans of formula after
24 hours. - correct answer- d.
rationale: contaminated formula can cause diarrhea
opened cans of formula support bacterial growth and
must be discarded after 24 hours. even when refrigerated.
A nurse is caring for the following group of patients with
infections. Which infection is classified as a hospital-
acquired infection?
a. respiratory infection from a visitor
b. vaginal canal infection ina post-menopausal woman
c. UTI in a patient who is sedentary
d. wound infection caused by unwashed hands of a
caregiver - correct answer- d.
rationale: remember, handwashing is the number one
way to prevent the spread of infections... since this
, infection was passed along by the caregiver... it is
considered a hospital acquired infection
A nurse is providing for the nutritional needs of several
patients. Which problems increase patients' calorie
requirements? SELECT ALL THAT APPLY
a. burns
b. nausea
c. dysphagia
d. pneumonia
e. depression - correct answer- a, d.
rationale: burns interrupt the integrity of the skin and as a
result a primary defense against infection is disrupted.
The body's metabolic rate increases dramatically in an
attempt to repair the skin and protect the body from
infections. pneumonia is also an infection which would
require an increase in calorie consumption. Nausea,
dysphagia and depression does not precipitate for an
increase in calorie consumption