NUR 155 Exam 4 Questions And Accurate Answers
Graded A+ 2024-2025
What gauge and length needle for IM injections?
What size syringe?
22g 1.5 inch
3ml syringe
What gauge and length is the needle for SubQ injections?
What size is the syringe?
25g 5/8 inch
1ml Syringe
The 5 rights of medication administration?
Right medication
right dose
right pt
right route
right time frame (are the meds due)
DOCUMENTATION
Can you give an IV medication prepared by another nurse?
NO!!! no matter how emergent
Can you administer a packaged drug (unopened) that another nurse has handed off to
you to administer?
YES
You make a med error, what is the FIRST and most important step into solving this
problem?
ASSESS THE PATIENT
, You are suspecting that your patient is having an allergic reaction to the IV medication,
what is the first and most important step into solving this problem?
Stop the medication and assess the pt
What are the signs and symptoms of an allergic reaction?
Shortness of breath/difficulty breathing
If you have an order for a pt that is just for a headache like Tylenol, can you give that
medication for a fever?
NO you have to call the doctor and get a new order that is for fever
If your pt is having difficulty swallowing their PO potassium because the pill is too big,
what can you do to help the pt take their medication?
Call pharmacy and have them change the pill from pill form to a liquid form
What is the Z track method?
This is used for IM injections. Use nondominant hand to pull skin laterally and hold it in
position while giving injection. Release skin immediately after withdrawing needle to
seal off the injection site. This prevents the medication from leaking through the more
sensitive subcutaneous tissue from the muscle. Done at the ventrogluteal or
dorsogluteal sites.
What do you do if you aspirate an IM injection and you get blood return?
Strike while iron's hot! new injection site, new medication.
What is important to remember when administering an IM injection into the deltoid?
No more than 1mL of medication
If a pt has scheduled mediation, and you go into asses your pt and they are sleeping, do
you have to wake that pt to give them their scheduled medication?
Yes, wake them up '
Your pt calls out for their PRN pain medication, you finally get the chance to pull your
medication, you walk into the room to assess your pt, and they are sleeping. Do you
have to wake the pt up to give them their PRN medication?
NO! you do not need to wake the pt up for a PRN medication, at that time you would go
waste your medication and pull the meds again once the pt awakens.
If your pt. has a NG-tube that is connected to bedside SUCTION what is the first thing
you should do prior to giving that pts. medication?
Turn the suction off for 30 minutes before and AFTER the meds have been given.
Graded A+ 2024-2025
What gauge and length needle for IM injections?
What size syringe?
22g 1.5 inch
3ml syringe
What gauge and length is the needle for SubQ injections?
What size is the syringe?
25g 5/8 inch
1ml Syringe
The 5 rights of medication administration?
Right medication
right dose
right pt
right route
right time frame (are the meds due)
DOCUMENTATION
Can you give an IV medication prepared by another nurse?
NO!!! no matter how emergent
Can you administer a packaged drug (unopened) that another nurse has handed off to
you to administer?
YES
You make a med error, what is the FIRST and most important step into solving this
problem?
ASSESS THE PATIENT
, You are suspecting that your patient is having an allergic reaction to the IV medication,
what is the first and most important step into solving this problem?
Stop the medication and assess the pt
What are the signs and symptoms of an allergic reaction?
Shortness of breath/difficulty breathing
If you have an order for a pt that is just for a headache like Tylenol, can you give that
medication for a fever?
NO you have to call the doctor and get a new order that is for fever
If your pt is having difficulty swallowing their PO potassium because the pill is too big,
what can you do to help the pt take their medication?
Call pharmacy and have them change the pill from pill form to a liquid form
What is the Z track method?
This is used for IM injections. Use nondominant hand to pull skin laterally and hold it in
position while giving injection. Release skin immediately after withdrawing needle to
seal off the injection site. This prevents the medication from leaking through the more
sensitive subcutaneous tissue from the muscle. Done at the ventrogluteal or
dorsogluteal sites.
What do you do if you aspirate an IM injection and you get blood return?
Strike while iron's hot! new injection site, new medication.
What is important to remember when administering an IM injection into the deltoid?
No more than 1mL of medication
If a pt has scheduled mediation, and you go into asses your pt and they are sleeping, do
you have to wake that pt to give them their scheduled medication?
Yes, wake them up '
Your pt calls out for their PRN pain medication, you finally get the chance to pull your
medication, you walk into the room to assess your pt, and they are sleeping. Do you
have to wake the pt up to give them their PRN medication?
NO! you do not need to wake the pt up for a PRN medication, at that time you would go
waste your medication and pull the meds again once the pt awakens.
If your pt. has a NG-tube that is connected to bedside SUCTION what is the first thing
you should do prior to giving that pts. medication?
Turn the suction off for 30 minutes before and AFTER the meds have been given.
