nclex review from test bank
IM meds Correct answers quickly absorbed, 90 degree angle, 19-23 G
needle, average
length, 1-2" adult:11/2, 22G, mandatory to aspirate, purpose is to
deposit
deep medsfor
muscle intoquick
absorption
deltoid muscle Correct answers only used for 1-2 ml of med b/c is
smaller muscle
quickest absorption Correct answers #1 is abdomen, #2 is arm, #3
is buttock
Insulin Correct answers done sub-q into fatty tissue, measured in Units,
draw and
prior up air
insert into
vial
Regular insulin Correct answers onset:15-30 mins, clear, peak:30-11/2 hr.,
duration:3-4
hrs., can mix with intermed.&
short
Humulog Correct answers onset:15-30mins., clear, peak: 30-11/2,
duration:
mix 3-4 hrs., reg,
with intermed.,
short
NPH Correct answers onset:1-4hr., cloudy, peak:6-10hrs., duration:10-16, up
to 24 hrs.,
cannot
mix!!
Lantus Correct answers onset:1-2hr., clear, no peak, duration:24 hrs.,
cannot be
combine
d
Regular insulin Correct answers only insulin that can be
given IV
rotate injection sites Correct answers to slow formation of
scar tissue
most insulins Correct answers given right befor meals to control
blood sugar
when mixing insulins Correct answers put air into cloudy first,
then clear
NPH Correct answers has regular insulin in it
already
sliding scale Correct answers always given with short acting insulin
such as reg/
humulo
g
sub-q injections Correct answers 45-90 degree angle, 25G needle, 1/2-1"
length, below
dermis/above
muscle
, heparin/lovanox Correct answers bruising will occur aroun inj. sites, apply
pressure
at forseconds, check for bleeding gums, stools, sheck V/S for
least 30
internal bleeding
with
anticoagulants
Intradermal injections Correct answers 10 degree angle, 25-27G
needle, 5/8-1/2"
barely cover bevel under skin, do not do near a vein, do to the
side, used for
PPD&allergy
testing
TB testing Correct answers read 48-72 hrs later, inject 0.1 ml,
assess for
induration(hard bump), measure in mm, greater than 5 mm is queestionable,
5-10 need
CXR, redness indicates localized reaction not a concern, problem is
induration
bacteriacidal Correct answers able to kill
bacteria
bacteriostatic Correct answers retards bacteria
growth
broad spectrum Correct answers atbs that are effective against many
organisms
catecholamine Correct answers neurotransmitters that play important
role in body's
stress
response
cathartic Correct answers meds used to treat
constipation
depressant Correct answers slows down mental/physical
processes
narrow spectrum Correct answers atbs that are effective agaist a
few mo's
nephrotoxicity Correct answers toxicity due to blood and protien in
the urine
opiate Correct answers pain relievers r/t
opium
ototoxicity Correct answers toxic effect r/t damage to 8th cranial nerve
resulting intinnitus, gradual hearing
dizziness,
loss
septicemia Correct answers generalized infection
throughout body
vasoconstrictor Correct answers constrict blood
vessels
tetracycline Correct answers
atb
lanolin Correct answers
dermatologic
valium Correct answers sedative/hypnotic, a tranquilizer (trade name
Valium)anxiety
relieve used toand relax
muscles
morphine Correct answers
narcotic
IM meds Correct answers quickly absorbed, 90 degree angle, 19-23 G
needle, average
length, 1-2" adult:11/2, 22G, mandatory to aspirate, purpose is to
deposit
deep medsfor
muscle intoquick
absorption
deltoid muscle Correct answers only used for 1-2 ml of med b/c is
smaller muscle
quickest absorption Correct answers #1 is abdomen, #2 is arm, #3
is buttock
Insulin Correct answers done sub-q into fatty tissue, measured in Units,
draw and
prior up air
insert into
vial
Regular insulin Correct answers onset:15-30 mins, clear, peak:30-11/2 hr.,
duration:3-4
hrs., can mix with intermed.&
short
Humulog Correct answers onset:15-30mins., clear, peak: 30-11/2,
duration:
mix 3-4 hrs., reg,
with intermed.,
short
NPH Correct answers onset:1-4hr., cloudy, peak:6-10hrs., duration:10-16, up
to 24 hrs.,
cannot
mix!!
Lantus Correct answers onset:1-2hr., clear, no peak, duration:24 hrs.,
cannot be
combine
d
Regular insulin Correct answers only insulin that can be
given IV
rotate injection sites Correct answers to slow formation of
scar tissue
most insulins Correct answers given right befor meals to control
blood sugar
when mixing insulins Correct answers put air into cloudy first,
then clear
NPH Correct answers has regular insulin in it
already
sliding scale Correct answers always given with short acting insulin
such as reg/
humulo
g
sub-q injections Correct answers 45-90 degree angle, 25G needle, 1/2-1"
length, below
dermis/above
muscle
, heparin/lovanox Correct answers bruising will occur aroun inj. sites, apply
pressure
at forseconds, check for bleeding gums, stools, sheck V/S for
least 30
internal bleeding
with
anticoagulants
Intradermal injections Correct answers 10 degree angle, 25-27G
needle, 5/8-1/2"
barely cover bevel under skin, do not do near a vein, do to the
side, used for
PPD&allergy
testing
TB testing Correct answers read 48-72 hrs later, inject 0.1 ml,
assess for
induration(hard bump), measure in mm, greater than 5 mm is queestionable,
5-10 need
CXR, redness indicates localized reaction not a concern, problem is
induration
bacteriacidal Correct answers able to kill
bacteria
bacteriostatic Correct answers retards bacteria
growth
broad spectrum Correct answers atbs that are effective against many
organisms
catecholamine Correct answers neurotransmitters that play important
role in body's
stress
response
cathartic Correct answers meds used to treat
constipation
depressant Correct answers slows down mental/physical
processes
narrow spectrum Correct answers atbs that are effective agaist a
few mo's
nephrotoxicity Correct answers toxicity due to blood and protien in
the urine
opiate Correct answers pain relievers r/t
opium
ototoxicity Correct answers toxic effect r/t damage to 8th cranial nerve
resulting intinnitus, gradual hearing
dizziness,
loss
septicemia Correct answers generalized infection
throughout body
vasoconstrictor Correct answers constrict blood
vessels
tetracycline Correct answers
atb
lanolin Correct answers
dermatologic
valium Correct answers sedative/hypnotic, a tranquilizer (trade name
Valium)anxiety
relieve used toand relax
muscles
morphine Correct answers
narcotic
