NCLEX Review Test Bank Exam
Questions and Answers
IM meds - Answer-quickly absorbed, 90 degree angle, 19-23 G needle, 1-2" length,
average adult:11/2, 22G, mandatory to aspirate, purpose is to deposit meds into deep
muscle for quick absorption
deltoid muscle - Answer-only used for 1-2 ml of med b/c is smaller muscle
quickest absorption - Answer-#1 is abdomen, #2 is arm, #3 is buttock
Insulin - Answer-done sub-q into fatty tissue, measured in Units, draw up air prior and
insert into vial
Regular insulin - Answer-onset:15-30 mins, clear, peak:30-11/2 hr., duration:3-4 hrs.,
can mix with intermed.& short
Humulog - Answer-onset:15-30mins., clear, peak: 30-11/2, duration: 3-4 hrs., mix with
intermed., reg, short
NPH - Answer-onset:1-4hr., cloudy, peak:6-10hrs., duration:10-16, up to 24 hrs., cannot
mix!!
Lantus - Answer-onset:1-2hr., clear, no peak, duration:24 hrs., cannot be combined
Regular insulin - Answer-only insulin that can be given IV
rotate injection sites - Answer-to slow formation of scar tissue
most insulins - Answer-given right befor meals to control blood sugar
when mixing insulins - Answer-put air into cloudy first, then clear
NPH - Answer-has regular insulin in it already
sliding scale - Answer-always given with short acting insulin such as reg/ humulog
sub-q injections - Answer-45-90 degree angle, 25G needle, 1/2-1" length, below
dermis/above muscle
heparin/lovanox - Answer-bruising will occur aroun inj. sites, apply pressure for at least
30 seconds, check for bleeding gums, stools, sheck V/S for internal bleeding with
anticoagulants
, Intradermal injections - Answer-10 degree angle, 25-27G needle, 5/8-1/2" needle,
barely cover bevel under skin, do not do near a vein, do to the side, used for
PPD&allergy testing
TB testing - Answer-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 - Answer-able to kill bacteria
bacteriostatic - Answer-retards bacteria growth
broad spectrum - Answer-atbs that are effective against many organisms
catecholamine - Answer-neurotransmitters that play important role in body's stress
response
cathartic - Answer-meds used to treat constipation
depressant - Answer-slows down mental/physical processes
narrow spectrum - Answer-atbs that are effective agaist a few mo's
nephrotoxicity - Answer-toxicity due to blood and protien in the urine
opiate - Answer-pain relievers r/t opium
ototoxicity - Answer-toxic effect r/t damage to 8th cranial nerve resulting in dizziness,
tinnitus, gradual hearing loss
septicemia - Answer-generalized infection throughout body
vasoconstrictor - Answer-constrict blood vessels
tetracycline - Answer-atb
lanolin - Answer-dermatologic
valium - Answer-sedative/hypnotic, a tranquilizer (trade name Valium) used to relieve
anxiety and relax muscles
morphine - Answer-narcotic
dexamethasone - Answer-a corticosteroid drug (trade names Decadron or
Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or
inflammation
Questions and Answers
IM meds - Answer-quickly absorbed, 90 degree angle, 19-23 G needle, 1-2" length,
average adult:11/2, 22G, mandatory to aspirate, purpose is to deposit meds into deep
muscle for quick absorption
deltoid muscle - Answer-only used for 1-2 ml of med b/c is smaller muscle
quickest absorption - Answer-#1 is abdomen, #2 is arm, #3 is buttock
Insulin - Answer-done sub-q into fatty tissue, measured in Units, draw up air prior and
insert into vial
Regular insulin - Answer-onset:15-30 mins, clear, peak:30-11/2 hr., duration:3-4 hrs.,
can mix with intermed.& short
Humulog - Answer-onset:15-30mins., clear, peak: 30-11/2, duration: 3-4 hrs., mix with
intermed., reg, short
NPH - Answer-onset:1-4hr., cloudy, peak:6-10hrs., duration:10-16, up to 24 hrs., cannot
mix!!
Lantus - Answer-onset:1-2hr., clear, no peak, duration:24 hrs., cannot be combined
Regular insulin - Answer-only insulin that can be given IV
rotate injection sites - Answer-to slow formation of scar tissue
most insulins - Answer-given right befor meals to control blood sugar
when mixing insulins - Answer-put air into cloudy first, then clear
NPH - Answer-has regular insulin in it already
sliding scale - Answer-always given with short acting insulin such as reg/ humulog
sub-q injections - Answer-45-90 degree angle, 25G needle, 1/2-1" length, below
dermis/above muscle
heparin/lovanox - Answer-bruising will occur aroun inj. sites, apply pressure for at least
30 seconds, check for bleeding gums, stools, sheck V/S for internal bleeding with
anticoagulants
, Intradermal injections - Answer-10 degree angle, 25-27G needle, 5/8-1/2" needle,
barely cover bevel under skin, do not do near a vein, do to the side, used for
PPD&allergy testing
TB testing - Answer-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 - Answer-able to kill bacteria
bacteriostatic - Answer-retards bacteria growth
broad spectrum - Answer-atbs that are effective against many organisms
catecholamine - Answer-neurotransmitters that play important role in body's stress
response
cathartic - Answer-meds used to treat constipation
depressant - Answer-slows down mental/physical processes
narrow spectrum - Answer-atbs that are effective agaist a few mo's
nephrotoxicity - Answer-toxicity due to blood and protien in the urine
opiate - Answer-pain relievers r/t opium
ototoxicity - Answer-toxic effect r/t damage to 8th cranial nerve resulting in dizziness,
tinnitus, gradual hearing loss
septicemia - Answer-generalized infection throughout body
vasoconstrictor - Answer-constrict blood vessels
tetracycline - Answer-atb
lanolin - Answer-dermatologic
valium - Answer-sedative/hypnotic, a tranquilizer (trade name Valium) used to relieve
anxiety and relax muscles
morphine - Answer-narcotic
dexamethasone - Answer-a corticosteroid drug (trade names Decadron or
Dexamethasone Intensol or Dexone or Hexadrol or Oradexon) used to treat allergies or
inflammation
