solutions.
NUR 330 LAB MIDTERM exam 190 orrect
solutions.
The nurse is preparing an injection of 0.45 mL of medication for a pediatric patient. Which syringe is
most appropriate? - ANSWER Tuberculin syringe
The nurse is preparing to administer an intramuscular (IM) injection to a 6-month-old infant. Which
injection site is themost appropriate for this patient?
Deltoid muscle
Dorsogluteal injection site
Vastus lateralis
Abdomen 2 inches away from theumbilicus - ANSWER Vastus lateralis
The nurse is administering a parenteral medication to thepatient. Which action by thenurse
demonstrates proper technique? - ANSWER Using strict aseptic technique
The nurse is preparing a medication that comes in an ampule. Which action by thenurse is appropriate?
a. Tapping theampule so fluid moves from thebottom of theampule to theneck
Avoiding inversion of theampule after opening to prevent spillage of themedication
Using a filter needle long enough to reach thebottom of theampule
Guiding theneedle against therim of theampule to access themedication - ANSWER Using a filter needle
long enough to reach thebottom of theampule
The nurse is teaching a patient how to mix 5 units of regular insulin and 15 units of NPH insulin in
thesame syringe. thenurse determines that further instruction is needed if thepatient does which of
thefollowing?
Injects 5 units of air into theregular insulin vial first and withdraws 5 units of
regular insulin.
Injects 15 units of air into theNPH insulin vial but does not withdraw
,NUR 330 LAB MIDTERM exam 190 orrect
solutions.
themedication.
Withdraws 5 units of regular insulin before withdrawing 15 units of NPH insulin.
Calculates thecombined total insulin dose as 20 units after withdrawing theregular
insulin from thevial. - ANSWER Injects 5 units of air into theregular insulin vial first and withdraws 5 units
of
regular insulin.
A patient has orders for 10 units of glargine insulin and 5 units of regular insulin to be given at thesame
time. Which action by thenurse is appropriate?
Injecting 10 units of air into theglargine insulin vial first and not withdrawing
themedication
Injecting 5 units of air into theregular insulin vial first and then 10 units of air into
theglargine insulin vial
Giving two separate injections using different needles and syringes
Withdrawing 5 units of regular insulin first and then calculating thetotal dose of
regular and glargine insulin combined - ANSWER Giving two separate injections using different needles
and syringes
The nurse is preparing several medications that are administered parenterally. thepatient receiving
which medication will have an intradermal injection?
Opioid
Medication for allergy testing
Low-molecular-weight heparin
Glargine insulin - ANSWER Medication for allergy testing
The nurse is preparing to administer an intradermal injection to an adult patient. Which action should be
taken by thenurse?
Use a tuberculin syringe with a 1-inch 25-gauge needle.
Inject no more than 1 mL of solution at one site.
,NUR 330 LAB MIDTERM exam 190 orrect
solutions.
Insert theneedle at a 5- to 15-degree angle 3 finger widths below theantecubital space.
Expect a bleb and a small amount of bleeding after injection. - ANSWER Insert theneedle at a 5- to 15-
degree angle 3 finger widths below theantecubital space.
The nurse administers a tuberculin screening test to a patient who has no known risk factors for
tuberculosis (TB). When thetest site is read 48 hours later, which result is considered positive?
Induration of 2 mm or more
Induration of 5 mm or more
Induration of 10 mm or more
Induration of 15 mm or more - ANSWER Induration of 15 mm or more
The nurse is teaching a family member of an obese patient how to administer a subcutaneous U-100
insulin injection to thepatient. Which instruction should be included in theteaching plan?
a. Carefully massage thesite after theinjection to aid absorption.
Draw themedication into a tuberculin syringe with a 27-gauge needle.
Insert theneedle quickly and firmly at a 90-degree angle.
Rotate injection sites between theabdomen, thighs, and upper arms. - ANSWER Insert theneedle quickly
and firmly at a 90-degree angle.
The nurse is teaching a patient how to inject low-molecular-weight heparin. What instruction should be
included in theteaching plan?
The injection can be given in theabdomen or theupper thighs.
Before injecting themedication, be sure to expel theair bubble in thesyringe.
After inserting theneedle, pull back on theplunger of thesyringe before injecting themedication.
After injecting themedication, apply gentle pressure to theinjection site for 30 to 60 seconds. - ANSWER
After injecting the medication, apply gentle pressure to the injection site for 30 to 60 seconds.
The nurse is preparing an intramuscular injection for a thin elderly patient. thenurse is aware that
themaximum volume most likely tolerated by this patient is which amount?
, NUR 330 LAB MIDTERM exam 190 orrect
solutions.
a. 1 mL
b. 2 mL
c. 3 mL
d. 5 mL - ANSWER 2 mL
The nurse is preparing to administer an intramuscular injection via theZ-track method. Which action
should be taken by thenurse?
Pinch theskin between thethumb and thefirst finger.
Insert theneedle at a 90-degree angle.
Immediately remove theneedle after injecting themedication.
Release theskin before removing theneedle from thesite. - ANSWER Insert theneedle at a 90-degree
angle.
A student nurse is preparing to administer an intramuscular injection into theventrogluteal muscle.
thenursing instructor should question which action by thestudent?
Asking thepatient to assume a sitting position
Placing theheel of thehand over thepatient's greater trochanter
Asking thepatient to flex theknee and hip
Using theright hand to locate theinjection site on thepatient's left side - ANSWER Asking thepatient to
assume a sitting position
The nurse is preparing to administer an immunization to a toddler. Which action by thenurse is
appropriate?
Grasp thebody of themuscle during injection.
Place one hand above theknee and one below theknee to find thesite.
Have thepatient's knee flexed with thefoot internally rotated.
Ask themother to hold thetoddler on his side. - ANSWER Grasp thebody of themuscle during injection.