Chapter 10: Principles of Drug Administration
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice
MULTIPLE CHOICE
1. Before administering any medication, which action by the nurse is most important?
a. Verifying orders with another nurse b. Documenting the medications given
c. Counting medications in the medication cart drawers
d. Checking the patient’s identification and allergy bracelets
ANS: D
Checking the patient’s identification and allergy bracelets are important for the patient’s safety and
reflects some of the six (or more) Rights of medication administration. Verifying orders with another nurse
is not required; only some medications require double-checking with another nurse. Documenting the
medications given or counting medications in the medication cart drawers do not affect safety.
DIF: Cognitive Level: Comprehension
2. What is the proper syringe size for an intradermal (ID) injection?
a. 3-mL syringe
b. 1-mL tuberculin c. 2-mL tuberculin d. 2-mL syringe
ANS: B
The proper syringe size for ID injection is a 1-mL tuberculin, or a 1-mL syringe with a 26- or 27-gauge
needle that is 10 mm to 16 mm long.
DIF: Cognitive Level: Knowledge
, 3. A patient is to receive an intramuscular (IM) injection of penicillin in the ventrogluteal site. What is the
proper angle for needle insertion in an adult who is not emaciated?
a. 15 degrees
b. 45 degrees c. 60 degrees d. 90 degrees
ANS: D
The proper angle for IM injections is 90 degrees. DIF: Cognitive Level: Comprehension
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice
MULTIPLE CHOICE
1. Before administering any medication, which action by the nurse is most important?
a. Verifying orders with another nurse b. Documenting the medications given
c. Counting medications in the medication cart drawers
d. Checking the patient’s identification and allergy bracelets
ANS: D
Checking the patient’s identification and allergy bracelets are important for the patient’s safety and
reflects some of the six (or more) Rights of medication administration. Verifying orders with another nurse
is not required; only some medications require double-checking with another nurse. Documenting the
medications given or counting medications in the medication cart drawers do not affect safety.
DIF: Cognitive Level: Comprehension
2. What is the proper syringe size for an intradermal (ID) injection?
a. 3-mL syringe
b. 1-mL tuberculin c. 2-mL tuberculin d. 2-mL syringe
ANS: B
The proper syringe size for ID injection is a 1-mL tuberculin, or a 1-mL syringe with a 26- or 27-gauge
needle that is 10 mm to 16 mm long.
DIF: Cognitive Level: Knowledge
, 3. A patient is to receive an intramuscular (IM) injection of penicillin in the ventrogluteal site. What is the
proper angle for needle insertion in an adult who is not emaciated?
a. 15 degrees
b. 45 degrees c. 60 degrees d. 90 degrees
ANS: D
The proper angle for IM injections is 90 degrees. DIF: Cognitive Level: Comprehension
