HEC exam part 1 Question and answers
verified to pass 2025
Parenteral medications - correct answer means administered in manner other
than through digestive tract
-enter body tissues and circulatory system by injection
-more quickly absorbed than oral med
parenteral used when - correct answer patients are vomiting, cannot swallow,
restriction from oral fluids
4 routes for perenteral - correct answer 1. subcutaneous
2. intramuscular
3. Intradermal
4. Intravenous
Subcutaneous - correct answer injection into tissue just under dermis of skin
Intramuscular injection - correct answer into body of muscle
intradermal i - correct answer into dermis just under epidermis
intravenous - correct answer injection into vein
prevention of needle stick injury - correct answer -avoid using needles when
effective needles or SEIP safety devices are available
-do not recap needle after injection
,-plan ahead before beginning procedure with needle
-immediately dispose needle
-maintain sharps injury log
-select needless devices when possible
Intradermal injections - correct answer -skin testing
-potent med= inject into dermis
-use TB or small syringe
-5-15 degree insert
-only admin 0.01 mL 0.1 mL
bleb does not appear or bleeds after needle withdrawal= not good
location: forearm or upper back
Pediatric and gerontologic considerations for intradermal injections - correct
answer for children: kids exposed to TB should get tested immediately after
exposure and children with ongoing exposure risk should get tested every 2-3
years
for elderly: the skin is less elastic and must be held taut to ensure injection
administered correctly
needle size for intradermal injection - correct answer -3/8 to 5/8 inch
-25-27 gauge
Unexpected outcomes Intradermal - correct answer -localized pain or burning
indicating potential injury to nerve or vessels
-Raised red and hard
-adverse rxn with signs of urticaria, prurtius, wheezing (admin antihistamine)
, -unable to explain purpose of testing
Sub cutaneous - correct answer -sites: outer aspects of upper arm; abdomen;
anterior aspect of thigh
-insert at 45-90 degrees
-needle size: 25-30 gauge 3/8 to 5/8 inches
children considerations for subcutaneous injection - correct answer -child
requires 26-30 gauge 1/5 inch needle inserted at 90 degrees
-administer only amounts up to 0.5 mL
Elderly considerations for subcutaneous injections - correct answer -the
upper abdominal site is the best
IM injection - correct answer -injection site: ventrogluteal site, vastus lateralis,
deltoid muscle
-degree: 90
-aspirate before injecting
-where you give medication could increase risk for falls
-needle: 1 to 1.5 inch needle 20-25 gauge
-2-3 mL syringe
verified to pass 2025
Parenteral medications - correct answer means administered in manner other
than through digestive tract
-enter body tissues and circulatory system by injection
-more quickly absorbed than oral med
parenteral used when - correct answer patients are vomiting, cannot swallow,
restriction from oral fluids
4 routes for perenteral - correct answer 1. subcutaneous
2. intramuscular
3. Intradermal
4. Intravenous
Subcutaneous - correct answer injection into tissue just under dermis of skin
Intramuscular injection - correct answer into body of muscle
intradermal i - correct answer into dermis just under epidermis
intravenous - correct answer injection into vein
prevention of needle stick injury - correct answer -avoid using needles when
effective needles or SEIP safety devices are available
-do not recap needle after injection
,-plan ahead before beginning procedure with needle
-immediately dispose needle
-maintain sharps injury log
-select needless devices when possible
Intradermal injections - correct answer -skin testing
-potent med= inject into dermis
-use TB or small syringe
-5-15 degree insert
-only admin 0.01 mL 0.1 mL
bleb does not appear or bleeds after needle withdrawal= not good
location: forearm or upper back
Pediatric and gerontologic considerations for intradermal injections - correct
answer for children: kids exposed to TB should get tested immediately after
exposure and children with ongoing exposure risk should get tested every 2-3
years
for elderly: the skin is less elastic and must be held taut to ensure injection
administered correctly
needle size for intradermal injection - correct answer -3/8 to 5/8 inch
-25-27 gauge
Unexpected outcomes Intradermal - correct answer -localized pain or burning
indicating potential injury to nerve or vessels
-Raised red and hard
-adverse rxn with signs of urticaria, prurtius, wheezing (admin antihistamine)
, -unable to explain purpose of testing
Sub cutaneous - correct answer -sites: outer aspects of upper arm; abdomen;
anterior aspect of thigh
-insert at 45-90 degrees
-needle size: 25-30 gauge 3/8 to 5/8 inches
children considerations for subcutaneous injection - correct answer -child
requires 26-30 gauge 1/5 inch needle inserted at 90 degrees
-administer only amounts up to 0.5 mL
Elderly considerations for subcutaneous injections - correct answer -the
upper abdominal site is the best
IM injection - correct answer -injection site: ventrogluteal site, vastus lateralis,
deltoid muscle
-degree: 90
-aspirate before injecting
-where you give medication could increase risk for falls
-needle: 1 to 1.5 inch needle 20-25 gauge
-2-3 mL syringe
