Chapter 09: Parenteral Administration: Safe Preparation of Parenteral Medications

Chapter 09: Parenteral Administration: Safe Preparation of Parenteral Medications

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which part of the syringe contains the calibrations for drug volume measurement?

ANS:  D

The barrel contains the calibrations necessary for measurement. The plunger, the tip, and the Luer Lok do not have the calibrations indicated on them.

DIF:    Cognitive Level: Knowledge            REF:   Page 116        OBJ:   1

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Safe, Effective Care Environment

NOT:  CONCEPT(S): Clinical Judgment; Safety

2. Which needle will the nurse use to administer an intramuscular (IM) immunization on an 18-month-old child?

ANS:  C

The most appropriate needle gauge for pediatric IM injections is a 25- or 27-gauge, 1 inch needle. An 18-gauge, 1 inch needle is too short and too large in diameter for pediatric injections. A 20-gauge,  inch needle is too short and too large in diameter for pediatric injections. A 25-gauge,  inch needle is too short for pediatric IM injections.

DIF:    Cognitive Level: Application           REF:   Page 119        OBJ:   2

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Safety; Development

3. Which syringe will the nurse use to administer insulin subcutaneously to a patient?

ANS:  B

A syringe calibrated in units is used for insulin. A tuberculin syringe is not properly calibrated for use with insulin. A syringe calibrated in mL or in tenths of mL would not be an accurate way to measure insulin doses.

DIF:    Cognitive Level: Comprehension     REF:   Page 117        OBJ:   2 | 4

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Safety

4. Which action by the nurse is most accurate when drawing up medication from an ampule?

ANS:  B

Filtered needles are used to withdraw the medication and then changed before administration of the injection. The rim of the ampule is considered to be contaminated because of the possible presence of broken glass. Paper towels do not protect the nurse from broken glass. The ampule is not airtight, so no air needs to be injected into it before removing the medication.

DIF:    Cognitive Level: Application           REF:   Page 125        OBJ:   6

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:   CONCEPT(S): Clinical Judgment; Safety