Chapter 09: Photo Atlas of Drug Administration

Chapter 09: Photo Atlas of Drug Administration

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Before administering any medication, what is the nurse’s priority action regarding patient safety?

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 using two identifiers

 

 

ANS:  D

Verifying the patient’s identity, using two identifiers, before administering any medication is essential for the patient’s safety and reflects checking one of the “Nine Rights” of medication administration. Documentation is done after the medications are given.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   pp. 104-105

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Safe and Effective Care Environment: Safety and Infection Control

 

2. The nurse is giving an intradermal (ID) injection and will choose which syringe for this injection?

a.
b.
c.
d.

 

 

ANS:  B

The proper size syringe for ID injection is 1-mL tuberculin. The other syringes pictured are incorrect. Insulin syringes (marked in units) are not used for intradermal injections.

 

DIF:    COGNITIVE LEVEL: Analyzing (Analysis)                     REF:   pp. 116-117

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Safe and Effective Care Environment: Safety and Infection Control

 

3. A patient is to receive a penicillin intramuscular (IM) injection in the ventrogluteal site. The nurse will use which angle for the needle insertion?

a.	15 degrees
b.	45 degrees
c.	60 degrees
d.	90 degrees

 

 

ANS:  D

The proper angle for IM injections is 90 degrees. The other angles are incorrect.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   p. 116

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. When administering medication by IV bolus (push), the nurse will occlude the IV line by which method?

a.	Not pinching the IV tubing at all
b.	Pinching the tubing just above the injection port
c.	Pinching the tubing just below the injection port
d.	Pinching the tubing just above the drip chamber of the infusion set

 

 

ANS:  B

Before a medication is injected by IV push, the IV line is occluded by pinching the tubing just above the injection port. The other locations are incorrect.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 128

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

5. The nurse has an order to administer an intramuscular (IM) immunization to a 2-month-old child. Which site is considered the best choice for this injection?

a.	Deltoid
b.	Dorsogluteal
c.	Ventrogluteal
d.	Vastus lateralis

 

 

ANS:  D

The vastus lateralis is the preferred site of injection of drugs such as immunizations for infants. The other sites are not appropriate for infants. The ventrogluteal site is the preferred site for adults and children. The deltoid site is used only for the administration of immunizations to toddlers, older children, and adults (not infants) and only for small volumes of medication. The dorsogluteal site is no longer recommended because of the possibility of nerve injury.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 122

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies