Chapter 10: Parenteral Administration: Safe Preparation of Parenteral Medications

Chapter 10: 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?

A.	Plunger
B.	Tip
C.	Luer-lock
D.	Barrel

 

 

ANS:   D

 

	Feedback
A	The plunger does not have the calibrations indicated on it.
B	The tip does not have the calibrations indicated on it.
C	The Luer-Lok does not have the calibrations indicated on it.
D	The barrel contains the calibrations necessary for measurement.

 

 

DIF:    Cognitive Level: Knowledge             REF:    142

TOP:    Nursing Process Step: Implementation

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

 

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

A.	18-gauge, 1-inch needle
B.	20-gauge, 1/2-inch needle
C.	27-gauge, 1 1/2-inch needle
D.	25-gauge, 1/2-inch needle

 

 

ANS:   C

 

	Feedback
A	An 18-gauge, 1-inch needle is too short and too large in diameter for pediatric injections.
B	A 20-gauge, 1/2-inch needle is too short and too large in diameter for pediatric injections.
C	The most appropriate needle gauge for pediatric IM injections is a 25- or 27-gauge, 1 1/2-inch needle.
D	A 25-gauge, 1/2-inch needle is too short for pediatric intramuscular injections.

 

 

DIF:    Cognitive Level: Application             REF:    146

TOP:    Nursing Process Step: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity

 

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

A.	A syringe calibrated in minims
B.	A syringe calibrated in units
C.	A syringe calibrated in tenths of mL
D.	A syringe calibrated in mL

 

 

ANS:   B

 

	Feedback
A	A tuberculin syringe is not properly calibrated for use with insulin.
B	A syringe calibrated in units is used for insulin.
C	A syringe calibrated in tenths of mL is not an accurate way to accurately measure insulin doses.
D	A syringe calibrated in mL would not be accurate for measurement of insulin.

 

 

DIF:    Cognitive Level: Comprehension      REF:    144

TOP:    Nursing Process Step: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity

 

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

A.	Consider the rim of the ampule as sterile.
B.	Use a filter needle to withdraw the medication.
C.	Wrap a paper towel around the neck of the ampule before breaking it.
D.	Inject 0.5 mL of air into the ampule before withdrawing the medication.

 

 

ANS:   B

 

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

 

 

DIF:    Cognitive Level: Application             REF:    147

TOP:    Nursing Process Step: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity