ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 37 : Administering Intradermal, Subcutaneous, and Intramuscular Injections | Questions
Question 1 of 5
A nurse is caring for a patient who is receiving a basal/bolus insulin for type 1 diabetes. The nurse understands basal/bolus
Correct Answer: A
Rationale: Basal/bolus insulin regimens mimic natural insulin release, providing flexibility for both mealtime and lifestyle adjustments.
Question 2 of 5
The term basal refers to the minimum requirements when the body is
Correct Answer: A
Rationale: Basal insulin meets the body's minimum insulin needs during resting states, maintaining stable blood glucose levels.
Question 3 of 5
The health-care provider has written an order to administer a PPD to Thomas Staccotti. As you gather your equipment and supplies, you know that you will need which of the following size needles and syringe?
Correct Answer: C
Rationale: For a PPD (purified protein derivative) test, which is an intradermal injection, a small gauge needle (25?27 gauge) with a short length (3/8 to 5/8 inch) is required to ensure the medication is injected just below the skin surface. A 25 g ? 7/8 in needle is appropriate.
Question 4 of 5
Which of the following statements regarding insulin is(are) accurate?
Correct Answer: B
Rationale: b is correct because regular (clear) insulin should be drawn up first to prevent contamination with intermediate-acting (cloudy) insulin. a is incorrect as not all insulins can be mixed (e.g., Lantus cannot be mixed). c is incorrect as sites should be rotated daily, not weekly. d is incorrect as insulin should be stored in a refrigerator or cool place, not a dry cabinet. e is incorrect as the abdomen is the preferred site for insulin due to consistent absorption.
Question 5 of 5
What gauge and length needle would you select to administer an IM injection of a viscous medication, such as gamma globulin, in the ventrogluteal site of a 29-year-old male body builder who is in good health and weighs 203 pounds?
Correct Answer: E
Rationale: For a viscous medication like gamma globulin in a muscular adult, a larger gauge (18?21 g) and longer needle (1?1½ in) are needed to penetrate the muscle deeply. An 18 g ? 1½ in needle is appropriate for the ventrogluteal site in a muscular male.