ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 9 : Photo Atlas of Drug Administration Questions
Question 1 of 5
The nurse is preparing to give an aqueous intramuscular (IM) injection to an average-sized adult. Which actions are appropriate? (Select all that apply.)
Correct Answer: B,E,F
Rationale: For IM injections in adults, use a 20- to 25-gauge, 1- to 1 1/2-inch needle, insert at a 90-degree angle, and check for blood return to avoid intravascular injection. The dorsogluteal site is not preferred due to nerve risks; the ventrogluteal site is recommended. A 26- or 27-gauge needle is too small, and a 45-degree angle is for subcutaneous injections.
Question 2 of 5
A patient is to receive hydromorphone 1.5 mg IV push now. The medication comes in a prefilled syringe, 2 mg/mL. Identify how many milliliters the nurse will administer for this dose.
Correct Answer: 0.75 mL
Rationale:
To calculate: 2 mg/1 mL = 1.5 mg/x mL. Cross-multiply: (2 * x) = (1 * 1.5); 2x = 1.5; x = 1.5/2 = 0.75 mL.
Question 3 of 5
The nurse is giving an intradermal (ID) injection and will choose which syringe for this injection?
Correct Answer: B
Rationale: The proper size syringe for ID injection is a 1-mL tuberculin. The other syringes pictured are incorrect. Insulin syringes (marked in units) are not used for intradermal injections.
Question 4 of 5
A patient is to receive a penicillin intramuscular (IM) injection in the ventrogluteal site. The nurse will use which angle for the needle insertion?
Correct Answer: D
Rationale: The proper angle for IM injections is 90 degrees to ensure the medication reaches the muscle layer. The other angles are incorrect for IM administration.
Question 5 of 5
When administering medication by IV bolus (push), the nurse will occlude the IV line by which method?
Correct Answer: B
Rationale: Occluding the IV line by pinching the tubing just above the injection port prevents backflow and ensures the medication is delivered correctly during an IV bolus. The other methods are incorrect.