ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 37 Questions
Question 1 of 5
You would aspirate before injecting the medication in which of the following injections?
Correct Answer: A,E
Rationale: Aspiration is performed for IM injections, including Z-track, to check for blood and avoid intravenous administration. It is not required for intradermal or subcutaneous injections.
Question 2 of 5
Which of the following sites would be appropriate to use for an intramuscular injection in a 14-month-old infant with pneumonia?
Correct Answer: C,D
Rationale: The vastus lateralis and ventrogluteal sites are appropriate for IM injections in a 14-month-old due to sufficient muscle mass and safety.
Question 3 of 5
Which of the following drugs requires a second and third nurse to verify the dosage?
Correct Answer: A,C
Rationale: Insulin and heparin are high-alert medications requiring double or triple verification to prevent dosage errors.
Question 4 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.
Question 5 of 5
What angle of insertion should be used for intramuscular injections?
Correct Answer: D
Rationale: Intramuscular injections require a 90-degree angle to ensure the medication reaches the muscle tissue.