ATI Nur 104 Fundamentals Final Exam | Nurselytic

Questions 49

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ATI Nur 104 Fundamentals Final Exam Questions

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Question 1 of 5

A nurse is planning to administer an IM injection into a client's deltoid muscle. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B: Inject a volume of less than 2 ml. The deltoid muscle has a limited capacity to absorb medication, making it suitable for small-volume injections like vaccines. Injecting more than 2 ml into the deltoid can cause discomfort, tissue damage, and inconsistent absorption. Using a 21-gauge needle (option
A) may be appropriate for some IM injections but is not specific to deltoid injections. Injecting the medication 12.7 cm below the client's acromion process (option
C) is too low; the correct landmark is 2-3 fingerbreadths below the acromion process. Injecting at a 90° angle (option
D) is appropriate for intramuscular injections but not specific to deltoid injections.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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