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Worksheets

Pharmacology Chap 64

Total questions: 74

Worksheet time: 43mins

Name
Class
Date
1.

When administering IM and subcutaneous injections, insert and remove the needle?

a)

Slowly

b)

Quickly

c)

At a 45* angle

d)

1 minute later

2.

Always _ injection sites for clients who receive injections on a regular basis.

a)

Massage

b)

Clean

c)

Rotate

d)

Warm

3.

A _ is a equipped glass self-sealing rubber stopper that contains a single premeasured or multi dose medication.

a)

Syringe

b)

Plunger

c)

Vial

d)

Ampule

4.

The inner portion of the syringe that fits inside the barrel of the syringe is known as?

a)

Gauge

b)

Bevel

c)

Plunger

d)

Needle

5.

_ injections typically are given using a 1mL tuberculin syringe.

a)

Subcutaneous

b)

Intramuscular

c)

Flu

d)

Intradermal

6.

Always dispose of all syringes and needles in the _ container provided.

a)

Sterile pack

b)

Sharps

c)

Biohazard

d)

Trash bag

7.

Provides a single dose prepared by manufacturer or pharmacy.

a)

Vial

b)

Prefilled syringe

c)

Ampule

d)

Flu vaccine

8.

Some injectable medications are supplied as powders that must be reconstituted

a)

Saline solution

b)

Diluent

c)

Dextrose

d)

Vial

9.

Glass container equipped a self sealing rubber stopper

a)

Ampule

b)

Vial

c)

Syringe

d)

Prefilled syringe

10.

Glass container that holds a premeasured, single medication dose.

a)

Vial

b)

Ampule

c)

Prefilled syringe

d)

Plunger

11.

What are the most common signs of infiltrations of an IV? (SAP)

a)

Tissue is red/white

b)

Swelling

c)

Pain at injection site

d)

Coolness of site

12.

What are the common reasons that a medication may be administered by injection? (SAP)

a)

More effective

b)

Patient needs medication STAT

c)

Oral medication not available

d)

Stomach acid may absorb affect of medication

e)

Patient can’t swallow

13.

When administering a intradermal injection, why should the client not scratch or pinch the site?

a)

It could cause an allergic reaction

b)

It could damage site

c)

Could alter results

d)

Could cause amputation of arm

14.

There are a number of commonalities b/t the administration of subcutaneous and intradermal injections. What are the MAJOR differences?

a)

The needles are different

b)

IM injections are more difficult to administer

c)

Injecting into tissue instead of muscle is dangerous

d)

Possibility of hitting bone

15.

Name the commonly used intravenous (IV) solutions: (SAP)

a)

Normal saline

b)

Sterile water

c)

5% dextrose in normal saline

d)

5% dextrose in sterile water

16.

Infusion in vein

a)

Intravenous (IV)

b)

Blood draw

c)

Medication flush

d)

Pushing of meds

17.

Flat layer injection site

a)

SUBQ

b)

Dermis

c)

IM

d)

Intradermal

18.

During IM injections, it is important to inject into the muscle only because injecting into tissue could cause breakdown within the body and destroy tissues.

a)

True

b)

False

19.

The length of the needle makes a difference in hitting proper injection sites.

a)

True

b)

False

20.

Oral medication is the most effective way of giving medications?

a)

True

b)

False

21.

When administering medications, what is the critical action? (SAP)

a)

correct dosage

b)

Correct calculations

c)

Giving all at the same time

d)

Giving one at a time

22.

When giving insulin, always use same spot to prevent destroying and the breakdown of tissues?

a)

True

b)

False

23.

When administering medication, try invasive administration first?

a)

true

b)

False

24.

Your patient, who was involved in a motor vehicle accident, complains of pain and has Dilaudid 2mg IM q3hrs pro. How many milliliters will you administer?

(Timer set to 1 minute)

a)

0.5mL

b)

3.6mL

c)

1.6mL

d)

0.8mL

25.

The physician orders erythromycin 0.4 g IV today. The drug is supplied in vials containing 500mg/10mL. How many milliliters will the nurse prepare?

(Timer set to 1 min)

a)

6mL

b)

4mL

c)

8mL

d)

3mL

26.

Mrs. Jesse has Cardizem 20mg IV ordered STAT for hypertension. The vial comes in 25mg (5mg/ml). How many milliliters will the nurse administer?

a)

2mL

b)

6mL

c)

4mL

d)

3mL

27.

Mr. Ryan has Tiguan 200mg IM ordered three times a day for nausea and vomiting. The vial comes in 100mg/mL - 20mL multi-dose vial. How many milliliters will the nurse administer?

a)

2mL

b)

6mL

c)

2.5mL

d)

3mL

28.

The physician orders Benadryl 25mg IV for your patient with a mild medication reaction. The vial contains 50mg/mL with high potency 10mL. How many milliliters will you prepare?

a)

0.3mL

b)

1.5mL

c)

0.5mL

d)

0.2mL

29.

Ms. Straw has Anzemet 100mg IV ordered to be given 30 minutes before her chemotherapy. Anzenmet 20mg/nL is available. How many milliliters will the nurse administer?

a)

2mL

b)

5mL

c)

3mL

d)

3.5mL

30.

Mr. Trent has hydroxyzine 75mg I’m ordered for severe motion sickness. You have hydroxyzine 50mg/mL available. How many milliliters will you administer?

a)

2.3mL

b)

1.5mL

c)

2mL

d)

1mL

31.

Your patient who has undergone parathyroidectomy receives ampicillin 200mg IV q6h. Ampicillin 125 mg/mL is available. How many milliliters will you prepare?

a)

1.3mL

b)

1.6mL

c)

1.5mL

d)

2mL

32.

An injection often used for diagnostic testing, a shallow injection just beneath the epidermis.

a)

Subcutaneous

b)

Intradermal

c)

Intramuscular

d)

Skin

33.

Adipose is known as

a)

Cells

b)

Fatty tissues

c)

The middle of muscle

d)

The middle layer within a vessel

34.

Injection given into fatty tissue just below the dermis and is used for small amounts of medication that require slow, systematic absorption.

a)

Intradermal

b)

Subcutaneous

(SUBQ)

c)

Intramuscular

(IM)

d)

TB test

35.

Intramuscular injections are given in muscles situated below the dermal and subcutaneous layers of the skin?

a)

False

b)

True

36.

For IM injection, where is the Ventrogluteal located?

a)

Side of thigh

b)

Side of hip

c)

Anterior thigh

d)

Bottocks

37.

For IM injections, where is the Deltoid site located?

a)

Anterior thigh

b)

Upper arm

c)

Buttocks

d)

Hip

38.

For IM injections, where is the Vastus site located?

a)

Side of hip

b)

Side of arm

c)

Back of arm (fatty tissue)

d)

Side of thigh

39.

Ventrogluteal is the best site for giving IM injections?

a)

True

b)

False

40.

When large amounts of medication is ordered, A needle with with a larger bore, most often a 1 1/2” to 2”…… 20 to 22 gauge needle is used depending on medication given for what type of injection?

a)

Subcutaneous

(SUBQ)

b)

Intramuscular

(IM)

c)

Intradermal

d)

Tissues only

41.

The dorsogluteal site is rarely used anymore, however when administering to this site what should the nurse cautious of?

a)

Hitting a bone

b)

Hitting femoral artery

c)

Hitting siatic nerve

d)

Injecting medication into bone marrow

42.

At what degree should the needle be inserted for a Ventrogluteal injection?

a)

90 degrees

b)

10-15 degrees

c)

30-45 degrees

d)

70-75 degress

43.

IM injections given in the Deltoid is a high risk of what?

a)

Hitting artery

b)

Hitting radial nerve

c)

Paralysis of ulna nerve

d)

Swelling of the shoulder

44.

IM injections in the deltoid can be used for children of what age?

a)

2 years or older

b)

4 years or older

c)

10 or older

d)

6 or older

45.

What is the MAX of medication that can be injected IM into the Deltoid?

a)

0.5mL

b)

1.5mL

c)

1mL

d)

1.5-2.5 mL

46.

A injection that is recommended for administering irons, steroids and other medications into the dermal and subcutaneous layers, due to the medications irritating skin and other body tissues may be administered how?

a)

Intradermal

b)

Z-Track

(Zig-Zag)

c)

Intramuscularly

d)

In the Vastus lateralis site

47.

The deltoid muscle is located on the lateral aspect of the upper arm, how many inches from the acrimony process?

a)

3-4”

b)

1-2”

c)

1”

d)

2”

48.

This injection site is a thick muscle located on the anterior area of the thigh and is commonly used to give IM injections to infants and children 3 years or younger because it has largest mass of muscle.

a)

Ventrogluteal

b)

Vastus Lateralis

c)

Rectus Femoris

d)

Dorsogluteal

49.

IM and SUBQ injections should first be aspirated before injecting to make sure you’re not in a vessel?

a)

True

b)

False

50.

When administering Heparin via IM and SUBQ injection. Why should you NOT aspirate first?

a)

Risk of getting air in muscle

b)

Contamination

c)

Dilution of medication

d)

Getting in blood vessel isn’t a concern.

51.

Infilteration means the flowing of fluid into veins instead of tissues?

a)

true

b)

False

52.

Injection medications that come in powder must be reconstituted with

a)

Normal saline

b)

Diluent

c)

Distilled water

d)

Blood

53.

Discard any unused portion of an ampule’s contents, because it is not possible to prevent contamination of an open ampule.

a)

True

b)

False

54.

What are the 3 parts of a needle? (SAP)hub

a)

Hub

b)

Bevel

c)

Shaft

d)

Barrel

55.

After giving an injection, the sheath is pulled out and ____ to lack and prevent reuse.

a)

Snap up until it clicks

b)

Snap down until it clicks

c)

Twist until it clicks

d)

Discarded immediately in sharps container

56.

If a safety syringe isn’t available, a ____ can be used, which locks the tip of the needle in place preventing needle stick.

a)

Needleless system

b)

Sheath

c)

Point-Loc device

d)

Scoop method

57.

It is perfectly ok to recap a needle slowly if wearing gloves and with using caution.

a)

True

b)

False

58.

An IM injection is given in what degree angle?

a)

45-60

b)

72-90

c)

72-75

d)

15-20

59.

A subcutaneous injection is given at what degree angle?

a)

75

b)

35

c)

40

d)

45

60.

A subcutaneous injection may be given at this degree angle if the patient is heavy or the needle is short.

a)

75

b)

90

c)

65

d)

95

61.

A intradermal injection is given using what degree of the needle?

a)

15-20

b)

20-25

c)

5-10

d)

10-15

62.

What safety issue arises from administering IM injection while patient is standing? (SAP)

a)

Vertigo

b)

Nausea

c)

Vasovagal reaction

d)

Fainting

63.

If a nurse or staff sustains a needle stick, what are the actions that must or will be taken? (SAP)

a)

Report immediately to employee health services

b)

File incident report

c)

Blood tests are required

d)

Immediate care if patient has HIV, Staph or Hepatitis

64.

How often must blood work be repeated after a needle stick occurs in workplace?

a)

Every 3 months

b)

Every 6 months

c)

Every year

d)

Every 5 years

65.

Why should injection sites be rotated? (SAP)

a)

Maintain integrity of tissue

b)

To prevent skin breakdown

c)

To avoid buildup of medication in one place

d)

The prevent atrophy

66.

Why is it important to understand the procedures and techniques of injectable? (SAP)

a)

more invasive than oral

b)

More invasive than oral & rectal

c)

Because you are entering blood stream

d)

Prevents allergic reactions to a medication

67.

What is an example of a medication that comes prefilled?

a)

Liquid tylenol

b)

Lovenox

c)

Amoxicillin

d)

Morphine

68.

Needles have the ability to chip or break through a bone, so it is important to select correct size needle.

a)

true

b)

False

69.

A strict aseptic technique to prevent contamination should be used when?

a)

Drawing blood

b)

Drawing up any injections

c)

Recapping needles

d)

Selecting appropriate needle size

70.

What medical personnel are allowed to administer and injection? (SAP)

a)

CNA

b)

LPN

c)

Medical Assistant

d)

RN

71.

What syringes are typically used for SUBQ injections?

a)

5/8 to 1”

1-2mL

b)

5/8 to 2”

2-3mL

c)

5/8 to 1.5”

1-1.5mL

d)

5/8 to 3”

2-3mL

72.

What should be done if more than 1 to 1 1/2 mLs are to be injected subcutaneously? (SAP)

a)

Divide dose into 2 syringes

b)

Use a bigger syringe

c)

Administer in 2 different sites

d)

Contact pharmacy for clarification

73.

A 2 to 3 mL syringe with a 1 to 1 1/2” needle is commonly used for what type of injection?

a)

Intradermal

b)

Intramuscular

c)

SUBQ

74.

What are the differences b/t subcutaneous and I’m injections? (SAP)

a)

IM injections are more difficult and dangerous than SC

b)

Site and needle used

c)

Angle at which administered

d)

Patients age