Med exam

Question 1

Requirements on a med order

Answer 1

patient’s name
date and time of order
drug
dose
route
frequency of administration
signature of provider
(allergies, pt record #)

Question 2

6 (10) rights of medication administration

Answer 2

Patient
Time
Dose
Med
Route
documentation
(assessment data, response, education, to refuse)

Question 3

3 checks of med admin

Answer 3

retrieval from drawer
when med is prepared
At bedside

Question 4

1 mg (to mcg)

Answer 4

1000 mcg

Question 5

1 g (mg)

Answer 5

1000 mg

Question 6

1 mL (cc)

Answer 6

1 cc

Question 7

1 tsp (ml)

Answer 7

5 ml

Question 8

1 tbsp (tsp)

Answer 8

3 tsp

Question 9

1 tbsp (ml)

Answer 9

15 mL

Question 10

1 oz (tbsp)

Answer 10

2 tbsp

Question 11

1 oz (mL)

Answer 11

30 mL

Question 12

1 cup (oz)

Answer 12

8 oz

Question 13

1 kg (g)

Answer 13

1000 g

Question 14

1 kg (lbs)

Answer 14

2.2 lbs

Question 15

1 L (mL)

Answer 15

1000 mL

Question 16

Intradermal: gauge needle, length, max volume, Insert angle, Common sites, Where it goes, notes

Answer 16

gauge needle: 26-7
length: 0.25 - 0.5
max volume: 0.5 mL
Insert angle: 5-15º
Common sites: forearm, upper back under scapula
Where it goes: dermis
notes: Longest absorption, bleb or wheel

Question 17

SubQ: gauge needle, length, max volume, Insert angle, Common sites, notes

Answer 17

gauge needle: 25-30
length: ⅜- ⅝
max volume: 1 mL
Insert angle: 45-90º
Common sites: Arms, abdomen, thighs
notes: Rotates if chronic use

Question 18

IM: gauge needle, length, max volume, Insert angle, Common sites, notes

Answer 18

gauge needle: 20-25
length: varies
max volume: 1-3 mL
Insert angle: 90º
Common sites: Deltoid, vastus lateralis, ventrogluteal (NO dorsogluteal)
notes: Fast absorption, onset, long duration

Question 19

Recommended IM sites based on medication type: biological, hepatitis/rabies, irritating/oily/viscous

Answer 19

Biological (infants and peds): vastus lateralis
Biological (older kids and adults): deltoid
Hepatitis/rabies: deltoids
irritating, oily viscous: ventrogluteal

Question 20

Recommended IM sites for infants, peds, adults

Answer 20

Infants: vastus lateralis
Peds: Vastus lateralis, or deltoid
adults: ventrogluteal or deltoid

Question 21

The administration of an intramuscular injection to a neonate should be given in the:
A. Gluteus maximus muscle.
B. Vastus lateralis muscle.
C. Deltoid muscle.
D. The sternocledomastoid muscle.

Answer 21

Correct Response: B
The administration of an intramuscular injection to a neonate should be given in the vastus lateralis, rectus femoris and ventrogluteal muscle sites and not the deltoid or the gluteus maximus muscles because these muscles have not yet developed.
The sternocledomastoid muscle is not an intramuscular injection site.

Question 22

relative speed of absorption sub Q injection sites

Answer 22

abdomen > arm > thigh > upper-ventral/dorsogluteal

Question 23

insulin needle sizes/gauges

Answer 23

28-30 gauge, 5/16-1/2 inch needles, shorter is becoming more common

Question 24

When to use a filter needle

Answer 24

when using a single dose ampule, the filter needle filters out any glass that might have gotten into the ampule

Question 25

1 Inch (cm)

Answer 25

2.5 cm

Question 26

1 dL (L)

Answer 26

0.1 L

Question 27

1 cup (ml)

Answer 27

240 ml