Parenteral meds

Question 1

1. What is the primary advantage of parenteral medication administration?
   a) Slower onset of action
   b) Higher risk of infection
   c) Faster and more complete absorption
   d) Less pain during administration

Answer 1

Answer: c) Faster and more complete absorption
Rationale: Parenteral routes allow medications to enter the bloodstream directly, providing rapid effects.

Question 2

2. Which of the following is a common method for administering parenteral medications?
   a) Oral tablets
   b) Intravenous (IV) injection
   c) Inhalation
   d) Sublingual tablets

Answer 2

Answer: b) Intravenous (IV) injection
Rationale: IV injection is a standard method for parenteral administration.

Question 3

3. What is the most critical aspect of preparing for parenteral medication administration?
   a) Choosing the right size needle
   b) Ensuring the medication is at room temperature
   c) Using aseptic technique to prevent infection
   d) Confirming the expiration date

Answer 3

Answer: c) Using aseptic technique to prevent infection
Rationale: Aseptic technique is vital to reduce the risk of infection during parenteral administration.

Question 4

4. Which site is commonly used for intramuscular (IM) injections?
   a) Dorsal aspect of the hand
   b) Ventrogluteal muscle
   c) Subcutaneous tissue of the abdomen
   d) Inner forearm

Answer 4

Answer: b) Ventrogluteal muscle
Rationale: The ventrogluteal site is preferred for IM injections due to its deep muscle location and reduced risk of nerve injury.

Question 5

5. What is the appropriate technique for drawing up medication from a vial?
   a) Use a single needle to draw up the medication and inject
   b) Inject air into the vial before drawing up medication
   c) Draw medication directly from the vial without using a syringe
   d) Use a blunt needle for drawing up and a sharp needle for injection

Answer 5

Answer: b) Inject air into the vial before drawing up medication
Rationale: Injecting air helps equalize pressure, making it easier to draw the medication.

Question 6

6. What is the risk associated with administering parenteral medications?
   a) Lower effectiveness compared to oral medications
   b) Increased risk of drug interactions
   c) Potential for needle-stick injuries and infection
   d) Longer duration of action

Answer 6

Answer: c) Potential for needle-stick injuries and infection
Rationale: Parenteral administration carries a higher risk for injuries and infections if aseptic technique is not followed.

Question 7

7. How should a nurse respond if a patient shows signs of an allergic reaction after a parenteral medication is administered?
   a) Continue monitoring the patient
   b) Administer another dose of the medication
   c) Stop the medication and notify the provider immediately
   d) Document the reaction only if it is severe

Answer 7

Answer: c) Stop the medication and notify the provider immediately
Rationale: Promptly stopping the medication and informing the provider is crucial in managing allergic reactions.

Question 8

8. Which parenteral route is often used for vaccinations?
   a) Intravenous
   b) Subcutaneous
   c) Intramuscular
   d) Intraosseous

Answer 8

Answer: c) Intramuscular
Rationale: Many vaccines are administered intramuscularly for optimal absorption and immune response.

Question 9

9. What is the best practice for disposing of used needles and syringes?
   a) Throw them in the regular trash
   b) Recap the needle before disposal
   c) Place them in a designated sharps container
   d) Flush them down the toilet

Answer 9

Answer: c) Place them in a designated sharps container
Rationale: Used needles and syringes must be disposed of in sharps containers to prevent injury and infection.

Question 10

10. Which gauge needle is typically used for drawing up thick medications, such as certain antibiotics?
    a) 25-gauge
    b) 18-gauge
    c) 22-gauge
    d) 30-gauge

Answer 10

Answer: b) 18-gauge
Rationale: An 18-gauge needle is larger and suitable for drawing up thicker medications.

Question 11

11. In which scenario would a nurse administer a medication via the subcutaneous route?
    a) For rapid fluid resuscitation
    b) For a bolus of medication
    c) For slow absorption of medication
    d) For immediate pain relief

Answer 11

Answer: c) For slow absorption of medication
Rationale: Subcutaneous injections provide a slower and more sustained absorption than intramuscular or intravenous routes.

Question 12

12. What is a critical step in ensuring aseptic technique during parenteral medication preparation?
    a) Wearing gloves
    b) Using an alcohol swab to clean the vial top
    c) Pre-filling syringes
    d) Storing medication at room temperature

Answer 12

Answer: b) Using an alcohol swab to clean the vial top
Rationale: Cleaning the vial top with an alcohol swab reduces the risk of contamination.

Question 13

13. When preparing to give an intradermal injection, what angle should the needle be inserted?
    a) 15 degrees
    b) 30 degrees
    c) 45 degrees
    d) 90 degrees

Answer 13

Answer: a) 15 degrees
Rationale: Intradermal injections are given at a 15-degree angle to ensure the medication is delivered just under the skin.

Question 14

14. Which of the following is NOT a parenteral route of administration?
    a) Intravenous
    b) Subcutaneous
    c) Sublingual
    d) Intramuscular

Answer 14

Answer: c) Sublingual
Rationale: Sublingual is an oral route, not a parenteral route.

Question 15

15. What action should a nurse take if a medication’s label is unclear before administration?
    a) Proceed with the administration
    b) Consult the pharmacy or provider for clarification
    c) Guess based on the patient’s history
    d) Administer half the dose

Answer 15

Answer: b) Consult the pharmacy or provider for clarification
Rationale: Unclear medication labels must be clarified to prevent errors.

Question 16

16. What is the typical volume limit for intradermal injections?
    a) 0.5 mL
    b) 1 mL
    c) 2 mL
    d) 0.1 mL

Answer 16

Answer: d) 0.1 mL
Rationale: Intradermal injections typically use volumes of 0.1 mL or less to avoid tissue damage.

Question 17

17. Which factor can affect the absorption rate of a parenteral medication?
    a) The patient’s age
    b) The medication’s form
    c) Injection site blood flow
    d) All of the above

Answer 17

Answer: d) All of the above
Rationale: Several factors, including age, medication form, and blood flow, influence absorption rates.

Question 18

18. Which equipment is necessary for administering parenteral medications?
    a) Oral syringe
    b) Glass ampule
    c) Band-aids only
    d) Sterile gloves

Answer 18

Answer: d) Sterile gloves
Rationale: Wearing sterile gloves is essential to maintain aseptic technique during parenteral medication administration.

Question 19

19. Which of the following medications is commonly administered via the intranasal route?
    a) Insulin
    b) Vaccines
    c) Naloxone
    d) Heparin

Answer 19

Answer: c) Naloxone
Rationale: Naloxone can be effectively administered intranasally for opioid overdose reversal.

Question 20

20. Why is it important to rotate injection sites for parenteral medications?
    a) To enhance patient comfort
    b) To prevent tissue damage and scarring
    c) To reduce the risk of infection
    d) All of the above

Answer 20

Answer: d) All of the above
Rationale: Rotating sites improves comfort, minimizes tissue damage, and reduces infection risks.

Question 21

1. Which route of administration allows for the fastest onset of action?
   a) Intramuscular
   b) Subcutaneous
   c) Intravenous
   d) Oral

Answer 21

Answer: c) Intravenous
Rationale: Intravenous administration delivers medication directly into the bloodstream for immediate effect.

Question 22

2. What is the maximum volume typically administered via the intramuscular (IM) route in adults?
   a) 0.5 mL
   b) 1 mL
   c) 2 mL
   d) 5 mL

Answer 22

Answer: c) 2 mL
Rationale: The maximum volume for IM injections is generally 2 to 5 mL, depending on the muscle used.

Question 23

3. Which site is preferred for subcutaneous (SC) injections?
   a) Deltoid muscle
   b) Ventrogluteal site
   c) Abdomen
   d) Dorsal gluteal site

Answer 23

Answer: c) Abdomen
Rationale: The abdomen is a common site for SC injections due to its ease of access and consistent absorption.

Question 24

4. Which route of administration requires the medication to be injected into the dermis?
   a) Subcutaneous
   b) Intramuscular
   c) Intradermal
   d) Intravenous

Answer 24

Answer: c) Intradermal
Rationale: Intradermal injections are administered into the dermal layer of the skin for specific testing or local effect.

Question 25

5. What is a key consideration when administering medications via the epidural route?
   a) Use of a larger gauge needle
   b) Monitoring for respiratory depression
   c) Administration by a nurse
   d) Rapid infusion

Answer 25

Answer: b) Monitoring for respiratory depression
Rationale: Medications administered epidurally can affect the central nervous system, necessitating careful monitoring for side effects.

Question 26

6. Which parenteral route allows for medication to bypass the blood-brain barrier?
   a) Intravenous
   b) Intrathecal
   c) Subcutaneous
   d) Intraosseous

Answer 26

Answer: b) Intrathecal
Rationale: Intrathecal administration involves injecting medication directly into the cerebrospinal fluid, allowing it to reach the central nervous system.

Question 27

7. A nurse is preparing to administer an intramuscular injection. What is the best angle for needle insertion?
   a) 15 degrees
   b) 45 degrees
   c) 90 degrees
   d) 30 degrees

Answer 27

Answer: c) 90 degrees
Rationale: Intramuscular injections are administered at a 90-degree angle to ensure the medication reaches the muscle tissue.

Question 28

8. What is the most appropriate site for an intradermal injection?
   a) Abdomen
   b) Forearm
   c) Dorsal gluteal area
   d) Deltoid muscle

Answer 28

Answer: b) Forearm
Rationale: The forearm is commonly used for intradermal injections, especially for allergy testing and tuberculosis screening.

Question 29

9. Which of the following routes is NOT typically administered by nurses?
   a) Intravenous
   b) Subcutaneous
   c) Epidural
   d) Intramuscular

Answer 29

Answer: c) Epidural
Rationale: Epidural medications are usually administered by providers, with nurses monitoring the patient.

Question 30

10. What should a nurse do before administering an intramuscular injection?
    a) Shake the medication vial vigorously
    b) Verify the injection site and clean it with an alcohol swab
    c) Inject medication at an angle
    d) Aspirate the syringe before injecting

Answer 30

Answer: b) Verify the injection site and clean it with an alcohol swab
Rationale: Proper site verification and cleaning are essential to prevent infection and ensure safety.

Question 31

11. Which medication is often administered via the intrathecal route?
    a) Antibiotics
    b) Pain medications
    c) Chemotherapy agents
    d) All of the above

Answer 31

Answer: d) All of the above
Rationale: Intrathecal administration can deliver a variety of medications, including antibiotics, pain medications, and chemotherapy agents.

Question 32

12. A nurse is administering a medication via the intraosseous route. What is the primary reason for this choice?
    a) Long-term medication administration
    b) Rapid access to the vascular system
    c) Ease of administration
    d) Minimal pain for the patient

Answer 32

Answer: b) Rapid access to the vascular system
Rationale: Intraosseous access provides immediate access to the systemic circulation, especially in emergency situations.

Question 33

13. What is a potential complication of intramuscular injections?
    a) Infection
    b) Abscess formation
    c) Nerve damage
    d) All of the above

Answer 33

Answer: d) All of the above
Rationale: Complications of IM injections can include infection, abscess formation, and nerve damage if administered improperly.

Question 34

14. Which site is NOT recommended for intramuscular injections in infants?
    a) Vastus lateralis
    b) Deltoid
    c) Ventrogluteal
    d) Dorsogluteal

Answer 34

Answer: d) Dorsogluteal
Rationale: The dorsogluteal site is not recommended for infants due to the risk of injury to the sciatic nerve.

Question 35

15. What type of needle is typically used for intradermal injections?
    a) 18-gauge
    b) 25-gauge
    c) 27-gauge
    d) 30-gauge

Answer 35

Answer: c) 27-gauge
Rationale: A finer gauge needle, such as 27-gauge, is used for intradermal injections to minimize discomfort and prevent deeper tissue penetration.

Question 36

16. For what purpose is the subcutaneous route typically used?
    a) To provide rapid action medications
    b) To administer vaccines and insulin
    c) To administer large volumes of medication
    d) To provide immediate pain relief

Answer 36

Answer: b) To administer vaccines and insulin
Rationale: The subcutaneous route is commonly used for vaccines and insulin due to its ease of administration and slower absorption.

Question 37

17. What is the recommended needle length for an intramuscular injection in an adult?
    a) 0.5 inch
    b) 1 inch
    c) 1.5 inches
    d) 2 inches

Answer 37

Answer: c) 1.5 inches
Rationale: A 1.5-inch needle is typically recommended for IM injections in adults to ensure adequate penetration into the muscle.

Question 38

18. Which condition may contraindicate the use of the intramuscular route?
    a) Patient with obesity
    b) Patient with bleeding disorders
    c) Patient with a high fever
    d) Patient who is allergic to medications

Answer 38

Answer: b) Patient with bleeding disorders
Rationale: Patients with bleeding disorders are at risk for bleeding and hematoma formation with IM injections.

Question 39

19. A nurse administers a medication via the epidural route. What is the most important monitoring parameter?
    a) Blood pressure
    b) Level of consciousness
    c) Respiratory rate
    d) Heart rate

Answer 39

Answer: c) Respiratory rate
Rationale: Monitoring respiratory rate is crucial as epidural medications can cause respiratory depression.

Question 40

20. Which route of administration is least likely to cause discomfort for the patient?
    a) Intradermal
    b) Intramuscular
    c) Subcutaneous
    d) Epidural

Answer 40

Answer: d) Epidural
Rationale: Epidural administration typically causes less discomfort compared to injections into muscle or skin.

Question 41

1. Why is it important to consider the volume of medication when administering an injection?
   A) To ensure comfort
   B) To determine the injection route
   C) To prevent complications
   D) To reduce cost

Answer 41

B) To determine the injection route
Rationale: Different routes have volume limitations; knowing the volume helps choose the appropriate route for administration.

Question 42

2. What factor affects the absorption rate of an injected medication?
   A) Color of the medication
   B) Viscosity of the medication
   C) Time of day
   D) Patient’s mood

Answer 42

B) Viscosity of the medication
Rationale: Viscosity can influence how quickly a medication is absorbed into the bloodstream from the injection site.

Question 43

3. Which anatomical structures should be considered when selecting an injection site?
   A) Bones and muscles
   B) Veins only
   C) Hair follicles
   D) Skin color

Answer 43

A) Bones and muscles
Rationale: Understanding nearby structures helps avoid injury and ensures effective administration of the medication.

Question 44

4. What is a critical component of proper technique in injection administration?
   A) Using the same site for every injection
   B) Ensuring the needle is the right size
   C) Injecting quickly
   D) Ignoring the patient’s pain

Answer 44

B) Ensuring the needle is the right size
Rationale: Using an appropriate needle size is crucial for effective delivery of the medication and minimizing discomfort.

Question 45

5. Why is site selection important for injections?
   A) It impacts the cost of the medication
   B) It determines the patient’s comfort level
   C) It affects absorption and risk of complications
   D) It has no effect

Answer 45

C) It affects absorption and risk of complications
Rationale: Proper site selection can enhance medication absorption and reduce the risk of complications like nerve damage.

Question 46

6. Which of the following would be a potential complication of improper injection technique?
   A) Enhanced effectiveness
   B) Reduced side effects
   C) Infection or abscess formation
   D) Increased patient satisfaction

Answer 46

C) Infection or abscess formation
Rationale: Improper technique can introduce pathogens, leading to infection or abscess at the injection site.

Question 47

7. What is the best practice for preparing the injection site?
   A) Just wipe with a dry cloth
   B) Use alcohol swab and let it dry
   C) Avoid cleaning to save time
   D) Apply lotion before injection

Answer 47

B) Use alcohol swab and let it dry
Rationale: Cleaning the site with an alcohol swab and allowing it to dry reduces the risk of infection during injection.

Question 48

8. How can a nurse minimize discomfort during an injection?
   A) Injecting the medication as quickly as possible
   B) Using a larger needle
   C) Injecting at room temperature
   D) Ignoring the patient’s concerns

Answer 48

C) Injecting at room temperature
Rationale: Medications at room temperature are less likely to cause discomfort compared to cold medications, which can be painful when injected.

Question 49

9. When considering the viscosity of a medication, what is a key consideration?
   A) Only the color of the medication
   B) The route of administration
   C) The type of needle used
   D) The time of administration

Answer 49

C) The type of needle used
Rationale: More viscous medications often require a larger gauge needle for effective administration.

Question 50

10. Which injection route is most likely to have the fastest absorption rate?
    A) Intramuscular
    B) Subcutaneous
    C) Intravenous
    D) Intradermal

Answer 50

C) Intravenous
Rationale: IV injections provide immediate access to the bloodstream, resulting in the fastest absorption of medication.

Question 51

11. How does proper technique impact patient safety during injections?
    A) It does not impact safety
    B) It minimizes discomfort and complications
    C) It speeds up the process
    D) It increases medication cost

Answer 51

B) It minimizes discomfort and complications
Rationale: Proper technique reduces the risk of adverse effects and enhances the patient’s overall experience during injections.

Question 52

12. What should be done if a patient reports pain at the injection site?
    A) Ignore it
    B) Assess the site and technique used
    C) Document only
    D) Reassure without investigation

Answer 52

B) Assess the site and technique used
Rationale: Assessing the site and technique helps determine the cause of the pain and guides appropriate interventions.

Question 53

13. In what situation would a nurse need to reconsider the injection site?
    A) When the patient requests it
    B) If the patient has a history of allergies
    C) If the site is red or swollen
    D) If the medication is expensive

Answer 53

C) If the site is red or swollen
Rationale: Signs of infection or inflammation at the site indicate that an alternative site should be used to avoid complications.

Question 54

14. What is the significance of understanding tissue characteristics when giving an injection?
    A) It determines the medication’s color
    B) It helps select the appropriate needle length
    C) It has no significance
    D) It ensures the patient’s comfort

Answer 54

B) It helps select the appropriate needle length
Rationale: Different tissues require different needle lengths for effective delivery of medications.

Question 55

15. How often should injection sites be rotated to avoid complications?
    A) Every other day
    B) After every injection
    C) Based on the provider’s orders and facility policy
    D) Not necessary

Answer 55

C) Based on the provider’s orders and facility policy
Rationale: Following established protocols for site rotation reduces the risk of complications such as tissue damage or infection.

Question 56

1. What type of syringe is best for ensuring a secure connection with the needle?
   A) Non-Luer-Lok
   B) Luer-Lok
   C) Insulin syringe
   D) Disposable syringe

Answer 56

B) Luer-Lok
Rationale: Luer-Lok syringes have a locking mechanism that securely attaches the needle, preventing accidental disconnection during use.

Question 57

2. When selecting a needle for an injection, which factor is most important?
   A) Needle color
   B) Medication viscosity
   C) Patient’s age
   D) Length of the syringe

Answer 57

B) Medication viscosity
Rationale: The viscosity of the medication determines the gauge and length of the needle needed for effective administration.

Question 58

3. What is a typical range of syringe sizes for parenteral administration?
   A) 1 mL to 5 mL
   B) 0.5 mL to 60 mL
   C) 10 mL to 100 mL
   D) 5 mL to 50 mL

Answer 58

B) 0.5 mL to 60 mL
Rationale: Syringes are available in various sizes, ranging from very small (0.5 mL) to large (60 mL) for different medication needs.

Question 59

4. Which gauge needle is appropriate for administering viscous medications?
   A) Smaller gauge (higher number)
   B) Larger gauge (lower number)
   C) Any gauge
   D) Only insulin needles

Answer 59

B) Larger gauge (lower number)
Rationale: Larger gauge needles (lower number) are used for viscous medications to allow for easier passage through the needle.

Question 60

5. What is the primary use of ampules in parenteral administration?
   A) Storing large volumes
   B) Sterile storage of medications
   C) Non-sterile storage
   D) For oral medications

Answer 60

B) Sterile storage of medications
Rationale: Ampules are designed to store medications in a sterile environment until they are opened for use.

Question 61

6. What is the correct procedure for drawing medication from an ampule?
   A) Use a non-filtered needle
   B) Break the ampule and draw without filtering
   C) Use a filter needle
   D) Use a larger syringe

Answer 61

C) Use a filter needle
Rationale: A filter needle is used to prevent glass shards from entering the syringe when drawing medication from an ampule.

Question 62

7. Which factor can influence the choice of needle length for an injection?
   A) Patient’s weight
   B) Injection site and type of tissue
   C) Medication color
   D) Time of day

Answer 62

B) Injection site and type of tissue
Rationale: The injection site (e.g., intramuscular vs. subcutaneous) and tissue depth determine the appropriate needle length.

Question 63

8. What should a nurse do before using a vial for medication administration?
   A) Check the expiration date
   B) Wash the vial with soap
   C) Shake the vial vigorously
   D) Remove the label

Answer 63

A) Check the expiration date
Rationale: Checking the expiration date ensures that the medication is safe and effective for use.

Question 64

9. How should a nurse prepare to use a syringe for drawing up medication?
   A) Clean the syringe with water
   B) Choose the correct size and ensure it’s sterile
   C) Use a used syringe
   D) Attach any needle

Answer 64

B) Choose the correct size and ensure it’s sterile
Rationale: Selecting the correct size syringe and ensuring sterility are critical for safe medication administration.

Question 65

10. When is it appropriate to use a non-Luer-Lok syringe?
    A) For all injections
    B) When using pre-filled syringes
    C) For drawing medications from vials
    D) For injections only

Answer 65

B) When using pre-filled syringes
Rationale: Non-Luer-Lok syringes are typically used for pre-filled medications where a secure connection is not required.

Question 66

11. Which of the following is a disadvantage of using an ampule?
    A) They are more affordable
    B) They are less likely to break
    C) They require filtering
    D) They are easy to use

Answer 66

C) They require filtering
Rationale: Ampules require the use of a filter needle to avoid drawing up glass particles, which is a step not needed with vials.

Question 67

12. What is the purpose of using a filter needle when drawing up medication from an ampule?
    A) To make it easier to draw up medication
    B) To prevent contamination
    C) To ensure correct dosage
    D) To remove air bubbles

Answer 67

B) To prevent contamination
Rationale: The filter needle helps prevent glass shards from entering the syringe when drawing from an ampule.

Question 68

13. Why is it important to select the correct needle gauge when preparing for an injection?
    A) To match the patient’s skin color
    B) To ensure patient comfort and effective medication delivery
    C) To save time
    D) To reduce waste

Answer 68

B) To ensure patient comfort and effective medication delivery
Rationale: The right gauge helps minimize pain during the injection and allows the medication to be delivered effectively.

Question 69

14. What should a nurse do if a medication vial appears damaged?
    A) Use it anyway
    B) Discard it and get a new one
    C) Attempt to clean it
    D) Notify the provider only after use

Answer 69

B) Discard it and get a new one
Rationale: Using a damaged vial could compromise sterility and safety, so it should be discarded immediately.

Question 70

15. What is the main advantage of using vials for medication storage?
    A) They are lighter than ampules
    B) They can hold larger volumes and allow for multiple doses
    C) They do not require filtering
    D) They are always less expensive

Answer 70

B) They can hold larger volumes and allow for multiple doses
Rationale: Vials can be used for multiple doses, making them more versatile for medication administration.

Question 71

1. What is the primary purpose of following standard precautions during parenteral administration?
   A) To reduce costs
   B) To minimize needlestick injuries
   C) To speed up the process
   D) To increase patient satisfaction

Answer 71

B) To minimize needlestick injuries
Rationale: Standard precautions are critical to reducing the risk of needlestick injuries and protecting healthcare workers.

Question 72

2. What is one of the best practices to reduce the risk of needlestick injuries?
   A) Reusing needles
   B) Using needleless systems
   C) Ignoring safety protocols
   D) Working quickly

Answer 72

B) Using needleless systems
Rationale: Needleless systems significantly reduce the risk of needlestick injuries by eliminating the need for needles during certain procedures.

Question 73

3. Where should used sharps be disposed of?
   A) In the regular trash
   B) In puncture-resistant containers
   C) In biohazard bags
   D) In a cardboard box

Answer 73

B) In puncture-resistant containers
Rationale: Used sharps must be disposed of in puncture-resistant containers to prevent injury and ensure safe waste management.

Question 74

4. What should a nurse do immediately after a needlestick incident?
   A) Ignore it
   B) Report it immediately
   C) Wait until the end of the shift
   D) Dispose of the needle

Answer 74

B) Report it immediately
Rationale: Prompt reporting of needlestick incidents is essential for proper follow-up and management of potential exposures.

Question 75

5. Which of the following is a key component of standard precautions?
   A) Washing hands only after patient contact
   B) Using gloves for all patient interactions
   C) Wearing gowns at all times
   D) Properly disposing of sharps

Answer 75

D) Properly disposing of sharps
Rationale: Proper disposal of sharps is a fundamental part of standard precautions to minimize risks to healthcare workers and patients.

Question 76

6. Why is it important to use needleless systems when available?
   A) They are cheaper
   B) They save time
   C) They help reduce infection risk
   D) They are easier to use

Answer 76

C) They help reduce infection risk
Rationale: Needleless systems help prevent exposure to bloodborne pathogens, reducing the risk of infection for both patients and healthcare workers.

Question 77

7. What is the best immediate action to take after a needlestick injury?
   A) Apply a bandage
   B) Report the incident and seek medical evaluation
   C) Clean the needle
   D) Continue working

Answer 77

B) Report the incident and seek medical evaluation
Rationale: Immediate reporting and evaluation are crucial for assessing exposure risk and initiating post-exposure protocols.

Question 78

8. Which of the following is NOT considered a standard precaution?
   A) Using gloves
   B) Recapping needles
   C) Hand hygiene
   D) Wearing masks when necessary

Answer 78

B) Recapping needles
Rationale: Recapping needles can increase the risk of needlestick injuries; it is generally discouraged unless using a one-handed technique.

Question 79

9. What type of container is appropriate for disposing of used needles?
   A) Plastic bag
   B) Regular trash can
   C) Biohazard container
   D) Puncture-resistant sharps container

Answer 79

D) Puncture-resistant sharps container
Rationale: Puncture-resistant containers are specifically designed to safely hold used needles and prevent injuries.

Question 80

10. How can healthcare workers minimize their risk of needlestick injuries?
    A) Use more needles
    B) Engage in multitasking during injections
    C) Always dispose of needles properly
    D) Use the same needle multiple times

Answer 80

C) Always dispose of needles properly
Rationale: Proper disposal of needles immediately after use significantly reduces the risk of needlestick injuries.

Question 81

11. What should a nurse do if a needle is accidentally dropped on the floor?
    A) Pick it up immediately
    B) Leave it there
    C) Alert others and use a mechanical device to pick it up
    D) Use hands to retrieve it

Answer 81

C) Alert others and use a mechanical device to pick it up
Rationale: Using a mechanical device helps prevent injury, and alerting others ensures safety in the area.

Question 82

12. What is the most effective way to prevent the transmission of infections during injections?
    A) Wearing gloves
    B) Using sterile equipment
    C) Both A and B
    D) Ignoring precautions

Answer 82

C) Both A and B
Rationale: Wearing gloves and using sterile equipment are both critical measures to prevent infection during injections.

Question 83

13. If a healthcare worker is exposed to a patient’s blood through a needlestick, what is the first step they should take?
    A) Call the patient
    B) Report the exposure
    C) Wash the area with soap and water
    D) Document it in the chart

Answer 83

C) Wash the area with soap and water
Rationale: Immediate washing of the exposed area reduces the risk of infection; reporting comes after first aid measures.

Question 84

14. What is an important consideration when using needleless systems?
    A) They are always more expensive
    B) They require training on their use
    C) They cannot be used with certain medications
    D) They are not effective

Answer 84

B) They require training on their use
Rationale: Proper training is essential to ensure that healthcare workers can use needleless systems effectively and safely.

Question 85

15. What should be included in a facility’s policy on needlestick injuries?
    A) Ignore minor injuries
    B) Provide a clear reporting procedure
    C) Limit reporting to certain staff
    D) Focus only on prevention

Answer 85

B) Provide a clear reporting procedure
Rationale: A clear reporting procedure is vital for effective response and management of needlestick injuries within the facility.

Question 86

1. Which injection technique can help minimize patient discomfort?
   A) Injecting slowly
   B) Injecting rapidly
   C) Using large needles
   D) Avoiding skin cleansing

Answer 86

A) Injecting slowly
Rationale: Injecting slowly allows the tissue to adjust and can reduce pain compared to a rapid injection.

Question 87

2. What is the recommended angle for an intramuscular injection?
   A) 15 degrees
   B) 45 degrees
   C) 90 degrees
   D) 30 degrees

Answer 87

C) 90 degrees
Rationale: Intramuscular injections are typically administered at a 90-degree angle to ensure the medication is delivered into the muscle tissue.

Question 88

3. How can rotating injection sites help minimize discomfort?
   A) It prevents tissue damage
   B) It is unnecessary
   C) It increases anxiety
   D) It delays healing

Answer 88

A) It prevents tissue damage
Rationale: Rotating injection sites helps prevent tissue damage and irritation, reducing discomfort for future injections.

Question 89

4. What should a nurse assess before administering an injection?
   A) Patient’s mood
   B) Injection site for abnormalities
   C) Time of day
   D) Patient’s temperature

Answer 89

B) Injection site for abnormalities
Rationale: Assessing the injection site for abnormalities (e.g., redness, swelling) ensures safe administration and minimizes discomfort.

Question 90

5. Which of the following techniques can help distract a patient during an injection?
   A) Silence
   B) Humor or conversation
   C) Focusing on the needle
   D) Deep breathing

Answer 90

B) Humor or conversation
Rationale: Engaging the patient in conversation or using humor can help distract them from the discomfort of the injection.

Question 91

6. What is one way to ensure proper medication administration technique?
   A) Administering quickly
   B) Avoiding skin cleansing
   C) Following the “Z-track” technique for certain injections
   D) Using a smaller needle

Answer 91

C) Following the “Z-track” technique for certain injections
Rationale: The “Z-track” technique is used to minimize discomfort and leakage for certain intramuscular injections.

Question 92

7. Which of the following can contribute to patient discomfort during an injection?
   A) Using the correct needle size
   B) Skin cleansing
   C) Injecting at the wrong angle
   D) Engaging the patient in conversation

Answer 92

C) Injecting at the wrong angle
Rationale: Injecting at the wrong angle can cause tissue damage and increase discomfort, making proper technique essential.

Question 93

8. When should a nurse apply pressure to the injection site after administration?
   A) Before injection
   B) Immediately after
   C) Only if bleeding occurs
   D) There is no need to apply pressure

Answer 93

B) Immediately after
Rationale: Applying gentle pressure immediately after an injection can help reduce bleeding and minimize discomfort at the site.

Question 94

9. What is the significance of using the correct needle gauge for an injection?
   A) It affects the appearance of the injection site
   B) It determines the medication volume
   C) It can influence the level of pain experienced
   D) It has no impact

Answer 94

C) It can influence the level of pain experienced
Rationale: Using the appropriate needle gauge can minimize pain; a larger gauge needle may cause more discomfort.

Question 95

10. Why is it important to assess a patient’s pain level before and after an injection?
    A) To document their mood
    B) To determine the effectiveness of pain management
    C) To decide on future appointments
    D) It is not necessary

Answer 95

B) To determine the effectiveness of pain management
Rationale: Assessing pain levels helps evaluate how well discomfort is managed and guides future care decisions.

Question 96

1. What is the primary purpose of an intradermal injection?
   A) Pain relief
   B) Allergy testing
   C) Hydration
   D) Nutritional support

Answer 96

B) Allergy testing
Rationale: Intradermal injections are commonly used for allergy tests and tuberculosis screening.

Question 97

2. What is the typical volume range for intradermal injections?
   A) 0.5 mL - 1.0 mL
   B) 0.01 mL - 0.1 mL
   C) 1.0 mL - 3.0 mL
   D) 3.0 mL - 5.0 mL

Answer 97

B) 0.01 mL - 0.1 mL
Rationale: Intradermal injections typically use very small volumes, usually between 0.01 mL and 0.1 mL.

Question 98

3. Which injection route is used for insulin administration?
   A) Intradermal
   B) Subcutaneous
   C) Intravenous
   D) Intramuscular

Answer 98

B) Subcutaneous
Rationale: Insulin is most commonly administered subcutaneously for slower absorption and sustained effect.

Question 99

4. At what angle should subcutaneous injections be administered?
   A) 15°
   B) 30°
   C) 45° to 90°
   D) 90°

Answer 99

C) 45° to 90°
Rationale: Subcutaneous injections can be administered at a 45° to 90° angle depending on the amount of subcutaneous tissue present.

Question 100

5. What is the maximum volume for an intramuscular injection in adults?
   A) 1 mL
   B) 2 mL
   C) 3 mL
   D) 5 mL

Answer 100

D) 5 mL
Rationale: The maximum volume for intramuscular injections can be up to 5 mL, depending on the muscle and patient condition.

Question 101

6. What angle is used for intramuscular injections?
   A) 15°
   B) 30°
   C) 45°
   D) 90°

Answer 101

D) 90°
Rationale: Intramuscular injections are administered at a 90° angle to ensure proper delivery into the muscle tissue.

Question 102

7. Which site is commonly used for subcutaneous injections?
   A) Deltoid
   B) Abdomen
   C) Thigh
   D) Gluteus

Answer 102

B) Abdomen
Rationale: The abdomen is a common site for subcutaneous injections, especially for insulin and heparin, due to the layer of fat.

Question 103

8. What is the primary advantage of intramuscular injections?
   A) Slower absorption
   B) Faster absorption
   C) Smaller volume
   D) Less pain

Answer 103

B) Faster absorption
Rationale: Intramuscular injections allow for faster absorption compared to subcutaneous injections due to increased blood supply in muscles.

Question 104

9. Which injection technique is least likely to cause discomfort?
   A) Intradermal
   B) Subcutaneous
   C) Intramuscular
   D) Intravenous

Answer 104

A) Intradermal
Rationale: Intradermal injections are often less painful than intramuscular injections due to the smaller volume and target location in the skin.

Question 105

10. When administering a subcutaneous injection, what is an important consideration?
    A) Use a larger needle
    B) Avoid skin cleansing
    C) Pinch the skin
    D) Inject quickly

Answer 105

C) Pinch the skin
Rationale: Pinching the skin helps lift the subcutaneous layer, making the injection easier and minimizing discomfort.

Question 106

11. Which of the following is a common site for intramuscular injections?
    A) Abdomen
    B) Deltoid
    C) Subscapular
    D) Forearm

Answer 106

B) Deltoid
Rationale: The deltoid muscle is a common site for intramuscular injections, particularly for vaccines.

Question 107

12. Why is it important to aspirate when administering an intramuscular injection?
    A) To reduce pain
    B) To ensure correct angle
    C) To check for blood return
    D) It is unnecessary

Answer 107

C) To check for blood return
Rationale: Aspiration is done to ensure the needle is not in a blood vessel, which could cause complications if injected.

Question 108

13. What should be done if blood is aspirated during an intramuscular injection?
    A) Continue injecting
    B) Withdraw the needle and choose a new site
    C) Change the needle only
    D) Inject anyway

Answer 108

B) Withdraw the needle and choose a new site
Rationale: If blood is aspirated, the needle should be withdrawn and a new site selected to avoid injecting into a blood vessel.

Question 109

14. What is the primary purpose of rotating injection sites for subcutaneous medications?
    A) To improve aesthetics
    B) To prevent tissue damage
    C) To reduce medication absorption
    D) To increase pain

Answer 109

B) To prevent tissue damage
Rationale: Rotating injection sites helps prevent tissue damage and ensures consistent absorption of the medication.

Question 110

15. Which medication route typically requires a smaller needle gauge?
    A) Intradermal
    B) Subcutaneous
    C) Intramuscular
    D) Intravenous

Answer 110

A) Intradermal
Rationale: Intradermal injections typically require a smaller gauge needle compared to subcutaneous and intramuscular routes.

Question 111

16. What is a common risk associated with intramuscular injections?
    A) Infection
    B) Hypoglycemia
    C) Nausea
    D) Hyperglycemia

Answer 111

A) Infection
Rationale: Like all injection routes, intramuscular injections carry a risk of infection if proper aseptic technique is not followed.

Question 112

17. What should a nurse do after administering an injection?
    A) Dispose of the needle properly
    B) Leave the patient alone
    C) Forget to document
    D) Change the needle

Answer 112

A) Dispose of the needle properly
Rationale: Proper disposal of needles immediately after use is critical for safety and infection control.

Question 113

18. Which method helps reduce pain during an intramuscular injection?
    A) Injecting quickly
    B) Warming the medication
    C) Using a larger needle
    D) Injecting into a vein

Answer 113

B) Warming the medication
Rationale: Warming the medication to body temperature can help reduce pain during intramuscular injection.

Question 114

19. What should be done if the injection site appears swollen after a subcutaneous injection?
    A) Ignore it
    B) Apply a cold compress
    C) Document and notify the provider
    D) Reinject

Answer 114

C) Document and notify the provider
Rationale: Any unusual reaction at the injection site should be documented and reported to ensure proper assessment and care.

Question 115

20. Which of the following actions is important before giving any type of injection?
    A) Identify the patient
    B) Assess the weather
    C) Ensure the room is quiet
    D) Check the time

Answer 115

A) Identify the patient
Rationale: Proper patient identification is essential to ensure the right patient receives the correct medication.

Question 116

1. What is the primary purpose of double-checking high-alert medications?
   A) To speed up administration
   B) To ensure patient safety
   C) To reduce costs
   D) To improve efficiency

Answer 116

B) To ensure patient safety
Rationale: Double-checking high-alert medications helps prevent medication errors that could lead to serious patient harm.

Question 117

2. Which of the following is considered a high-alert medication?
   A) Acetaminophen
   B) Insulin
   C) Ibuprofen
   D) Aspirin

Answer 117

B) Insulin
Rationale: Insulin is a high-alert medication due to the potential for severe hypoglycemia if dosages are incorrect.

Question 118

3. What type of syringe is specifically used for administering insulin?
   A) Luer-Lok syringe
   B) Standard syringe
   C) Insulin syringe
   D) Tuberculin syringe

Answer 118

C) Insulin syringe
Rationale: Insulin syringes are specifically designed for accurate dosing of insulin, typically available in 100-unit or 500-unit capacities.

Question 119

4. When mixing different types of insulin, what is the correct order to draw them up?
   A) Long-acting first, then short-acting
   B) Short-acting first, then long-acting
   C) Mix them together
   D) It doesn’t matter

Answer 119

B) Short-acting first, then long-acting
Rationale: Drawing up short-acting insulin first prevents contamination of the short-acting insulin with the longer-acting one.

Question 120

5. Why is it essential to verify insulin doses before administration?
   A) To waste medication
   B) To ensure accurate dosing
   C) To save time
   D) To follow protocol

Answer 120

B) To ensure accurate dosing
Rationale: Accurate dosing of insulin is crucial to prevent hypoglycemia or hyperglycemia in patients with diabetes.

Question 121

6. What is the potential consequence of a medication error involving insulin?
   A) Dehydration
   B) Hyperglycemia
   C) Severe hypoglycemia
   D) Nausea

Answer 121

C) Severe hypoglycemia
Rationale: An error in insulin administration can lead to severe hypoglycemia, which can be life-threatening.

Question 122

7. How should insulin be stored?
   A) In the freezer
   B) At room temperature
   C) In direct sunlight
   D) In the refrigerator

Answer 122

D) In the refrigerator
Rationale: Unopened insulin should be stored in the refrigerator to maintain its potency; opened insulin can often be kept at room temperature.

Question 123

8. What is a critical nursing action before administering insulin?
   A) Check the patient’s vital signs
   B) Confirm the patient’s identity
   C) Wash hands
   D) Assess pain

Answer 123

B) Confirm the patient’s identity
Rationale: Confirming the patient’s identity is crucial to ensure the right patient receives the correct medication.

Question 124

9. What should a nurse do if the patient’s blood glucose level is low before administering insulin?
   A) Administer insulin anyway
   B) Withhold insulin and notify the provider
   C) Increase the dose
   D) Change the route

Answer 124

B) Withhold insulin and notify the provider
Rationale: If the blood glucose level is low, insulin should not be administered, and the provider should be notified.

Question 125

10. Which action should be taken if a dose of insulin is missed?
    A) Administer a double dose
    B) Skip the dose and wait for the next scheduled time
    C) Consult the provider for instructions
    D) Give the missed dose immediately

Answer 125

C) Consult the provider for instructions
Rationale: Consulting the provider is essential to determine the safest course of action for missed doses of insulin.

Question 126

11. How often should blood glucose levels be monitored in patients receiving insulin?
    A) Once a day
    B) Before meals and at bedtime
    C) Only when symptoms occur
    D) Twice a week

Answer 126

B) Before meals and at bedtime
Rationale: Regular monitoring of blood glucose levels helps ensure that insulin therapy is effective and safe.

Question 127

12. What should a nurse educate a patient about when administering insulin?
    A) To rotate injection sites
    B) To use the same site each time
    C) To avoid any exercise
    D) To eat only low-carb foods

Answer 127

A) To rotate injection sites
Rationale: Rotating injection sites helps prevent lipodystrophy and ensures more consistent absorption of insulin.

Question 128

13. What is the best practice for handling a hypoglycemic episode after insulin administration?
    A) Offer high-protein foods
    B) Administer quick-acting carbohydrates
    C) Give more insulin
    D) Encourage rest

Answer 128

B) Administer quick-acting carbohydrates
Rationale: Quick-acting carbohydrates, like juice or glucose tablets, can rapidly raise blood sugar levels during a hypoglycemic episode.

Question 129

14. When should a nurse administer a correctional (sliding scale) insulin dose?
    A) At the same time every day
    B) Based on the patient’s blood glucose levels
    C) Regardless of the blood glucose level
    D) Only at bedtime

Answer 129

B) Based on the patient’s blood glucose levels
Rationale: Correctional insulin doses are given based on the patient’s current blood glucose readings to manage levels effectively.

Question 130

15. What is an important consideration when teaching a patient about insulin administration?
    A) Insulin can be given orally
    B) Timing is not important
    C) Injection techniques matter
    D) Insulin should always be refrigerated after use

Answer 130

C) Injection techniques matter
Rationale: Proper injection techniques are crucial for effective insulin delivery and to minimize discomfort.

Question 131

16. What should a nurse do if they notice a discrepancy in the insulin dose prepared?
    A) Administer the dose
    B) Verify with another nurse
    C) Ignore it
    D) Document the discrepancy

Answer 131

B) Verify with another nurse
Rationale: Verification by another nurse is essential for ensuring patient safety before administering high-alert medications like insulin.

Question 132

17. Why is it important to document insulin administration accurately?
    A) To avoid legal issues
    B) To maintain accurate medication records
    C) To ensure the nurse’s performance is evaluated
    D) It is unnecessary

Answer 132

B) To maintain accurate medication records
Rationale: Accurate documentation ensures proper monitoring and management of the patient’s insulin therapy.

Question 133

18. What should a nurse do with unused insulin after preparation?
    A) Store it in the same syringe
    B) Dispose of it immediately
    C) Return it to the vial
    D) Store it safely according to protocol

Answer 133

D) Store it safely according to protocol
Rationale: Unused insulin should be stored according to protocol to maintain its potency and prevent contamination.

Question 134

19. When is the best time to administer insulin for optimal glucose control?
    A) At bedtime only
    B) Before meals
    C) After meals
    D) Once a day

Answer 134

B) Before meals
Rationale: Administering insulin before meals helps control postprandial blood glucose levels effectively.

Question 135

20. What is the risk of using a syringe that is not specifically designed for insulin?
    A) Increased risk of hypoglycemia
    B) Inaccurate dosing
    C) Improved absorption
    D) No risk

Answer 135

B) Inaccurate dosing
Rationale: Using a syringe not designed for insulin can lead to inaccurate dosing, increasing the risk of medication errors.