Application Of Pharmacology Modulethree Quiz

19 Questions

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Pharmacology Quizzes & Trivia

Evaluating knowledge of parental routes of medication administration.


Questions and Answers
  • 1. 
    A nurse wants to prevent tissue fibrosis in a sickle cell anemia patient secondary to multiple intramuscular (IM) injections. The nurse should _____.  
    • A. 

      Massage site after administering the IM injection.

    • B. 

      Rotate IM injection sites.

    • C. 

      Let the patient select the IM injection site.

    • D. 

      Only use the deltoid & dorsogluteal IM injection sites for sickle cell patients.

  • 2. 
    A nurse plans to administer an IM injection to a client. The nurse’s first action should be to _______.
    • A. 

      Wash her hands.

    • B. 

      Review the five rights.

    • C. 

      Don gloves.

    • D. 

      Prepare medication.

  • 3. 
    Which one of the following is a contraindication to an IM injection?
    • A. 

      Neutropenia

    • B. 

      Leukopenia

    • C. 

      Anemia

    • D. 

      Thrombocytopenia

  • 4. 
    The onset of action of a medication administered sublingually can occur within _____.
    • A. 

      Seconds.

    • B. 

      1-5 minutes.

    • C. 

      10-15 minutes.

    • D. 

      20-30 minutes.

  • 5. 
    When should a nurse use the Z-Track technique for IM injections?
    • A. 

      When the patient is uncooperative.

    • B. 

      When a large volume is being administered.

    • C. 

      When the drug is extremely irritating to the tissue.

    • D. 

      When it comes up in site rotation.

  • 6. 
    Which two sites should a nurse administering an IM injection to an infant use?
    • A. 

      Vastus Lateralis & Dorsogluteal

    • B. 

      Dorsogluteal & Rectus Femoris.

    • C. 

      Deltoid & Ventrogluteal.

    • D. 

      Rectus Femoris & Vastus Lateralis.

  • 7. 
    The nurse recognizes that aspiration is not necessary with subcutaneous (s.c.) injections because ______.
    • A. 

      S.c. tissue usually contains only small blood vessels.

    • B. 

      Absorption time is decreased with aspiration.

    • C. 

      Aspiration increases patient discomfort.

    • D. 

      S.c. tissue contains nerves and blood vessels.

  • 8. 
    A nurse administering an IM injection to an average adult would select a longer & heavier gauge needle in order to ______.
    • A. 

      Pass through subcutaneous tissue & penetrate muscle.

    • B. 

      Avoid hitting a nerve or blood vessel.

    • C. 

      Increase absorption time of medication.

    • D. 

      Pass through adipose tissue & penetrate subcutaneous tissue.

  • 9. 
    The anterior lateral aspect of the thigh that extends in an adult from a handbreadth above the knee to a handbreadth below the greater trochanter of the femur are the landmarks for which IM injection site?
    • A. 

      Ventrogluteal

    • B. 

      Dorsogluteal

    • C. 

      Vastus Lateralis

    • D. 

      Rectus Femoris

  • 10. 
    The nurse recognizes the rectal route represents the route of choice for which patient? (short answer)
  • 11. 
    The nurse administering an IM injection to an infant use would use the Rectus Femoris & Vastus Lateralis.
    • A. 

      True

    • B. 

      False

  • 12. 
    A nurse uses the Z-Track technique for IM injections when a large volume is being administered.
    • A. 

      True

    • B. 

      False

  • 13. 
    Which IM injection site can accommodate only small doses of medication?
    • A. 

      Ventrogluteal

    • B. 

      Dorsogluteal

    • C. 

      Deltoid

    • D. 

      Vastus Lateralis

    • E. 

      Rectus Femoris

  • 14. 
    Which IM injection site has well developed muscle with few blood vessels?
    • A. 

      Ventrogluteal

    • B. 

      Dorsogluteal

    • C. 

      Deltoid

    • D. 

      Vastus Lateralis

    • E. 

      Rectus Femoris

  • 15. 
    Which is a desirable IM injection site, free from nerves and adipose tissue?
    • A. 

      Ventrogluteal

    • B. 

      Dorsogluteal

    • C. 

      Deltoid

    • D. 

      Vastus Lateralis

    • E. 

      Rectus Femoris

  • 16. 
    Which is an appropriate IM injection site for infants?
    • A. 

      Ventrogluteal

    • B. 

      Dorsogluteal

    • C. 

      Deltoid

    • D. 

      Vastus Lateralis

    • E. 

      Rectus Femoris

  • 17. 
    In which IM injection site exists the risk of striking the underlying sciatic nerve?
    • A. 

      Ventrogluteal

    • B. 

      Dorsogluteal

    • C. 

      Deltoid

    • D. 

      Vastus LAteralis

    • E. 

      Rectus Femoris

  • 18. 
    The Z-Track method for IM injections involves pulling the skin in such a way that the subcutaneous layers are staggered. This technique is selected specifically to ____________________________& ________________________________. 
  • 19. 
    Identify the five “rights” of drug administration. Provide the key points that describe the purpose of each “right.”