Hesi Parenteral Medication Final Quiz
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Free Hesi Parenteral Medication Final Quiz Questions
The maximum amount of medication that can be given using the intradermal route is ___ mL
- A 0.01
- B 0.05
- C 0.1
- D 0.5
Explanation
Explanation
The intradermal route is used for small-volume injections, such as allergy testing and tuberculosis screening. The maximum volume that can be safely administered intradermally is 0.1 mL. This small amount allows the medication to remain within the dermal layer of the skin, producing a localized response without excessive tissue distention or discomfort.The nurse understands that the only part of the syringe that can be touched and not contaminated is the:
- A outside of the barrel.
- B tip of the syringe.
- C sides of the plunger.
- D needle.
Explanation
Explanation
The outside of the syringe barrel is considered non-sterile and can be safely handled without contaminating the syringe. The tip of the syringe, the plunger shaft, and the needle are sterile parts that must remain uncontaminated to maintain aseptic technique. Touching only the outside of the barrel ensures medication sterility and prevents the introduction of microorganisms during medication preparation and administration.When administering an intramuscular injection to an adult client using the ventrogluteal site, the nurse should use which landmark to locate the area for injection?
- A The upper end of the trochanter and the knee
- B The head of the trochanter and the anterior iliac spine
- C The head of the trochanter and the posterior iliac spine
- D The lower end of the trochanter and the knee
Explanation
Explanation
The ventrogluteal site is identified by placing the palm of the hand over the greater trochanter, with the index finger pointing toward the anterior superior iliac spine and the middle finger extending along the iliac crest. This method accurately locates the ventrogluteal muscle, which is free of major blood vessels and nerves. Using these landmarks ensures safe needle placement and reduces the risk of injury during intramuscular injection.Which of the following are correct statements to remember for safely administering an IM injection? (Select all that apply.)
- A After the administration of all injections, massage the area with the alcohol swab to aid absorption.
- B To ensure that you miss a bone, insert the needle gently and slowly.
- C After you have inserted the needle into the client, let go of the syringe.
- D Check the client's allergies.
- E Inform the client that this is your first time on a real person.
- F For administration, pinch the client's skin and administer at a 90-degree angle.
- G After administration, recap the needle using both hands.
- H Wear clean gloves when administering the medication.
- I Check the client's name band and ask the client to tell you his or her name.
Explanation
Explanation
D Check the client's allergies.Verifying allergies is a critical safety step before administering any medication. Failure to assess for allergies can result in serious adverse reactions, including anaphylaxis. The nurse must confirm allergies through the medical record and by directly asking the client to ensure safe medication administration.
F For administration, pinch the client's skin and administer at a 90-degree angle.
Intramuscular injections are administered at a 90-degree angle to ensure the medication reaches the muscle tissue. Pinching the skin may be appropriate depending on the client’s body composition and injection site to avoid injecting into subcutaneous tissue and ensure proper absorption.
H Wear clean gloves when administering the medication.
Wearing clean gloves protects both the nurse and the client by reducing the transmission of microorganisms. Gloves are part of standard precautions and help maintain aseptic technique during medication administration, especially when there is potential contact with blood or body fluids.
I Check the client's name band and ask the client to tell you his or her name.
Using two identifiers is a core patient safety principle. Verifying the client’s identity by checking the name band and asking the client to state their name helps prevent medication errors and ensures the correct client receives the correct medication.
When the nurse administers an intramuscular (IM) corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating?
- A Ensure proper placement of the needle.
- B Reduce the discomfort of the injection.
- C Increase the force of the injection.
- D Prevent the client from choking.
Explanation
Explanation
Aspirating during an intramuscular corticosteroid injection helps verify that the needle tip is not positioned in a blood vessel. By gently pulling back on the plunger and checking for blood return, the nurse confirms proper placement within muscle tissue. This step reduces the risk of inadvertent intravascular administration of the medication, which could cause systemic effects or complications, ensuring the injection is delivered safely and as intended.A nurse has opened and used part of a new multidose vial. The nurse should:
- A check the expiration date of the vial.
- B replace the plastic top that covered the vial.
- C wipe the top of the vial.
- D write the current date on the vial.
Explanation
Explanation
After opening a multidose vial, the nurse must label it with the current date to indicate when it was first accessed. This practice ensures safe medication administration by allowing staff to track how long the vial has been in use and discard it according to facility policy or manufacturer guidelines, typically within a specified number of days after opening to prevent contamination or reduced medication effectiveness.A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? (Select all that apply.)
- A Never force needles into the sharps disposal
- B Recap the needle after giving an injection
- C Use clearly marked sharps disposal containers
- D Use needleless devices whenever possible
Explanation
Explanation
A Never force needles into the sharps disposalForcing a needle into a sharps container increases the risk of a puncture injury because the needle can catch on the container opening or protrude through accumulated sharps. The nurse places the needle into the container carefully and immediately after use. The nurse also ensures the sharps container is positioned close to the point of use and is not overfilled, because overfilled containers increase the chance of accidental contact with exposed sharps.
C Use clearly marked sharps disposal containers
Clearly marked sharps containers reduce needlestick injuries by ensuring staff can instantly identify the correct disposal location without hesitation. The nurse uses containers that are puncture-resistant, leak-resistant on the sides and bottom, and designed to be closed securely. Clear labeling and proper placement help prevent improper disposal in regular trash or linen, which protects staff, clients, and environmental services personnel from accidental exposure.
D Use needleless devices whenever possible
Needleless devices reduce needlestick injuries by eliminating the needle from certain procedures, such as IV access systems, medication administration ports, and blood sampling systems designed without needles. The nurse selects needleless technology whenever it is available and appropriate, because reducing the number of times a needle is handled directly lowers the overall risk of accidental puncture. This strategy also supports consistent safety practices across the healthcare setting.
When reinforcing instructions to a client who will self-administer insulin injections at home, it is important to remind the client to:
- A always use a new insulin vial with each dose.
- B use a tuberculin syringe to draw up insulin.
- C aspirate before injecting the insulin.
- D rotate injection sites systematically.
Explanation
Explanation
Rotating insulin injection sites systematically helps prevent lipohypertrophy, tissue damage, and inconsistent insulin absorption. Using the same site repeatedly can lead to hardened or fatty tissue, which interferes with predictable insulin uptake and glycemic control. Systematic rotation within the same anatomical area promotes consistent absorption while protecting skin integrity and improving long-term effectiveness of insulin therapy.What diluent is required for this medication? The insert states diluent 0.9% NaCl.
- A Bacteriostatic water.
- B Dextrose and sodium chloride.
- C Sodium chloride.
- D Sterile water.
Explanation
Explanation
The medication insert specifically states that the required diluent is 0.9% sodium chloride (NaCl). This corresponds to normal saline, which is commonly used for reconstituting many injectable medications, including ampicillin. Using the manufacturer-recommended diluent ensures proper medication concentration, stability, and safe administration. Using an incorrect diluent could alter the drug’s effectiveness or increase the risk of adverse reactions.A medication label states, “For Parenteral Use Only.” What is the correct interpretation of this statement?
- A The medication should only be given to adults.
- B The medication should be given orally so it is absorbed through the GI tract.
- C This medication should be administered topically.
- D The medication should be administered by injection.
Explanation
Explanation
Parenteral administration refers to giving medication by routes that bypass the gastrointestinal tract, most commonly by injection such as intramuscular, subcutaneous, intravenous, or intradermal routes. A label stating “For Parenteral Use Only” means the medication is not intended for oral or topical use and must be administered via injection to ensure proper absorption, effectiveness, and safety.How to Order
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