Chapter 26 Test

Question 1

Cruz Rodriguez is 25 years old, weighs 130 lb, and receives allergy injections twice each week. Theresa Cline, CMA (AAMA), is getting ready to administer an allergy injection to Cruz. Which of the following needles does she select to administer his injection

Accepted Answer

25 G and 5/8 inch

Answer

27 G and 3/8 inch

Answer

18 G and 1 1/2 inch

Answer

21 G and 1 inch

Question 2

Theresa checks Cruz’s chart to determine where his last injection was administered. The chart indicates it was given in his right upper arm. Which would be the best site for Teresa to use to administer today’s injection?

Accepted Answer

left upper arm

Answer

right upper arm

Answer

right deltoid

Answer

left forearm

Question 3

Theresa cleanses the injection site and prepares to administer the injection. What angle of insertion would Theresa use to administer this injection?

Accepted Answer

45 degree angle

Answer

15 degree angle

Answer

90 degree angle

Answer

120 degree angle

Question 4

After administering the injection, Theresa gives Cruz the following instructions

Accepted Answer

remain in the waiting room for 15 minutes

Answer

do not consume any food or fluid for 1 hour

Answer

elevate your arm above heart level for 5 minutes

Answer

choose a prize from the treasure box

Question 5

Courtney Hill is at the medical office for an influenza vaccination. Theresa Cline, CMA (AAMA), will be administering the injection from a multiple-dose vial. Because Theresa is unsure where to administer the injection, she consults the drug package insert accompanying the flu vaccine. Which of the following sections contains the information she needs?

Accepted Answer

dosage and administration

Answer

indications and usage

Answer

contradiction

Answer

how supplied

Question 6

Theresa needs to administer 0.5 mL of the flu vaccine to Courtney. When preparing the medication, how much air should she first inject into the multiple-dose vial?

Accepted Answer

.5 mL

Answer

5 mL

Answer

1 mL

Answer

no air is needed because this is a multiple-code vial

Question 7

After administering the flu vaccine, Theresa performs which of the following?

Accepted Answer

applies gentle pressure to the injection site

Answer

asks Courtney if she is allergic to eggs

Answer

vigorously massages the injection site

Answer

places Courtneys arm in a sling

Question 8

Theresa Cline, CMA (AAMA), is preparing to administer a Tubersol Mantoux test to Christy McWhorter. Theresa injects the tuberculin solution, but a wheal does not form. What should Theresa do next?

Accepted Answer

repeat the Mantoux test at a different site

Answer

instruct Christy to return in 2 days to have the test results read

Answer

record the Mantoux text results as negative

Answer

burst into tears

Question 9

Christy returns to have her tuberculosis test read. Theresa palpates the site and measures 12 mm of induration. What should Theresa do next?

Accepted Answer

record 12 mm of induration

Answer

record the results as positive

Answer

inform Christy that she has active tuberculosis

Answer

record the results as negative

Question 10

Dr. Wheal reviews the test results from Christy’s tuberculosis test. Christy is underweight and is more than 10% below her ideal body weight. What will Dr. Wheal most likely ask Theresa to do?

Accepted Answer

schedule Christy for a chest radiograph

Answer

repeat the test using the tine testing method

Answer

administer an injection of an antibiotic to Christy

Answer

encourage Christy to gain weight

Question 11

Parenteral refers to the administration of medication by mouth

Answer

true

Question 12

The medical assistant must administer medication only under the direction of the physician

Answer

true

Question 13

A vial is a closed glass container with a rubber stopper.

Answer

true

Question 14

When preparing medication, the drug label must be checked just one time to make sure it is the correct medication

Answer

true

Question 15

An outdated medication should not be used, because it could produce undesirable effects.

Answer

true

Question 16

The rubber stopper of the vial must be cleansed to remove any dust or bacteria present on the stopper.

Answer

true

Question 17

Air must be injected into the vial to prevent the formation of a vacuum, which would make it difficult to withdraw medication.

Answer

true

Question 18

Air bubbles must be removed from the syringe, because they take up space the medication should occupy

Answer

true

Question 19

an ampule is a small, sealed glass container that holds several doses of medication.

Answer

true

Question 20

The stem of an ampule is broken off by snapping it quickly and firmly toward the body

Answer

true

Question 21

A filter needle should be used to remove medication from an ampule

Answer

true

Question 22

When withdrawing fluid from an ampule, the needle opening must be kept below the fluid level to avoid drawing air into the syringe.

Answer

true

Question 23

Medications that are not stable in a liquid form must be prepared and stored in a powder form in a vial.

Answer

true

Question 24

The liquid used to reconstitute a powdered drug is known as the solute

Answer

true

Question 25

The vial must be shaken vigorously to mix the powdered drug and liquid

Answer

true

Question 26

If the vial is for multiple-dose administration, it must be labeled with the date of preparation and your initials

Answer

true

Question 27

The subcutaneous layer consists of collagen and is located just under the skin.

Answer

true

Question 28

The sites most commonly used for a subcutaneous injection include the upper arm, thigh, back, and abdomen

Answer

true

Question 29

Allergy injections should always be administered in the same arm

Answer

true

Question 30

After cleansing the skin, the antiseptic must be allowed to dry before administering the injection to prevent patient irritation and discomfort

Answer

true

Question 31

When administering a subcutaneous injection to an obese patient, the skin should be grasped and held in a cushion fashion.

Answer

true

Question 32

The skin should be held taut when administering a subcutaneous injection to a normal-sized adult.

Answer

true

Question 33

The needle should be positioned at a 45-degree angle to the arm if you are using a 5/8-inch needle to administer a subcutaneous injection

Answer

true

Question 34

After inserting the needle, remove your hand from the skin to prevent injecting the medication into compressed tissue, which can result in an allergic reaction

Answer

true

Question 35

Rapid injection of the medication can destroy tissue and lead to patient discomfort.

Answer

true

Question 36

The needle should be removed at the same angle as was used for insertion, to minimize patient discomfort

Answer

true

Question 37

After removing the needle, vigorously rub the area so that the medication is completely absorbed.

Answer

true

Question 38

After administering an allergy injection, the patient must wait for 5 minutes, to make sure that an allergic reaction does not occur.

Answer

true

Question 39

Intramuscular injections are administered into the muscular layer that lies beneath the skin and subcutaneous layers.

Answer

true

Question 40

Numerous nerve fibers located in muscle tissue make absorption of medication more rapid through this route.

Answer

true

Question 41

The length of the needle used for an IM injection depends on the size of the patient

Answer

true

Question 42

Thick and oily medications require a needle with a bigger lumen.

Answer

true

Question 43

Intramuscular injections must be administered at specific sites to avoid puncturing large nerves or blood vessels.

Answer

true

Question 44

In an adult, the gluteal muscles are well developed and can absorb a large amount of medication.

Answer

true

Question 45

The deltoid site is small and cannot accommodate more than 5 mL of medication

Answer

true

Question 46

The dorsogluteal site is used to administer medication to infants and young children

Answer

true

Question 47

An IM injection should be inserted with the needle held at a 90-degree angle to the patient’s skin

Answer

true

Question 48

The IM needle should be inserted to the hub

Answer

true

Question 49

If a medication intended for intramuscular administration is injected into a blood vessel, the result is faster absorption of the medication, which may produce undesirable results.

Answer

true

Question 50

After withdrawing the IM needle, apply gentle pressure to the injection site with the gauze pad so that the medication is completely absorbed by the muscle tissue

Answer

true

Question 51

Medications that are irritating to subcutaneous tissue or medications that discolor the skin must be given using the Z-track method.

Answer

true

Question 52

The Z-track method seals off the needle path and prevents the medication from reaching the subcutaneous layers or skin surface

Answer

true

Question 53

The dorsogluteal site is located in the upper outer quadrant of the buttocks about 2 to 3 inches below the iliac crest

Answer

true

Question 54

The injection site should be cleansed with an antiseptic wipe using a circular motion, starting at the injection site and moving outward.

Answer

true

Question 55

The skin should be pulled away laterally from the injection site approximately 1 to 1½ inches

Answer

true

Question 56

After injecting the medication, wait 60 seconds before withdrawing the needle to allow for initial absorption of the medication.

Answer

true

Question 57

Releasing the traction on the skin seals off the needle track, which prevents the medication from reaching the subcutaneous tissue and skin surface.

Answer

true

Question 58

Pressure should be applied to the injection site to prevent the medication from seeping out.

Answer

true

Question 59

An intradermal injection is administered into the dermal layer of the skin at an angle almost parallel to the skin

Answer

true

Question 60

The most frequent use of intradermal injections is to administer skin tests.

Answer

true

Question 61

The needle used for an intradermal injection ranges from ⅜ inch to ⅝ inch, and the gauge ranges between 25 and 27.

Answer

true

Question 62

If the antiseptic has not dried when the skin is punctured, it may cause a reaction that could be mistaken for a positive test result

Answer

true

Question 63

The needle should be inserted at a 10- to 15-degree angle with the bevel downward

Answer

true

Question 64

If a wheal does not form, complete the injection, and chart this information in the patient’s medical record.

Answer

true

Chapter 26 Test

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