Quiz
Chapter 26 Test
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Questions in this quiz (70)
1Cruz 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
- A27 G and 3/8 inch
- B18 G and 1 1/2 inch
- C25 G and 5/8 inch
- D21 G and 1 inch
2Theresa 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?
- Aleft upper arm
- Bright upper arm
- Cright deltoid
- Dleft forearm
3Theresa cleanses the injection site and prepares to administer the injection. What angle of insertion would Theresa use to administer this injection?
- A15 degree angle
- B45 degree angle
- C90 degree angle
- D120 degree angle
4After administering the injection, Theresa gives Cruz the following instructions
- Ado not consume any food or fluid for 1 hour
- Belevate your arm above heart level for 5 minutes
- Cchoose a prize from the treasure box
- Dremain in the waiting room for 15 minutes
5Courtney 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?
- Aindications and usage
- Bcontradiction
- Cdosage and administration
- Dhow supplied
6Theresa 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?
- A.5 mL
- B5 mL
- C1 mL
- Dno air is needed because this is a multiple-code vial
7After administering the flu vaccine, Theresa performs which of the following?
- Aasks Courtney if she is allergic to eggs
- Bapplies gentle pressure to the injection site
- Cvigorously massages the injection site
- Dplaces Courtneys arm in a sling
8Theresa 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?
- Ainstruct Christy to return in 2 days to have the test results read
- Brecord the Mantoux text results as negative
- Cburst into tears
- Drepeat the Mantoux test at a different site
9Christy returns to have her tuberculosis test read. Theresa palpates the site and measures 12 mm of induration. What should Theresa do next?
- Arecord the results as positive
- Brecord 12 mm of induration
- Cinform Christy that she has active tuberculosis
- Drecord the results as negative
10Dr. 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?
- Aschedule Christy for a chest radiograph
- Brepeat the test using the tine testing method
- Cadminister an injection of an antibiotic to Christy
- Dencourage Christy to gain weight
11Parenteral refers to the administration of medication by mouth
- ATrue
- BFalse
12The medical assistant must administer medication only under the direction of the physician
- ATrue
- BFalse
13A vial is a closed glass container with a rubber stopper.
- ATrue
- BFalse
14When preparing medication, the drug label must be checked just one time to make sure it is the correct medication
- ATrue
- BFalse
15An outdated medication should not be used, because it could produce undesirable effects.
- ATrue
- BFalse
16The rubber stopper of the vial must be cleansed to remove any dust or bacteria present on the stopper.
- ATrue
- BFalse
17Air must be injected into the vial to prevent the formation of a vacuum, which would make it difficult to withdraw medication.
- ATrue
- BFalse
18Air bubbles must be removed from the syringe, because they take up space the medication should occupy
- ATrue
- BFalse
19an ampule is a small, sealed glass container that holds several doses of medication.
- ATrue
- BFalse
20The stem of an ampule is broken off by snapping it quickly and firmly toward the body
- ATrue
- BFalse
21A filter needle should be used to remove medication from an ampule
- ATrue
- BFalse
22When withdrawing fluid from an ampule, the needle opening must be kept below the fluid level to avoid drawing air into the syringe.
- ATrue
- BFalse
23Medications that are not stable in a liquid form must be prepared and stored in a powder form in a vial.
- ATrue
- BFalse
24The liquid used to reconstitute a powdered drug is known as the solute
- ATrue
- BFalse
25The vial must be shaken vigorously to mix the powdered drug and liquid
- ATrue
- BFalse
26If the vial is for multiple-dose administration, it must be labeled with the date of preparation and your initials
- ATrue
- BFalse
27The subcutaneous layer consists of collagen and is located just under the skin.
- ATrue
- BFalse
28The sites most commonly used for a subcutaneous injection include the upper arm, thigh, back, and abdomen
- ATrue
- BFalse
29Allergy injections should always be administered in the same arm
- ATrue
- BFalse
30After cleansing the skin, the antiseptic must be allowed to dry before administering the injection to prevent patient irritation and discomfort
- ATrue
- BFalse
31When administering a subcutaneous injection to an obese patient, the skin should be grasped and held in a cushion fashion.
- ATrue
- BFalse
32The skin should be held taut when administering a subcutaneous injection to a normal-sized adult.
- ATrue
- BFalse
33The 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
- ATrue
- BFalse
34After inserting the needle, remove your hand from the skin to prevent injecting the medication into compressed tissue, which can result in an allergic reaction
- ATrue
- BFalse
35Rapid injection of the medication can destroy tissue and lead to patient discomfort.
- ATrue
- BFalse
36The needle should be removed at the same angle as was used for insertion, to minimize patient discomfort
- ATrue
- BFalse
37After removing the needle, vigorously rub the area so that the medication is completely absorbed.
- ATrue
- BFalse
38After administering an allergy injection, the patient must wait for 5 minutes, to make sure that an allergic reaction does not occur.
- ATrue
- BFalse
39Intramuscular injections are administered into the muscular layer that lies beneath the skin and subcutaneous layers.
- ATrue
- BFalse
40Numerous nerve fibers located in muscle tissue make absorption of medication more rapid through this route.
- ATrue
- BFalse
41The length of the needle used for an IM injection depends on the size of the patient
- ATrue
- BFalse
42Thick and oily medications require a needle with a bigger lumen.
- ATrue
- BFalse
43Intramuscular injections must be administered at specific sites to avoid puncturing large nerves or blood vessels.
- ATrue
- BFalse
44In an adult, the gluteal muscles are well developed and can absorb a large amount of medication.
- ATrue
- BFalse
45The deltoid site is small and cannot accommodate more than 5 mL of medication
- ATrue
- BFalse
46The dorsogluteal site is used to administer medication to infants and young children
- ATrue
- BFalse
47An IM injection should be inserted with the needle held at a 90-degree angle to the patient’s skin
- ATrue
- BFalse
48The IM needle should be inserted to the hub
- ATrue
- BFalse
49If 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.
- ATrue
- BFalse
50After 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
- ATrue
- BFalse
51Medications that are irritating to subcutaneous tissue or medications that discolor the skin must be given using the Z-track method.
- ATrue
- BFalse
52The Z-track method seals off the needle path and prevents the medication from reaching the subcutaneous layers or skin surface
- ATrue
- BFalse
53The dorsogluteal site is located in the upper outer quadrant of the buttocks about 2 to 3 inches below the iliac crest
- ATrue
- BFalse
54The injection site should be cleansed with an antiseptic wipe using a circular motion, starting at the injection site and moving outward.
- ATrue
- BFalse
55The skin should be pulled away laterally from the injection site approximately 1 to 1½ inches
- ATrue
- BFalse
56After injecting the medication, wait 60 seconds before withdrawing the needle to allow for initial absorption of the medication.
- ATrue
- BFalse
57Releasing the traction on the skin seals off the needle track, which prevents the medication from reaching the subcutaneous tissue and skin surface.
- ATrue
- BFalse
58Pressure should be applied to the injection site to prevent the medication from seeping out.
- ATrue
- BFalse
59An intradermal injection is administered into the dermal layer of the skin at an angle almost parallel to the skin
- ATrue
- BFalse
60The most frequent use of intradermal injections is to administer skin tests.
- ATrue
- BFalse
61The needle used for an intradermal injection ranges from ⅜ inch to ⅝ inch, and the gauge ranges between 25 and 27.
- ATrue
- BFalse
62If the antiseptic has not dried when the skin is punctured, it may cause a reaction that could be mistaken for a positive test result
- ATrue
- BFalse
63The needle should be inserted at a 10- to 15-degree angle with the bevel downward
- ATrue
- BFalse
64If a wheal does not form, complete the injection, and chart this information in the patient’s medical record.
- ATrue
- BFalse
65Applying pressure to the injection site may cause leakage of the testing solution through the needle puncture site, resulting in inaccurate test results.
- ATrue
- BFalse
66Instruct the patient to cover the test site with a Band-Aid and to rub the arm dry after washing it
- ATrue
- BFalse
67The TB test results must be read within 48 to 72 hours after the test has been administered.
- ATrue
- BFalse
68The TB test result should be read horizontally to the long axis of the forearm, meaning across the forearm.
- ATrue
- BFalse
69If erythema is present without induration, the results are interpreted as negative.
- ATrue
- BFalse
70The TB test results should be recorded in millimeters
- ATrue
- BFalse
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- Quiz on Chapter 26 Test , created by Audrey Harbour on 21/04/2018.
- Author
- Audrey Harbour
- Language
- English
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