A nurse is administering an intradermal injection (ID) to test for tuberculosis (TB). The nurse knows to insert the needle at which angle?

15-30 degrees

5-15 degrees

75-90 degrees

30-45 degrees

Answer and Explanation

The Correct Answer is B

A. 15–30 degrees: An angle in this range is deeper than typical for intradermal injections and may deposit medication into subcutaneous tissue rather than the dermis.

B. 5–15 degrees: Intradermal (TB) injections are given very shallowly -usually at about a 5–15° angle with the bevel up to form a small wheal in the dermis.

C. 75–90 degrees: This steep angle is used for intramuscular injections, not intradermal testing.

D. 30–45 degrees: Angles around 45° are commonly used for subcutaneous injections in some patients, but they are too deep for intradermal placement.

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Correct Answer is A

Explanation

A. Changing the bedding and client's gown: Routine hygiene and linen changes are typical tasks that can be delegated to assistive personnel (AP) with appropriate guidance.

B. Asking the family about organ and tissue donation: Discussions about organ/tissue donation require specific clinical, legal, and consent knowledge and are responsibilities of the licensed nurse or physician; this conversation should not be delegated to AP.

C. Helping to wash and prepare the body: Assisting with post-death care and preparing the body for family viewing can be delegated to AP with clear instruction and supervision.

D. Performing oral care on a client's dentures: Providing basic oral care, including cleaning dentures, is within the scope of AP duties when delegated.

A. Risk for fall B. Body alignment C. Activity tolerance D. Gait and balance E. Skin Turgor

Correct Answer is ["A","B","C","D"]

Explanation

A. Risk for fall: Ambulation assessment helps determine safety risks (e.g., dizziness, unsteady gait, need for assistance or devices), which directly relate to fall risk.

B. Body alignment: Observing posture and alignment during walking reveals compensations or musculoskeletal problems that affect mobility and function.

C. Activity tolerance: Monitoring how long and how far the client can ambulate, and signs of fatigue or dyspnea, assesses endurance and physiological tolerance for activity.

D. Gait and balance: Direct observation of stride, cadence, symmetry, and steadiness determines gait quality and balance control.

E. Skin Turgor: Assesses hydration status of the skin (elasticity) and is not part of evaluating how a client ambulates.

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A nurse is administering an intradermal injection (ID) to test for tuberculosis (TB). The nurse knows to insert the needle at which angle?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At time of death, which of the following tasks cannot be delegated to the assistive personnel (AP)?

Correct Answer is A

Explanation

The nurse is assessing the way a client ambulates. Which aspects are the nurse assessing during ambulation? Select all that apply. One, some, or all may be correct

Correct Answer is ["A","B","C","D"]

Explanation

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