# An adult client needs a deep intramuscular injection of an irritant medication. Click the safest preferred gluteal site.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397530&lang=en  
> language: en  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## Question

An adult client needs a deep intramuscular injection of an irritant medication. Click the safest preferred gluteal site.

![](https://mymerci.kr/data/nclex/hotspot/v2/v2_im_sites.png)

🎨Nano Banana 프롬프트 (이미지 로드 실패 — 자산 미업로드)

복사

Hotspot v2 clinical education asset. Keep every option equally prominent; no title, answer label, marker, number, or highlighted correct region.
위 프롬프트로 이미지 생성 후 payload.hotspot.image 경로(/data/nclex/hotspot/v2/v2_im_sites.png)에 업로드하세요.

## Explanation

Ventrogluteal is the best answer. The ventrogluteal site is preferred because it is away from the sciatic nerve and major vessels. Other marked areas do not best match the cue in this item.

## In-depth explanation

Quick answer
Ventrogluteal is the best answer. The ventrogluteal site is preferred because it is away from the sciatic nerve and major vessels. Other marked areas do not best match the cue in this item.

Why this is correct
A safe intramuscular site is chosen by age, available muscle mass, medication characteristics, and nearby nerves or vessels. The anatomical landmark in the image must fit the client described in the stem.

Easy analogy or mental picture
Use a three-part body map: the anterolateral thigh provides a large infant muscle, the ventrogluteal hip avoids major posterior structures, and the deltoid is the usual adult vaccine site when muscle mass is adequate.

Memory hook
For a deep adult gluteal injection, select the ventrogluteal hip rather than the posterior buttock.

NCLEX decision rule
When selecting an IM site, first identify age and purpose, then locate the recommended muscle and confirm its landmarks before injection.

Why the other choices are wrong
The other marked muscles can be injection sites in different circumstances, but they do not best satisfy this client-specific age, medication, or safety cue.References

- [1]CDC: Vaccine administration and intramuscular injection sites

## Clinical scenario

Clinical situation
An adult client needs a deep intramuscular injection of an irritant medication.

What the nurse should notice
Ventrogluteal is the best answer. The ventrogluteal site is preferred because it is away from the sciatic nerve and major vessels. Other marked areas do not best match the cue in this item.

Transfer to practice
When selecting an IM site, first identify age and purpose, then locate the recommended muscle and confirm its landmarks before injection.

## Key concepts

- **Ventrogluteal site** — Safe hip IM site.
- **Ventrogluteal landmark** — A hip injection site identified with the greater trochanter and iliac landmarks.
- **Irritant medication** — Drug that can injure tissue.

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