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    Exam Review

    1. A nurse is administering a medication via intravenous push. The ordered dose is 1.5 mL. Which syringe should the nurse use to ensure accurate administration?
      A)
      3 mL syringe
      B)
      5 mL syringe
      C)
      1 ml syringe
      D)
      10 mL syringe
    2. Which syringe type should be used for a medication that requires precise measurement of 0.25 mL?
      A)
      1 mL tuberculin syringe
      B)
      3 mL syringe
      C)
      5 mL syringe
      D)
      10 mL syringe
    3. A patient requires 50 units of U-100 insulin. Which syringe should you select?
      A)
      Tuberculin syringe calibrated in milliliters
      B)
      5 mL syringe calibrated in milliliters
      C)
      1 mL syringe calibrated in units
      D)
      3 mL syringe calibrated in milliliters
    4. A patient requires an intramuscular injection of a viscous medication. Which needle gauge and length should you select?
      A)
      21-gauge, 1.5 inch needle
      B)
      18-gauge, 3 inch needle
      C)
      25-gauge, 5/8 inch needle
      D)
      27-gauge, 1/2 inch needle
    Page 1 of 13

    Exam Review

    1. What is the most appropriate syringe and needle combination for a 1 mL intramuscular injection in an adult?
      A)
      1 ml syringe with a 27-gauge, 1/2 inch needle
      B)
      5 mL syringe with a 21-gauge, 2 inch needle
      C)
      Tuberculin syringe with a 26-gauge, 3/8 inch needle
      D)
      3 mL syringe with a 22-gauge, 1.5 inch needle
    2. Which needle gauge is most appropriate for administering a deep intramuscular injection?
      A)
      30-gauge
      B)
      21-gauge
      C)
      18-gauge
      D)
      25-gauge
    3. When administering insulin, which safety consideration is most important?
      A)
      Administer insulin immediately after drawing it into the syringe without verification
      B)
      Verify the insulin type and dosage before administration
      C)
      Use the largest syringe available to ensure accuracy
      D)
      Shake the insulin vial vigorously to mix the solution
    4. A nurse has a vial of insulin that is labeled as 100 units/mL. The order is to administer 15 units. How much insulin should the nurse draw up?
      A)
      1.5 mL
      B)
      0.15 mL
      C)
      0.15 units
      D)
      0.15 mL
    Page 2 of 13

    Exam Review

    1. A nurse is preparing to administer a medication via the intradermal route. Which needle length is most appropriate?
      A)
      1/4 inch
      B)
      1 inch
      C)
      1/2 inch
      D)
      5/8 inch
    2. Which syringe is most appropriate for calculating and administering 0.8 mL of a single-strength reconstituted medication?
      A)
      10 mL syringe
      B)
      5 ml syringe
      C)
      1 mL syringe
      D)
      3 mL syringe
    3. During medication administration, a nurse calculates that a patient requires 0.8 mL of a reconstituted antibiotic. The vial label indicates the concentration is 125 mg/mL. What is the correct dose in milligrams?
      A)
      100 mg
      B)
      150 mg
      C)
      125 mg
      D)
      100 mg
    4. A 2 mL dose of a medication is to be given intramuscularly. What is the most appropriate needle length to use?
      A)
      5/8 inch
      B)
      1.5 inch
      C)
      1 inch
      D)
      3/8 inch
    Page 3 of 13

    Exam Review

    1. A patient's blood glucose is 55 mg/dL. The physician orders 15 units of regular insulin IV. What is the nurse's priority action?
      A)
      Administer the insulin as ordered.
      B)
      Recheck the blood glucose level.
      C)
      Administer 15 grams of glucose first.
      D)
      Hold the insulin and notify the physician.
    2. A patient with diabetes requires 10 units of rapid-acting insulin and 15 units of intermediate-acting insulin. What is a critical safety consideration when preparing this mixed insulin dose?
      A)
      Using separate syringes for each insulin type
      B)
      Using a 3 mL syringe
      C)
      Drawing intermediate-acting insulin first
      D)
      Ensuring the insulins are compatible for mixing
    3. When administering a subcutaneous injection of 0.5 mL of heparin, which needle gauge and length is most appropriate?
      A)
      27-gauge, 1.5 inch needle
      B)
      18-gauge, 1.5 inch needle
      C)
      20-gauge, 1 inch needle
      D)
      25-gauge, 5/8 inch needle
    4. A pediatric patient requires a 0.2 mL dose of a subcutaneous vaccine. Which syringe is most appropriate?
      A)
      10 mL syringe with a 20-gauge, 2 inch needle
      B)
      3 mL syringe with a 22-gauge, 1 inch needle
      C)
      5 mL syringe with a 21-gauge, 1.5 inch needle
      D)
      1 mL syringe with a 25-gauge, 5/8 inch needle
    Page 4 of 13

    Exam Review

    1. When reconstituting a powdered medication that yields a concentration of 250 mg/mL, how much diluent should you add if the total volume needed is 2 mL?
      A)
      3 mL
      B)
      0.5 ml.
      C)
      1 mL
      D)
      2 mL
    2. You are asked to administer 0.1 mL of purified protein derivative (PPD) via intradermal injection. Which syringe should you use?
      A)
      Insulin syringe with a 29-gauge, 1/2 inch needle
      B)
      Tuberculin syringe with a 26-gauge, 3/8 inch needle
      C)
      3 mL syringe with a 22-gauge, 1 inch needle
      D)
      5 mL syringe with a 21-gauge, 1.5 inch needle
    3. Which type of insulin can be administered intravenously in emergencies?
      A)
      Regular insulin
      B)
      NPH insulin
      C)
      Insulin glargine
      D)
      Long-acting insulin
    4. The nurse needs to administer a medication via the intradermal route. Which syringe and needle combination is most appropriate?
      A)
      5 mL syringe with a 23-gauge, 1 inch needle
      B)
      1 ml syringe with a 27-gauge, 3/8 inch needle
      C)
      10 mL syringe with a 25-gauge, 1.5 inch needle
      D)
      3 mL syringe with a 21-gauge, 1 inch needle
    Page 5 of 13

    Exam Review

    1. What is the best syringe size for administering a 3 mL intramuscular injection?
      A)
      10 ml syringe with an 18-gauge, 2 inch needle
      B)
      1 ml syringe with a 27-gauge, 1/2 inch needle
      C)
      3 ml syringe with a 22-gauge, 1.5 inch needle
      D)
      5 mL syringe with a 20-gauge, 3 inch needle
    2. A patient reports hypoglycemic symptoms after receiving a rapid-acting insulin injection. What should be the nurse's immediate action?
      A)
      Encourage the patient to exercise
      B)
      Provide the patient with 15 grams of a fast-acting carbohydrate
      C)
      Administer a glucagon injection
      D)
      Increase the dose of insulin
    3. In reading an insulin label that reads "Insulin Lispro 100 units/mL what should a nurse understand about this medication?
      A)
      It is suitable for intravenous administration
      B)
      It is a long-acting insulin
      C)
      It has a concentration of 100 units per mL
      D)
      It cannot be mixed with other insulins
    4. A patient requires a subcutaneous injection of 40 units of insulin. Which syringe and needle combination is most appropriate?
      A)
      10 mL syringe with an 18-gauge, 1-inch needle
      B)
      3 ml syringe with a 23-gauge, 1-inch needle
      C)
      Insulin syringe with a 29-gauge, 1/2-inch needle
      D)
      1 mL syringe with a 25-gauge, 5/8-inch needle
    Page 6 of 13