1.

Which of the following is the primary purpose of a) Dilution, Effects, Rate of administration, Potential for
parenteral administration of medications? incompatibility
b) Dosage, Effects, Rate of administration, Protocols
a) To get local effects at the site of injection c) Duration, Effects, Route, Pain management
b) To administer medication through the alimentary tract d) Dosage, Effects, Response, Patient outcome
c) To promote slow absorption of drugs
d) To provide nourishment when it cannot be taken orally 11. The nurse is preparing to administer insulin
subcutaneously. Which syringe will the nurse use?
2. A nurse is administering an intramuscular injection. At
which angle should the needle be inserted? a) 1 ml tuberculin syringe
b) 10 ml hypodermic syringe
a) 45° c) Insulin syringe using units
b) 15° d) 3 ml hypodermic syringe
c) 10°
d) 90° 12. What is the most common needle size for insulin
administration?
3. What is the primary difference between a hypodermic
syringe and an insulin syringe? a) Gauge 18
b) Gauge 21
a) Hypodermic syringes use milliliters, while insulin syringes c) Gauge 25
use units d) Gauge 29
b) Insulin syringes are larger than hypodermic syringes
c) Hypodermic syringes are for single use only 13. A nurse is preparing a patient for IV infusion. Which of
d) Insulin syringes are used for intramuscular injections the following actions should the nurse take to prevent
contamination?
4. You are administering a subcutaneous injection. Which
site would you choose? a) Spike the IV bag after patient verification
b) Perform hand hygiene and disinfect the injection port
a) Upper chest c) Use gloves but skip disinfection
b) Outer aspect of the upper arms d) Prepare the IV tubing before verifying the patient
c) Deltoid
d) Back beneath the scapulae 14. In administering parenteral medications, which route
involves injecting into the dermis layer?
5. When performing an intradermal injection, the nurse
expects to see a wheal form. How long should the nurse a) Intramuscular
wait to assess the result? b) Subcutaneous
c) Intradermal
a) 10 minutes d) Intravenous
b) 15 minutes
c) 30 minutes 15. When administering a blood transfusion, what is the first
d) 45 minutes sign of an allergic reaction?

6. Which of the following needles is commonly used for a) Itchiness

blood transfusion? b) Elevated temperature
c) Flank pain
a) 18 gauge d) Flushed skin
b) 21 gauge
c) 25 gauge 16. Which principle should guide proper documentation in
d) 16 gauge nursing?

7. A volumetric chamber should not be referred to as a a) Sequence and legal prudence

"Soluset" because: b) Correct spelling and conciseness
c) Only include relevant facts
a) It is a trademarked brand name d) All of the above
b) It is not a proper medical term
c) It refers to a different medical device 17. What should be documented after a medication is
d) Soluset is outdated technology administered?

8. Which of the following is a common site for intramuscular a) Patient's age

injection? b) Time of administration, dosage, route, and signature
c) Number of syringes used
a) Vastus lateralis d) The length of the needle
b) Inner lower arm
c) Abdomen 18. Which of the following is part of the Focus Charting
d) Back of the hand method (FDAR)?

9. When preparing an intravenous push, which of the a) Date and time

following steps should be done first? b) Problem-solving
c) Focus, Data, Action, Response
a) Flush IV tubing d) Documentation format
b) Kink tubing before injection
c) Validate the medication order 19. Which statement is TRUE regarding blood transfusion?
d) Administer the drug rapidly
a) Blood can be stored for 48 hours before administration
10. What does "DERP" stand for in the context of IV push b) Pre-medication should be given 30 minutes before
medications? transfusion if ordered
c) Blood should be warmed in a microwave before transfusion 28. A patient is receiving a medication via volumetric
d) No consent is required for emergency transfusions chamber. What should the nurse do after injecting the
medication into the chamber?
20. In calculating drug dosages, what is the correct formula
to use? a) Swirl the chamber to mix the medication
b) Allow the chamber to sit for 5 minutes
a) Stock/Desired x Volume c) Close the chamber and hang it immediately
b) Desired/Stock x Volume d) Shake the IV pole to ensure even distribution
c) Volume/Stock x Desired
d) Volume/Desired x Stock 29. A nurse is preparing to administer a tuberculin test (ID
injection). Which angle should the needle be inserted?
21. A patient is unconscious and unable to swallow
medication. Which route of administration would the nurse a) 5°
choose? b) 15°
c) 30°
a) Oral d) 90°
b) Intravenous
c) Topical 30. What is the most critical step in preventing
d) Subcutaneous complications from IV blood transfusion?

22. While administering an IV push, the nurse notices signs a) Warming the blood before administration
of phlebitis at the insertion site. What should the nurse do? b) Ensuring compatibility through crossmatching
c) Giving pre-medication 1 hour before transfusion
a) Continue the IV push and monitor the patient d) Administering blood over 30 minutes
b) Stop the infusion, remove the IV, and report it
c) Reposition the needle and continue 31. Which of the following sites is appropriate for an
d) Increase the rate of the push intradermal injection?

23. A nurse needs to administer 3500 IU of Heparin. The a) Anterior thigh

available dose is 25,000 IU/5 ml. How much should the b) Inner lower arm
nurse administer? c) Ventrogluteal muscle
d) Dorsal side of the hand
a) 0.5 ml
b) 0.7 ml 32. The nurse observes that the IV fluid is not infusing
c) 1.5 ml properly, despite the roller clamp being open. What should
d) 2 ml the nurse check first?

24. A patient requires 2.8 grams of IVIG over 30 minutes. a) The size of the IV catheter
How much of the medication should be administered per b) Whether the IV bag is empty
minute? c) Whether the IV site is infiltrated
d) The patient’s vital signs
a) 28 ml/min
b) 56 ml/min 33. A patient is ordered to receive D5W 250 ml with NaHCO3
c) 112 ml/min over 12 hours. The available dose is 3.5 grams of NaHCO3.
d) 100 ml/min What is the correct flow rate in gtts/min using a 60 gtts/ml
drip factor?
25. A physician orders a dose of 0.25 grams of Levetiracetam
to be given intravenously. If the available dose is 100 a) 10 gtts/min
mg/ml, how many ml should be administered? b) 24 gtts/min
c) 40 gtts/min
a) 1 ml d) 56 gtts/min
b) 2.5 ml
c) 5 ml 34. A nurse is preparing an IV medication and notices
d) 10 ml cloudiness in the IV line after mixing two drugs. What should
the nurse do?
26. When selecting an injection site for subcutaneous
administration, the nurse should avoid which of the a) Continue administration and monitor the patient closely
following areas? b) Stop the infusion immediately and flush the line with saline
c) Increase the rate of infusion
a) Outer aspect of the upper arms d) Notify the physician but continue the infusion
b) Abdomen
c) Scapular area 35. Which of the following is NOT a typical sign of an allergic
d) Dorsal gluteal reaction to blood transfusion?

27. Which of the following actions should a nurse take when a) Flank pain
discontinuing an IV infusion? b) Itchiness
c) Dyspnea
a) Allow the solution to finish completely before removing the d) Low blood pressure
catheter
b) Stop the infusion, remove the catheter, and apply pressure 36. After administering a medication via IV push, the nurse
to the site should flush the IV line with normal saline. Why is this
c) Increase the flow rate for 5 minutes before removing the important?
catheter
d) Remove the catheter without stopping the infusion a) To prevent backflow of blood
b) To clear the IV line and maintain patency
c) To ensure faster drug absorption a) The hub
d) To reduce the risk of infection b) The bevel
c) The shaft
37. In which situation is an insulin syringe the only d) All parts
appropriate syringe to use?
46. A nurse is explaining the purpose of focus charting
a) When administering an IM injection of antibiotics (FDAR) to a student. What should be the focus of the
b) When administering intravenous heparin charting?
c) When administering subcutaneous insulin
d) When administering an intradermal skin test a) Patient’s responses and nursing interventions
b) Physician’s orders and instructions
38. A nurse needs to administer 0.2 grams of Remdesivir as c) Hospital policies and procedures
a loading dose. The available dose is 100 mg/ml. How many d) Family's concerns and care expectations
ml should the nurse administer?
47. A nurse observes swelling at a patient's IV site and
a) 1 ml suspects infiltration. What should the nurse do next?
b) 2 ml
c) 20 ml a) Apply heat to the site to reduce swelling
d) 40 ml b) Elevate the limb and continue the infusion
c) Stop the infusion and remove the IV
39. Which nursing responsibility is crucial when monitoring a d) Lower the limb to improve circulation
blood transfusion?
48. When administering an IV medication, what is the
a) Shaking the blood bag every 15 minutes purpose of using the Y-injection site?
b) Swirling the bag to mix its components
c) Observing for signs of transfusion reactions a) To administer medications at the same time as the primary
d) Disinfecting the Y-injection port every hour IV fluid
b) To flush the line between medications
40. A nurse is calculating the IV flow rate for 100 ml of c) To increase the rate of fluid delivery
Mannitol to be given over 45 minutes. The drip factor is 60 d) To prevent air from entering the IV line
gtts/ml. What is the correct flow rate in gtts/min?
49. A nurse is administering a dose of 15 units of insulin via
a) 100 gtts/min a syringe. How many ml should be administered if the
b) 133 gtts/min insulin syringe measures 100 units/ml?
c) 50 gtts/min
d) 200 gtts/min a) 0.1 ml
b) 0.15 ml
41. In Focus Charting, which of the following is considered c) 1.5 ml
an "Action"? d) 0.75 ml
a) Recording the patient’s vital signs 50. Which of the following describes proper charting
b) Observing the patient for allergic reactions technique in nursing documentation?
c) Administering prescribed medications
d) Writing down the nurse’s shift summary a) Use of abbreviations unique to the institution
b) Recording facts and observations objectively
42. Which of the following methods is most appropriate for c) Including opinions to explain patient behavior
mixing medication into an IV solution? d) Delaying documentation until the end of the shift
a) Inject the medication quickly into the IV bag and shake 51. A nurse is preparing to administer an IM injection. How
vigorously does the nurse identify the proper site for a ventrogluteal
b) Disinfect the injection port, inject the medication slowly, injection?
and swirl the bag
c) Inject the medication, allow it to sit for 30 minutes, then a) Identify the outer aspect of the upper arm
hang the bag b) Use two fingers below the acromion process
d) Insert medication into the IV tubing after priming c) Place the palm over the greater trochanter and fingers over
the anterior iliac spine
43. When securing an IV line, why is it important to use d) Select the midpoint of the anterior thigh
transparent tape or dressing directly over the puncture site?
52. The physician orders 10 mg of Nicardipine in 90 ml of
a) To reduce skin irritation D5W to run over 12 hours. The available dose is 25 mg/10
b) To allow continuous monitoring of the IV site ml. How much of Nicardipine should the nurse administer?
c) To provide additional support to the IV catheter
d) To prevent contamination of the IV tubing a) 1 ml
b) 2 ml
44. A nurse is administering 1.8 grams of Piperacillin via IV c) 4 ml
over 8 hours. If the medication is diluted to 20 ml, how d) 5 ml
much should be administered every hour?
53. A nurse is calculating the IV drip rate for 864 ml of PNSS
a) 2 ml/hour to run at 36 ml/hour for 24 hours. What is the correct drip
b) 4 ml/hour rate using a macroset (15 gtts/ml)?
c) 6 ml/hour
d) 8 ml/hour a) 9 gtts/min
b) 12 gtts/min
45. Which part of the needle should be kept sterile to c) 15 gtts/min
prevent infection during injection? d) 24 gtts/min
54. What is the role of the nurse during a blood transfusion b) Prime the tubing before incorporating the drug into the
reaction? chamber
c) Incorporate the drug after closing the chamber and hanging
a) Continue the transfusion at a slower rate the IV
b) Stop the transfusion and keep the IV line open with saline d) Inject the drug directly into the IV tubing
c) Recheck the cross-matching results and blood type
d) Immediately report the reaction and discontinue the IV 63. A nurse is preparing to start an IV for a patient. Which of
the following sites is generally used first?
55. When calculating a patient's IV fluid requirement, the
physician orders 365 ml of D5 0.3NaCl to run at 45 ml/hour. a) Proximal veins
What is the correct flow rate in gtts/min if the microset (60 b) Distal veins
gtts/ml) is used? c) Upper arm veins
d) Neck veins
a) 23 gtts/min
b) 46 gtts/min 64. A nurse must administer 2.5 liters of D5NM over 12
c) 24 gtts/min hours. What is the flow rate in ml/hour?
d) 36 gtts/min
a) 208 ml/hour
56. A nurse is asked to administer a blood transfusion for a b) 250 ml/hour
pediatric patient. What gauge needle is most appropriate c) 300 ml/hour
for this procedure? d) 200 ml/hour

a) 16 gauge 65. A nurse notes signs of infiltration at the IV site, including

b) 18 gauge swelling and coolness. What is the nurse’s next action?
c) 22 gauge
d) 24 gauge a) Continue the infusion and apply warm compresses
b) Stop the infusion, remove the IV, and elevate the limb
57. While administering IV fluids, the nurse notices that the c) Lower the IV pole to slow the infusion
flow rate has slowed significantly. What should be the d) Discontinue the IV and notify the physician
nurse's first action?
66. The physician orders IVIG 2.8 grams to be infused over
a) Increase the height of the IV pole 30 minutes. The available dose is 50 mg/ml. How many ml
b) Check for kinks or obstructions in the IV tubing should the nurse administer?
c) Stop the infusion and remove the IV line
d) Flush the line with saline to clear the blockage a) 28 ml
b) 56 ml
58. Which of the following is a proper method for calculating c) 112 ml
IV drip rates when using a microset? d) 140 ml

a) Total volume (ml) x 15 gtts/ml ÷ Total time (minutes) 67. When administering insulin, what is the preferred site
b) Total volume (ml) x 60 gtts/ml ÷ Total time (minutes) for a subcutaneous injection?
c) Total volume (ml) ÷ Total time (hours)
d) Total volume (ml) x 10 gtts/ml ÷ Total time (minutes) a) Inner lower arm
b) Abdomen
59. A nurse is administering D5W 90 ml with Nicardipine c) Upper chest
over 12 hours. What is the correct flow rate in gtts/min d) Back of the hand
using a microset (60 gtts/ml)?
68. During a blood transfusion, the patient complains of
a) 10 gtts/min chills and dyspnea. What is the first action the nurse should
b) 8 gtts/min take?
c) 15 gtts/min
d) 12 gtts/min a) Administer antipyretics to reduce chills
b) Stop the transfusion and open the IV line with saline
60. A patient is scheduled for a blood transfusion. Which of c) Encourage the patient to breathe deeply
the following pre-transfusion assessments should be d) Slow down the transfusion rate
completed?
69. A nurse is preparing to administer a tuberculin test (ID
a) Vital signs, skin assessment, and blood type verification injection) using a 1 ml syringe. How much volume should be
b) Patient’s pain level and medication history injected to ensure proper administration?
c) Height and weight measurements
d) Previous medical history of blood transfusions a) 0.05 ml
b) 0.1 ml
61. Which of the following factors does NOT affect the c) 0.5 ml
choice of an injection site? d) 1 ml

a) The patient’s age 70. When calculating an IV infusion rate, which of the
b) The type of medication being administered following is NOT required?
c) The volume of the medication
d) The type of syringe used a) The volume of fluid to be infused
b) The type of solution being used
62. When administering a drug via volumetric chamber, the c) The time over which the fluid is to be infused
nurse should do which of the following to ensure accurate d) The drop factor of the IV set
drug delivery?

a) Keep the chamber in the closed position during

administration