Final Exam

1. The nurse walks into a patient’s room to administer an injection. What is the FIRST step the nurse
should take before administering?
a. check the patient’s arm band
b. wash her hands
c. apply clean gloves
d. clean the injection site

2. The parts of a syringe and needle include all of the following EXCEPT:
a. needle hub
b. stopper
c. barrel
d. plunger

3. When mixing medications from two vials in one syringe, the nurse draws up 3 ml instead of 2 ml of
medication from the first vial. What should the nurse do?
a. expel 1 ml of the medication in the syringe into the sink
b. inject 1 ml of the medication in the syringe back into the first vial
c. give the patient 3 ml instead of 2 ml of medication
d. throw away the syringe of medication and start over

4. When reconstituting medication in a vial, which of the following is CORRECT?
a. gently agitate the vial to mix the powdered medication and diluent completely
b. insert the needle or blunt cannula through the center of the self-sealing stopper on the
powdered medication vial
c. inject the diluent into the powdered medication vial
d. all of the above

5. When removing medication from a vial, the nurse should do all of the following EXCEPT:
a. swab the rubber top with alcohol and blow on to help dry
b. touch the plunger at the knob only
c. pierce the rubber stopper in the center with the needle tip
d. draw up the medication with the vial inverted

6. To administer an intramuscular injection correctly, the nurse must:
a. select the appropriate equipment
b. select the appropriate location
c. use the correct technique
d. all of the above

7. To help decrease patient pain when giving an injection, the nurse should do all of following EXCEPT:
a. withdraw the needle quickly and smoothly
b. maintain a firm grasp on the syringe/needle
c. inject the medication quickly
d. encourage the patient to relax



8. After giving an intramuscular injection the nurse should do all of the following EXCEPT:
a. recap the needle
b. remove gloves and perform hand hygiene
c. make sure the patient is safe and comfortable
d. document medication administration

9. The correct needle length for administering an intramuscular injection is:
a. 3/4 inch - 5/8 inch
b. 1/2 inch – 3/4 inch
c. 1 inch – 2 inch
d. 3 inch - 4 inch

10. The nurse knows that the appropriate gauge of the needle she uses will be determined by the:
a. patient size
b. site for injection
c. viscosity of the medication
d. patient age