NUR 336 PEDS EXAM FINAL 2025 LATEST EXAM PREP GUIDE
WITH 250 REAL EXAM REVIEW QUESTIONS AND CORRECT
VERIFIED ANSWERS/ NUR 336 PEDIATRICS FINAL ARIZONA
COLLEGE (BRAND NEW!)
A nurse is preparing to administer an intramuscular injection at the ventrogluteal site. Which of the
following needle lengths should the nurse select for an adult of average size? - ANSWER>>>>-1
1/2 inches
A nurse is preparing to give an intramuscular injection into the left ventrogluteal muscle. Which of
the following actions should the nurse take to locate the site of injection? - ANSWER>>>>-Use
the heel of the hand and index finger to locate the vastus lateralis muscle
What should you do when preparing a subcutaneous injection? - ANSWER>>>>-Examine the site
and avoid any areas with lesions, trauma, inflammation, or bony prominences
What are the favored sites for subcutaneous injections? - ANSWER>>>>-Large areas that are
easy for the client to reach for self-administration
-Upper outer aspect of the arm
-Abdomen (at least 2 inches from the umbilicus)
-Anterior thighs
-Scapular area
-Upper ventrodorsal gluteal area
What kind of needle should be used for subcutaneous injection? - ANSWER>>>>-25- to 31-
gauge, 5/8-inch needle if inserting at 45-degree angle or 1/2-inch needle if inserting at a 90-degree
angle.
Determine the length of needle and the angle of injection from the client's body weight and the
amount of subcutaneous tissue present
-If you can pinch 2 inches of skin: 90 degree angle
-If you can pinch 1 inch of skin: 45 degree angle
,Do not inject... - ANSWER>>>>--More than 3 mL: into a large muscle in an adult
-More than 2 mL: into an older adult or thin client
-More than 1 mL: into a subcutaneous site
What parenteral route should be used when no other route is acceptable or available? -
ANSWER>>>>-IM route
Why should injection sites be rotated when giving serial or regularly scheduled injections? -
ANSWER>>>>-Prevents...
-Induration
-Abscess formation
-Lipohypertrophy
-Lipoatrophy
You are teaching the client about self-administration of insulin. Which of the following injection sites
should you suggest for self-administration of insulin? - ANSWER>>>>-Lower abdomen
The client asks why insulin is injected subcutaneously. Which of the following is information you
should provide to the client? - ANSWER>>>>-Medication absorption is slower from
subcutaneous tissue, an important factor in the effectiveness of insulin therapy
When instructing the client about self-administration of insulin, which if the following information
should you include? - ANSWER>>>>-Hold the syringe like a dart
You explain to the client that which of the following areas are the best sites for a subcutaneous
injection? - ANSWER>>>>--On the anterior aspects of the thighs
-On the outer posterior aspect of upper arms
-On the abdomen from below the umbilicus to the iliac crests
,While administering the insulin injection, which of the following angles should the needle be
inserted to ensure the injection reaches subcutaneous tissue? - ANSWER>>>>-90 degrees
The term intradermal means that the fluid must be injected into which of the following sites? -
ANSWER>>>>-Skin where the blood supply is minimal
The inner aspect of the forearm is usually an ideal location for an intradermal injection provided that
it is which of the following? - ANSWER>>>>-Free of any skin lesion that might impede evaluation
To make sure that you deposit the serum into the dermal layer, you select which if the following
needle sizes? - ANSWER>>>>-5/8-inch long and 25- to 27-gauge
To administer the serum into the dermis, you insert the needle at which of the following angles? -
ANSWER>>>>-5 degrees to 15 degrees to produce a small bleb
After removing the needle from the client, which if the following actions should you take? -
ANSWER>>>>-Place the needle and syringe assembly in a puncture-proof container
Which of the following actions is one of the 10 rights of medication administration? -
ANSWER>>>>-Check the client's identification band
Which of the following is most important to reduce the risk of injury to the client prior to the
administration of the tetanus booster? - ANSWER>>>>-Assess the client's allergy history
Since an IM injection delivers medication into the muscle, you best determine the appropriate
needle length by assessing which of the following? - ANSWER>>>>-Client's muscle mass and
weight
You assess the client to determine the location for the injection. Which of the following is the correct
method to locate the site to administer an injection into the deltoid muscle? - ANSWER>>>>-2
inches below the acromion process
, The client prefers that you administer the injection in his arm. The deltoid is an acceptable site for an
intramuscular injection because of which of the following? - ANSWER>>>>-The deltoid can
readily accept the prescribed volume of medication
The appropriate technique for administering an IM injection includes which of the following? -
ANSWER>>>>--Inserting a needle at a 90 degree angle
-Donning gloves after washing your hands
-Using the Z-track method to administer the medication
-Applying pressure over the injection site after withdrawing the needle
A nurse is preparing to administer an insulin injection to a client. Which of the following actions
should the nurse take? - ANSWER>>>>-Rotate the injection sites
A nurse is preparing to administer an intradermal injection. Which of the following actions should
the nurse take to ensure proper technique? - ANSWER>>>>-Use a tuberculin syringe with a 5/8-
inch, 25 gauge needle
A nurse is preparing to administer a subcutaneous injection to a client. Which of the following should
the nurse assess first? - ANSWER>>>>-If the client has allergies to the medication
Which of the following terms indicates that a medication is given via an injection? -
ANSWER>>>>-Parenteral
What is an injection? - ANSWER>>>>-Insertion of a substance into the body, container or space
What should you do when preparing and administering medications by injection? -
ANSWER>>>>--Keep distractions to a minimum
-Double-check all calculations
-Avoid shortcuts
-Follow the 10 rights of medication administration
WITH 250 REAL EXAM REVIEW QUESTIONS AND CORRECT
VERIFIED ANSWERS/ NUR 336 PEDIATRICS FINAL ARIZONA
COLLEGE (BRAND NEW!)
A nurse is preparing to administer an intramuscular injection at the ventrogluteal site. Which of the
following needle lengths should the nurse select for an adult of average size? - ANSWER>>>>-1
1/2 inches
A nurse is preparing to give an intramuscular injection into the left ventrogluteal muscle. Which of
the following actions should the nurse take to locate the site of injection? - ANSWER>>>>-Use
the heel of the hand and index finger to locate the vastus lateralis muscle
What should you do when preparing a subcutaneous injection? - ANSWER>>>>-Examine the site
and avoid any areas with lesions, trauma, inflammation, or bony prominences
What are the favored sites for subcutaneous injections? - ANSWER>>>>-Large areas that are
easy for the client to reach for self-administration
-Upper outer aspect of the arm
-Abdomen (at least 2 inches from the umbilicus)
-Anterior thighs
-Scapular area
-Upper ventrodorsal gluteal area
What kind of needle should be used for subcutaneous injection? - ANSWER>>>>-25- to 31-
gauge, 5/8-inch needle if inserting at 45-degree angle or 1/2-inch needle if inserting at a 90-degree
angle.
Determine the length of needle and the angle of injection from the client's body weight and the
amount of subcutaneous tissue present
-If you can pinch 2 inches of skin: 90 degree angle
-If you can pinch 1 inch of skin: 45 degree angle
,Do not inject... - ANSWER>>>>--More than 3 mL: into a large muscle in an adult
-More than 2 mL: into an older adult or thin client
-More than 1 mL: into a subcutaneous site
What parenteral route should be used when no other route is acceptable or available? -
ANSWER>>>>-IM route
Why should injection sites be rotated when giving serial or regularly scheduled injections? -
ANSWER>>>>-Prevents...
-Induration
-Abscess formation
-Lipohypertrophy
-Lipoatrophy
You are teaching the client about self-administration of insulin. Which of the following injection sites
should you suggest for self-administration of insulin? - ANSWER>>>>-Lower abdomen
The client asks why insulin is injected subcutaneously. Which of the following is information you
should provide to the client? - ANSWER>>>>-Medication absorption is slower from
subcutaneous tissue, an important factor in the effectiveness of insulin therapy
When instructing the client about self-administration of insulin, which if the following information
should you include? - ANSWER>>>>-Hold the syringe like a dart
You explain to the client that which of the following areas are the best sites for a subcutaneous
injection? - ANSWER>>>>--On the anterior aspects of the thighs
-On the outer posterior aspect of upper arms
-On the abdomen from below the umbilicus to the iliac crests
,While administering the insulin injection, which of the following angles should the needle be
inserted to ensure the injection reaches subcutaneous tissue? - ANSWER>>>>-90 degrees
The term intradermal means that the fluid must be injected into which of the following sites? -
ANSWER>>>>-Skin where the blood supply is minimal
The inner aspect of the forearm is usually an ideal location for an intradermal injection provided that
it is which of the following? - ANSWER>>>>-Free of any skin lesion that might impede evaluation
To make sure that you deposit the serum into the dermal layer, you select which if the following
needle sizes? - ANSWER>>>>-5/8-inch long and 25- to 27-gauge
To administer the serum into the dermis, you insert the needle at which of the following angles? -
ANSWER>>>>-5 degrees to 15 degrees to produce a small bleb
After removing the needle from the client, which if the following actions should you take? -
ANSWER>>>>-Place the needle and syringe assembly in a puncture-proof container
Which of the following actions is one of the 10 rights of medication administration? -
ANSWER>>>>-Check the client's identification band
Which of the following is most important to reduce the risk of injury to the client prior to the
administration of the tetanus booster? - ANSWER>>>>-Assess the client's allergy history
Since an IM injection delivers medication into the muscle, you best determine the appropriate
needle length by assessing which of the following? - ANSWER>>>>-Client's muscle mass and
weight
You assess the client to determine the location for the injection. Which of the following is the correct
method to locate the site to administer an injection into the deltoid muscle? - ANSWER>>>>-2
inches below the acromion process
, The client prefers that you administer the injection in his arm. The deltoid is an acceptable site for an
intramuscular injection because of which of the following? - ANSWER>>>>-The deltoid can
readily accept the prescribed volume of medication
The appropriate technique for administering an IM injection includes which of the following? -
ANSWER>>>>--Inserting a needle at a 90 degree angle
-Donning gloves after washing your hands
-Using the Z-track method to administer the medication
-Applying pressure over the injection site after withdrawing the needle
A nurse is preparing to administer an insulin injection to a client. Which of the following actions
should the nurse take? - ANSWER>>>>-Rotate the injection sites
A nurse is preparing to administer an intradermal injection. Which of the following actions should
the nurse take to ensure proper technique? - ANSWER>>>>-Use a tuberculin syringe with a 5/8-
inch, 25 gauge needle
A nurse is preparing to administer a subcutaneous injection to a client. Which of the following should
the nurse assess first? - ANSWER>>>>-If the client has allergies to the medication
Which of the following terms indicates that a medication is given via an injection? -
ANSWER>>>>-Parenteral
What is an injection? - ANSWER>>>>-Insertion of a substance into the body, container or space
What should you do when preparing and administering medications by injection? -
ANSWER>>>>--Keep distractions to a minimum
-Double-check all calculations
-Avoid shortcuts
-Follow the 10 rights of medication administration
