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68W LIMITED PRIMARY CARE 2025
BRAND NEW ACTUAL EXAM WITH
ANSWERS.
Administering a subcutaneous injection - correct answer --select
and expose injection site
- clean the injection site with an alcohol prep pad
- form a fold of skin at the injection site by gently pinching the skin
with the thumb and fingers of the non-dominant hand and hold it
firmly in place
- position the syringe with the bevel up at a 45 degree angle to the
skin surface
- plunge the needle firmly and quickly into the fatty tissue below
the skin
-aspirate by pulling back slightly on the plunger. If blood appears,
dispose of the needle and syringe and start again at a different
site
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note: failure to aspirate may cause the medication to be injected
directly into the blood stream
- inject the medication with a slow and continuous movement
- with the needle at the same angle in which it was inserted
- DO NOT RECAP THE NEEDLE
- monitor the patient for at least 20 minutes for adverse reactions
Intramuscular Injections - correct answer -Purpose:
- utilized when rapid absorption and long duration are desired
- used when administering viscous or irritating medications
- used when a large volume of medication is needed for a
stronger effect
Absorption rate: 10-20 minutes
Duration: hours to weeks
Needle:
needle length: 1" to 2" for obese adults
gauge: 20-22
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Site:
- deltoid muscle (primary injection site because of the faster
absorption rate compared to other IM; up to 2 ml)
- vastus lateralis (one of the safest routes; up to 5 ml)
- gluteus maximus (used for larger volumes; may require a long
needle; up to 5 ml)
When injecting in the gluteus maximus, we need to divide one
buttock into four quadrants and inject the upper outer quadrant to
avoid damage to the sciatic nerve
Administering an intramuscular injection - correct answer -- select
and expose injection site
- clean the injection site with an alcohol prep pad
- form a fold of skin at the injection site by gently pinching the skin
- hold syringe in the dominant hand between the thumb and index
finger and position the needle bevel up at a 90 degree angle to
the skin surface
- plunge the needle firmly and quickly into the muscle
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- release hold on the skin with the non-dominant hand
- aspirate by pulling back slightly on the plunger of the syringe
- inject the medication using a slow and continuous movement
- DO NOT RECAP THE NEEDLE
- monitor the patient for at least 20 minutes for adverse reactions
Pharmacology - correct answer -
Antibiotics - correct answer -antibiotics are chemical compounds
that inhibits or kills the growth of microorganisms such as
bacteria, fungi, and protozoa
Indications - treat or prevent bacterial infections
Contraindications - allergy against a specific type of antibiotic
such as penicillin
68W LIMITED PRIMARY CARE 2025
BRAND NEW ACTUAL EXAM WITH
ANSWERS.
Administering a subcutaneous injection - correct answer --select
and expose injection site
- clean the injection site with an alcohol prep pad
- form a fold of skin at the injection site by gently pinching the skin
with the thumb and fingers of the non-dominant hand and hold it
firmly in place
- position the syringe with the bevel up at a 45 degree angle to the
skin surface
- plunge the needle firmly and quickly into the fatty tissue below
the skin
-aspirate by pulling back slightly on the plunger. If blood appears,
dispose of the needle and syringe and start again at a different
site
, Page | 2
note: failure to aspirate may cause the medication to be injected
directly into the blood stream
- inject the medication with a slow and continuous movement
- with the needle at the same angle in which it was inserted
- DO NOT RECAP THE NEEDLE
- monitor the patient for at least 20 minutes for adverse reactions
Intramuscular Injections - correct answer -Purpose:
- utilized when rapid absorption and long duration are desired
- used when administering viscous or irritating medications
- used when a large volume of medication is needed for a
stronger effect
Absorption rate: 10-20 minutes
Duration: hours to weeks
Needle:
needle length: 1" to 2" for obese adults
gauge: 20-22
, Page | 3
Site:
- deltoid muscle (primary injection site because of the faster
absorption rate compared to other IM; up to 2 ml)
- vastus lateralis (one of the safest routes; up to 5 ml)
- gluteus maximus (used for larger volumes; may require a long
needle; up to 5 ml)
When injecting in the gluteus maximus, we need to divide one
buttock into four quadrants and inject the upper outer quadrant to
avoid damage to the sciatic nerve
Administering an intramuscular injection - correct answer -- select
and expose injection site
- clean the injection site with an alcohol prep pad
- form a fold of skin at the injection site by gently pinching the skin
- hold syringe in the dominant hand between the thumb and index
finger and position the needle bevel up at a 90 degree angle to
the skin surface
- plunge the needle firmly and quickly into the muscle
, Page | 4
- release hold on the skin with the non-dominant hand
- aspirate by pulling back slightly on the plunger of the syringe
- inject the medication using a slow and continuous movement
- DO NOT RECAP THE NEEDLE
- monitor the patient for at least 20 minutes for adverse reactions
Pharmacology - correct answer -
Antibiotics - correct answer -antibiotics are chemical compounds
that inhibits or kills the growth of microorganisms such as
bacteria, fungi, and protozoa
Indications - treat or prevent bacterial infections
Contraindications - allergy against a specific type of antibiotic
such as penicillin
