NUR 102 EXAM 3 2026/2027 – NURSING STUDY GUIDE, PRACTICE QUESTIONS,
EXAM REVIEW & TEST PREP
Advantages to Parenteral Medications - ✔✔1. Onset is rapid
2. Can be safely given when oral medications cannot
3. Rapid, predictable absorption
Disadvantages to Parenteral Medications - ✔✔1. Invasive
2. Act quickly so the patients condition can change rapidly
3. Failure to inject correctly can result in nerve injury, localized pain, and possible abscess
Ampules - ✔✔-Available in several sizes from 1 mL to 10 mL or more
-Made of glass with a constricted neck that must be snapped off to allow access to the medication
-Carefully aspirate the medication into a syringe with a filter needle
-Replace the filter needle with an appropriate size needle or a needle less access device before
administering the injection
Vials - ✔✔-Single or multidose container with a rubber seal at the top
-Contain liquid or dry forms of medications
-Closed system and air needs to be injected into it to permit easy withdrawal of the solution
Mixing Medications - ✔✔-Do not contaminate one medication with another
-Ensure that the final dose is accurate
-Maintain aseptic technique
Insulin Preparation - ✔✔-The Hormone nursed to treat diabetes
-Administered by injection because the GI tract breaks down and destroys an oral form of insulin
-Use the correct syringe
-Classified by rapid, short, intermediate, and long-acting
-Know the onset, peak, and duration for each of your patients' ordered insulin doses
Mixing Insulins - ✔✔-Patients whose blood glucose levels are well controlled on a mixed-insulin dose
need to maintain their individual routine when preparing and administering their insulin
-Do not mix insulin with any other medications or diluents unless approved by the health care provider
-Never mix insulin glargine (Lantus) or insulin demetir (Levemir) with other types of insulin
-Inject rapid-acting insulin's mixed with NPH insulin within 15 minutes before a meal
-Verify insulin doses with another nurse while preparing the injection
The nurse is preparing medication from an ampule. To prevent client injury, which item would the nurse
use?
A. Insulin syringe
B. Large-gauged
C. Filtered Needle
D. Alcohol swab - ✔✔C. Filtered Needle
, The nurse is preparing to administer an intradermal injection. Which is the best angle for the nurse to
hold the needle when inserting it into the client's skin?
A. 90 degrees
B. 45 degrees
C. 30 degrees
D. 15 degrees - ✔✔D. 15 degrees
Which of the following is not considered a parenteral medication administration route?
A. Intradermal
B. Atomization
C. Intramuscular
D. Subcutaneous - ✔✔B. Atomization
A nurse is giving an IM injection of vicious solution. What size needle would she choose?
A. 25 gauge 5/8 inch
B. 20 gauge 1 1/2 inch
C. 30 gauge 3/8 inch
D. 27 gauge 3/8 inch - ✔✔B. 20 gauge 1 1/2 inch. (Needle gauge the larger the #, the smaller the gauge.
IM needs longer needle length)
Dorsogluteal Injection - ✔✔-Divide the gluteus into 4 areas-give injection in the upper outer quadrant
-Land marks are the iliac crest, inner crease of buttocks, out lateral edge of the patient's body and lower
edge of the buttock
-Not recommended
Vastus Lateralis - ✔✔-One hand width below the greater trochanter and one hand width above the
knee
-On front of leg mid anterior thigh serves as boundary
Ventrogluteal - ✔✔-Position person on side with knee flexed and placed in front of lower leg
-Place palm on greater trochanter and make a V with middle and first fingers on anterior superior iliac
spine and iliac crest
Deltoid - ✔✔-Upper site is 2-3 fingers down from the anterior process
-Do not give more than 2 mL
Subcutaneous Injections Absorption Rate - ✔✔-Area not richly supplied with blood
-Drug absorption is slower than IM
-Med absorbed completely
Heparin - ✔✔-Given in abdomen
-Do not aspirate
-Do not massage
-Apply pressure
EXAM REVIEW & TEST PREP
Advantages to Parenteral Medications - ✔✔1. Onset is rapid
2. Can be safely given when oral medications cannot
3. Rapid, predictable absorption
Disadvantages to Parenteral Medications - ✔✔1. Invasive
2. Act quickly so the patients condition can change rapidly
3. Failure to inject correctly can result in nerve injury, localized pain, and possible abscess
Ampules - ✔✔-Available in several sizes from 1 mL to 10 mL or more
-Made of glass with a constricted neck that must be snapped off to allow access to the medication
-Carefully aspirate the medication into a syringe with a filter needle
-Replace the filter needle with an appropriate size needle or a needle less access device before
administering the injection
Vials - ✔✔-Single or multidose container with a rubber seal at the top
-Contain liquid or dry forms of medications
-Closed system and air needs to be injected into it to permit easy withdrawal of the solution
Mixing Medications - ✔✔-Do not contaminate one medication with another
-Ensure that the final dose is accurate
-Maintain aseptic technique
Insulin Preparation - ✔✔-The Hormone nursed to treat diabetes
-Administered by injection because the GI tract breaks down and destroys an oral form of insulin
-Use the correct syringe
-Classified by rapid, short, intermediate, and long-acting
-Know the onset, peak, and duration for each of your patients' ordered insulin doses
Mixing Insulins - ✔✔-Patients whose blood glucose levels are well controlled on a mixed-insulin dose
need to maintain their individual routine when preparing and administering their insulin
-Do not mix insulin with any other medications or diluents unless approved by the health care provider
-Never mix insulin glargine (Lantus) or insulin demetir (Levemir) with other types of insulin
-Inject rapid-acting insulin's mixed with NPH insulin within 15 minutes before a meal
-Verify insulin doses with another nurse while preparing the injection
The nurse is preparing medication from an ampule. To prevent client injury, which item would the nurse
use?
A. Insulin syringe
B. Large-gauged
C. Filtered Needle
D. Alcohol swab - ✔✔C. Filtered Needle
, The nurse is preparing to administer an intradermal injection. Which is the best angle for the nurse to
hold the needle when inserting it into the client's skin?
A. 90 degrees
B. 45 degrees
C. 30 degrees
D. 15 degrees - ✔✔D. 15 degrees
Which of the following is not considered a parenteral medication administration route?
A. Intradermal
B. Atomization
C. Intramuscular
D. Subcutaneous - ✔✔B. Atomization
A nurse is giving an IM injection of vicious solution. What size needle would she choose?
A. 25 gauge 5/8 inch
B. 20 gauge 1 1/2 inch
C. 30 gauge 3/8 inch
D. 27 gauge 3/8 inch - ✔✔B. 20 gauge 1 1/2 inch. (Needle gauge the larger the #, the smaller the gauge.
IM needs longer needle length)
Dorsogluteal Injection - ✔✔-Divide the gluteus into 4 areas-give injection in the upper outer quadrant
-Land marks are the iliac crest, inner crease of buttocks, out lateral edge of the patient's body and lower
edge of the buttock
-Not recommended
Vastus Lateralis - ✔✔-One hand width below the greater trochanter and one hand width above the
knee
-On front of leg mid anterior thigh serves as boundary
Ventrogluteal - ✔✔-Position person on side with knee flexed and placed in front of lower leg
-Place palm on greater trochanter and make a V with middle and first fingers on anterior superior iliac
spine and iliac crest
Deltoid - ✔✔-Upper site is 2-3 fingers down from the anterior process
-Do not give more than 2 mL
Subcutaneous Injections Absorption Rate - ✔✔-Area not richly supplied with blood
-Drug absorption is slower than IM
-Med absorbed completely
Heparin - ✔✔-Given in abdomen
-Do not aspirate
-Do not massage
-Apply pressure
