BASIC MED MATH RN QUESTIONS & RIGHT
ANSWERS 2024 - 2025
IM,syringe,size,,gauge,,angle,,needle,length,,ANS,-,,>1-5,mL,(3cc,syringe);,21,-,25G,,90◦,
>Needle,length:,1,-,1,½",(adult),,1",(child),,½,-,1",(thin),,1,½,-,2",(obese)
>Max,dose,3mL
SQ,syringe,size,,gauge,,angle,,needle,length,,ANS,-,,>1,-,3,mL,(insulin,/,3,cc,syringe);,25,-
,27G;,45◦,(average,or,thin),or,90◦,(obese)
>Needle,length:,½",-,5/8",(<1")
>Max,dose,1mL,
>Heparin,,Insulin
Insulin,and,Heparin,,ANS,-,,>Heparin:,check,aPTT,,site,preferred,2",away,from,umbilicus
>Insulin:,insulin,syringe,(1mL),,27,G,,1/2",needle,,90,deg,(45,for,thin,&,child).,50,units,=,0.5mL,,100,units,=,
1mL
SQ,administration
ampules,,ANS,-,,1),Wrap,a,gauze,pad,around,the,ampule's,neck,and,snap,off,the,top
2),Attach,a,filter,needle,(5/8"),to,the,syringe,and,withdraw,med,,keeping,the,needle's,bevel,tip,below,the,l
evel,of,the,solution
3),Tap,the,syringe,to,remove,air,bubbles
4),Attach,the,appropriate,needle,to,the,syringe
5),Detach,the,filter,needle;,discard,filter,needle,&,ampule,into,sharps
SQ,administration
Vials,,ANS,-,,1),Roll,the,vial,b/t,your,palms,to,mix,the,drug
2),disinfect,vial,lid,with,an,antiseptic,
3),Pull,the,syringe,plunger,back,until,the,volume,of,the,air,in,the,syringe,equals,the,volume,of,drug,to,be,w
ithdrawn
, 4),Insert,the,needle,into,the,vial
5),Inject,the,air,,invert,the,vial,,and,keep,the,needle's,bevel,tip,below,the,level,of,the,solution,as,you,withd
raw,the,medication
6),Tap,the,syringe,to,clear,air,bubbles
7),Recap,needle
SQ,Landmarks,,ANS,-
,,Abdomen,(2",from,umbilicus),,Sub,scapular,,outer,aspects,of,upper,arm,,anterior,aspects,of,thighs,,uppe
r,ventral/dorsal,gluteal,(butt)
how,to,administer,IM,injections,(vials)?,,ANS,-,,Vials
a.,Reconstitute,powdered,drugs.,Make,sure,all,crystals,are,dissolved,in,the,solution.,Warm,the,vial,by,rolli
ng,it,between,your,palms
b.,Clean,vial,cap,with,alcohol,for,10secs,-,open,vial,-,draw,medication,-,scoop,method,-,recap,needle
what,is,Z,track,method,in,IM,injections?,,ANS,-,,Spread,skin,using,thumb,and,index,finger,for,Z-track,-
,hold,the,syringe,like,a,dart,and,inject,quickly,at,90◦,-
,stabilize,the,syringe,with,nondominant,hand,and,aspirate,for,blood,w/,dominant,hand,-,inject,over,3-
5secs,-,wait,10secs,to,let,med,diffuse,into,surrounding,muscle,tissue,and,withdraw,needle-
,activate,the,needle's,safety,device,-
,push,SQ,tissue,back,to,seal,med,and,avoid,it,from,going,back,to,SQ,tissue-
,cover,site,with,gauze,and,apply,gentle,pressure
IM,sites,,ANS,-,,>Deltoid,NOT,FOR,INFANTS/NEWBORN,(1mL,max);,good,for,adults,&,children,(1-
18),,for,smaller,doses,and,vaccines
A,typical,injection,is,1mL
i.,Locate,the,lower,edge,of,the,acromial,process
ii.,Go,2-3,fingerbreadths,below,(3,-,5cm),and,form,an,imaginary,upside,down,triangle
iii.,Hold,skin,taunt,and,inject,at,a,90º,angle,-,Aspirate?,-,wait,10secs
>Ventrogluteal,(lateral,aspect,of,buttocks),Preferred,,BEST,FOR,ADULTS
i.,Side-lying,position,with,the,legs,straight,,stand,,or,supine
ii.,Locate,the,greater,trochanter,of,femur,with,the,heel,of,nondominant,hand
ANSWERS 2024 - 2025
IM,syringe,size,,gauge,,angle,,needle,length,,ANS,-,,>1-5,mL,(3cc,syringe);,21,-,25G,,90◦,
>Needle,length:,1,-,1,½",(adult),,1",(child),,½,-,1",(thin),,1,½,-,2",(obese)
>Max,dose,3mL
SQ,syringe,size,,gauge,,angle,,needle,length,,ANS,-,,>1,-,3,mL,(insulin,/,3,cc,syringe);,25,-
,27G;,45◦,(average,or,thin),or,90◦,(obese)
>Needle,length:,½",-,5/8",(<1")
>Max,dose,1mL,
>Heparin,,Insulin
Insulin,and,Heparin,,ANS,-,,>Heparin:,check,aPTT,,site,preferred,2",away,from,umbilicus
>Insulin:,insulin,syringe,(1mL),,27,G,,1/2",needle,,90,deg,(45,for,thin,&,child).,50,units,=,0.5mL,,100,units,=,
1mL
SQ,administration
ampules,,ANS,-,,1),Wrap,a,gauze,pad,around,the,ampule's,neck,and,snap,off,the,top
2),Attach,a,filter,needle,(5/8"),to,the,syringe,and,withdraw,med,,keeping,the,needle's,bevel,tip,below,the,l
evel,of,the,solution
3),Tap,the,syringe,to,remove,air,bubbles
4),Attach,the,appropriate,needle,to,the,syringe
5),Detach,the,filter,needle;,discard,filter,needle,&,ampule,into,sharps
SQ,administration
Vials,,ANS,-,,1),Roll,the,vial,b/t,your,palms,to,mix,the,drug
2),disinfect,vial,lid,with,an,antiseptic,
3),Pull,the,syringe,plunger,back,until,the,volume,of,the,air,in,the,syringe,equals,the,volume,of,drug,to,be,w
ithdrawn
, 4),Insert,the,needle,into,the,vial
5),Inject,the,air,,invert,the,vial,,and,keep,the,needle's,bevel,tip,below,the,level,of,the,solution,as,you,withd
raw,the,medication
6),Tap,the,syringe,to,clear,air,bubbles
7),Recap,needle
SQ,Landmarks,,ANS,-
,,Abdomen,(2",from,umbilicus),,Sub,scapular,,outer,aspects,of,upper,arm,,anterior,aspects,of,thighs,,uppe
r,ventral/dorsal,gluteal,(butt)
how,to,administer,IM,injections,(vials)?,,ANS,-,,Vials
a.,Reconstitute,powdered,drugs.,Make,sure,all,crystals,are,dissolved,in,the,solution.,Warm,the,vial,by,rolli
ng,it,between,your,palms
b.,Clean,vial,cap,with,alcohol,for,10secs,-,open,vial,-,draw,medication,-,scoop,method,-,recap,needle
what,is,Z,track,method,in,IM,injections?,,ANS,-,,Spread,skin,using,thumb,and,index,finger,for,Z-track,-
,hold,the,syringe,like,a,dart,and,inject,quickly,at,90◦,-
,stabilize,the,syringe,with,nondominant,hand,and,aspirate,for,blood,w/,dominant,hand,-,inject,over,3-
5secs,-,wait,10secs,to,let,med,diffuse,into,surrounding,muscle,tissue,and,withdraw,needle-
,activate,the,needle's,safety,device,-
,push,SQ,tissue,back,to,seal,med,and,avoid,it,from,going,back,to,SQ,tissue-
,cover,site,with,gauze,and,apply,gentle,pressure
IM,sites,,ANS,-,,>Deltoid,NOT,FOR,INFANTS/NEWBORN,(1mL,max);,good,for,adults,&,children,(1-
18),,for,smaller,doses,and,vaccines
A,typical,injection,is,1mL
i.,Locate,the,lower,edge,of,the,acromial,process
ii.,Go,2-3,fingerbreadths,below,(3,-,5cm),and,form,an,imaginary,upside,down,triangle
iii.,Hold,skin,taunt,and,inject,at,a,90º,angle,-,Aspirate?,-,wait,10secs
>Ventrogluteal,(lateral,aspect,of,buttocks),Preferred,,BEST,FOR,ADULTS
i.,Side-lying,position,with,the,legs,straight,,stand,,or,supine
ii.,Locate,the,greater,trochanter,of,femur,with,the,heel,of,nondominant,hand
