Deck 14: Parenteral Dosages
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Deck 14: Parenteral Dosages
1
Which syringe would be used to administer 0.9 mL?
A) insulin syringe
B) 1 mL tuberculin syringe
C) 3 mL standard syringe
D) large capacity syringe
A) insulin syringe
B) 1 mL tuberculin syringe
C) 3 mL standard syringe
D) large capacity syringe
1 mL tuberculin syringe
2
Which syringe should be used to administer 0.6 mL IM?
A) 1 mL tuberculin syringe
B) 3 mL standard syringe
C) insulin syringe
D) 5 mL syringe
A) 1 mL tuberculin syringe
B) 3 mL standard syringe
C) insulin syringe
D) 5 mL syringe
1 mL tuberculin syringe
3
Which one of the following routes of administration is not an injectable?
A) sublingual
B) intravenous
C) intramuscular
D) subcutaneous
A) sublingual
B) intravenous
C) intramuscular
D) subcutaneous
sublingual
4
By your calculations, you should administer 2.46 mL. What amount will you draw up in the syringe?
A) 2.46 mL
B) 2.4 mL
C) 2.5 mL
D) 2 mL
A) 2.46 mL
B) 2.4 mL
C) 2.5 mL
D) 2 mL
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5
When storing a medication after it has been reconstituted, all of the following should be recorded on the label except
A) the date.
B) the time of expiration.
C) your name or initials.
D) solvent used.
A) the date.
B) the time of expiration.
C) your name or initials.
D) solvent used.
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6
When administering a 5 mL dose for injection, you would divide it by drawing up
A) 3 mL in one and 2 mL in another syringe.
B) 2.5 mL in each syringe.
C) 1.5 mL in one and 3.5 mL in another.
D) 4 mL in one and 1 mL in the other.
A) 3 mL in one and 2 mL in another syringe.
B) 2.5 mL in each syringe.
C) 1.5 mL in one and 3.5 mL in another.
D) 4 mL in one and 1 mL in the other.
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7
A medication with a solution strength of 25% contains
A) 25 g of medication per 1,000 mL solution.
B) 25 g of medication per 10 mL solution.
C) 25 g of medication per 100 mL solution.
D) 1 g of medication per 25 mL solution.
A) 25 g of medication per 1,000 mL solution.
B) 25 g of medication per 10 mL solution.
C) 25 g of medication per 100 mL solution.
D) 1 g of medication per 25 mL solution.
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8
The dosage strength of a solution with a strength of 50% is
A) 1 : 1,000.
B) 50 g of medication per 100 mL solution.
C) 5 g of medication per 100 mL solution.
D) 1 g of medication per 50 mL solution.
A) 1 : 1,000.
B) 50 g of medication per 100 mL solution.
C) 5 g of medication per 100 mL solution.
D) 1 g of medication per 50 mL solution.
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9
A 1 : 500 solution has a dosage strength of
A) 1 g of medication per 1,000 mL solution.
B) 5 g of medication per 100 mL solution.
C) 500 g of medication per 1 L solution.
D) 1 g of medication per 500 mL solution.
A) 1 g of medication per 1,000 mL solution.
B) 5 g of medication per 100 mL solution.
C) 500 g of medication per 1 L solution.
D) 1 g of medication per 500 mL solution.
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10
Which of the following is not a solvent used to reconstitute powdered medications for injection?
A) sterile water
B) sterile saline
C) tap water
D) bacteriostatic solution
A) sterile water
B) sterile saline
C) tap water
D) bacteriostatic solution
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11
When a suspension is reconstituted, the particles
A) do not dissolve completely.
B) are distributed evenly without shaking the container.
C) dissolve completely if the container is shaken.
D) dissolve in warm water.
A) do not dissolve completely.
B) are distributed evenly without shaking the container.
C) dissolve completely if the container is shaken.
D) dissolve in warm water.
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12
After a multiple-dose vial is reconstituted, you must write the _____ on the label.
A) dose ordered
B) desired dose
C) amount to administer
D) solution strength
A) dose ordered
B) desired dose
C) amount to administer
D) solution strength
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13
The amount to administer is _____.
Ordered: Cogentin 0.5 mg IV daily
On hand: Cogentin 1 mg/mL
A) 1 mL
B) 5 mL
C) 0.5 mL
D) 0.05 mL
Ordered: Cogentin 0.5 mg IV daily
On hand: Cogentin 1 mg/mL
A) 1 mL
B) 5 mL
C) 0.5 mL
D) 0.05 mL
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14
Calculate the amount to administer: _____.
Ordered: Chloroquine hydrochloride 300 mg IM daily
On hand: Chloroquine hydrochloride 200 mg/mL
A) 0.15 mL
B) 1.5 mL
C) 15 mL
D) 0.015 mL
Ordered: Chloroquine hydrochloride 300 mg IM daily
On hand: Chloroquine hydrochloride 200 mg/mL
A) 0.15 mL
B) 1.5 mL
C) 15 mL
D) 0.015 mL
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15
Calculate the amount to administer using a tuberculin syringe: _____.
Ordered: Darbepoetin Alfa 12.5 mcg subcut weekly
On hand: See label

A) 0.3125 mL
B) 3.125 mL
C) 0.31 mL
D) 3.13 mL
Ordered: Darbepoetin Alfa 12.5 mcg subcut weekly
On hand: See label

A) 0.3125 mL
B) 3.125 mL
C) 0.31 mL
D) 3.13 mL
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16
Calculate the amount to administer: _____.
Ordered: Filgrastim 120 mcg subcut daily
See label for available medication

A) 4 mL
B) 0.04 mL
C) 40 mL
D) 0.4 mL
Ordered: Filgrastim 120 mcg subcut daily
See label for available medication

A) 4 mL
B) 0.04 mL
C) 40 mL
D) 0.4 mL
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17
Insulin-dependent diabetes results from
A) excessive glucose production.
B) decreased or no insulin production.
C) decreased glucose production.
D) increased insulin production.
A) excessive glucose production.
B) decreased or no insulin production.
C) decreased glucose production.
D) increased insulin production.
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18
People receiving regular insulin injections require
A) the use of different injection sites.
B) the use of the same injection site.
C) the formation of site scarring to decrease pain.
D) removal of site scarring to decrease the pain.
A) the use of different injection sites.
B) the use of the same injection site.
C) the formation of site scarring to decrease pain.
D) removal of site scarring to decrease the pain.
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19
Which of the following insulins has the fastest onset of action?
A) Regular insulin
B) NPH insulin
C) insulin glargine
D) Insulin lispro
A) Regular insulin
B) NPH insulin
C) insulin glargine
D) Insulin lispro
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20
The time when insulin's effect is strongest is referred to as the
A) onset.
B) peak.
C) duration.
D) trough.
A) onset.
B) peak.
C) duration.
D) trough.
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21
The _____ is the time when insulin begins to lower the glucose level.
A) duration
B) peak
C) trough
D) onset
A) duration
B) peak
C) trough
D) onset
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22
The length of time insulin works is referred to as the
A) onset.
B) peak.
C) duration.
D) trough.
A) onset.
B) peak.
C) duration.
D) trough.
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23
At 0830, 10 units of NPH insulin was administered subcutaneously. What time would you expect the insulin to begin lowering the blood glucose?
A) 0900
B) 1030
C) 1245
D) 1400
A) 0900
B) 1030
C) 1245
D) 1400
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24
Novolin R 22 units is to be administered. Which of the following syringes would be your preference?
A) tuberculin syringe
B) standard 3 mL syringe
C) 30 unit capacity insulin syringe
D) 100 unit capacity insulin syringe
A) tuberculin syringe
B) standard 3 mL syringe
C) 30 unit capacity insulin syringe
D) 100 unit capacity insulin syringe
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25
Humulin R U-500 insulin 92 units has been ordered. Which of the following syringes would be your preference?
A) tuberculin syringe
B) standard 3 mL syringe
C) 30 unit capacity insulin syringe
D) 50 unit capacity insulin syringe
A) tuberculin syringe
B) standard 3 mL syringe
C) 30 unit capacity insulin syringe
D) 50 unit capacity insulin syringe
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26
Heparin is administered to
A) decrease blood clotting.
B) increase blood clotting.
C) decrease blood cell production.
D) increase blood cell production.
A) decrease blood clotting.
B) increase blood clotting.
C) decrease blood cell production.
D) increase blood cell production.
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27
People receiving heparin are at greater risk for
A) headaches.
B) infections.
C) bleeding.
D) clot formation.
A) headaches.
B) infections.
C) bleeding.
D) clot formation.
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28
Heparin is never administered by _____ because of the risk of hematoma.
A) intravenous infusion
B) subcut injection
C) IM injection
D) IV push
A) intravenous infusion
B) subcut injection
C) IM injection
D) IV push
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29
Which of the syringes would be the best choice to administer 10 units of insulin? 
A) Syringe 1
B) Syringe 2
C) Syringe 3
D) Syringe 4

A) Syringe 1
B) Syringe 2
C) Syringe 3
D) Syringe 4
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30
Which syringe would you select to administer Humulin R U-500 65 units? 
A) Syringe 1
B) Syringe 2
C) Syringe 3
D) Syringe 4

A) Syringe 1
B) Syringe 2
C) Syringe 3
D) Syringe 4
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31
Which syringe would you select to administer Humalog 4 units? 
A) Syringe 1
B) Syringe 2
C) Syringe 3
D) Syringe 4

A) Syringe 1
B) Syringe 2
C) Syringe 3
D) Syringe 4
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32
Which syringe would you select to administer Humulin N 65 units? 
A) Syringe 1
B) Syringe 2
C) Syringe 3
D) Syringe 4

A) Syringe 1
B) Syringe 2
C) Syringe 3
D) Syringe 4
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33
Which syringe would you select to administer 31 units of insulin? 
A) Syringe 1
B) Syringe 2
C) Syringe 3
D) Syringe 4

A) Syringe 1
B) Syringe 2
C) Syringe 3
D) Syringe 4
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34
Calculate the amount to administer: _______________.
Ordered: Akineton 2 mg IM now
On hand: Akineton 5 mg/mL
Ordered: Akineton 2 mg IM now
On hand: Akineton 5 mg/mL
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35
You would select a(n)_______________ syringe to administer a dose of 0.4 mL.
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36
Calculate the amount to administer: _______________.
Ordered: Stadol 1 mg IM q 4-6 h prn
On hand: Stadol 2 mg/mL
Ordered: Stadol 1 mg IM q 4-6 h prn
On hand: Stadol 2 mg/mL
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37
Calculate the amount to administer: _______________.
Ordered: Zofran 4 mg IM now
On hand: Zofran 2 mg/mL
Ordered: Zofran 4 mg IM now
On hand: Zofran 2 mg/mL
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38
Calculate the amount to administer: _______________. (Round decimal appropriately)
Ordered: Imitrex 8 mg subcut prn headache
On hand: Imitrex injection 6 mg/0.5 mL
Ordered: Imitrex 8 mg subcut prn headache
On hand: Imitrex injection 6 mg/0.5 mL
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39
Calculate the amount to administer: _______________. (Round appropriately)
Ordered: Imitrex 4 mg subcut prn headache
On hand: Imitrex injection 6 mg/0.5 mL
Ordered: Imitrex 4 mg subcut prn headache
On hand: Imitrex injection 6 mg/0.5 mL
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40
Calculate the amount to administer: _______________.
Ordered: Trimethobenzamide HCl 125 mg IM q4h prn
See label for dose on hand

Ordered: Trimethobenzamide HCl 125 mg IM q4h prn
See label for dose on hand

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41
Calculate the amount to administer: __________________.
Ordered: Trimethobenzamide HCl 130 mg IM now
See label for dose on hand

Ordered: Trimethobenzamide HCl 130 mg IM now
See label for dose on hand

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42
Calculate the amount to administer: _______________.
Ordered: Zantac 45 mg IM now
On hand: Zantac 25 mg/mL
Ordered: Zantac 45 mg IM now
On hand: Zantac 25 mg/mL
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43
Ceftriaxone solution with a solution strength of 100 mg/mL will remain stable at room temperature for _______________ when diluted with sterile water for injection.


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44
If refrigerated, ceftriaxone 350 mg/mL solution remains stable for _______________ when diluted with bacteriostatic water.


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45
Ceftriaxone 100 mg/mL solution will remain stable for 10 days regardless of the diluent used if it is _______________.


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46
To prepare ceftriaxone 1 g for an IM injection, you would add _______________ of the appropriate diluent.


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47
When ceftriaxone 1 g is reconstituted for IM injection, dosage strength will be _______________.


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48
For IM administration, ceftriaxone should be reconstituted with either 1% Lidocaine Hydrochloride Injection (USP) or _______________ for Injection (USP).


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49
After ceftriaxone has been reconstituted for IV administration, it has an approximate dosage strength of _______________.


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50
Ceftriaxone has been reconstituted for IV administration according to the label instructions. How many milligrams of medication are available in this vial?


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51
A total of _______________ of diluent is added to a 1 g vial of ceftriaxone for IV infusion.


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52
The medication technician reads the medication order for Mrs. Rogers and notes that it is for 500 mg ceftriaxone IM q12h. On hand, the technician has the vial shown here. The medication technician reconstitutes the ceftriaxone as described on the label and administers _______________ of the ceftriaxone solution intramuscularly.


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53
Calculate the amount to administer: _______________.
Ordered: Acyclovir 375 mg IVPB q8h
On hand: Acyclovir sodium injection 1,000 mg/20 mL single-dose vial
Ordered: Acyclovir 375 mg IVPB q8h
On hand: Acyclovir sodium injection 1,000 mg/20 mL single-dose vial
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54
Calculate the amount to administer: _______________.
Ordered: Acyclovir 170 mg IVPB q8h
On hand: Acyclovir sodium injection 1,000 mg/20 mL single-dose vial
Ordered: Acyclovir 170 mg IVPB q8h
On hand: Acyclovir sodium injection 1,000 mg/20 mL single-dose vial
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55
Calculate the amount to administer: _______________.
Ordered: Clindamycin 450 mg IVSS q6h
See label for dose on hand.

Ordered: Clindamycin 450 mg IVSS q6h
See label for dose on hand.

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56
Calculate the amount to administer: _______________.
Ordered: Stelazine 5 mg IM now
On hand: Stelazine 2 mg/mL
Ordered: Stelazine 5 mg IM now
On hand: Stelazine 2 mg/mL
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57
Calculate the amount to administer: _______________. (Round appropriately)
Ordered: Lanoxin 135 mcg IM now
On hand: Lanoxin 0.25 mg/mL
Ordered: Lanoxin 135 mcg IM now
On hand: Lanoxin 0.25 mg/mL
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58
Calculate the amount to administer: _______________.
Ordered: Lanoxin 75 mcg IM now
On hand: Lanoxin 0.25 mg/mL
Ordered: Lanoxin 75 mcg IM now
On hand: Lanoxin 0.25 mg/mL
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59
Calculate the amount to administer: _______________.
Ordered: Acetylcysteine 400 mg q4h inhalation
On hand: Acetylcysteine 20% solution
Ordered: Acetylcysteine 400 mg q4h inhalation
On hand: Acetylcysteine 20% solution
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60
The appropriate patch(es) to use for the ordered dose is/are _______________ patch(es).
Ordered: Nitro-Dur 0.4 mg/h topically
On hand: Nitro-Dur 0.2 mg/h and 0.4 mg/h patches
Ordered: Nitro-Dur 0.4 mg/h topically
On hand: Nitro-Dur 0.2 mg/h and 0.4 mg/h patches
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61
Select the appropriate patch(es) to provide the dosage ordered: _________________ patch(es).
Ordered: Transderm Nitro 0.3 mg/h topically
On hand: Transderm Nitro 0.1 mg/h, 0.2 mg/h and 0.6 mg/h patches
Ordered: Transderm Nitro 0.3 mg/h topically
On hand: Transderm Nitro 0.1 mg/h, 0.2 mg/h and 0.6 mg/h patches
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62
Calculate the amount to administer: _______________.
Ordered: Compazine 10 mg pr
On hand: Compazine 5 mg suppositories
Ordered: Compazine 10 mg pr
On hand: Compazine 5 mg suppositories
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63
Select the appropriate dosage form: _______________.
Ordered: Morphine 20 mg pr
On hand: Morphine 5 mg, 10 mg, and 30 mg suppositories
Ordered: Morphine 20 mg pr
On hand: Morphine 5 mg, 10 mg, and 30 mg suppositories
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64
Calculate the amount to administer: _______________.
Ordered: Morphine 20 mg pr
On hand: Morphine 10 mg suppositories
Ordered: Morphine 20 mg pr
On hand: Morphine 10 mg suppositories
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65
Calculate the amount to administer and choose the correctly marked syringe: syringe _______________.
Ordered: Lanoxin 0.125 mg deep IM massage stat
On hand: Lanoxin 0.25 mg/mL
A)
B)
Ordered: Lanoxin 0.125 mg deep IM massage stat
On hand: Lanoxin 0.25 mg/mL
A)

B)

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66
Calculate the amount to administer and choose the correctly marked syringe: syringe _______________.
Ordered: Heparin sodium 3,000 units deep subcut q8h
On hand: Heparin 10,000 units/mL
A)
B)
Ordered: Heparin sodium 3,000 units deep subcut q8h
On hand: Heparin 10,000 units/mL
A)

B)

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67
Calculate the amount to administer and choose the correctly marked syringe: syringe _______________.
Ordered: Epinephrine 0.3 mg subcut stat
On hand: Vial of epinephrine 1:2,000 solution for injection
A)
B)
Ordered: Epinephrine 0.3 mg subcut stat
On hand: Vial of epinephrine 1:2,000 solution for injection
A)

B)

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68
Calculate the amount to administer and choose the correctly marked syringe: syringe ____________.
Ordered: Depo-Provera 750 mg IM weekly.
On hand: Depo-Provera 400 mg/mL.
A)
B)
Ordered: Depo-Provera 750 mg IM weekly.
On hand: Depo-Provera 400 mg/mL.
A)

B)

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69
The amount to administer is 0.23 mL. Select the correct syringe: _______________.
A)
B)
C)
A)

B)

C)

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70
The amount to administer is 0.85 mL.
Select the correct syringe: _______________.
A)
B)
C)
Select the correct syringe: _______________.
A)

B)

C)

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71
The amount to deliver is 1 mL. Select the correct syringe: _______________.
A)
B)
C)
A)

B)

C)

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72
The amount to deliver is 0.5 mL. Select the correct syringe: _______________.
A)
B)
C)
A)

B)

C)

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73
The amount to deliver is 1.2 mL. Select the correct syringe: _______________.
A)
B)
C)
A)

B)

C)

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74
The amount to administer is 0.48 mL. Select the correct syringe: _______________.
A)
B)
C)
A)

B)

C)

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75
Ordered: 5 units of Humulin R and 22 units of Humulin N.
Calculate the total units of insulin: _______________.
Calculate the total units of insulin: _______________.
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76
Ordered: Humulin R 6 units and Humulin N 30 units.
Calculate the total amount of insulin: _______________.
Calculate the total amount of insulin: _______________.
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77
Ordered: Novolin R 8 units and Novolin N 45 units.
Calculate the total amount of insulin: _______________.
Calculate the total amount of insulin: _______________.
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78
You would use the _______________ capacity syringe to administer a combination dose of 5 units short-acting insulin and 56 units of intermediate-acting insulin.
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79
Each milliliter of the Humalog mix indicated by this label contains _______________ units of insulin lispro protamine suspension


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80

Ordered: 3,500 units subcut now
On hand: See label.
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