QAL CATEGORY M COMPREHENSIVE TEST
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ Eye irrigation Answer: 15 minutes flushing at eye station
◉ What is a sigmoidoscopy? Answer: minimally invasive exam of
large intestine from the rectum to the nearest part of colon, sigmoid
colon
◉ What is a colonoscopy? Answer: exam of entire colon
◉ Medication is inventoried by... Answer: expiration date
◉ Topical ROA Answer: administered externally to the skin; ex.
lidocaine
◉ Enteral ROA Answer: system-wide effect, delivered through GI
tract
◉ Parenteral ROA Answer: systemic action, routes other than GI
tract
,◉ Transdermal ROA (AKA?) Answer: delivered across or through the
skin for systemic effects, typically by using an adhesive patch; AKA
percutaneous administration
◉ Who puts out the vaccine/ immunization schedule? Answer: CDC
◉ What is naturally acquired passive immunity? Answer: occurs
during pregnancy, in which certain antibodies are passed from the
maternal blood into the fetal bloodstream in the form of IgG
◉ What is passive immunity? Answer: found in human colostrum &
milk of babies who are nursed, providing local protection against
disease causing bacteria and viruses until the newborn can
synthesize its own antibodies; can also be in the form of IgA and IgG
◉ What is naturally acquired active immunity? Answer: Occurs
when the person is exposed to a live pathogen, develops the disease,
and becomes immune because of the primary immune response
◉ What is artificially acquired active immunity? Answer: Can be
induced by a vaccine, a substance that contains the antigen
◉ Needle gauges/ Angle of administration Answer: IM 18-21/ 90
degrees
,Subcut 21-25/ 45 degrees (insulin 90 degrees)
ID 25-27/ 15 degrees
◉ Intramuscular (IM) Injection gauge, needle length, angle to skin &
location Answer: Gauge: 18-21
Needle length: 1-1.5"
Angle: 90degrees
Location: deltoid if dosage < or = 1 ml or cc, ventrogluteal if dosage >
1 ml or cc, vastus lateralis (often pediatric dosage)
◉ What do you do if the dosage is 4 cc or greater? Answer: Consider
splitting the dosage into 2 separate injections; separate injections by
a few inches on same side and/ or administer contralaterally
◉ What does separating injections allow? Answer: Allows for an
allergic reaction to be witnessed
◉ Subcutaneous fat (Subcut) Injection gauge, needle length, angle to
skin & location Answer: Gauge: 21-25
Needle length: 3/8-5/8"
Angle: 45 degrees, 90 degrees only for insulin
Location: side (or back) of upper arm, lower stomach/ abdomen,
thigh
, ◉ Intradermal (ID) Injection gauge, needle length, angle to skin &
location Answer: Gauge: 25-27
Needle length: 1/2"
Angle: 10-15 degrees
Location: forearm
◉ What is the goal of an ID injection? What happens if it flattens or
bleeds out? Answer: To create a WHEAL (noticeable bleb) between
the epidermis and dermis layers of the skin; repeat ID injection on
opposite forearm if it flattens or bleeds out
◉ TB test administration Answer: AKA Mantoux test, TST, IPPD or
PPD injection
0.1ml volume is placed between epidermis and dermis of skin
◉ Drug math (dosage) Answer: DO/ DA x mL (dose ordered/ dose
available multiplied by amount of mL in vial)
◉ Conversion from lbs to kg Answer: lbs/2.2 = kg
◉ Conversion from kg to lbs Answer: 1 kg = 2.2 lbs
◉ Conversion from tsp to ml Answer: multiply tsp by 4.929
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ Eye irrigation Answer: 15 minutes flushing at eye station
◉ What is a sigmoidoscopy? Answer: minimally invasive exam of
large intestine from the rectum to the nearest part of colon, sigmoid
colon
◉ What is a colonoscopy? Answer: exam of entire colon
◉ Medication is inventoried by... Answer: expiration date
◉ Topical ROA Answer: administered externally to the skin; ex.
lidocaine
◉ Enteral ROA Answer: system-wide effect, delivered through GI
tract
◉ Parenteral ROA Answer: systemic action, routes other than GI
tract
,◉ Transdermal ROA (AKA?) Answer: delivered across or through the
skin for systemic effects, typically by using an adhesive patch; AKA
percutaneous administration
◉ Who puts out the vaccine/ immunization schedule? Answer: CDC
◉ What is naturally acquired passive immunity? Answer: occurs
during pregnancy, in which certain antibodies are passed from the
maternal blood into the fetal bloodstream in the form of IgG
◉ What is passive immunity? Answer: found in human colostrum &
milk of babies who are nursed, providing local protection against
disease causing bacteria and viruses until the newborn can
synthesize its own antibodies; can also be in the form of IgA and IgG
◉ What is naturally acquired active immunity? Answer: Occurs
when the person is exposed to a live pathogen, develops the disease,
and becomes immune because of the primary immune response
◉ What is artificially acquired active immunity? Answer: Can be
induced by a vaccine, a substance that contains the antigen
◉ Needle gauges/ Angle of administration Answer: IM 18-21/ 90
degrees
,Subcut 21-25/ 45 degrees (insulin 90 degrees)
ID 25-27/ 15 degrees
◉ Intramuscular (IM) Injection gauge, needle length, angle to skin &
location Answer: Gauge: 18-21
Needle length: 1-1.5"
Angle: 90degrees
Location: deltoid if dosage < or = 1 ml or cc, ventrogluteal if dosage >
1 ml or cc, vastus lateralis (often pediatric dosage)
◉ What do you do if the dosage is 4 cc or greater? Answer: Consider
splitting the dosage into 2 separate injections; separate injections by
a few inches on same side and/ or administer contralaterally
◉ What does separating injections allow? Answer: Allows for an
allergic reaction to be witnessed
◉ Subcutaneous fat (Subcut) Injection gauge, needle length, angle to
skin & location Answer: Gauge: 21-25
Needle length: 3/8-5/8"
Angle: 45 degrees, 90 degrees only for insulin
Location: side (or back) of upper arm, lower stomach/ abdomen,
thigh
, ◉ Intradermal (ID) Injection gauge, needle length, angle to skin &
location Answer: Gauge: 25-27
Needle length: 1/2"
Angle: 10-15 degrees
Location: forearm
◉ What is the goal of an ID injection? What happens if it flattens or
bleeds out? Answer: To create a WHEAL (noticeable bleb) between
the epidermis and dermis layers of the skin; repeat ID injection on
opposite forearm if it flattens or bleeds out
◉ TB test administration Answer: AKA Mantoux test, TST, IPPD or
PPD injection
0.1ml volume is placed between epidermis and dermis of skin
◉ Drug math (dosage) Answer: DO/ DA x mL (dose ordered/ dose
available multiplied by amount of mL in vial)
◉ Conversion from lbs to kg Answer: lbs/2.2 = kg
◉ Conversion from kg to lbs Answer: 1 kg = 2.2 lbs
◉ Conversion from tsp to ml Answer: multiply tsp by 4.929
