To print only a single item of the drawing to scale using Adobe Acrobat Reader, do the following:
Go to Edit, then click on Take a snapshot, move the cursor to the top left of the item you want to print and hold down the left mouse button whilst you drag a box around the item. The inside of the box turns blue and you can now go to File and then click on Print. This brings up the print dialogue, make sure Selected graphic is selected and that the Page scaling is set to None and the click on OK. As long as your printer is connected you will have printed the item at size. Do this for each item you want to cut out.