NURS 3370 TEST 1 QUESTIONS AND ANSWERS 2026
When do you give packed rbcs - Answers -low hemoglobin and hematocrit,
symptomatic (dizzy, low BP when stand, high HR) and hgb under 9
When do you give platelets - Answers -low platelets
When do you give fresh frozen plasma - Answers -when there is a clotting problem, to
expand volume
When do you give albumin - Answers -to expand or maintain vascular volume
What do you use when mixing medicines - Answers -laminar flow hood to decrease risk
of bacteria
What medicine can never be given IV push - Answers -potassium chloride bc it will stop
heart (lethal)
IV bolus - Answers -can be hung in a piggyback and needs to be given over a period of
time longer than 5 min
IV push - Answers -medication pushed over 5 min or less
Which bag hangs higher? - Answers -secondary set hangs higher
Best time to changes IV tubing - Answers -when you are changing the bag
How often do you change TPN tubing - Answers -q24 hr bc of dextrose concentration
What size needle is needed for blood products - Answers -18 gauge
What IV fluid is compatible with blood - Answers -normal saline
With an estimated blood loss of 1000 ml the nurse can anticipate what will be necessary
- Answers -blood transfusion
How many nurses does it take to verify a blood product at the bedside - Answers -2
One nurse at the bedside - Answers -must be an RN
How fast do you give platelets - Answers -rapidly bc they are fragile
, Nursing interventions for transfusion reaction - Answers -*STOP THE TRANSFUSION,
start new line of IV fluids with existing IV site (don't d/c IV until other IV site is
accessed)*
Febrile reaction symptoms - Answers -fever, sudden onset of chills, headache
Hemolytic reaction symptoms and nursing interventions - Answers -anxiety, inc HR and
RR, back pain, low BP, blood in urine
Why is it not recommended to have a basal rate or continuous rate of demerol? -
Answers -patient can build up metabolites and have seizures
Basal dose (PCA) - Answers -usually based on weight, is an hourly rate patient
receives whether they push the button or not
PCA dose - Answers -what the patient receives when they push the button
Why are benadryl and tylenol given pre transfusion - Answers -prevent allergic reaction
How fast do you give plasma - Answers -slowly bc it is viscous
When you need to give meds, fluids, and blood - Answers -blood in one line, meds and
fluids in another
If there is an extension set - Answers -aspirate as much blood as possible
What can't you do when you have a PCA - Answers -smoke, receive other narcotics
Can you use a pump for rbcs - Answers -yes they do not harm rbcs
Why do you saturate the filter with blood products - Answers -prevent hemolysis
Why do we need a larger needle with blood? - Answers -it can go more rapidly and
smooth, less destruction to cells
Why is demerol given in PACU - Answers -to prevent post op shivers (also can be from
blood transfusion)
How is the dose determined for PCA - Answers -patient weight
What are 2 common meds given by PCA - Answers -demerol and morphine
What does a lockout on PCA mean - Answers -the pt can only receive so much
medicine in a given time frame
How many nurses does it take to waste PCA (controlled substance) - Answers -2
When do you give packed rbcs - Answers -low hemoglobin and hematocrit,
symptomatic (dizzy, low BP when stand, high HR) and hgb under 9
When do you give platelets - Answers -low platelets
When do you give fresh frozen plasma - Answers -when there is a clotting problem, to
expand volume
When do you give albumin - Answers -to expand or maintain vascular volume
What do you use when mixing medicines - Answers -laminar flow hood to decrease risk
of bacteria
What medicine can never be given IV push - Answers -potassium chloride bc it will stop
heart (lethal)
IV bolus - Answers -can be hung in a piggyback and needs to be given over a period of
time longer than 5 min
IV push - Answers -medication pushed over 5 min or less
Which bag hangs higher? - Answers -secondary set hangs higher
Best time to changes IV tubing - Answers -when you are changing the bag
How often do you change TPN tubing - Answers -q24 hr bc of dextrose concentration
What size needle is needed for blood products - Answers -18 gauge
What IV fluid is compatible with blood - Answers -normal saline
With an estimated blood loss of 1000 ml the nurse can anticipate what will be necessary
- Answers -blood transfusion
How many nurses does it take to verify a blood product at the bedside - Answers -2
One nurse at the bedside - Answers -must be an RN
How fast do you give platelets - Answers -rapidly bc they are fragile
, Nursing interventions for transfusion reaction - Answers -*STOP THE TRANSFUSION,
start new line of IV fluids with existing IV site (don't d/c IV until other IV site is
accessed)*
Febrile reaction symptoms - Answers -fever, sudden onset of chills, headache
Hemolytic reaction symptoms and nursing interventions - Answers -anxiety, inc HR and
RR, back pain, low BP, blood in urine
Why is it not recommended to have a basal rate or continuous rate of demerol? -
Answers -patient can build up metabolites and have seizures
Basal dose (PCA) - Answers -usually based on weight, is an hourly rate patient
receives whether they push the button or not
PCA dose - Answers -what the patient receives when they push the button
Why are benadryl and tylenol given pre transfusion - Answers -prevent allergic reaction
How fast do you give plasma - Answers -slowly bc it is viscous
When you need to give meds, fluids, and blood - Answers -blood in one line, meds and
fluids in another
If there is an extension set - Answers -aspirate as much blood as possible
What can't you do when you have a PCA - Answers -smoke, receive other narcotics
Can you use a pump for rbcs - Answers -yes they do not harm rbcs
Why do you saturate the filter with blood products - Answers -prevent hemolysis
Why do we need a larger needle with blood? - Answers -it can go more rapidly and
smooth, less destruction to cells
Why is demerol given in PACU - Answers -to prevent post op shivers (also can be from
blood transfusion)
How is the dose determined for PCA - Answers -patient weight
What are 2 common meds given by PCA - Answers -demerol and morphine
What does a lockout on PCA mean - Answers -the pt can only receive so much
medicine in a given time frame
How many nurses does it take to waste PCA (controlled substance) - Answers -2
