COMPREHENSIVE PREDICTOR
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,Table of Contents
SET (1) .........................................................................2
SET (2) .....................................................................132
SET (3) .....................................................................207
SET (4) .....................................................................313
SET (1)
Question 1: IV Infusion Pump Safety
A nurse is preparing to initiate intravenous fluids via infusion pump for a client.
Which of the following actions should the nurse take?
A. Obtain a surge protector that can accommodate the pump and several other
appliances
B. Verify that the extension cord for the pump is ungrounded
C. Report the pump has a frayed cord and proceed with the infusion
D. Check the expiration date on the safety inspection sticker of the pump
Correct Answer: D
Rationale:
• D (Correct): Safety inspection stickers indicate the pump has been tested
and calibrated according to facility standards. Using equipment past its
inspection date risks inaccurate infusion rates and patient harm.
• A (Incorrect): Surge protectors are not recommended for medical equipment;
they can fail and interrupt critical therapy.
• B (Incorrect): Ungrounded cords are unsafe and violate electrical safety
standards; all medical equipment must be grounded.
, • C (Incorrect): A frayed cord is an electrical hazard; the pump must be
removed from service immediately, not used.
Key Concept: Medical equipment safety: Regular inspection, maintenance, and
immediate removal of damaged equipment are essential for patient safety. Never use
equipment with expired calibration or physical damage.
Question 2: Implanted Port Access
A nurse is caring for a client who has an implanted venous access port. Which of
the following should the nurse use to access the port?
A. A noncoring needle
B. An angiocatheter
C. A butterfly needle
D. A 25-gauge needle
Correct Answer: A
Rationale:
• A (Correct): A noncoring (Huber) needle has a deflected tip that pierces the
silicone septum of the port without cutting out a core of material. This
preserves the septum integrity for thousands of accesses.
• B (Incorrect): An angiocatheter is for peripheral IV insertion, not port access.
• C (Incorrect): A butterfly needle is for short-term peripheral access or scalp
veins in infants, not implanted ports.
• D (Incorrect): A standard 25-gauge needle cores the septum, causing leakage
and damage to the port.
Key Concept: Port-a-cath care: Use Huber needles only, assess for blood return
before each use, flush with heparin or saline per protocol after use, and rotate needle
insertion sites on the septum.
Question 3: Medication Discrepancy