NURS 242 FINAL EXAM 2026 NEWEST EXAM COMPLETE 200
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS ) ALREADY GRADED A+
1. Why is it important for a nurse to clear the IV tubing with normal saline after a
blood transfusion?
It prevents the risk of infection during the transfusion.
It allows for the administration of medications simultaneously.
Clearing the IV tubing with normal saline helps prevent clot
formation and ensures the blood product is fully delivered.
It is necessary to dilute the blood product for better absorption.
2. When teaching the collection of a midstream urine specimen, it is important
for the nurse to instruct the patient to:
Use a clean specimen cup
Collect 100 to 150 ml of urine for testing
Wash the perineal area with soap and water immediately before
voiding
Void some urine first and then collect the sample
3. Why is it important to adhere to the CDC guidelines regarding the frequency
of changing IV administration tubing?
To minimize the cost of IV supplies used in patient care.
To reduce the risk of IV fluid contamination and associated
complications.
To ensure that the IV fluids remain effective for longer periods.
To comply with hospital policies that do not relate to patient safety.
,4. A nurse is preparing to administer a blood transfusion. If the nurse forgets to
clear the IV tubing with normal saline after the transfusion, what potential
complication could arise?
Delayed absorption of the blood product
Infection at the IV site
Increased risk of transfusion reactions
Clot formation in the IV line
5. A patient with a continuous IV infusion has an order for ciprofloxacin to be
given IV piggyback. Which action by thenurse is appropriate for
administering themedication?
Stop thecontinuous infusion while running theciprofloxacin.
Hang thebag with ciprofloxacin higher than thecontinuous infusion
bag.
Connect thepiggyback tubing into theY-port on thetubing of
thecontinuous infusion that is closest to thepatient.
Occlude thetubing of thecontinuous infusion just above theinjection
port while injecting themedication.
6. Describe the signs and symptoms that indicate a patient may be experiencing
a transfusion reaction.
Signs of a transfusion reaction include increased heart rate and
decreased blood pressure.
Signs of a transfusion reaction include fever and chills only.
Signs of a transfusion reaction include flushing, dyspnea, and
generalized itching.
Signs of a transfusion reaction include headache and dizziness.
,7. Why is it important for the bevel of the needle to be facing upwards during IV
insertion?
It ensures the needle is sterile before use.
It helps in drawing blood more effectively.
It prevents the needle from bending during insertion.
It allows for a smoother entry into the vein and reduces trauma to
the tissue.
8. If a patient is anxious about using PCA therapy post-surgery, what should the
nurse do to address this concern?
Advise the patient to wait until pain becomes severe before using
PCA.
Provide reassurance and a detailed explanation of how PCA therapy
works.
Suggest that the patient's family should manage the PCA for them.
Tell the patient that PCA is not necessary if they are anxious.
9. Describe the significance of intravenous therapy in patient care.
Intravenous therapy is primarily used for administering oral
medications.
Intravenous therapy is significant because it allows for rapid
replacement of fluids and electrolytes directly into the
bloodstream, which is crucial for patients who cannot take oral
fluids.
Intravenous therapy is only used in emergency situations.
Intravenous therapy is less effective than oral hydration methods.
, 10. If a nurse neglects to cleanse a female patient's perineum before catheter
insertion, what potential complication might arise?
Decreased bladder capacity
Enhanced catheter insertion success
Improved patient comfort
Increased risk of urinary tract infection
11. Why is it important to hang a piggyback infusion bag higher than the primary
infusion?
To ensure proper gravity flow and prevent backflow.
To reduce the risk of air entering the system.
To allow for easier access to the primary infusion.
To maintain a consistent temperature of the medication.
12. A patient has just had their IV line discontinued, but they are experiencing
bleeding at the site. What should the nurse do next?
Apply an adhesive bandage without gauze.
Leave the site open to air to promote healing.
Apply sterile 2x2 gauze and apply pressure to the site.
Notify the physician immediately without taking any action.
13. Why is 0.9% Normal Saline preferred over other solutions when
administering blood through IV?
Dextrose 10% provides necessary calories during transfusion.
Dextrose 5% Normal Saline is used to dilute blood products.
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS ) ALREADY GRADED A+
1. Why is it important for a nurse to clear the IV tubing with normal saline after a
blood transfusion?
It prevents the risk of infection during the transfusion.
It allows for the administration of medications simultaneously.
Clearing the IV tubing with normal saline helps prevent clot
formation and ensures the blood product is fully delivered.
It is necessary to dilute the blood product for better absorption.
2. When teaching the collection of a midstream urine specimen, it is important
for the nurse to instruct the patient to:
Use a clean specimen cup
Collect 100 to 150 ml of urine for testing
Wash the perineal area with soap and water immediately before
voiding
Void some urine first and then collect the sample
3. Why is it important to adhere to the CDC guidelines regarding the frequency
of changing IV administration tubing?
To minimize the cost of IV supplies used in patient care.
To reduce the risk of IV fluid contamination and associated
complications.
To ensure that the IV fluids remain effective for longer periods.
To comply with hospital policies that do not relate to patient safety.
,4. A nurse is preparing to administer a blood transfusion. If the nurse forgets to
clear the IV tubing with normal saline after the transfusion, what potential
complication could arise?
Delayed absorption of the blood product
Infection at the IV site
Increased risk of transfusion reactions
Clot formation in the IV line
5. A patient with a continuous IV infusion has an order for ciprofloxacin to be
given IV piggyback. Which action by thenurse is appropriate for
administering themedication?
Stop thecontinuous infusion while running theciprofloxacin.
Hang thebag with ciprofloxacin higher than thecontinuous infusion
bag.
Connect thepiggyback tubing into theY-port on thetubing of
thecontinuous infusion that is closest to thepatient.
Occlude thetubing of thecontinuous infusion just above theinjection
port while injecting themedication.
6. Describe the signs and symptoms that indicate a patient may be experiencing
a transfusion reaction.
Signs of a transfusion reaction include increased heart rate and
decreased blood pressure.
Signs of a transfusion reaction include fever and chills only.
Signs of a transfusion reaction include flushing, dyspnea, and
generalized itching.
Signs of a transfusion reaction include headache and dizziness.
,7. Why is it important for the bevel of the needle to be facing upwards during IV
insertion?
It ensures the needle is sterile before use.
It helps in drawing blood more effectively.
It prevents the needle from bending during insertion.
It allows for a smoother entry into the vein and reduces trauma to
the tissue.
8. If a patient is anxious about using PCA therapy post-surgery, what should the
nurse do to address this concern?
Advise the patient to wait until pain becomes severe before using
PCA.
Provide reassurance and a detailed explanation of how PCA therapy
works.
Suggest that the patient's family should manage the PCA for them.
Tell the patient that PCA is not necessary if they are anxious.
9. Describe the significance of intravenous therapy in patient care.
Intravenous therapy is primarily used for administering oral
medications.
Intravenous therapy is significant because it allows for rapid
replacement of fluids and electrolytes directly into the
bloodstream, which is crucial for patients who cannot take oral
fluids.
Intravenous therapy is only used in emergency situations.
Intravenous therapy is less effective than oral hydration methods.
, 10. If a nurse neglects to cleanse a female patient's perineum before catheter
insertion, what potential complication might arise?
Decreased bladder capacity
Enhanced catheter insertion success
Improved patient comfort
Increased risk of urinary tract infection
11. Why is it important to hang a piggyback infusion bag higher than the primary
infusion?
To ensure proper gravity flow and prevent backflow.
To reduce the risk of air entering the system.
To allow for easier access to the primary infusion.
To maintain a consistent temperature of the medication.
12. A patient has just had their IV line discontinued, but they are experiencing
bleeding at the site. What should the nurse do next?
Apply an adhesive bandage without gauze.
Leave the site open to air to promote healing.
Apply sterile 2x2 gauze and apply pressure to the site.
Notify the physician immediately without taking any action.
13. Why is 0.9% Normal Saline preferred over other solutions when
administering blood through IV?
Dextrose 10% provides necessary calories during transfusion.
Dextrose 5% Normal Saline is used to dilute blood products.
