IV THERAPY: EXAM 1 UPDATED Exam
Questions and CORRECT Answers
A nurse finds a patient's IV insertion site red, warm, and slightly edematous. Which of the
following actions should the nurse perform first?
a. Check for a blood return
b. Elevate the extremity
c. Discontinue the IV line
d. Apply warm, moist heat - CORRECT ANSWER- c
a nurse has just initiated a new peripheral IV infusion with 5% dextrose in water for
continuous infusion. how often should the nurse plan to replace the primary infusion tubing?
a. every 24 hours
b. every 48 hours
c. every 72 hours
d. every 96 hours - CORRECT ANSWER- d
A nurse has just inserted a peripheral IV catheter for a continuous infusion. To secure the
catheter, the nurse should:
a. leave the connection between the hub & the tubing uncovered
b. wrap tape around the circumference of the patient's arm
c. tape the IV catheter's hub securely to the patient's skin
d. place a piece of paper tape over the insertion site - CORRECT ANSWER- a
which of the following is an important nursing action when converting an IV infusion to a
saline lock?
a. open the roller clamp of the primary infusion to prime the saline lock
b. apply pressure with a syringe to clear resistance in the IV catheter
c. attach secondary tubing to allow mobility
d. flush the IV catheter to confirm patency - CORRECT ANSWER- d
, A nurse who has just initiated an IV infusion explains to the patient that complications are
possible and that she will monitor the infusion regularly. The nurse should teach the patient
that which of the following findings is an indication of early infiltration?
a. moisture
b. bruising
c. tingling
d. coolness - CORRECT ANSWER- d
a nurse is initiating a peripheral IV infusion punctures the skin & selected vein and observes
blood return in the flashback chamber of the IV catheter. which of the following actions
should the nurse perform next?
a. secure the catheter to the skin with a transparent dressing
b. lower the catheter until it is almost flush with the skin
c. advance the catheter about 1/4 inch into the vein
d. remove the stylet slowly from the lumen of the catheter - CORRECT ANSWER- b
a nurse is removing an IV catheter from a patient whose IV infusion has been discontinued.
which of the following actions is appropriate?
a. apply firm pressure over the vein
b. leave the roller clamp slightly open
c. pull the catheter straight back from the insertion site
d. lift the hub slightly upward away from the skin - CORRECT ANSWER- c
a patient in early stage renal failure is prescribed an infusion of 0.45% sodium chloride. this
type of solution is appropriate because it
a. pulls fluid from the cells and increases vascular volume
b. dilutes extracellular fluid and rehydrates the cells
c. replaces extracellular volume and maintains intravascular volume
d. draws fluid into blood vessels and reduces interstitial compartments - CORRECT
ANSWER- b
a nurse is discontinuing an IV infusion. for which of the following reasons is it important to
verify and document the integrity & condition of the IV catheter?
Questions and CORRECT Answers
A nurse finds a patient's IV insertion site red, warm, and slightly edematous. Which of the
following actions should the nurse perform first?
a. Check for a blood return
b. Elevate the extremity
c. Discontinue the IV line
d. Apply warm, moist heat - CORRECT ANSWER- c
a nurse has just initiated a new peripheral IV infusion with 5% dextrose in water for
continuous infusion. how often should the nurse plan to replace the primary infusion tubing?
a. every 24 hours
b. every 48 hours
c. every 72 hours
d. every 96 hours - CORRECT ANSWER- d
A nurse has just inserted a peripheral IV catheter for a continuous infusion. To secure the
catheter, the nurse should:
a. leave the connection between the hub & the tubing uncovered
b. wrap tape around the circumference of the patient's arm
c. tape the IV catheter's hub securely to the patient's skin
d. place a piece of paper tape over the insertion site - CORRECT ANSWER- a
which of the following is an important nursing action when converting an IV infusion to a
saline lock?
a. open the roller clamp of the primary infusion to prime the saline lock
b. apply pressure with a syringe to clear resistance in the IV catheter
c. attach secondary tubing to allow mobility
d. flush the IV catheter to confirm patency - CORRECT ANSWER- d
, A nurse who has just initiated an IV infusion explains to the patient that complications are
possible and that she will monitor the infusion regularly. The nurse should teach the patient
that which of the following findings is an indication of early infiltration?
a. moisture
b. bruising
c. tingling
d. coolness - CORRECT ANSWER- d
a nurse is initiating a peripheral IV infusion punctures the skin & selected vein and observes
blood return in the flashback chamber of the IV catheter. which of the following actions
should the nurse perform next?
a. secure the catheter to the skin with a transparent dressing
b. lower the catheter until it is almost flush with the skin
c. advance the catheter about 1/4 inch into the vein
d. remove the stylet slowly from the lumen of the catheter - CORRECT ANSWER- b
a nurse is removing an IV catheter from a patient whose IV infusion has been discontinued.
which of the following actions is appropriate?
a. apply firm pressure over the vein
b. leave the roller clamp slightly open
c. pull the catheter straight back from the insertion site
d. lift the hub slightly upward away from the skin - CORRECT ANSWER- c
a patient in early stage renal failure is prescribed an infusion of 0.45% sodium chloride. this
type of solution is appropriate because it
a. pulls fluid from the cells and increases vascular volume
b. dilutes extracellular fluid and rehydrates the cells
c. replaces extracellular volume and maintains intravascular volume
d. draws fluid into blood vessels and reduces interstitial compartments - CORRECT
ANSWER- b
a nurse is discontinuing an IV infusion. for which of the following reasons is it important to
verify and document the integrity & condition of the IV catheter?
