TCAT Chapter 36 Administering Intravenous Solutions
and Medications Test With Solution
The pharmacy notifies the nurse that, because of a miscommunication error,
there will be several hours before a replacement bag of TPN can be mixed
and delivered to the unit for the client. The nurse recognizes that a
physician's order is needed for what type of IV fluid while waiting for the
replacement bag of TPN? (NCLEX) - ANSWER 10% Dextrose in water
A nurse is assessing the patient who has severe vomiting and diarrhea. This
patient's purpose of IV infusion is to: (NCLEX) - ANSWER Replace fluids and
correct dehydration.
The nurse's primary responsibility in the daily care of a patient with a central
line is to: (NCLEX) - ANSWER Flush the line according to agency policy.
patient received 4000 mL of D5W over a period of 48 hours. How many
calories will this fluid provide? (NCLEX)- ANSWER 800
Work: 200 calories/ 1000mL of D5W
(4000/1000=4)
4 x 200 = 800 calories.
A nurse is adding a secondary piggyback to the patient's existing IV. To
utilize the gravity system, the nurse should hang: (NCLEX)- ANSWER the
piggyback bag higher than the maintenance IV back.
A nurse must start a peripheral IV access for an adult trauma client. Which of
the following catheters would be most appropriate? (NCLEX)-ANSISTER #18
,Which of the following conditions would most likely indicate the use of a
burette as a safety device? (NCLEX)- resposta An infant at risk for IV fluid
volume overload.
The nurse should assess the patient for complications of IV therapy. Common
complications Signs and symptoms include: (NCLEX)-ANSWER swelling and
coolness in the site.
-erythema along the vein.
-pallor at the insertion site.
-erythema and warmth.
The patient is receiving a blood transfusion and begins to develop symptoms
10 minutes from the start of the blood transfusion. What is the first action?
(NCLEX)-ANSWER Stop the blood and change the IV tubing.
The patient returns from PT and her IV flow is extremely slow, yet it was
working fine before she went to PT. What is the priority nursing action?
(NCLEX) - ANSWER Assess the IV insertion site and tubing and try
repositioning the extremity.
The physician orders D5W (5% dextrose in water) to infuse at 150 mL/hr. The
nurse is using macrodrop tubing (10 gtt/mL). How many drops per minute
will the nurse regulate the IV to deliver? _________gtt/min (NCLEX) - ANSWER
25 gtt/min
Work: (150 mL/ 1 hr) x (10gtt/1mL) = (1500 gtt/1hr)
= (1500 gtt/ 60min)
= (25 gtt/ min)
, The physician's order is for 1000 mL of normal saline (0.9% saline) to infuse
in 8 hours. How would you set the pump? (NCLEX) - ANSWER 125 mL/hr
Work: (1000 mL/ 8 hr) = 125 mL/hr
IVs are administered to provide the body with: - ANSWER -Medications or
substances that cannot be provided through other routes of administration
(oral/rectal).
-Fluids and electrolytes—for those patients who do not have sufficient oral
intake.
-Blood, plasma, and other blood components.
Nutritional formulas containing glucose, amino acids and lipids.
How much fluid does an average adult need in each 24 hr period to replace
those eliminated by the body? - ANSWER 1500 to 2000 mL
Fluids are lost by: - ANSWER -Hemorrhage
-Severe or prolonged vomiting or diarrhea
-Excessive wound drainage
-Wounds (especially burn wounds)
-Profuse perspiration
IV Solutions most frequently used contain: - ANSWER -Glucose
-Saline
-Electrolytes
-Vitamins
and Medications Test With Solution
The pharmacy notifies the nurse that, because of a miscommunication error,
there will be several hours before a replacement bag of TPN can be mixed
and delivered to the unit for the client. The nurse recognizes that a
physician's order is needed for what type of IV fluid while waiting for the
replacement bag of TPN? (NCLEX) - ANSWER 10% Dextrose in water
A nurse is assessing the patient who has severe vomiting and diarrhea. This
patient's purpose of IV infusion is to: (NCLEX) - ANSWER Replace fluids and
correct dehydration.
The nurse's primary responsibility in the daily care of a patient with a central
line is to: (NCLEX) - ANSWER Flush the line according to agency policy.
patient received 4000 mL of D5W over a period of 48 hours. How many
calories will this fluid provide? (NCLEX)- ANSWER 800
Work: 200 calories/ 1000mL of D5W
(4000/1000=4)
4 x 200 = 800 calories.
A nurse is adding a secondary piggyback to the patient's existing IV. To
utilize the gravity system, the nurse should hang: (NCLEX)- ANSWER the
piggyback bag higher than the maintenance IV back.
A nurse must start a peripheral IV access for an adult trauma client. Which of
the following catheters would be most appropriate? (NCLEX)-ANSISTER #18
,Which of the following conditions would most likely indicate the use of a
burette as a safety device? (NCLEX)- resposta An infant at risk for IV fluid
volume overload.
The nurse should assess the patient for complications of IV therapy. Common
complications Signs and symptoms include: (NCLEX)-ANSWER swelling and
coolness in the site.
-erythema along the vein.
-pallor at the insertion site.
-erythema and warmth.
The patient is receiving a blood transfusion and begins to develop symptoms
10 minutes from the start of the blood transfusion. What is the first action?
(NCLEX)-ANSWER Stop the blood and change the IV tubing.
The patient returns from PT and her IV flow is extremely slow, yet it was
working fine before she went to PT. What is the priority nursing action?
(NCLEX) - ANSWER Assess the IV insertion site and tubing and try
repositioning the extremity.
The physician orders D5W (5% dextrose in water) to infuse at 150 mL/hr. The
nurse is using macrodrop tubing (10 gtt/mL). How many drops per minute
will the nurse regulate the IV to deliver? _________gtt/min (NCLEX) - ANSWER
25 gtt/min
Work: (150 mL/ 1 hr) x (10gtt/1mL) = (1500 gtt/1hr)
= (1500 gtt/ 60min)
= (25 gtt/ min)
, The physician's order is for 1000 mL of normal saline (0.9% saline) to infuse
in 8 hours. How would you set the pump? (NCLEX) - ANSWER 125 mL/hr
Work: (1000 mL/ 8 hr) = 125 mL/hr
IVs are administered to provide the body with: - ANSWER -Medications or
substances that cannot be provided through other routes of administration
(oral/rectal).
-Fluids and electrolytes—for those patients who do not have sufficient oral
intake.
-Blood, plasma, and other blood components.
Nutritional formulas containing glucose, amino acids and lipids.
How much fluid does an average adult need in each 24 hr period to replace
those eliminated by the body? - ANSWER 1500 to 2000 mL
Fluids are lost by: - ANSWER -Hemorrhage
-Severe or prolonged vomiting or diarrhea
-Excessive wound drainage
-Wounds (especially burn wounds)
-Profuse perspiration
IV Solutions most frequently used contain: - ANSWER -Glucose
-Saline
-Electrolytes
-Vitamins
