IV Therapy Test UPDATED ACTUAL Exam
Questions and CORRECT Answers
Which of the following is an indication for initiating intravenous therapy?
A) To prevent cardiopulmonary decompensation
B) oral intake cannot equal fluid requirements
C) To assist in filtration of the kidney
D) To counteract hemodynamic compensation - CORRECT ANSWER -B
The LP orders a parenteral nutrition which has a final concentration that exceeds 10% dextrose
and has an osmolarity greater than 900 moms/L. The patient only has a short peripheral catheter
in place. The RN would: SATA
A)Adminster the parental nutrition via short peripheral catheter
B) ask the LP for a midline catheter order to administer the parental nutrition
C) ask the LP for a PICC line to administer the parental nutrition
D) Ask the LP for a central venous access device order to administer the parental catheter -
CORRECT ANSWER - C,D
The patient was admitted with nausea, vomiting, and diarrhea for three days. which of the
following IV solutions should be ordered for the patient?
A) hypertonic
B) hypotonic
C) isotonic
D) Slightly hypertonic solution - CORRECT ANSWER -C
A patient presents with increased pulse pressure, edema, jugular vein distention, and moist
crackles upon auscultation. The RN suspects over hydration. Which is NOT a cause of over
hydration?
A) Diagnosis of diabetes insipidus
B) Adminstration of inappropriately large volumes of fluid
, C)Diagnosis of syndrome of inappropriate anti-diuretic hormone syndrome
D) all of the above - CORRECT ANSWER -A
Mrs. Ellis is to receive two units of packed cells and one unit of fresh frozen plasma . Lactated
ringers is presently infusing through a 24 gauge angiocatheter. Appropriate nursing interventions
prior to beginning the infusion include:
A) infusion of 0.9% normal saline and initiate FFP
B) Insertion of 22 gauge IV catheter of 0.9% NSS, vital signs, and proper identification of blood
at the bedside
C) Infusion of lactated ringers, vital signs, and proper identification of blood at the bedside
D) Insertion of 20 gauge IV catheter of 0.9% NSS, vital signs, and proper identification of blood
at the bedside - CORRECT ANSWER -D
A nurse is caring for a dehydrated 88 year old patient. The nurse has made two attempts at trying
to place a short peripheral catheter without success. The nurse should:
A) Encourage the patient to drink then try to place the catheter again in hour
B) Ask another RN on the unit to place the SPC
C)Consider the use of an alternate vascular access device
D) B & C - CORRECT ANSWER -D
The patient is experiencing pain at the IV access site with erythema, streak formation, and a
palpable venous cord. According to the INS phlebitis scale, what grade of phlebitis does the
patient have?
A) Grade 1
B) Grade 2
C) gRADE 3
D) Grade 4 - CORRECT ANSWER -C
Which is the best site for short peripheral catheter cannulation by an RN?
A) Cepahlic artery
Questions and CORRECT Answers
Which of the following is an indication for initiating intravenous therapy?
A) To prevent cardiopulmonary decompensation
B) oral intake cannot equal fluid requirements
C) To assist in filtration of the kidney
D) To counteract hemodynamic compensation - CORRECT ANSWER -B
The LP orders a parenteral nutrition which has a final concentration that exceeds 10% dextrose
and has an osmolarity greater than 900 moms/L. The patient only has a short peripheral catheter
in place. The RN would: SATA
A)Adminster the parental nutrition via short peripheral catheter
B) ask the LP for a midline catheter order to administer the parental nutrition
C) ask the LP for a PICC line to administer the parental nutrition
D) Ask the LP for a central venous access device order to administer the parental catheter -
CORRECT ANSWER - C,D
The patient was admitted with nausea, vomiting, and diarrhea for three days. which of the
following IV solutions should be ordered for the patient?
A) hypertonic
B) hypotonic
C) isotonic
D) Slightly hypertonic solution - CORRECT ANSWER -C
A patient presents with increased pulse pressure, edema, jugular vein distention, and moist
crackles upon auscultation. The RN suspects over hydration. Which is NOT a cause of over
hydration?
A) Diagnosis of diabetes insipidus
B) Adminstration of inappropriately large volumes of fluid
, C)Diagnosis of syndrome of inappropriate anti-diuretic hormone syndrome
D) all of the above - CORRECT ANSWER -A
Mrs. Ellis is to receive two units of packed cells and one unit of fresh frozen plasma . Lactated
ringers is presently infusing through a 24 gauge angiocatheter. Appropriate nursing interventions
prior to beginning the infusion include:
A) infusion of 0.9% normal saline and initiate FFP
B) Insertion of 22 gauge IV catheter of 0.9% NSS, vital signs, and proper identification of blood
at the bedside
C) Infusion of lactated ringers, vital signs, and proper identification of blood at the bedside
D) Insertion of 20 gauge IV catheter of 0.9% NSS, vital signs, and proper identification of blood
at the bedside - CORRECT ANSWER -D
A nurse is caring for a dehydrated 88 year old patient. The nurse has made two attempts at trying
to place a short peripheral catheter without success. The nurse should:
A) Encourage the patient to drink then try to place the catheter again in hour
B) Ask another RN on the unit to place the SPC
C)Consider the use of an alternate vascular access device
D) B & C - CORRECT ANSWER -D
The patient is experiencing pain at the IV access site with erythema, streak formation, and a
palpable venous cord. According to the INS phlebitis scale, what grade of phlebitis does the
patient have?
A) Grade 1
B) Grade 2
C) gRADE 3
D) Grade 4 - CORRECT ANSWER -C
Which is the best site for short peripheral catheter cannulation by an RN?
A) Cepahlic artery
