NURS_242_Final_Exam_Study_
Guide
1. Which of the following A. Shaving the hair from the site
steps is necessary when a B. Selecting a proximal site in an extremity
patient is prepared for an C. Applying a tourniquet 4-6 inches above the selected site
IV solution? D. Vigorously taping and massaging the selected vein.
ANS: C
No Shaving needed
Most distal site
Do not tap or massage vein
2. Why is the IV push A. It does not allow time to correct errors
considered a dangerous B. It may be irritating to the lining of the blood vessels
method by which to ad- C. It can cause pain and abscesses
minster medications? (se- D. It can cause sloughing of tissue
lect all that apply) ANS: ABCD
3. What should the nurse do A. Withdrawl the catheter quickly
when discontinuing a pe- B. Keep the hub perpendicular to the skin
ripheral IV? C. Apply pressure to the site for 1 minute
D. Inspect the catheter for intactness after removal
ANS: D
Don't reinsert
Do not want fragments of the catheter
4. True or False? Intra- ANS: True
venous therapy is a
method of replacing �iud
and electrolytes into the
blood stream rather than
the digestive system.
5. A. Avoid areas easily bumped in the elderly and children (like the
wrists)
, When considering an IV B.Always start with proximal and move more distal
site which one of these C. Avoid any site which appears infected
are true? D. Avoid any site with a graph or mastectomy
ANS: ACD
Always start more distal
6. True or Flase? In ltra- ANS: True
tion occurs when IV �u-
id enters the surround-
ing tissie around the
venipuncture site?
7. In order to discontinue an A. Elastic wrap
IV line, the nurse should B. Betadine swab
obtain which item from C. Adhesive bandage
the supply area for ap- D. Sterile 2x2 gauze
plying pressure to the ANS: D
site after removing an IV Only one that makes sense because this applys pressure and getting
catheter? any blood from removing
8. What is the best size of IV? A. The largest one you can feel comfortably insert in the patient
B. The smallest you can �nd
C. The smallest gauge to accomplish therapy
D. The largest gauge your facility has.
ANS: C because you want the medication to ow as fast as it can with
still being in catheter proameters
9. What materials are nec- A. Gloves
essary when preparing to B. Gown
start an IV? C. IV catheter
D. Saline Flush
E Eye protection
F Mask
, G Primed saline lock
ANS: A,C,D,G
10. When a patient who a. Turn up the heat in the room and return in about an hour when the
needs an IV has cold ex- patient is warmer
tremities and few veins b. Apply warm packs to the extremity for 5-10 minutes
are visible or small, which c. Blow warm air on the extremity with a blow dryer for 3-5 minutes
of the following are ac- d. Allow the tourniquet to remain in place for a few minutes while you
ceptable techniques to prepare your equipment
help improve the likeli- ANS: B
hood of a successful IV in- Can't wait an hour
sertion? Doesn't make sense to use a blow dryer
Would cause discomfort for the patient
11. When preparing to insert a. Down
the needle into the skin, b. Up
the bevel should be c. It doesn't matter
ANS:B
Always up!
12. While in the process of in- A. Enter the skin at a 30-40 degree angle
serting an IV, which of the B. A device may be reused if it is in the same site as the original
following is NOT accept- attempt
able: C. Enter the skin directly over the vein
D. Enter the skin slightly adjacent to the vein and direct the needle into
the side of the vein wall
ANS:B
Never will resuse. One time use only
13. What would be an indica- a. The insertion site begins to bruise
tion that your IV insertion b. The insertion site does not ush
attempt was not success- c. The site swells when uids are ushed through
ful?
Guide
1. Which of the following A. Shaving the hair from the site
steps is necessary when a B. Selecting a proximal site in an extremity
patient is prepared for an C. Applying a tourniquet 4-6 inches above the selected site
IV solution? D. Vigorously taping and massaging the selected vein.
ANS: C
No Shaving needed
Most distal site
Do not tap or massage vein
2. Why is the IV push A. It does not allow time to correct errors
considered a dangerous B. It may be irritating to the lining of the blood vessels
method by which to ad- C. It can cause pain and abscesses
minster medications? (se- D. It can cause sloughing of tissue
lect all that apply) ANS: ABCD
3. What should the nurse do A. Withdrawl the catheter quickly
when discontinuing a pe- B. Keep the hub perpendicular to the skin
ripheral IV? C. Apply pressure to the site for 1 minute
D. Inspect the catheter for intactness after removal
ANS: D
Don't reinsert
Do not want fragments of the catheter
4. True or False? Intra- ANS: True
venous therapy is a
method of replacing �iud
and electrolytes into the
blood stream rather than
the digestive system.
5. A. Avoid areas easily bumped in the elderly and children (like the
wrists)
, When considering an IV B.Always start with proximal and move more distal
site which one of these C. Avoid any site which appears infected
are true? D. Avoid any site with a graph or mastectomy
ANS: ACD
Always start more distal
6. True or Flase? In ltra- ANS: True
tion occurs when IV �u-
id enters the surround-
ing tissie around the
venipuncture site?
7. In order to discontinue an A. Elastic wrap
IV line, the nurse should B. Betadine swab
obtain which item from C. Adhesive bandage
the supply area for ap- D. Sterile 2x2 gauze
plying pressure to the ANS: D
site after removing an IV Only one that makes sense because this applys pressure and getting
catheter? any blood from removing
8. What is the best size of IV? A. The largest one you can feel comfortably insert in the patient
B. The smallest you can �nd
C. The smallest gauge to accomplish therapy
D. The largest gauge your facility has.
ANS: C because you want the medication to ow as fast as it can with
still being in catheter proameters
9. What materials are nec- A. Gloves
essary when preparing to B. Gown
start an IV? C. IV catheter
D. Saline Flush
E Eye protection
F Mask
, G Primed saline lock
ANS: A,C,D,G
10. When a patient who a. Turn up the heat in the room and return in about an hour when the
needs an IV has cold ex- patient is warmer
tremities and few veins b. Apply warm packs to the extremity for 5-10 minutes
are visible or small, which c. Blow warm air on the extremity with a blow dryer for 3-5 minutes
of the following are ac- d. Allow the tourniquet to remain in place for a few minutes while you
ceptable techniques to prepare your equipment
help improve the likeli- ANS: B
hood of a successful IV in- Can't wait an hour
sertion? Doesn't make sense to use a blow dryer
Would cause discomfort for the patient
11. When preparing to insert a. Down
the needle into the skin, b. Up
the bevel should be c. It doesn't matter
ANS:B
Always up!
12. While in the process of in- A. Enter the skin at a 30-40 degree angle
serting an IV, which of the B. A device may be reused if it is in the same site as the original
following is NOT accept- attempt
able: C. Enter the skin directly over the vein
D. Enter the skin slightly adjacent to the vein and direct the needle into
the side of the vein wall
ANS:B
Never will resuse. One time use only
13. What would be an indica- a. The insertion site begins to bruise
tion that your IV insertion b. The insertion site does not ush
attempt was not success- c. The site swells when uids are ushed through
ful?
