Module 1 and 2 FSCJ NUR1460C questions
and answers with solutions
A vein that is at risk for "rolling", the nurse should...
a. Choose another vein.
b. Apply the tourniquet more tighter.
c. Stretch the vein.
d. Use a smaller gauge IV catheter. - ANSWER c. Stretch the vein.
What is the last step in the IV insertion process?
a. Clean up supplies used.
b. The 5 Ps.
c. Document the procedure.
d. Place a label in the IV site. - ANSWER c. Document the procedure.
Which veins should be avoided when initiating an IV access?
a. Lower extremities of diabetic patients.
b. Veins that were recently deaccessed.
c. Veins with a dialysis fistula.
d. The affected side of a women that had a mastectomy.
e. All of the above. - ANSWER e. All of the above.
Which information is not necessary for the nurse to include when documenting the use of an
electronic infusion device for an IV infusion?
a. Location of the insertion site.
b. Time at which the infusion began.
,c. Patient's pulse and heart rate.
d. Hourly volume flow rate of the infusion. - ANSWER c. Patient's pulse and heart rate.
The IV catheter should be dressed with...
a. a 2x2 gauze.
b. a transparent occlusive dressing.
c. an ace wrap.
d. a band-aid. - ANSWER b. a transparent occlusive dressing.
What should be written on the label (select all that apply)
a. Date
b. Time
c. Initial
d. Gauge
e. Location
f. Number of Attempts - ANSWER a. Date
b. Time
c. Initial
d. Gauge
After 2 unsuccessful attempts at inserting an IV, the nurse would...
a. Notify a physician that the attempts were not successful.
b. Continue to attempt the IV insertion.
c. Have the patient hydrate then attempt again.
d. Ask another peer to attempt the IV access. - ANSWER d. Ask another peer to attempt the IV
access.
,What are the 3 types of IV fluids that are commonly used? (select all that apply)
a. Isotonic
b. Water
c. Hydrating
d. Hypotonic
e. Hypertonic - ANSWER a. Isotonic
d. Hypotonic
e. Hypertonic
What is the indication for IV therapy.
a. Only used for blood specimen collection.
b. To be used for hemodialysis.
c. Maintain homeostasis when enteral intake is insufficient, and replace any additional losses.
d. Everyone hospitalized require an IV. - ANSWER c. Maintain homeostasis when enteral intake is
insufficient, and replace any additional losses.
What determines the size of the cannula to be inserted?
a. Largest one that can successfully be inserted.
b. The smallest one for patient comfort.
c. The smallest one to accommodate treatment to be provided.
d. The largest one available on the unit. - ANSWER c. The smallest one to accommodate
treatment to be provided.
What should be performed before and after applying a tourniquet.
a. Assessing a pulse distal to the tourniquet.
b. Assessing the extremity for coldness to touch.
, c. Identifying a vein for inserting the IV catheter.
d. Asking the patient for permission. - ANSWER a. Assessing a pulse distal to the tourniquet.
When administering IV potassium, a student requires reeducation when they state...(select all
that apply)
a. I will administer the medication as an IV bolus.
b. The medication should be administered as with an adjustable roller clamp.
c. I will use an infusion pump when administering potassium IV.
d. IV potassium can only be administered in the ICU. - ANSWER a. I will administer the
medication as an IV bolus.
b. The medication should be administered as with an adjustable roller clamp.
d. IV potassium can only be administered in the ICU.
The nurse is using chlorhexidine to prepare the site before inserting a venous access device into
the median cubital vein of a 60 year old patient. Which action is correct?
a. Wash the site with soap and water.
b. Allow the site to dry 1 to 2 minutes after cleansing it with chlorhexidine.
c. Cleanse the site using a circular motion, starting at the insertion site and working outward.
d. Cleanse the area by first swabbing horizontally, then vertically with the applicator for about
30 seconds. - ANSWER d. Cleanse the area by first swabbing horizontally, then vertically with the
applicator for about 30 seconds.
What do you document for an IV assessment? (select all that apply)
a. Redness / Swelling
b. Discomfort / Tenderness
c. Patient satisfaction
d. Patent / Intact
and answers with solutions
A vein that is at risk for "rolling", the nurse should...
a. Choose another vein.
b. Apply the tourniquet more tighter.
c. Stretch the vein.
d. Use a smaller gauge IV catheter. - ANSWER c. Stretch the vein.
What is the last step in the IV insertion process?
a. Clean up supplies used.
b. The 5 Ps.
c. Document the procedure.
d. Place a label in the IV site. - ANSWER c. Document the procedure.
Which veins should be avoided when initiating an IV access?
a. Lower extremities of diabetic patients.
b. Veins that were recently deaccessed.
c. Veins with a dialysis fistula.
d. The affected side of a women that had a mastectomy.
e. All of the above. - ANSWER e. All of the above.
Which information is not necessary for the nurse to include when documenting the use of an
electronic infusion device for an IV infusion?
a. Location of the insertion site.
b. Time at which the infusion began.
,c. Patient's pulse and heart rate.
d. Hourly volume flow rate of the infusion. - ANSWER c. Patient's pulse and heart rate.
The IV catheter should be dressed with...
a. a 2x2 gauze.
b. a transparent occlusive dressing.
c. an ace wrap.
d. a band-aid. - ANSWER b. a transparent occlusive dressing.
What should be written on the label (select all that apply)
a. Date
b. Time
c. Initial
d. Gauge
e. Location
f. Number of Attempts - ANSWER a. Date
b. Time
c. Initial
d. Gauge
After 2 unsuccessful attempts at inserting an IV, the nurse would...
a. Notify a physician that the attempts were not successful.
b. Continue to attempt the IV insertion.
c. Have the patient hydrate then attempt again.
d. Ask another peer to attempt the IV access. - ANSWER d. Ask another peer to attempt the IV
access.
,What are the 3 types of IV fluids that are commonly used? (select all that apply)
a. Isotonic
b. Water
c. Hydrating
d. Hypotonic
e. Hypertonic - ANSWER a. Isotonic
d. Hypotonic
e. Hypertonic
What is the indication for IV therapy.
a. Only used for blood specimen collection.
b. To be used for hemodialysis.
c. Maintain homeostasis when enteral intake is insufficient, and replace any additional losses.
d. Everyone hospitalized require an IV. - ANSWER c. Maintain homeostasis when enteral intake is
insufficient, and replace any additional losses.
What determines the size of the cannula to be inserted?
a. Largest one that can successfully be inserted.
b. The smallest one for patient comfort.
c. The smallest one to accommodate treatment to be provided.
d. The largest one available on the unit. - ANSWER c. The smallest one to accommodate
treatment to be provided.
What should be performed before and after applying a tourniquet.
a. Assessing a pulse distal to the tourniquet.
b. Assessing the extremity for coldness to touch.
, c. Identifying a vein for inserting the IV catheter.
d. Asking the patient for permission. - ANSWER a. Assessing a pulse distal to the tourniquet.
When administering IV potassium, a student requires reeducation when they state...(select all
that apply)
a. I will administer the medication as an IV bolus.
b. The medication should be administered as with an adjustable roller clamp.
c. I will use an infusion pump when administering potassium IV.
d. IV potassium can only be administered in the ICU. - ANSWER a. I will administer the
medication as an IV bolus.
b. The medication should be administered as with an adjustable roller clamp.
d. IV potassium can only be administered in the ICU.
The nurse is using chlorhexidine to prepare the site before inserting a venous access device into
the median cubital vein of a 60 year old patient. Which action is correct?
a. Wash the site with soap and water.
b. Allow the site to dry 1 to 2 minutes after cleansing it with chlorhexidine.
c. Cleanse the site using a circular motion, starting at the insertion site and working outward.
d. Cleanse the area by first swabbing horizontally, then vertically with the applicator for about
30 seconds. - ANSWER d. Cleanse the area by first swabbing horizontally, then vertically with the
applicator for about 30 seconds.
What do you document for an IV assessment? (select all that apply)
a. Redness / Swelling
b. Discomfort / Tenderness
c. Patient satisfaction
d. Patent / Intact
