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NUR 166
NUR 166/ NUR166 FINAL Exam |
Questions with Correct Verified Answers |
Latest Update| (2025/2026 NEW) |
Guaranteed Pass| GRADE A|HONDROS
1. Reasons for administering a blood transfusion: - Increase blood
volume post op
- Increase erythrocytes and hemoglobin levels in pt with
severe anemia
- Provide selected cellular components as replacement
therapy
2. Universal blood type donor: Type O
3. Universal blood type recipient: Type AB
4. People who are Rh negative can only receive Rh negative
blood components; T/F: True
5. Requirements of a blood transfusion: - Requires an HCP order
NUR 166
,- Require another RN or LPN to verify order at bed side before
administering blood component to pt
6. Define hypovolemia: Abnormally low circulating blood volume
7. Define extracellular fluid (ECF): Portion of body fluids composed
of the interstitial fluid and blood plasma
8. Three things to verify before giving a blood transfusion: 1.
That the blood components delivered are the ones that were
ordered
2. That the blood delivered to a pt is compatible with the blood type
listed in the medical record
3. That the right pt receives the blood
9. Pretransfusion assessment always includes __________: A
set of baseline vitals (allows nurse to identify when vitals as result
of adverse reaction)
10. Standard catheter/gauge size used for an adult receiving
a blood transfusion: 18-20 gauge
,11. Average time for a blood transfusion to take place: 2-4
hours
12. Define hematoma: A collection of blood trapped within the
tissues of the skin or an organ
13. Acute adverse reactions of blood transfusions: Back
pain, chills, fever, tachycardia, tachypnea, hypotension, circulatory
shock, headache, flushing, anxiety, muscle pain, urticaria
14. A pt with severe blood loss such as with hemorrhage
will receive a rapid blood transfusion through a central venous
catheter; this is placed where: Superior vena cava
15. Rapid administration of cold blood can lead to
__________: Cardiac dysrhythmias
16. What should a nurse do when a pt has an adverse
reaction to a blood transfusion: Stop the transfusion immediately
and save the blood bag; return the bag to the blood bank if reaction
is severe. Keep the IV site open and flush it with normal saline
, infused through new tubing and maintain set of vitals. REMAIN
WITH
PT
17. When maintaining an IV system, the nurse should
prepare to the solution when approximately how much fluid
remains in the currently infusing bag: 50 mL
18. Define hemolytic: Relating to or involving the breakdown of
erythrocytes
24 Lowering the IV container below level of IV site for presence of
blood return (retrograde) is a reliable indicator of patency; T/F:
False - this is an unreliable way to check IV patency
19. While changing IV solutions, if the nurse contaminates
the IV spike what is the most appropriate action: Discard the IV
tubing and use a new one
20. When discontinuing a peripheral IV access you notice
the catheter tip is missing after withdrawal; what is the best
nursing action: Apply a tourniquet high on the extremity to restrict
mobility of catheter embolus and immediately notify the HCP
NUR 166
NUR 166/ NUR166 FINAL Exam |
Questions with Correct Verified Answers |
Latest Update| (2025/2026 NEW) |
Guaranteed Pass| GRADE A|HONDROS
1. Reasons for administering a blood transfusion: - Increase blood
volume post op
- Increase erythrocytes and hemoglobin levels in pt with
severe anemia
- Provide selected cellular components as replacement
therapy
2. Universal blood type donor: Type O
3. Universal blood type recipient: Type AB
4. People who are Rh negative can only receive Rh negative
blood components; T/F: True
5. Requirements of a blood transfusion: - Requires an HCP order
NUR 166
,- Require another RN or LPN to verify order at bed side before
administering blood component to pt
6. Define hypovolemia: Abnormally low circulating blood volume
7. Define extracellular fluid (ECF): Portion of body fluids composed
of the interstitial fluid and blood plasma
8. Three things to verify before giving a blood transfusion: 1.
That the blood components delivered are the ones that were
ordered
2. That the blood delivered to a pt is compatible with the blood type
listed in the medical record
3. That the right pt receives the blood
9. Pretransfusion assessment always includes __________: A
set of baseline vitals (allows nurse to identify when vitals as result
of adverse reaction)
10. Standard catheter/gauge size used for an adult receiving
a blood transfusion: 18-20 gauge
,11. Average time for a blood transfusion to take place: 2-4
hours
12. Define hematoma: A collection of blood trapped within the
tissues of the skin or an organ
13. Acute adverse reactions of blood transfusions: Back
pain, chills, fever, tachycardia, tachypnea, hypotension, circulatory
shock, headache, flushing, anxiety, muscle pain, urticaria
14. A pt with severe blood loss such as with hemorrhage
will receive a rapid blood transfusion through a central venous
catheter; this is placed where: Superior vena cava
15. Rapid administration of cold blood can lead to
__________: Cardiac dysrhythmias
16. What should a nurse do when a pt has an adverse
reaction to a blood transfusion: Stop the transfusion immediately
and save the blood bag; return the bag to the blood bank if reaction
is severe. Keep the IV site open and flush it with normal saline
, infused through new tubing and maintain set of vitals. REMAIN
WITH
PT
17. When maintaining an IV system, the nurse should
prepare to the solution when approximately how much fluid
remains in the currently infusing bag: 50 mL
18. Define hemolytic: Relating to or involving the breakdown of
erythrocytes
24 Lowering the IV container below level of IV site for presence of
blood return (retrograde) is a reliable indicator of patency; T/F:
False - this is an unreliable way to check IV patency
19. While changing IV solutions, if the nurse contaminates
the IV spike what is the most appropriate action: Discard the IV
tubing and use a new one
20. When discontinuing a peripheral IV access you notice
the catheter tip is missing after withdrawal; what is the best
nursing action: Apply a tourniquet high on the extremity to restrict
mobility of catheter embolus and immediately notify the HCP
