IV Therapy Certification for Paramedics Exam
Questions and Correct Answers (Verified
Answers) with Rationales 2025
1. What is the most appropriate site for initiating an IV in an adult trauma
patient?
• Cephalic vein in the antecubital fossa
• Dorsal hand vein
• Saphenous vein
• External jugular vein
The antecubital area allows for quick, large-bore IV access essential in
trauma cases.
2. Which of the following fluids is isotonic?
• 0.9% Sodium Chloride
• 0.45% Sodium Chloride
• 5% Dextrose in Water
• 3% Sodium Chloride
Isotonic fluids have the same osmolarity as blood and are often used for
fluid resuscitation.
,3. A macrodrip IV set delivers how many drops per mL?
• 10–15 drops/mL
• 20–25 drops/mL
• 10–20 drops/mL
• 30–50 drops/mL
Macrodrip sets typically deliver 10–20 drops/mL, useful for rapid infusion.
4. Which condition contraindicates IV fluid administration?
• Shock
• Dehydration
• Pulmonary edema
• Electrolyte imbalance
Fluids can worsen fluid overload in pulmonary edema.
5. What is the most common local complication of IV therapy?
• Air embolism
• Phlebitis
• Infiltration
• Septicemia
Infiltration, or fluid leaking into surrounding tissue, is most common.
6. When prepping an IV site, which antiseptic is most appropriate?
• Alcohol only
• Soap and water
, • Chlorhexidine or iodine
• Hydrogen peroxide
Chlorhexidine or iodine is recommended to reduce infection risk.
7. How often should an IV site be reassessed?
• Every 2 hours
• Every time you assess the patient
• Once per shift
• Every 8 hours
Frequent reassessment ensures early detection of complications.
8. What is the maximum tourniquet time when starting an IV?
• 30 seconds
• 1 minute
• 1–2 minutes
• 5 minutes
Prolonged tourniquet use can cause tissue damage and hemoconcentration.
9. A sluggish IV flow can indicate:
• Proper flow rate
• High blood pressure
• Infiltration or occlusion
• Effective drug delivery
A sluggish flow suggests a blockage or infiltration.
Questions and Correct Answers (Verified
Answers) with Rationales 2025
1. What is the most appropriate site for initiating an IV in an adult trauma
patient?
• Cephalic vein in the antecubital fossa
• Dorsal hand vein
• Saphenous vein
• External jugular vein
The antecubital area allows for quick, large-bore IV access essential in
trauma cases.
2. Which of the following fluids is isotonic?
• 0.9% Sodium Chloride
• 0.45% Sodium Chloride
• 5% Dextrose in Water
• 3% Sodium Chloride
Isotonic fluids have the same osmolarity as blood and are often used for
fluid resuscitation.
,3. A macrodrip IV set delivers how many drops per mL?
• 10–15 drops/mL
• 20–25 drops/mL
• 10–20 drops/mL
• 30–50 drops/mL
Macrodrip sets typically deliver 10–20 drops/mL, useful for rapid infusion.
4. Which condition contraindicates IV fluid administration?
• Shock
• Dehydration
• Pulmonary edema
• Electrolyte imbalance
Fluids can worsen fluid overload in pulmonary edema.
5. What is the most common local complication of IV therapy?
• Air embolism
• Phlebitis
• Infiltration
• Septicemia
Infiltration, or fluid leaking into surrounding tissue, is most common.
6. When prepping an IV site, which antiseptic is most appropriate?
• Alcohol only
• Soap and water
, • Chlorhexidine or iodine
• Hydrogen peroxide
Chlorhexidine or iodine is recommended to reduce infection risk.
7. How often should an IV site be reassessed?
• Every 2 hours
• Every time you assess the patient
• Once per shift
• Every 8 hours
Frequent reassessment ensures early detection of complications.
8. What is the maximum tourniquet time when starting an IV?
• 30 seconds
• 1 minute
• 1–2 minutes
• 5 minutes
Prolonged tourniquet use can cause tissue damage and hemoconcentration.
9. A sluggish IV flow can indicate:
• Proper flow rate
• High blood pressure
• Infiltration or occlusion
• Effective drug delivery
A sluggish flow suggests a blockage or infiltration.
