IV Therapy NCLEX Exam Questions & Verified Answers A Grade

IV THERAPY NCLEX EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS);
ALREADY GRADED A


A client has a prescription to receive a unit of packed red
blood cells. The nurse should obtain which intravenous
(IV) solution from the IV storage area to hang with the
blood product at the client's bedside?


1) Lactated Ringer's
2) 0.9% sodium chloride
3) 5% dextrose in 0.9% sodium chloride
4) 5% dextrose in 0.45% sodium chloride - correct
answer- 2) 0.9% sodium chloride


Rationale:Sodium chloride 0.9% (normal saline) is a
standard isotonic solution used to precede and follow
infusion of blood products.Dextrose is not used because it
could result in clumping and subsequent hemolysis of red
blood cells.Lactated Ringer's is not the solution of choice
with this procedure.

, A client receiving a transfusion of packed red blood cells
(PRBCs) begins to vomit. The client's blood pressure is
90/50 from a baseline of 125/78. The client's temperature
is 100.8F orally from a baseline of 99.2F orally. The nurse
determines that the client may be experiencing which
complication of a blood transfusion?


1) Septicemia
2) Hyperkalemia
3) Circulatory overload
4) Delayed transfusion reaction - correct answer-
1) Septicemia


Rationale:
Septicemia occurs with the transfusion of blood
contaminated with microorganisms. Signs include CHILLS,
FEVER, VOMITING, DIARRHEA, HYPOTENSION, and the
development of SHOCK.
Hyperkalemia causes weakness, paresthesias, abdominal
cramps, diarrhea, and dysrhythmias.