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NURS 366 Exam 2 – University of Arizona – Practice Questions and Exam Review

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NURS 366 Exam 2 – University of Arizona – Practice Questions and Exam Review

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9NURS 366 Exam 2 University of Arizona]2026/2027. {100%Success}

NURS 366 Exam 2 University of Arizona
Study online at https://quizlet.com/_ivuakl

1. What is phlebitis? Inflammation of a vein, often caused by IV catheter placement,
infection, or irritation from IV medications.

2. What are the signs and symp- Redness and warmth along the vein, swelling and tenderness,
toms of phlebitis? pain or discomfort at the IV site, and a palpable, hardened
vein.

3. What is infiltration in IV thera- Occurs when IV fluids or medications leak into the surround-
py? ing tissue instead of being delivered into the vein.

4. What are the signs and symp- Swelling/edema around the IV site, coolness to the touch, skin
toms of infiltration? blanching, pain or discomfort, bruising, slowed or stopped IV
flow, and no blood return when aspirating.

5. What is extravasation in IV Occurs when a vesicant leaks from a vein into the surrounding
therapy? tissue, potentially causing severe tissue injury.

6. What are the signs and symp- Pain or burning at the IV site, swelling and tightness, blanch-
toms of extravasation? ing or discoloration of the skin, skin blistering or ulceration,
and decreased IV flow rate.

7. What are hypertonic IV solu- Solutions with a higher fluid solute concentration than blood
tions? plasma, causing water to move out of cells.

8. What are some examples of 3% saline, dextrose 10% in water, dextrose 5% in 0.9% NS,
hypertonic IV solutions? dextrose 5% in 0.45% NS.

9. What should be monitored Fluid overload, pulmonary edema, and hypernatremia.
with hypertonic IV solutions?

10. What are hypotonic IV solu- Solutions with a lower fluid solute concentration than blood
tions? plasma, causing cells to expand and potentially lyse.

11.

Page 1

, 9NURS 366 Exam 2 University of Arizona]2026/2027. {100%Success}

NURS 366 Exam 2 University of Arizona
Study online at https://quizlet.com/_ivuakl

What are some examples of 0.45%, 0.225%, and 0.33% NS, 5% dextrose in water once
hypotonic IV solutions? inside the body.

12. What should be monitored Mental status, blood pressure, hypovolemia, and worsening
with hypotonic IV solutions? of hypotension.

13. What are isotonic IV solutions? Solutions with a fluid solute concentration equal to that of
blood plasma, keeping cells constant.

14. What are some examples of 0.9% NS, lactated Ringer's, 5% dextrose in water.
isotonic IV solutions?

15. What should be monitored Fluid overload, blood pressure, breathing/lung sounds, and
with isotonic IV solutions? extremities for edema.

16. What should a nurse monitor Vital signs, labs, weight, intake and output (I&O), fluid balance,
during IV fluid administration? and electrolytes.

17. What action should be taken if Discontinue the IV. For phlebitis, apply a warm compress;
an IV site is not WNL? for infiltration, apply a warm compress; for extravasation, DC
infusion and notify the healthcare provider.

18. What equipment is needed for Gloves, tape, dressing (tegaderm), drip set, IV fluid, gauze,
IV insertion? saline flush, connector tubing, IV catheter, alcohol prep pad,
and tourniquet.

19. What are appropriate sites for Hand veins and arm veins that are superficial, smooth, boun-
IV insertion? cy, and not close to a joint.

20. What are reasons IV inser- For fluid replenishment, medication insertion, blood transfu-
tion/therapy would be need- sion, or alteration in electrolytes.
ed?

21.


Page 2

, 9NURS 366 Exam 2 University of Arizona]2026/2027. {100%Success}

NURS 366 Exam 2 University of Arizona
Study online at https://quizlet.com/_ivuakl

What is a consideration for pe- Subcutaneous fat makes veins harder to find; larger veins in
diatric IV insertion? the leg are preferable to smaller veins in the hand.

22. What is a scalp IV and when is An IV placed in the scalp for infants when veins in arms and
it used? legs are not visible, typically for children under 9 months.

23. What preparation is needed Have a holder to keep the site visible, choose the smallest
for starting a scalp IV? catheter possible, and explain the procedure to parents.

24. What should be understood The infant/child's developmental age.
before placing an IV in a pedi-
atric patient?

25. What comfort measures can Use a pacifier dipped in oral sucrose solution and encourage
be provided for infants (1 year holding a favorite blanket or toy.
and younger) during IV place-
ment?

26. How should explanations be Keep explanations simple and short, ensuring the child un-
given to toddlers (1 to 3 years) derstands the body part involved and that the procedure will
about the IV procedure? be limited to that area.

27. What should be communicat- It is okay to cry or yell, but they should not kick, bite, or hit.
ed to toddlers regarding their
feelings during the IV proce-
dure?

28. What is a key strategy for Engage them in modified IV starts on stuffed animals and
preschool-aged children (3 to allow them to handle equipment.
5 years) during IV placement?

29. What is important to do imme- Start the IV as soon as possible to reduce apprehension.
diately after explaining the IV
procedure to preschoolers?

Page 3

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