Nur 172 Exam 2 Questions With
Complete Solutions
A hospital has recently adopted a needleless IV system. For
which reason did the hospital most likely adopt the needleless
system? Correct Answers To decrease risk of needlestick
injuries
A newly admitted 50 y/o has severe bacterial pneumonia, has a
pulse ox is 88%, and has had a mastectomy on her right side one
year ago. What orders or interventions will the LPN in Ohio
expect to carry out? Correct Answers - monitor continuous
pulse ox readings
- hang an IVPB antibiotic that works with several kinds of
bacteria until the culture and sensitivity results come back
- apply oxygen and give a nebulizer treatment as ordered
A newly admitted client informs a nurse that he or she is allergic
to kiwi fruit, which causes chemical contact dermatitis. The
client's allergy to kiwi should alert the nurse that this client may
be at a high risk fo Correct Answers Latex allergy
A nurse administers a whole-blood transfusion to a client.
Several hours later, the nurse finds the client febrile and
shivering with a dropping blood pressure and suspects that the
transfused blood may have been contaminated. Which
microorganism is most frequently found in extrinsic
contaminated blood products? Correct Answers Pseudomonas
species
,A nurse found a grade 3 infiltration IV at the beginning of her
shift. A vesicant was infusing. What does the nurse need to
include in her charting Correct Answers location,
characteristics, width, depth, length, time & date, doctor
notified, treatment carried out
A nurse has difficulty withdrawing blood from a central
tunneled catheter but is able to infuse fluids through the line.
The nurse should anticipate that this difficulty is most likely due
to Correct Answers the formation of a fibrin sheath.
A nurse is assessing a client's IV infusion site that has been in
place for 1 hour. The infusion has slowed and the client
complains of severe pain at the insertion site. The client states,
"It feels like an electric shock moving up my arm." There is
blanching over the site and redness around it. Which condition
should the nurse suspect? Correct Answers Venous spasm
A nurse is caring for a client who has an IV access. With which
sources of contamination should the nurse be concerned when
attempting to reduce the client's risk of infection? Correct
Answers Skin, Air Entry, ports
A nurse is caring for a client who is receiving an IV infusion via
an electronic infusion device when the client's infusion alarm
sounds. The nurse responds to the alarm knowing that the alarm
is most likely sounding because of increased Correct Answers
occlusion pressure
A nurse is initiating IV therapy for a client using a Teflon over-
the-needle catheter. The primary disadvantage of Teflon over-
,the-needle catheters for peripheral infusion is Correct Answers
the risk for phlebitis
A nurse is preparing to infuse an antibiotic IV piggyback. Which
connection should the nurse use to secure the piggyback
administration set to the primary administration set? Correct
Answers Luer lock ( Luer lock has threads that secure and lock
the connectors.)
A nurse is teaching a new nurse about how to change a central
line dressing. What statement indicates that the nurse needs
further teaching for this dressing change? Correct Answers
biopatch is used at all facilities to prevent infection
A nurse on an intensive care unit is caring for a febrile client
with a central venous catheter. Which microorganism, present
on the skin, poses the greatest threat to the client receiving an IV
infusion via a central venous catheter? Correct Answers
Coagulase-negative staphylococcus
A nurse reports to a hospital employee health service after
receiving a needlestick injury. The nurse is exposed to a
bloodborne pathogen. The employee health nurse collects
information from the nurse regarding the exposure. Which tool
assists in the collection of information regarding exposure to
bloodborne pathogens? Correct Answers Sharp injury log
A nurse specialist is performing placement of a midline catheter.
Midline placement refers to a Correct Answers peripheral
catheter that is between 3 and 8 inches in length with the distal
, tip dwelling in the basilic, cephalic, or brachial vein at or below
the level of the axilla.
A nurse suspects that a client with IV access may be
experiencing a venous spasm. What is the first sign/symptom of
venous spasm? Correct Answers A sharp pain extending from
the site of infusion
A patient has a sharp pain shortly after an IV infusion has
started. The IV infusate was just removed recently from the
refrigerator. What is the probable cause? Correct Answers
venous spasm
A patient has just received a new PICC line. What statement
made by the LPN, who is taking to another nurse about PICC
lines, indicates a need for further teaching? Correct Answers
any RN can insert a PICC line if ordered
A patient has the following ABGs: pH 7.43 PCO2 28 HCO3 18.
What will the nurse interpret the results as and is there
compensation happening? Correct Answers respiratory
alkalosis, full compensation by the kidneys
A patients INR level has come back at 5.5 from the lab today.
The patient has been taking 2mg of Warfarin. What order would
the nurse question? Correct Answers Increase coumadin to
4mg every day
A perioperative nurse is preparing a client for surgery. When
providing a client with IV access, which action by the nurse
Complete Solutions
A hospital has recently adopted a needleless IV system. For
which reason did the hospital most likely adopt the needleless
system? Correct Answers To decrease risk of needlestick
injuries
A newly admitted 50 y/o has severe bacterial pneumonia, has a
pulse ox is 88%, and has had a mastectomy on her right side one
year ago. What orders or interventions will the LPN in Ohio
expect to carry out? Correct Answers - monitor continuous
pulse ox readings
- hang an IVPB antibiotic that works with several kinds of
bacteria until the culture and sensitivity results come back
- apply oxygen and give a nebulizer treatment as ordered
A newly admitted client informs a nurse that he or she is allergic
to kiwi fruit, which causes chemical contact dermatitis. The
client's allergy to kiwi should alert the nurse that this client may
be at a high risk fo Correct Answers Latex allergy
A nurse administers a whole-blood transfusion to a client.
Several hours later, the nurse finds the client febrile and
shivering with a dropping blood pressure and suspects that the
transfused blood may have been contaminated. Which
microorganism is most frequently found in extrinsic
contaminated blood products? Correct Answers Pseudomonas
species
,A nurse found a grade 3 infiltration IV at the beginning of her
shift. A vesicant was infusing. What does the nurse need to
include in her charting Correct Answers location,
characteristics, width, depth, length, time & date, doctor
notified, treatment carried out
A nurse has difficulty withdrawing blood from a central
tunneled catheter but is able to infuse fluids through the line.
The nurse should anticipate that this difficulty is most likely due
to Correct Answers the formation of a fibrin sheath.
A nurse is assessing a client's IV infusion site that has been in
place for 1 hour. The infusion has slowed and the client
complains of severe pain at the insertion site. The client states,
"It feels like an electric shock moving up my arm." There is
blanching over the site and redness around it. Which condition
should the nurse suspect? Correct Answers Venous spasm
A nurse is caring for a client who has an IV access. With which
sources of contamination should the nurse be concerned when
attempting to reduce the client's risk of infection? Correct
Answers Skin, Air Entry, ports
A nurse is caring for a client who is receiving an IV infusion via
an electronic infusion device when the client's infusion alarm
sounds. The nurse responds to the alarm knowing that the alarm
is most likely sounding because of increased Correct Answers
occlusion pressure
A nurse is initiating IV therapy for a client using a Teflon over-
the-needle catheter. The primary disadvantage of Teflon over-
,the-needle catheters for peripheral infusion is Correct Answers
the risk for phlebitis
A nurse is preparing to infuse an antibiotic IV piggyback. Which
connection should the nurse use to secure the piggyback
administration set to the primary administration set? Correct
Answers Luer lock ( Luer lock has threads that secure and lock
the connectors.)
A nurse is teaching a new nurse about how to change a central
line dressing. What statement indicates that the nurse needs
further teaching for this dressing change? Correct Answers
biopatch is used at all facilities to prevent infection
A nurse on an intensive care unit is caring for a febrile client
with a central venous catheter. Which microorganism, present
on the skin, poses the greatest threat to the client receiving an IV
infusion via a central venous catheter? Correct Answers
Coagulase-negative staphylococcus
A nurse reports to a hospital employee health service after
receiving a needlestick injury. The nurse is exposed to a
bloodborne pathogen. The employee health nurse collects
information from the nurse regarding the exposure. Which tool
assists in the collection of information regarding exposure to
bloodborne pathogens? Correct Answers Sharp injury log
A nurse specialist is performing placement of a midline catheter.
Midline placement refers to a Correct Answers peripheral
catheter that is between 3 and 8 inches in length with the distal
, tip dwelling in the basilic, cephalic, or brachial vein at or below
the level of the axilla.
A nurse suspects that a client with IV access may be
experiencing a venous spasm. What is the first sign/symptom of
venous spasm? Correct Answers A sharp pain extending from
the site of infusion
A patient has a sharp pain shortly after an IV infusion has
started. The IV infusate was just removed recently from the
refrigerator. What is the probable cause? Correct Answers
venous spasm
A patient has just received a new PICC line. What statement
made by the LPN, who is taking to another nurse about PICC
lines, indicates a need for further teaching? Correct Answers
any RN can insert a PICC line if ordered
A patient has the following ABGs: pH 7.43 PCO2 28 HCO3 18.
What will the nurse interpret the results as and is there
compensation happening? Correct Answers respiratory
alkalosis, full compensation by the kidneys
A patients INR level has come back at 5.5 from the lab today.
The patient has been taking 2mg of Warfarin. What order would
the nurse question? Correct Answers Increase coumadin to
4mg every day
A perioperative nurse is preparing a client for surgery. When
providing a client with IV access, which action by the nurse
