Fundamentals in Nursing II (NURB 240)
Exam 3 Study Guide Test Questions
With Correct Answers
A peripheral line is a type of intravenous (IV) access in which the catheter tip remains in
limb circulation. A central line is a type of IV access in which the catheter tip is in central
circulation. Peripheral lines are only for temporary use as they tend to wear out faster,
but central lines can be for temporary or long-term use. Central lines are preferred for
administering more irritating medications, higher volumes, or faster rates since veins are
too small/fragile for some medications or infusions. However, central lines have a higher
risk for infection and are more complicated to place. - CORRECT ANSWER-What are
the differences between a peripheral and central line?
-For adults, only the arms and hands can be chosen as a site without an order
-Distal before proximal
-Avoid joints
-Non-dominant are preferred
-Do not place on limbs with a mastectomy, fistula, or DVT - CORRECT ANSWER-How
do you select the best option for IV placement?
-Actual procedure varies between facilities
-Use aseptic technique with good skin cleaning before insertion
-Securement device preferred
-Leave in as long as needed if no complications occur
-Assess regularly for infiltration, phlebitis, and infection - CORRECT ANSWER-How is a
peripheral IV placed?
1.) Verify patient identity and allergies, perform the 3 medication checks, and perform
hand hygiene.
2.) Assess the IV site for redness, tenderness, edema, etc.
3.) Open the tubing packaging and close the roller clamp. Note that nothing should ever
touch the floor, including the tubing.
4.) Remove the cap from the tubing spike, pull stopper from the IV bag, and insert the
spike into the bag.
5.) Hang the bag on the pole and squeeze the drip chamber until 1/2 full.
6.) Prime the tubing.
7.) Close the roller clamp.
8.) Load the tubing into the pump.
9.) Clean the IV port with alcohol for 15 seconds.
, 10.) If needed, push 2-3 mLs from saline flush into the IV, and then reclean the port with
alcohol for 15 seconds. (This step is necessary if you have not just flushed the line from
an IV push administration).
11.) Connect the tubing to the IV.
12.) Set the pump rate and volume.
13.) Open the roller clamp.
14.) Press start - CORRECT ANSWER-How are primary IV infusions administered?
1.) Follow the same procedure for all other medications with verifying the patient (name,
DOB, and allergies), 3 medication checks, hand hygiene, etc.
2.) Check that the secondary infusion is compatible with the primary IV infusion. If the
medication is mixed in the exact same fluid as the primary line, you know it is
compatible. Otherwise, look it up.
3.) Open the tubing packaging and close the roller clamp. Do not let anything touch the
floor.
4.) Pause the IV pump.
5.) Use the hanger included in the secondary tubing package to hang the primary bag
lower.
6.) Clean the primary tubing port above the IV pump with alcohol for 15 seconds.
7.) Connect the secondary tubing.
8.) Remove the cap from the tubing spike, pull the stopper from the secondary bag, and
insert the spike.
9.) Back prime the secondary tubing until the drip chamber is 1/2 full.
10.) Hang the secondary bag higher than the primary bag. Unclamp the secon -
CORRECT ANSWER-How are secondary IV infusions administered?
1.) Follow the same procedure for all other medications with verifying the patient (name,
DOB, and allergies) and doing 3 checks for the correct medication, dose, route, time,
etc.
2.) Assess the site for redness, tenderness, edema, and other signs of
inflammation/infection.
3.) Pull up the medication into the syringe, get the air bubbles out, and make sure you
have the right dose, just like with an IM injection.
4.) Check whether or not the medication needs to be diluted with another fluid (such as
normal saline). If so, pull the correct fluid and amount to dilute.
If the patient has continuous IV fluids running:
5.) Make sure the drug is compatible with the fluid.
6.) If not done before preparing the medication, assess that the PIV is working properly.
7.) Alcohol off the y-site port for 15 seconds. Do not drop the port after.
8.) Pause the pump and pinch off the IV tubing between the pump and the y-site.
9.) Att - CORRECT ANSWER-How are IV push medications administered?
-Keep tubing off of the floor
-Label all tubing and bags with date and time
Exam 3 Study Guide Test Questions
With Correct Answers
A peripheral line is a type of intravenous (IV) access in which the catheter tip remains in
limb circulation. A central line is a type of IV access in which the catheter tip is in central
circulation. Peripheral lines are only for temporary use as they tend to wear out faster,
but central lines can be for temporary or long-term use. Central lines are preferred for
administering more irritating medications, higher volumes, or faster rates since veins are
too small/fragile for some medications or infusions. However, central lines have a higher
risk for infection and are more complicated to place. - CORRECT ANSWER-What are
the differences between a peripheral and central line?
-For adults, only the arms and hands can be chosen as a site without an order
-Distal before proximal
-Avoid joints
-Non-dominant are preferred
-Do not place on limbs with a mastectomy, fistula, or DVT - CORRECT ANSWER-How
do you select the best option for IV placement?
-Actual procedure varies between facilities
-Use aseptic technique with good skin cleaning before insertion
-Securement device preferred
-Leave in as long as needed if no complications occur
-Assess regularly for infiltration, phlebitis, and infection - CORRECT ANSWER-How is a
peripheral IV placed?
1.) Verify patient identity and allergies, perform the 3 medication checks, and perform
hand hygiene.
2.) Assess the IV site for redness, tenderness, edema, etc.
3.) Open the tubing packaging and close the roller clamp. Note that nothing should ever
touch the floor, including the tubing.
4.) Remove the cap from the tubing spike, pull stopper from the IV bag, and insert the
spike into the bag.
5.) Hang the bag on the pole and squeeze the drip chamber until 1/2 full.
6.) Prime the tubing.
7.) Close the roller clamp.
8.) Load the tubing into the pump.
9.) Clean the IV port with alcohol for 15 seconds.
, 10.) If needed, push 2-3 mLs from saline flush into the IV, and then reclean the port with
alcohol for 15 seconds. (This step is necessary if you have not just flushed the line from
an IV push administration).
11.) Connect the tubing to the IV.
12.) Set the pump rate and volume.
13.) Open the roller clamp.
14.) Press start - CORRECT ANSWER-How are primary IV infusions administered?
1.) Follow the same procedure for all other medications with verifying the patient (name,
DOB, and allergies), 3 medication checks, hand hygiene, etc.
2.) Check that the secondary infusion is compatible with the primary IV infusion. If the
medication is mixed in the exact same fluid as the primary line, you know it is
compatible. Otherwise, look it up.
3.) Open the tubing packaging and close the roller clamp. Do not let anything touch the
floor.
4.) Pause the IV pump.
5.) Use the hanger included in the secondary tubing package to hang the primary bag
lower.
6.) Clean the primary tubing port above the IV pump with alcohol for 15 seconds.
7.) Connect the secondary tubing.
8.) Remove the cap from the tubing spike, pull the stopper from the secondary bag, and
insert the spike.
9.) Back prime the secondary tubing until the drip chamber is 1/2 full.
10.) Hang the secondary bag higher than the primary bag. Unclamp the secon -
CORRECT ANSWER-How are secondary IV infusions administered?
1.) Follow the same procedure for all other medications with verifying the patient (name,
DOB, and allergies) and doing 3 checks for the correct medication, dose, route, time,
etc.
2.) Assess the site for redness, tenderness, edema, and other signs of
inflammation/infection.
3.) Pull up the medication into the syringe, get the air bubbles out, and make sure you
have the right dose, just like with an IM injection.
4.) Check whether or not the medication needs to be diluted with another fluid (such as
normal saline). If so, pull the correct fluid and amount to dilute.
If the patient has continuous IV fluids running:
5.) Make sure the drug is compatible with the fluid.
6.) If not done before preparing the medication, assess that the PIV is working properly.
7.) Alcohol off the y-site port for 15 seconds. Do not drop the port after.
8.) Pause the pump and pinch off the IV tubing between the pump and the y-site.
9.) Att - CORRECT ANSWER-How are IV push medications administered?
-Keep tubing off of the floor
-Label all tubing and bags with date and time
