Questions and CORRECT Answers
1. A client is receiving IV fluids that will increase the extracellular fluid. What type of fluids will
be administered?
a. hypotonic
b. isotonic
c. hypertonic
d. equitonic - CORRECT ANSWER - ANS: B
Parenteral fluids are classified based on their relationship to normal blood plasma. Solutions may
be hypotonic, isotonic, or hypertonic. The solution prescribed is based on the client's diagnosis
and the goal of therapy. Isotonic IV fluids increase only the extracellular fluid volume.
2. The nurse would like to administer an antibiotic through the client's primary IV line. The type
of tubing the nurse will use to provide additional Y-injection ports to an IV line is called:
a. IV tubing
b. drip chamber
c. extension set
d. saline lock - CORRECT ANSWER - ANS: C
Extension tubing may be used to lengthen the primary tubing or provide additional Y-injection
ports for administering additional solutions.
3. Inflammation of a vein from an IV catheter is called:
a. infiltration
b. edema
c. extravasation
d. phlebitis - CORRECT ANSWER - ANS: D
Phlebitis or inflammation of a vein may result from either mechanical or chemical trauma or
bacterial invasion of the site. Inserting a device with too large a gauge, using a vein that is too
small or fragile, or leaving the device in place for too long may cause mechanical trauma.
Chemical trauma may result from infusing too rapidly or from an acidic solution, hypertonic
, solution, a solution containing electrolytes (especially potassium and magnesium) or other
medications.
4. Filters that remove particulate matter from an IV solution and are incorporated into the IV
tubing set are which type of filters?
a. offline
b. inline
c. buretrol
d. flexible - CORRECT ANSWER - ANS: B
Some IV tubings have a filter incorporated into the IV tubing set. This type of filter is an inline
filter.
5. An infant is admitted to the hospital for dehydration and the physician has ordered IV fluids.
What IV catheter would the nurse choose for this client?
a. angiocath
b. butterfly
c. vascular access device
d. central venous catheter - CORRECT ANSWER - ANS: B
Butterfly catheters are short, over the needle catheters with plastic wings attached to the shaft.
The wings (which are flexible) are held tightly together to facilitate catheter insertion and then
are flattened against the skin and taped to prevent dislodgment. These are generally used for
short-term or intermittent therapy and for infants.
6. A client is undergoing six months of chemotherapy.Which type of IV catheter or device would
most likely be used for this treatment?
a. butterfly
b. vascular access device
c. angiocath
d. extension set - CORRECT ANSWER - ANS: B