PNG 2260 BLOOD TRANSFUSION AND
PARENTERAL NUTRITION EXAM
QUESTIONS WITH CORRECT ANSWERS
What is the composition of PN? - Answer-Amino acids, vitamins, dextrose, fats, carbs.
possibly heparin, ranitidine, insulin.
How is PN checked by nurses prior to administration? - Answer-Treat same as blood,
two nurses, go through everything.
How often is the PN bags and the lines and filter changed? - Answer-Every 24 hours,
should be primed immediately before administering PN.
PN solutions should be checked for the following? - Answer-Make sure has not
crystalized, expired, leaking.
Identify the assessments required for a patient receiving PN. - Answer-Line patency,
weight, vitals, baseline blood work, mouthcare, glucometer,
Identify the safety considerations for administering PN to patients - Answer-Infection
due to dextrose. Hand washing. Do not increase without a doctors order. Do not use in
combination with a med bag, will need multiple lines. Discontinue slowly.
What composition in PN increases the risk of infection to the patient? - Answer-
Dextrose
Identify the required documentation when administering PN to a patient. - Answer-Time,
rate, changes, blood glucose, patient's response, discontinued time,
IV medications can be infused through the same line as parenteral nutrition. - Answer-
False
Blood samples can be obtained though the same line as parenteral nutrition. - Answer-
False
The parenteral nutrition infusion is to be turned off during routine patient care. - Answer-
False
Parenteral nutrition must always be administered with a SMART pump. - Answer-True
Parenteral nutrition must be discontinued by slow titration, to prevent the risk of
hypoglycemia. - Answer-True
, The nurse may increase rate of infusion without a verification in orders. - Answer-False
PN is not compatible with other IV solutions or medications; a separate infusion line is
required - Answer-True
Parenteral nutrition is considered a high-alert medication and requires Independent
double checks prior to administrations. This includes solution, setting the pump and line
tracing. - Answer-True
The parenteral nutrition infusion rate can be increased if infusion falls behind schedule -
Answer-False
PN lines can be pre primed with NS at the beginning of shift for time efficiency. -
Answer-False, should be primed with PN solution.
Sterile glove application is used for attaching the filter to the IV tubing for PN. - Answer-
False
Blood samples can be obtained though the same line as parenteral nutrition. - Answer-
False
The parenteral nutrition infusion is to be turned off during routine patient care. - Answer-
False
The physician has written an order for Mr. Temple's parenteral nutrition to be
discontinued. The parenteral feeding rate needs to be slowly titrated to prevent what
from occurring? - Answer-Refeeding syndrome.
Mrs. Bird has parenteral nutrition infusing via a central line. Upon assessment, the
patient's respiratory rate is 30 breaths per minute with audible wheezing. What is the
LPNs first action? - Answer-Place patient into left Trendelenburg position
Parenteral nutrition rate should be decreased slowly when being discontinued? -
Answer-True
Mr. Green is receiving PN through a central venous catheter. The IV pump keeps
beeping and indicates occlusion. What is the best action for the LPN to take? - Answer-
Stop the infusion and attempt to flush the central line catheter.
Parenteral nutrition administration set should be changed every 48 hours from priming?
- Answer-False, The PN administration set should be changed every 24 hours from
priming
When a blood product is ordered how what steps would the nurse take prior to
preparation of administration? - Answer-Patient's ID, Know where to find emergency
PARENTERAL NUTRITION EXAM
QUESTIONS WITH CORRECT ANSWERS
What is the composition of PN? - Answer-Amino acids, vitamins, dextrose, fats, carbs.
possibly heparin, ranitidine, insulin.
How is PN checked by nurses prior to administration? - Answer-Treat same as blood,
two nurses, go through everything.
How often is the PN bags and the lines and filter changed? - Answer-Every 24 hours,
should be primed immediately before administering PN.
PN solutions should be checked for the following? - Answer-Make sure has not
crystalized, expired, leaking.
Identify the assessments required for a patient receiving PN. - Answer-Line patency,
weight, vitals, baseline blood work, mouthcare, glucometer,
Identify the safety considerations for administering PN to patients - Answer-Infection
due to dextrose. Hand washing. Do not increase without a doctors order. Do not use in
combination with a med bag, will need multiple lines. Discontinue slowly.
What composition in PN increases the risk of infection to the patient? - Answer-
Dextrose
Identify the required documentation when administering PN to a patient. - Answer-Time,
rate, changes, blood glucose, patient's response, discontinued time,
IV medications can be infused through the same line as parenteral nutrition. - Answer-
False
Blood samples can be obtained though the same line as parenteral nutrition. - Answer-
False
The parenteral nutrition infusion is to be turned off during routine patient care. - Answer-
False
Parenteral nutrition must always be administered with a SMART pump. - Answer-True
Parenteral nutrition must be discontinued by slow titration, to prevent the risk of
hypoglycemia. - Answer-True
, The nurse may increase rate of infusion without a verification in orders. - Answer-False
PN is not compatible with other IV solutions or medications; a separate infusion line is
required - Answer-True
Parenteral nutrition is considered a high-alert medication and requires Independent
double checks prior to administrations. This includes solution, setting the pump and line
tracing. - Answer-True
The parenteral nutrition infusion rate can be increased if infusion falls behind schedule -
Answer-False
PN lines can be pre primed with NS at the beginning of shift for time efficiency. -
Answer-False, should be primed with PN solution.
Sterile glove application is used for attaching the filter to the IV tubing for PN. - Answer-
False
Blood samples can be obtained though the same line as parenteral nutrition. - Answer-
False
The parenteral nutrition infusion is to be turned off during routine patient care. - Answer-
False
The physician has written an order for Mr. Temple's parenteral nutrition to be
discontinued. The parenteral feeding rate needs to be slowly titrated to prevent what
from occurring? - Answer-Refeeding syndrome.
Mrs. Bird has parenteral nutrition infusing via a central line. Upon assessment, the
patient's respiratory rate is 30 breaths per minute with audible wheezing. What is the
LPNs first action? - Answer-Place patient into left Trendelenburg position
Parenteral nutrition rate should be decreased slowly when being discontinued? -
Answer-True
Mr. Green is receiving PN through a central venous catheter. The IV pump keeps
beeping and indicates occlusion. What is the best action for the LPN to take? - Answer-
Stop the infusion and attempt to flush the central line catheter.
Parenteral nutrition administration set should be changed every 48 hours from priming?
- Answer-False, The PN administration set should be changed every 24 hours from
priming
When a blood product is ordered how what steps would the nurse take prior to
preparation of administration? - Answer-Patient's ID, Know where to find emergency
