Test Bank for Phillips’s Manual of I.V. Therapeutics;
l# l# l# l# l# l# l# l#
Evidence-Based Practice for Infusion Therapy
l# l# l# l#l# l# l#
8th Edition Lisa Gorski
l# l# l#
,Table l#of l#Contents
An l#Overview l#of l#Professional l#Practice l#Issues l#and l#Infusion
l#Therapy l#Infection l#Prevention l#and l#Occupational l#Risks
Fundamentals l#of l#Fluid l#and l#Electrolyte
l#Balance l#Parenteral l#Solutions
Infusion l#Equipment
Peripheral l#I.V. l#Catheters: l#Initiation l#and l#Maintenance l#of l#Peripheral l#Infusion
l#Therapy l#Phlebotomy l#Techniques
Central l#Venous l#Access
Complications l#of l#Infusion l#Therapy: l#Peripheral l#and l#Central l#Vascular l#Access
l#Devices l#Infusion l#Medication l#Safety, l#Methods, l#and l#Routes
Transfusion
l#Therapy
l#Parenteral
l#Nutrition
,Chapter l#1: l#Professional l#Practice l#Concepts l#for l#Infusion l#Therapy
Multiple l#Choice
Identify l#the l#choice l#that l#best l#completes l#the l#statement l#or l#answers l#the l#question.
1. A l#nurse l#is l#attempting l#to l#initiate l#I.V. l#therapy l#for l#a l#client l#diagnosed l#with
l#gastroenteritis. l#The l#client l#is l#combative l#and l#resists l#the l#nurse’s l#efforts l#to l#start l#the
l#I.V. l#Which l#action l#by l#the l#nurse l#would l#result l#in l#an l#intentional l#tort?
A. Failing l#to l#document l#the l#client’s l#combativeness
B. Refusing l#to l#wear l#gloves l#while l#starting l#the l#I.V.
C. Failing l#to l#report l#the l#client’s l#combativeness l#to l#a l#physician
D. Starting l#an l#I.V. l#on l#a l#coherent l#client l#against l#the l#client’s l#wishes
2. A l#nurse l#who l#is l#caring l#for l#clients l#understands l#that l#he l#or l#she l#should l#provide l#care
l#that l#meets l#at l#least l#the l#minimum l#standards l#of l#practice l#for l#nursing. l#Which
l#phrase l#regarding l#standards l#of l#practice l#is l#most l#accurate?
A. Standards l#of l#practice l#focus l#on l#the l#care l#provider l#and l#define l#needed l#activities l#and
l# behaviors.
B. Standards l#of l#practice l#focus l#on l#the l#recipient l#of l#care l#and l#describe l#the l#outcomes l#of
l#care.
C. Standards l#of l#practice l#are l#written l#laws l#enacted l#by l#the l#legislature.
D. Standards l#of l#practice l#are l#the l#result l#of l#the l#performance l#of l#a l#function l#or l#process.
3. Which l#incident l#would l#cause l#a l#nurse l#to l#be l#named l#as l#a l#defendant l#in l#a l#malpractice l#suit?
A. The l#nurse l#notes l#blood l#return l#noted l#in l#a l#peripheral l#IV l#catheter l#line.
B. The l#nurse l#reports l#early l#signs l#of l#infection l#from l#a l#peripheral l#line l#inserted l#by l#a
l#nurse l#on l#another l#unit
C. The l#nurse l#places l#two l#peripheral l#IV l#catheters l#in l#a l#patient l#requiring l#emergency l#IV
l#fluids, l#but l#only l#uses l#one
D. The l#nurse l#records l#nerve l#damage l#caused l#by l#a l#peripheral l#IV l#catheter l#inserted
l#the l#previous l#shift l#nurse
4. The l#intravenous l#route l#is l#the l#most l#commonly l#used l#infusion l#route. l#The l#nurse l#notes l#that l#a
l#client l#diagnosed l#with l#metastatic l#cancer l#is l#receiving l#an l#intraosseous l#infusion.
l#Should l#the l#nurse l#question l#the l#healthcare l#pro- l#vider’s l#order?
A. Yes; l#the l#healthcare l#provider l#is l#not l#following l#INS l#recommendations.
B. No; l#the l#nurse l#should l#never l#question l#the l#healthcare l#provider’s l#order l#when l#it
l#comes l#to l#chemother- l#apy.
C. Yes; l#this l#route l#of l#infusion l#is l#dangerous l#and l#not l#accepted l#by l#the l#INS.
D. No; l#other l#routes l#might l#be l#appropriate l#for l#administration l#in l#certain l#situations
l#and l#with l#selected l#fluids l#and l#medications.
, 5. Which l#competency l#assessment l#method l#is l#acceptable l#for l#nursing l#competencies l#which
l#will l#occur l#once l#per l#year l#in l#the l#skilled l#nursing l#facility?
A. Client l#Evaluation
B. Clinical l#Data
C. Sentinel l#Event l#Report
D. Skills l#Checklist
6. One l#of l#the l#primary l#values l#of l#the l#INS l#designation l#of l#CRNI l#(certified l#registered l#nurse, l#infusion)
l# is l#to:
A. Protect l#the l#public
B. Attain l#competence
C. Reflect l#a l#measurable l#goal
D. Hold l#nurses l#accountable
7. Which l#problem-solving l#approach l#to l#clinical l#practice l#is l#the l#nurse l#manager l#applying l#when
l#determining l#patient l#preference l#and l#values l#for l#successful l#clinical l#outcomes?
A. Effective l#health-care l#practice
B. Evidence-based l#practice l#(EBP)
C. Answering l#a l#burning l#clinical l#question
D. One’s l#own l#clinical l#expertise
8. Seven l#days l#ago l#the l#PICC l#nurse l#inserted l#a l#PICC l#line l#into l#the l#right l#forearm l#of l#a l#client
l#diagnosed l#with l#cancer. l#When l#the l#nurse l#checks l#the l#client's l#site l#today, l#which
l#nursing l#process l#outcome l#is l#determined?
A. Evaluating l#cancer l#treatment
B. Implementing l#asepsis l#maintenance
C. Planning l#for l#complication l#prevention
D. Discussing l#prior l#cancer l#therapy
9. Which l#compensatory l#model l#has l#been l#applied l#if l#the l#hospitalization l#rate l#for l#CLABSIs
l#(central l#line-associated l#bloodstream l#infections) l#decreased l#significantly l#over l#the l#last
l#quarter?
A. VBP
B. HHRP
C. HAC
D. HHVBP
10. When l#called l#as l#an l#expert l#witness l#in l#an l#upcoming l#case, l#the l#nurse l#manager l#employs l#which
l#techniques?
A. Examines l#evidence l#and l#give l#advice
B. Reviews l#charts l#and l#assesses l#jury l#selection
l# l# l# l# l# l# l# l#
Evidence-Based Practice for Infusion Therapy
l# l# l# l#l# l# l#
8th Edition Lisa Gorski
l# l# l#
,Table l#of l#Contents
An l#Overview l#of l#Professional l#Practice l#Issues l#and l#Infusion
l#Therapy l#Infection l#Prevention l#and l#Occupational l#Risks
Fundamentals l#of l#Fluid l#and l#Electrolyte
l#Balance l#Parenteral l#Solutions
Infusion l#Equipment
Peripheral l#I.V. l#Catheters: l#Initiation l#and l#Maintenance l#of l#Peripheral l#Infusion
l#Therapy l#Phlebotomy l#Techniques
Central l#Venous l#Access
Complications l#of l#Infusion l#Therapy: l#Peripheral l#and l#Central l#Vascular l#Access
l#Devices l#Infusion l#Medication l#Safety, l#Methods, l#and l#Routes
Transfusion
l#Therapy
l#Parenteral
l#Nutrition
,Chapter l#1: l#Professional l#Practice l#Concepts l#for l#Infusion l#Therapy
Multiple l#Choice
Identify l#the l#choice l#that l#best l#completes l#the l#statement l#or l#answers l#the l#question.
1. A l#nurse l#is l#attempting l#to l#initiate l#I.V. l#therapy l#for l#a l#client l#diagnosed l#with
l#gastroenteritis. l#The l#client l#is l#combative l#and l#resists l#the l#nurse’s l#efforts l#to l#start l#the
l#I.V. l#Which l#action l#by l#the l#nurse l#would l#result l#in l#an l#intentional l#tort?
A. Failing l#to l#document l#the l#client’s l#combativeness
B. Refusing l#to l#wear l#gloves l#while l#starting l#the l#I.V.
C. Failing l#to l#report l#the l#client’s l#combativeness l#to l#a l#physician
D. Starting l#an l#I.V. l#on l#a l#coherent l#client l#against l#the l#client’s l#wishes
2. A l#nurse l#who l#is l#caring l#for l#clients l#understands l#that l#he l#or l#she l#should l#provide l#care
l#that l#meets l#at l#least l#the l#minimum l#standards l#of l#practice l#for l#nursing. l#Which
l#phrase l#regarding l#standards l#of l#practice l#is l#most l#accurate?
A. Standards l#of l#practice l#focus l#on l#the l#care l#provider l#and l#define l#needed l#activities l#and
l# behaviors.
B. Standards l#of l#practice l#focus l#on l#the l#recipient l#of l#care l#and l#describe l#the l#outcomes l#of
l#care.
C. Standards l#of l#practice l#are l#written l#laws l#enacted l#by l#the l#legislature.
D. Standards l#of l#practice l#are l#the l#result l#of l#the l#performance l#of l#a l#function l#or l#process.
3. Which l#incident l#would l#cause l#a l#nurse l#to l#be l#named l#as l#a l#defendant l#in l#a l#malpractice l#suit?
A. The l#nurse l#notes l#blood l#return l#noted l#in l#a l#peripheral l#IV l#catheter l#line.
B. The l#nurse l#reports l#early l#signs l#of l#infection l#from l#a l#peripheral l#line l#inserted l#by l#a
l#nurse l#on l#another l#unit
C. The l#nurse l#places l#two l#peripheral l#IV l#catheters l#in l#a l#patient l#requiring l#emergency l#IV
l#fluids, l#but l#only l#uses l#one
D. The l#nurse l#records l#nerve l#damage l#caused l#by l#a l#peripheral l#IV l#catheter l#inserted
l#the l#previous l#shift l#nurse
4. The l#intravenous l#route l#is l#the l#most l#commonly l#used l#infusion l#route. l#The l#nurse l#notes l#that l#a
l#client l#diagnosed l#with l#metastatic l#cancer l#is l#receiving l#an l#intraosseous l#infusion.
l#Should l#the l#nurse l#question l#the l#healthcare l#pro- l#vider’s l#order?
A. Yes; l#the l#healthcare l#provider l#is l#not l#following l#INS l#recommendations.
B. No; l#the l#nurse l#should l#never l#question l#the l#healthcare l#provider’s l#order l#when l#it
l#comes l#to l#chemother- l#apy.
C. Yes; l#this l#route l#of l#infusion l#is l#dangerous l#and l#not l#accepted l#by l#the l#INS.
D. No; l#other l#routes l#might l#be l#appropriate l#for l#administration l#in l#certain l#situations
l#and l#with l#selected l#fluids l#and l#medications.
, 5. Which l#competency l#assessment l#method l#is l#acceptable l#for l#nursing l#competencies l#which
l#will l#occur l#once l#per l#year l#in l#the l#skilled l#nursing l#facility?
A. Client l#Evaluation
B. Clinical l#Data
C. Sentinel l#Event l#Report
D. Skills l#Checklist
6. One l#of l#the l#primary l#values l#of l#the l#INS l#designation l#of l#CRNI l#(certified l#registered l#nurse, l#infusion)
l# is l#to:
A. Protect l#the l#public
B. Attain l#competence
C. Reflect l#a l#measurable l#goal
D. Hold l#nurses l#accountable
7. Which l#problem-solving l#approach l#to l#clinical l#practice l#is l#the l#nurse l#manager l#applying l#when
l#determining l#patient l#preference l#and l#values l#for l#successful l#clinical l#outcomes?
A. Effective l#health-care l#practice
B. Evidence-based l#practice l#(EBP)
C. Answering l#a l#burning l#clinical l#question
D. One’s l#own l#clinical l#expertise
8. Seven l#days l#ago l#the l#PICC l#nurse l#inserted l#a l#PICC l#line l#into l#the l#right l#forearm l#of l#a l#client
l#diagnosed l#with l#cancer. l#When l#the l#nurse l#checks l#the l#client's l#site l#today, l#which
l#nursing l#process l#outcome l#is l#determined?
A. Evaluating l#cancer l#treatment
B. Implementing l#asepsis l#maintenance
C. Planning l#for l#complication l#prevention
D. Discussing l#prior l#cancer l#therapy
9. Which l#compensatory l#model l#has l#been l#applied l#if l#the l#hospitalization l#rate l#for l#CLABSIs
l#(central l#line-associated l#bloodstream l#infections) l#decreased l#significantly l#over l#the l#last
l#quarter?
A. VBP
B. HHRP
C. HAC
D. HHVBP
10. When l#called l#as l#an l#expert l#witness l#in l#an l#upcoming l#case, l#the l#nurse l#manager l#employs l#which
l#techniques?
A. Examines l#evidence l#and l#give l#advice
B. Reviews l#charts l#and l#assesses l#jury l#selection
