Section 3: Fundamentals of IV Therapy
Exam 2025 – Questions and verified
Answers
1. What is the primary purpose of intravenous (IV) therapy?
A. To diagnose medical conditions
B. To deliver fluids, medications, and nutrients directly into the
bloodstream
C. To assess blood pressure levels
D. To prevent infections
2. Which vein is commonly used for initiating peripheral IV therapy in adults?
A. Femoral vein
B. Jugular vein
C. Cephalic vein
D. Pulmonary vein
3. Before initiating IV therapy, what is the most important step to prevent
infection?
A. Wearing gloves
B. Performing hand hygiene
C. Using sterile scissors
D. Flushing the catheter with saline
,4. What is the term for leakage of IV fluid into the surrounding tissue?
A. Embolism
B. Occlusion
C. Infiltration
D. Phlebitis
5. Which of the following is a sign of phlebitis?
A. Bruising
B. Redness, warmth, and tenderness along the vein
C. Rapid infusion rate
D. Increased blood pressure
6. What should the nurse do first if infiltration is suspected?
A. Stop the IV infusion immediately
B. Elevate the patient's arm
C. Apply a warm compress
D. Flush the catheter
7. Which fluid is considered isotonic and commonly used for fluid resuscitation?
A. 0.45% NaCl
B. 0.9% NaCl
C. Dextrose 5% in water
D. 3% NaCl
8. How often should a peripheral IV site be assessed for complications?
A. Once per shift
B. Every 2 to 4 hours
C. Only when symptoms appear
D. Daily
, 9. What is the best angle of insertion when starting a peripheral IV?
A. 5 degrees
B. 10 to 30 degrees
C. 45 to 60 degrees
D. 90 degrees
10. What is the most appropriate action if a patient reports burning and pain at
the IV site during infusion?
A. Ignore it unless the site is red
B. Slow the rate of infusion
C. Stop the infusion and assess the site
D. Elevate the arm
11. Which of the following is a hypertonic IV solution?
A. 0.9% NaCl
B. Lactated Ringer’s
C. 3% NaCl
D. D5W
12. Which catheter gauge is most appropriate for trauma or rapid fluid
administration?
A. 24 gauge
B. 22 gauge
C. 18 gauge
D. 25 gauge
13. What does “patency” of an IV line mean?
A. It's expired
B. It is open and unobstructed
C. It is blocked
D. It is leaking
Exam 2025 – Questions and verified
Answers
1. What is the primary purpose of intravenous (IV) therapy?
A. To diagnose medical conditions
B. To deliver fluids, medications, and nutrients directly into the
bloodstream
C. To assess blood pressure levels
D. To prevent infections
2. Which vein is commonly used for initiating peripheral IV therapy in adults?
A. Femoral vein
B. Jugular vein
C. Cephalic vein
D. Pulmonary vein
3. Before initiating IV therapy, what is the most important step to prevent
infection?
A. Wearing gloves
B. Performing hand hygiene
C. Using sterile scissors
D. Flushing the catheter with saline
,4. What is the term for leakage of IV fluid into the surrounding tissue?
A. Embolism
B. Occlusion
C. Infiltration
D. Phlebitis
5. Which of the following is a sign of phlebitis?
A. Bruising
B. Redness, warmth, and tenderness along the vein
C. Rapid infusion rate
D. Increased blood pressure
6. What should the nurse do first if infiltration is suspected?
A. Stop the IV infusion immediately
B. Elevate the patient's arm
C. Apply a warm compress
D. Flush the catheter
7. Which fluid is considered isotonic and commonly used for fluid resuscitation?
A. 0.45% NaCl
B. 0.9% NaCl
C. Dextrose 5% in water
D. 3% NaCl
8. How often should a peripheral IV site be assessed for complications?
A. Once per shift
B. Every 2 to 4 hours
C. Only when symptoms appear
D. Daily
, 9. What is the best angle of insertion when starting a peripheral IV?
A. 5 degrees
B. 10 to 30 degrees
C. 45 to 60 degrees
D. 90 degrees
10. What is the most appropriate action if a patient reports burning and pain at
the IV site during infusion?
A. Ignore it unless the site is red
B. Slow the rate of infusion
C. Stop the infusion and assess the site
D. Elevate the arm
11. Which of the following is a hypertonic IV solution?
A. 0.9% NaCl
B. Lactated Ringer’s
C. 3% NaCl
D. D5W
12. Which catheter gauge is most appropriate for trauma or rapid fluid
administration?
A. 24 gauge
B. 22 gauge
C. 18 gauge
D. 25 gauge
13. What does “patency” of an IV line mean?
A. It's expired
B. It is open and unobstructed
C. It is blocked
D. It is leaking
