Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
What is the nurse’s priority action when an IV site is red, swollen, and painful to the touch?
A. Flush the site with normal saline
✔✔ B. Stop the infusion and remove the IV
C. Elevate the arm and apply heat
D. Change the dressing and monitor
Which of the following indicates **infiltration** of an IV site?
A. Warmth, redness, and purulent drainage
✔✔ B. Swelling, coolness, and pallor around the site
C. Red streaks and burning sensation
D. Tingling and numbness in the fingers
The nurse is starting an IV and observes a flash of blood in the catheter. What is the next step?
✔✔ A. Advance the catheter into the vein and remove the needle
B. Remove the needle and restart at a different site
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, C. Apply a tourniquet above the insertion site
D. Flush the catheter before advancing
Which is the best site for IV insertion in an adult needing short-term therapy?
A. Foot vein
B. Antecubital fossa
✔✔ C. Dorsal hand vein
D. Scalp vein
A client receiving IV fluids reports pain and the nurse sees red streaking along the vein. What
complication is this?
A. Infiltration
✔✔ B. Phlebitis
C. Air embolism
D. Occlusion
What is the nurse's action if the IV pump alarms “occlusion detected”?
✔✔ A. Check the tubing for kinks or closed clamps
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