ATI Comprehensive Predictor RN-Exit Exam
Complete Solutions And Verified Correct Answers
How long should fluids be infused? -Answer:-Fluids should be
infused within 24 hours, discard unused potion, to prevent infection
Complications associated with IV infusion -Answer:-infiltration,
extravasation, phlebitis, thrombophlebitis, hematoma, venous
spasm
Preventing Infiltration -Answer:-use smallest catheter for
prescribed therapy, stabilize port-access, assess blood return
Treatment of Infiltration -Answer:-stop, remove, cold compress,
elevate extremity, insert new cath in opposite extremity
Preventing Extravasation -Answer:-know vesicant potential before
giving medication
,Treatment of Extravasation -Answer:-stop, discontinue, aspirate
med if possible, cold compress, document
Preventing Phlebitis & Thrombophlebitis -Answer:-rotate sites
every 72 to 96 hrs, secure catheter, aseptic technique for PICC lines,
limit activity with extremity
Treatment of Phlebitis & Thrombophlebitis -Answer:-stop, remove,
heat compress, insert new cath in opposite extremity
Preventing Hematoma -Answer:-avoid veins not easily seen or
palpated, obtain hemostasis after insertion
Treatment of Hematoma -Answer:-remove, apply pressure, monitor
for signs of phlebitis and treat
Preventing Venous Spasm -Answer:-allow time for vein diameter to
return after tourniquet removed, infuse fluids at room temp
,Treatment of Venous Spasm -Answer:-temporarily slow infusion
rate, warm compress
TPN -Answer:-hypertonic solution, contains dextrose, proteins,
electrolytes, minerals, trace elements, and insulin prescribed,
administered via central venous device like PICC line, subclavian, or
internal jugular vein
Care for TPN -Answer:-verify with another nurse, use infusion
pump, monitor daily weights, I & O, fluid balance, serum glucose q4
to 6 hrs, infection, change dressing q48 to 72 hrs, change tubing and
fluid q24 hours, if TPN is unavailable, administer dextrose 10% in
water to prevent hypoglycemia
Complications of central venous catheters -Answer:-pneumothorax
during insertion, air embolism, lumen occlusion, bloodstream
infection
Pneumothorax during insertion -Answer:-use ultrasound to locate
veins, avoid subclavian insertion when possible, treat with O2, assist
with chest tube insertion
, Air Embolism -Answer:-have client lie flat when changing
administration set or needleless connectors, ask client to perform
Valsava maneuver, treat by placing client in left lateral
trendelenberg, and O2
Lumen Occlusion -Answer:-flush promptly with NS between, before,
and after each med, treat with 10 cc syringe with pulsing motion
Bloodstream Infection -Answer:-maintain sterile technique, treat by
changing entire infusion system, notify MD, obtain cultures, and
administer antibiotics
Antidote for Acetaminophen -Answer:-Acetylcysteine, Mucomyst
Antidote for Benzodiazepine -Answer:-Flumazenil, romazicon
Antidote for Curare -Answer:-edrophonium, tensilon
Complete Solutions And Verified Correct Answers
How long should fluids be infused? -Answer:-Fluids should be
infused within 24 hours, discard unused potion, to prevent infection
Complications associated with IV infusion -Answer:-infiltration,
extravasation, phlebitis, thrombophlebitis, hematoma, venous
spasm
Preventing Infiltration -Answer:-use smallest catheter for
prescribed therapy, stabilize port-access, assess blood return
Treatment of Infiltration -Answer:-stop, remove, cold compress,
elevate extremity, insert new cath in opposite extremity
Preventing Extravasation -Answer:-know vesicant potential before
giving medication
,Treatment of Extravasation -Answer:-stop, discontinue, aspirate
med if possible, cold compress, document
Preventing Phlebitis & Thrombophlebitis -Answer:-rotate sites
every 72 to 96 hrs, secure catheter, aseptic technique for PICC lines,
limit activity with extremity
Treatment of Phlebitis & Thrombophlebitis -Answer:-stop, remove,
heat compress, insert new cath in opposite extremity
Preventing Hematoma -Answer:-avoid veins not easily seen or
palpated, obtain hemostasis after insertion
Treatment of Hematoma -Answer:-remove, apply pressure, monitor
for signs of phlebitis and treat
Preventing Venous Spasm -Answer:-allow time for vein diameter to
return after tourniquet removed, infuse fluids at room temp
,Treatment of Venous Spasm -Answer:-temporarily slow infusion
rate, warm compress
TPN -Answer:-hypertonic solution, contains dextrose, proteins,
electrolytes, minerals, trace elements, and insulin prescribed,
administered via central venous device like PICC line, subclavian, or
internal jugular vein
Care for TPN -Answer:-verify with another nurse, use infusion
pump, monitor daily weights, I & O, fluid balance, serum glucose q4
to 6 hrs, infection, change dressing q48 to 72 hrs, change tubing and
fluid q24 hours, if TPN is unavailable, administer dextrose 10% in
water to prevent hypoglycemia
Complications of central venous catheters -Answer:-pneumothorax
during insertion, air embolism, lumen occlusion, bloodstream
infection
Pneumothorax during insertion -Answer:-use ultrasound to locate
veins, avoid subclavian insertion when possible, treat with O2, assist
with chest tube insertion
, Air Embolism -Answer:-have client lie flat when changing
administration set or needleless connectors, ask client to perform
Valsava maneuver, treat by placing client in left lateral
trendelenberg, and O2
Lumen Occlusion -Answer:-flush promptly with NS between, before,
and after each med, treat with 10 cc syringe with pulsing motion
Bloodstream Infection -Answer:-maintain sterile technique, treat by
changing entire infusion system, notify MD, obtain cultures, and
administer antibiotics
Antidote for Acetaminophen -Answer:-Acetylcysteine, Mucomyst
Antidote for Benzodiazepine -Answer:-Flumazenil, romazicon
Antidote for Curare -Answer:-edrophonium, tensilon
