1
NUR172 Final Questions and Correct
Answers
Question: When giving IV for fluids, how long should you clean the port
(or hub)?
Answer: At least 15 Seconds
Question: What is important to remember when using IV Stopcocks?
Answer: Make sure to use only compatible fluids
Question: When you have IV piggyback antibiotic, and you already have
IV fluids running, what tubing would you use?
Answer: use secondary IV tubing (30-36")
Question: Benefits for using IV pump for patient
Answer: Patient can move around easily, give multiple meds at once
(using multi-channels), alarms when finished
Question: PICC line (peripherally inserted central cath) Is a sterile
procedure (even dressing changes). What else do you need to know about
PICC lines?
Answer: Always ends up in superior vena cava, placed by RN who is
specially trained, ALWAYS verified by X-Ray and read by a Dr. prior to
use, can be used for 1 year.
Question: If PICC line dressing is wet:
Answer: Gather supplies and change the sterile dressing with a new one.
Dressing should be sterile & occlusive (completely sealed)
Question: Why do we use a Biopatch- circular patch that encloses the
PICC line (blue side up-blue to the sky)?
Answer: This helps dressing from having to be changed so often.
Pretest - Stuvia US
,2
Question: Infiltration
Answer: Site is cool, taut, edema is present
Question: Vanco infusing- you suspect leaking into tissue. What is the
first thing you should do?
Answer: Stop the infusion
Question: If you suspect bloodstream infusion, list the steps you should
take.
Answer: Report S&S to Dr., anticipate culture, save IV cath, antibiotics,
fluids, and give O2.
Question: What do you do if you have a patient and you suspect an air
embolism?
Answer: Turn patient on left lateral Trendelenburg until you can get MD.
Question: Why is an IV a source of infection?
Answer: It is an open wound in skin, goes directly into bloodstream.
Question: Is insertion is sterile?
Answer: No, it's Aseptic
Question: Name the diagnosis for cough, dyspnea, restlessness, and
crackles.
Answer: Pulmonary edema
Question: What would you do if you suspect a patient has infiltration?
Answer: going to chart assessment of site, include date and time, notify
MD, what treatment ordered, what you did for it (what MD ordered), how
patient tolerated.
Question: Name the diagnosis for red, raised veins
Pretest - Stuvia US
,3
Answer: Phlebitis
Question: What PPE would you wear for a patient with MERSA?
Answer: gown and gloves
Question: If you are sending someone home with PICC line, what is
important to educate them about?
Answer: Teach them to report S&S of infection- redness, swelling, fever.
Question: Name this diagnosis with: patient has blood-tinged sputum
and pounding pulse
Answer: Pulmonary Edema
Question: What determines the size of the IV cath?
Answer: Length of time patient has IV, condition of veins, type of
solutions ordered
Question: How often do you change primary tubing? Secondary?
Answer: Primary-96 Hours
Secondary-24 Hours
Question: What can happen if you use an IV cath that is too large or if
you have a patient with fragile skin?
Answer: Can cause a hematoma
Question: What is the best way to prevent an occlusion?
Answer: Flush the line as much as possible
Question: Name this diagnosis based off these symptoms: hypotension,
tachycardia, change in mental status, increased lactate levels
Answer: Septicemia
Question: What is the benefits of using plastic container
Pretest - Stuvia US
, 4
Answer: Easy to use, store, puncture
further teaching- graduation is not easy to read
Question: If you find a patient with IV site redness, swelling, etc., what
would you do first?
Answer: Take it out
Question: What PPE should we use for a patient with TB?
Answer: Patient must be in neg pressure room, wear mask(N95) and
gloves, airborne and droplet precautions.
Question: Patient has redness, swelling, and exudate coming out of the
IV site, would you leave the cath in?
Answer: No! Remove old dressing, replace dressing, call MD
Question: What would you do if a patient has a saline locked in place
and not in use?
Answer: Call the MD to see about removal
Question: Can LPN's give multivitamins?
Answer: Yes, we can- second bag or more
Question: This device allows for tip of male lure, simple or complex, can
be classified based on function, allows for venous access without
removing connector (IS NOT ALLOWED FOR SCRUB ACCESSING
Answer: Needleless connector
Question: What actions do you take to prevent infiltration or
extravasation?
Answer: Do not place IV over joint, patient teaching/instructing patient to
immediately report pain, swelling, or burning at IV site.
Pretest - Stuvia US
NUR172 Final Questions and Correct
Answers
Question: When giving IV for fluids, how long should you clean the port
(or hub)?
Answer: At least 15 Seconds
Question: What is important to remember when using IV Stopcocks?
Answer: Make sure to use only compatible fluids
Question: When you have IV piggyback antibiotic, and you already have
IV fluids running, what tubing would you use?
Answer: use secondary IV tubing (30-36")
Question: Benefits for using IV pump for patient
Answer: Patient can move around easily, give multiple meds at once
(using multi-channels), alarms when finished
Question: PICC line (peripherally inserted central cath) Is a sterile
procedure (even dressing changes). What else do you need to know about
PICC lines?
Answer: Always ends up in superior vena cava, placed by RN who is
specially trained, ALWAYS verified by X-Ray and read by a Dr. prior to
use, can be used for 1 year.
Question: If PICC line dressing is wet:
Answer: Gather supplies and change the sterile dressing with a new one.
Dressing should be sterile & occlusive (completely sealed)
Question: Why do we use a Biopatch- circular patch that encloses the
PICC line (blue side up-blue to the sky)?
Answer: This helps dressing from having to be changed so often.
Pretest - Stuvia US
,2
Question: Infiltration
Answer: Site is cool, taut, edema is present
Question: Vanco infusing- you suspect leaking into tissue. What is the
first thing you should do?
Answer: Stop the infusion
Question: If you suspect bloodstream infusion, list the steps you should
take.
Answer: Report S&S to Dr., anticipate culture, save IV cath, antibiotics,
fluids, and give O2.
Question: What do you do if you have a patient and you suspect an air
embolism?
Answer: Turn patient on left lateral Trendelenburg until you can get MD.
Question: Why is an IV a source of infection?
Answer: It is an open wound in skin, goes directly into bloodstream.
Question: Is insertion is sterile?
Answer: No, it's Aseptic
Question: Name the diagnosis for cough, dyspnea, restlessness, and
crackles.
Answer: Pulmonary edema
Question: What would you do if you suspect a patient has infiltration?
Answer: going to chart assessment of site, include date and time, notify
MD, what treatment ordered, what you did for it (what MD ordered), how
patient tolerated.
Question: Name the diagnosis for red, raised veins
Pretest - Stuvia US
,3
Answer: Phlebitis
Question: What PPE would you wear for a patient with MERSA?
Answer: gown and gloves
Question: If you are sending someone home with PICC line, what is
important to educate them about?
Answer: Teach them to report S&S of infection- redness, swelling, fever.
Question: Name this diagnosis with: patient has blood-tinged sputum
and pounding pulse
Answer: Pulmonary Edema
Question: What determines the size of the IV cath?
Answer: Length of time patient has IV, condition of veins, type of
solutions ordered
Question: How often do you change primary tubing? Secondary?
Answer: Primary-96 Hours
Secondary-24 Hours
Question: What can happen if you use an IV cath that is too large or if
you have a patient with fragile skin?
Answer: Can cause a hematoma
Question: What is the best way to prevent an occlusion?
Answer: Flush the line as much as possible
Question: Name this diagnosis based off these symptoms: hypotension,
tachycardia, change in mental status, increased lactate levels
Answer: Septicemia
Question: What is the benefits of using plastic container
Pretest - Stuvia US
, 4
Answer: Easy to use, store, puncture
further teaching- graduation is not easy to read
Question: If you find a patient with IV site redness, swelling, etc., what
would you do first?
Answer: Take it out
Question: What PPE should we use for a patient with TB?
Answer: Patient must be in neg pressure room, wear mask(N95) and
gloves, airborne and droplet precautions.
Question: Patient has redness, swelling, and exudate coming out of the
IV site, would you leave the cath in?
Answer: No! Remove old dressing, replace dressing, call MD
Question: What would you do if a patient has a saline locked in place
and not in use?
Answer: Call the MD to see about removal
Question: Can LPN's give multivitamins?
Answer: Yes, we can- second bag or more
Question: This device allows for tip of male lure, simple or complex, can
be classified based on function, allows for venous access without
removing connector (IS NOT ALLOWED FOR SCRUB ACCESSING
Answer: Needleless connector
Question: What actions do you take to prevent infiltration or
extravasation?
Answer: Do not place IV over joint, patient teaching/instructing patient to
immediately report pain, swelling, or burning at IV site.
Pretest - Stuvia US
