SKILLS/MODULE 4: CH. 32 & 42 MEDICATION
ADMINISTRATION/IV INFUSION/IV INSERTION
QUESTIONS WITH 100% RATED ANSWERS 2025/2026
LATEST UPDATE/GET A+
What is the most dangerous method for administering medications? - the IV bolus, or
"push"
What can administration of medication through the IV bolus cause? - direct irritation to
the lining of the vessels
In what situation should you never give medications intravenously? - If the insertion site
appears swollen, or edematous or the IV fluid cannot flow at the proper rate.
What does accidental injection of a medication into the tissues around a vein cause? - -
Pain
-Sloughing of tissues
-Abscesses
-Depending on the composition of the medication
What has the ISMP recommended? - To avoid using terms such as IV push, IVP, or
bolus in orders with drugs that require administration over 1 minute or longer.
How do you safely administer medications via IV bolus? - 1) Check order/MAR/patients
name, medication name & dosage, route & time
2) know action, purpose, normal dosage & route, side effects, time of onset & peak
action, how slowly to give medication, compatibility w/ IV fluids, & nursing implications
3)Hand hygiene, assess IV site for any signs of infiltration or phlebitis/asses for
allergies, inform patient of medication purpose/3 checks
4) Prepare order/encourage patient to report symptoms of discomfort at IV site
5) Select injection port of IV tubing closest to patient/clean injection port with antiseptic
swab/allow to dry
6) Connect syringe to port of IV line (w/ medication)
7) occlude IV line by pinching tubing just above injection port/Pull back gently on syringe
plunger to aspirate blood return
8) Release tubing and inject medication within amount of time recommended (you can
pinch IV line while pushing medication and release when not pushing it.
9) after injection medication, release tubing, withdraw syringe, and recheck fluid infusion
rate
What type of medication orders require exact timing? - STAT, first-time, loading, and 1-
time doses
What medications are time-critical scheduled medications (given at exact time ordered
or within 30 min)? - -Antibiotics
, -Anticoagulants
-Insulin
-Anticonvulsants
-Immunosuppressive agents
Why is it important to aspirate for blood return when giving medications via IV bolus? -
To make sure medication is being delivered into bloodstream
How do you safely administer medications via IV push? - 1) Check order/MAR/patients
name, medication name & dosage, route & time
2) know action, purpose, normal dosage & route, side effects, time of onset & peak
action, how slowly to give medication, compatibility w/ IV fluids, & nursing implications
3)Hand hygiene, assess IV site for any signs of infiltration or phlebitis/asses for
allergies, inform patient of medication purpose/3 checks
4)Prepare 2 syringes with 2-3 mL of normal saline (0.9%)
5) clean injection port of lock w/ antiseptic swab/allow to dry
6) insert syringe containing normal saline into injection port of IV lock/pull back gently on
syringe plunger and look for blood return
7) flush IV lock w/ normal saline by pushing slowly on plunger (clears IV lock of blood)
8) Remove saline flush syringe, clean injection port w/ antiseptic swab, insert syringe w/
medication & inject with amount of time recommended
9) Withdraw syringe/clean port/& flush injection port by attaching syringe w/ normal
saline at same rate as medication.
10) dispose things & hand hygien.
What does swelling at injection (IV site) indicate? - swelling indicates infiltration into
tissues surrounding veins
What are some unexpected outcomes that can occur with medication administration
through IV bolus or IV push? - -Patient develops adverse reaction to medication
-IV site shows symptoms of infiltration or phlebitis
-Patient is unable to explain medication information
What should the nurse record and report after administering medication through IV
bolus & IV push? - -Record medication, dose, time & date, and route of administration
-Report any adverse reactions immediately to health care provider.Patients response
may indicate need for additional medical therapy
-Record patients response to medication in nurses notes
-Document your evaluation of patient and family learning
What are the steps for assessment before administering medication by piggyback,
intermittent IV infusion sets, and syringe pumps? - 1) Check accuracy of
MAR/order/patients name/medication name & dosage/route and time of administration
2) Review patients allergies, medication information (action, purpose, normal dose and
route, side effects, time of onset and peak action, compatibility with existing IV fluids,
and nursing implications
ADMINISTRATION/IV INFUSION/IV INSERTION
QUESTIONS WITH 100% RATED ANSWERS 2025/2026
LATEST UPDATE/GET A+
What is the most dangerous method for administering medications? - the IV bolus, or
"push"
What can administration of medication through the IV bolus cause? - direct irritation to
the lining of the vessels
In what situation should you never give medications intravenously? - If the insertion site
appears swollen, or edematous or the IV fluid cannot flow at the proper rate.
What does accidental injection of a medication into the tissues around a vein cause? - -
Pain
-Sloughing of tissues
-Abscesses
-Depending on the composition of the medication
What has the ISMP recommended? - To avoid using terms such as IV push, IVP, or
bolus in orders with drugs that require administration over 1 minute or longer.
How do you safely administer medications via IV bolus? - 1) Check order/MAR/patients
name, medication name & dosage, route & time
2) know action, purpose, normal dosage & route, side effects, time of onset & peak
action, how slowly to give medication, compatibility w/ IV fluids, & nursing implications
3)Hand hygiene, assess IV site for any signs of infiltration or phlebitis/asses for
allergies, inform patient of medication purpose/3 checks
4) Prepare order/encourage patient to report symptoms of discomfort at IV site
5) Select injection port of IV tubing closest to patient/clean injection port with antiseptic
swab/allow to dry
6) Connect syringe to port of IV line (w/ medication)
7) occlude IV line by pinching tubing just above injection port/Pull back gently on syringe
plunger to aspirate blood return
8) Release tubing and inject medication within amount of time recommended (you can
pinch IV line while pushing medication and release when not pushing it.
9) after injection medication, release tubing, withdraw syringe, and recheck fluid infusion
rate
What type of medication orders require exact timing? - STAT, first-time, loading, and 1-
time doses
What medications are time-critical scheduled medications (given at exact time ordered
or within 30 min)? - -Antibiotics
, -Anticoagulants
-Insulin
-Anticonvulsants
-Immunosuppressive agents
Why is it important to aspirate for blood return when giving medications via IV bolus? -
To make sure medication is being delivered into bloodstream
How do you safely administer medications via IV push? - 1) Check order/MAR/patients
name, medication name & dosage, route & time
2) know action, purpose, normal dosage & route, side effects, time of onset & peak
action, how slowly to give medication, compatibility w/ IV fluids, & nursing implications
3)Hand hygiene, assess IV site for any signs of infiltration or phlebitis/asses for
allergies, inform patient of medication purpose/3 checks
4)Prepare 2 syringes with 2-3 mL of normal saline (0.9%)
5) clean injection port of lock w/ antiseptic swab/allow to dry
6) insert syringe containing normal saline into injection port of IV lock/pull back gently on
syringe plunger and look for blood return
7) flush IV lock w/ normal saline by pushing slowly on plunger (clears IV lock of blood)
8) Remove saline flush syringe, clean injection port w/ antiseptic swab, insert syringe w/
medication & inject with amount of time recommended
9) Withdraw syringe/clean port/& flush injection port by attaching syringe w/ normal
saline at same rate as medication.
10) dispose things & hand hygien.
What does swelling at injection (IV site) indicate? - swelling indicates infiltration into
tissues surrounding veins
What are some unexpected outcomes that can occur with medication administration
through IV bolus or IV push? - -Patient develops adverse reaction to medication
-IV site shows symptoms of infiltration or phlebitis
-Patient is unable to explain medication information
What should the nurse record and report after administering medication through IV
bolus & IV push? - -Record medication, dose, time & date, and route of administration
-Report any adverse reactions immediately to health care provider.Patients response
may indicate need for additional medical therapy
-Record patients response to medication in nurses notes
-Document your evaluation of patient and family learning
What are the steps for assessment before administering medication by piggyback,
intermittent IV infusion sets, and syringe pumps? - 1) Check accuracy of
MAR/order/patients name/medication name & dosage/route and time of administration
2) Review patients allergies, medication information (action, purpose, normal dose and
route, side effects, time of onset and peak action, compatibility with existing IV fluids,
and nursing implications
