TEST BANK
Phillips's Manual of I.V. Therapeutics: Evidence-Based Practice
for Infusion Therapy
Lisa A. Gorski
8th Edition
,Table of Contents
Chapter 01 Overview: Professional Practice Issues and Infusion Therapy 1
Chapter 02 Infection Prevention and Occupational Risks 11
Chapter 03 Fundamentals of Fluid and Electrolyte Balance 21
Chapter 04 Infusion Fluid Administration 30
Chapter 05 Infusion Equipment 40
Chapter 06 Peripheral IV Catheter Insertion and Management 50
Chapter 07 Phlebotomy Techniques 59
Chapter 08 Central Vascular Access 69
Chapter 09 Complications of Infusion Therapy: Peripheral and Central Vascular Access
Devices 79
Chapter 10 Infusion Medication Safety, Methods, and Routes 88
Chapter 11 Transfusion Therapy 98
Chapter 12 Parenteral Nutrition 107
Chapter 13 Introduction to Biologic Therapies 116
,______________________________________________________________________________________________
Test Bank - Phillips's Manual of I.V. Therapeutics: Evidence-Based Practice for Infusion Therapy, 8e (Gorski, 2023)
Chapter 1: Overview: Professional Practice Issues and Infusion Therapy
MULTIPLE CHOICE
1. A nurse is attempting to insert a peripheral IV catheter for a patient diagnosed with
gastroenteritis. The patient is not sure about this and is resisting the insertion. Based upon
this situation, what are appropriate actions?
A. Explain to the patient that this is what the doctor has prescribed.
B. Notify the physician about this patient’s concerns.
C. Tell the patient that it will only hurt for a few seconds.
D. Provide the patient with more information about the catheter insertion.
ANS: D
Feedback
A Explaining that this is a doctor’s order is not addressing why the patient is not
sure about the insertion.
B Notifying the physician is not an appropriate action.
C Telling the patient it will only hurt a bit is not addressing why the patient is not
sure about the insertion.
D Providing the patient with more information to make decisions is an appropriate
action. This is an element of informed consent that is called the right of
self-determination.
REF: Page: 20
2. A nurse who is caring for patients understands that he or she should provide care that meets
at least the minimum standards of practice for nursing. Which phrase regarding standards of
practice is most accurate?
A. Standards of practice focus on the care provider and represent acceptable levels of
practice.
B. Standards of practice focus on the recipient of care and describe the outcomes of
care.
C. Standards of practice are written laws enacted by the legislature.
D. Standards of practice are the result of the performance of a function or process.
ANS: A
Feedback
A Standards of practice focus on the provider of care, define accountability, and
provide a framework for evaluation of professional competency.
B Standards of practice criteria focus on the care provider, not the care recipient.
C Standards of practice include evidence-based guidelines, policies, or protocols,
not written laws.
D Standards of practice are reviewed in response to clinical questions and/or
performance issues, but they are a result of the performance or process.
REF: Page: 16
______________________________________________________________________________________________
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, ______________________________________________________________________________________________
Test Bank - Phillips's Manual of I.V. Therapeutics: Evidence-Based Practice for Infusion Therapy, 8e (Gorski, 2023)
3. A patient suffers a severe extravasation injury after infusion of calcium chloride through a
peripheral IV catheter. Despite treatment of the injury, patient outcomes include permanent
scarring and nerve damage. Which of the following must be met to substantiate a
malpractice claim?
A. The nurse noted blood return in a peripheral IV catheter line.
B. The peripheral catheter was placed by a physician.
C. The nurse followed the physician orders.
D. The injury resulted from nursing negligence during the infusion.
ANS: D
Feedback
A The presence of a blood return does not substantiate a malpractice claim.
B Who placed the catheter does not substantiate a malpractice claim.
C Following physician orders does not substantiate a malpractice claim.
D This is correct; it must be established that the injury was due to a breach of duty
by the nurse; that is, the injury resulted from nursing negligence.
REF: Page: 25
4. Ethical issues often arise during the provision of health care. A patient with documented
cognitive limitations and no available caregiver, who requires a peripherally inserted central
catheter for several weeks of IV antibiotics, is refusing treatment. The nurse brings this issue
to the nursing manager, suggesting referral to the ethics committee. This nurse is following
which of the ANA ethical provisions?
A. Assert the fundamental values and commitments of nurses.
B. Identify nursing duties and responsibilities.
C. Describe duties of the nurse beyond individual patient encounters.
D. Maintaining integrity of the profession.
ANS: A
Feedback
A This is the best answer; asserting fundamental values and commitments of
nurses is addressed in Provisions 1–3 and includes advocacy and compassion;
this nurse is advocating for this patient.
B This is not the best answer. Provisions 4–6 on nursing duties and responsibilities
include competence and professional growth.
C This is not correct because this patient situation is based upon an individual
encounter.
D Maintaining integrity of the profession is a component of Provisions 7–9
(describe duties of the nurse beyond individual patient encounters).
REF: Page: 24
5. Which competency assessment method is acceptable for nursing competencies occurring
once per year in a skilled nursing facility?
A. Patient Evaluation
B. Clinical Data
C. Sentinel Event Report
______________________________________________________________________________________________
2|Page
Phillips's Manual of I.V. Therapeutics: Evidence-Based Practice
for Infusion Therapy
Lisa A. Gorski
8th Edition
,Table of Contents
Chapter 01 Overview: Professional Practice Issues and Infusion Therapy 1
Chapter 02 Infection Prevention and Occupational Risks 11
Chapter 03 Fundamentals of Fluid and Electrolyte Balance 21
Chapter 04 Infusion Fluid Administration 30
Chapter 05 Infusion Equipment 40
Chapter 06 Peripheral IV Catheter Insertion and Management 50
Chapter 07 Phlebotomy Techniques 59
Chapter 08 Central Vascular Access 69
Chapter 09 Complications of Infusion Therapy: Peripheral and Central Vascular Access
Devices 79
Chapter 10 Infusion Medication Safety, Methods, and Routes 88
Chapter 11 Transfusion Therapy 98
Chapter 12 Parenteral Nutrition 107
Chapter 13 Introduction to Biologic Therapies 116
,______________________________________________________________________________________________
Test Bank - Phillips's Manual of I.V. Therapeutics: Evidence-Based Practice for Infusion Therapy, 8e (Gorski, 2023)
Chapter 1: Overview: Professional Practice Issues and Infusion Therapy
MULTIPLE CHOICE
1. A nurse is attempting to insert a peripheral IV catheter for a patient diagnosed with
gastroenteritis. The patient is not sure about this and is resisting the insertion. Based upon
this situation, what are appropriate actions?
A. Explain to the patient that this is what the doctor has prescribed.
B. Notify the physician about this patient’s concerns.
C. Tell the patient that it will only hurt for a few seconds.
D. Provide the patient with more information about the catheter insertion.
ANS: D
Feedback
A Explaining that this is a doctor’s order is not addressing why the patient is not
sure about the insertion.
B Notifying the physician is not an appropriate action.
C Telling the patient it will only hurt a bit is not addressing why the patient is not
sure about the insertion.
D Providing the patient with more information to make decisions is an appropriate
action. This is an element of informed consent that is called the right of
self-determination.
REF: Page: 20
2. A nurse who is caring for patients understands that he or she should provide care that meets
at least the minimum standards of practice for nursing. Which phrase regarding standards of
practice is most accurate?
A. Standards of practice focus on the care provider and represent acceptable levels of
practice.
B. Standards of practice focus on the recipient of care and describe the outcomes of
care.
C. Standards of practice are written laws enacted by the legislature.
D. Standards of practice are the result of the performance of a function or process.
ANS: A
Feedback
A Standards of practice focus on the provider of care, define accountability, and
provide a framework for evaluation of professional competency.
B Standards of practice criteria focus on the care provider, not the care recipient.
C Standards of practice include evidence-based guidelines, policies, or protocols,
not written laws.
D Standards of practice are reviewed in response to clinical questions and/or
performance issues, but they are a result of the performance or process.
REF: Page: 16
______________________________________________________________________________________________
1|Page
, ______________________________________________________________________________________________
Test Bank - Phillips's Manual of I.V. Therapeutics: Evidence-Based Practice for Infusion Therapy, 8e (Gorski, 2023)
3. A patient suffers a severe extravasation injury after infusion of calcium chloride through a
peripheral IV catheter. Despite treatment of the injury, patient outcomes include permanent
scarring and nerve damage. Which of the following must be met to substantiate a
malpractice claim?
A. The nurse noted blood return in a peripheral IV catheter line.
B. The peripheral catheter was placed by a physician.
C. The nurse followed the physician orders.
D. The injury resulted from nursing negligence during the infusion.
ANS: D
Feedback
A The presence of a blood return does not substantiate a malpractice claim.
B Who placed the catheter does not substantiate a malpractice claim.
C Following physician orders does not substantiate a malpractice claim.
D This is correct; it must be established that the injury was due to a breach of duty
by the nurse; that is, the injury resulted from nursing negligence.
REF: Page: 25
4. Ethical issues often arise during the provision of health care. A patient with documented
cognitive limitations and no available caregiver, who requires a peripherally inserted central
catheter for several weeks of IV antibiotics, is refusing treatment. The nurse brings this issue
to the nursing manager, suggesting referral to the ethics committee. This nurse is following
which of the ANA ethical provisions?
A. Assert the fundamental values and commitments of nurses.
B. Identify nursing duties and responsibilities.
C. Describe duties of the nurse beyond individual patient encounters.
D. Maintaining integrity of the profession.
ANS: A
Feedback
A This is the best answer; asserting fundamental values and commitments of
nurses is addressed in Provisions 1–3 and includes advocacy and compassion;
this nurse is advocating for this patient.
B This is not the best answer. Provisions 4–6 on nursing duties and responsibilities
include competence and professional growth.
C This is not correct because this patient situation is based upon an individual
encounter.
D Maintaining integrity of the profession is a component of Provisions 7–9
(describe duties of the nurse beyond individual patient encounters).
REF: Page: 24
5. Which competency assessment method is acceptable for nursing competencies occurring
once per year in a skilled nursing facility?
A. Patient Evaluation
B. Clinical Data
C. Sentinel Event Report
______________________________________________________________________________________________
2|Page
