Pharmacology and Intravenous Therapies Test
Questions and Answers
A nurse notes that the site of a client's peripheral
intravenous (IV) catheter is reddened, warm, A physician prescribes 2000 mL of 5% dextrose
painful, and slightly edematous near the insertion and normal saline 0.45% for infusion over 24
point of the catheter. On the basis of this hours. The drop factor is 15 gtt/mL. At how many
assessment, the nurse first: - ANSWER - drops per minute does the nurse set the flow
Removes the IV catheter. rate? (Round to the nearest whole number). -
ANSWER -21.
A nurse hangs a 500-mL bag of intravenous (IV)
fluid for an assigned client. One hour later the A nurse is assessing a peripheral intravenous
client complains of chest tightness, is dyspneic (IV) site and notes blanching, coolness, and
and apprehensive, and has an irregular pulse. edema at the insertion site. What should the
The IV bag has 100 mL remaining. Which of the nurse do first? - ANSWER -Remove the IV.
following actions should the nurse take first? -
ANSWER -Shutting off the IV infusion.
A home care nurse has been assigned a client
who has been discharged home with a
A nurse discontinues infusion of a unit of packed prescription for parenteral nutrition (PN). Which
red blood cells (RBCs) because the client is of the following parameters does the nurse plan
experiencing a transfusion reaction. After to check at each visit as a means of identifying
discontinuing the transfusion, which of the complications of the PN therapy? -
following actions does the nurse take next? - ANSWER -Glucose test
ANSWER -Contacting the healthcare Temperature
provider. Weight
A client with heart failure is being given A nurse is caring for a group of adult clients on
furosemide (Lasix) and digoxin (Lanoxin). The an acute care nursing unit. Which of the following
client calls the nurse and complains of anorexia clients does the nurse recognize as the least
and nausea. Which action should the nurse take likely candidate for parenteral nutrition (PN)? -
first? - ANSWER -Checking the result of ANSWER -45-year-old client who has
laboratory testing for potassium on the sample undergone repair of a hiatal hernia.
drawn 3 hours ago.
A client with a peripheral intravenous (IV) line in
A physician prescribes the administration of place has a new prescription for infusion of
parenteral nutrition (PN), to be started at a rate of parenteral nutrition (PN), a solution containing
50 mL/hr by way of infusion pump through an 25% glucose. Which of the following actions
established subclavian central line. After the first should be taken by the nurse? - ANSWER -
2 hours of the PN infusion, the client suddenly Questioning the healthcare provider about the
complains of difficulty breathing and chest pain. prescription.
The nurse immediately: - ANSWER -
Clamps the PN infusion line.
The first bag of parenteral nutrition (PN) solution
, Pharmacology and Intravenous Therapies Test
Questions and Answers
has arrived on the clinical unit for a client central intravenous line into the subclavian vein
beginning this nutritional therapy. The solution is by the healthcare provider. The nurse gathers the
to be infused by way of a central line. Which of equipment, places it at the bedside, and prepares
the following essential pieces of equipment does to assist the healthcare provider with the
the nurse obtain before hanging the solution? - procedure. As further preparation for the
ANSWER -Electronic infusion device. procedure, the nurse places the client: -
ANSWER -In a slight Trendelenburg
position.
A nurse is monitoring a client who is receiving
parenteral nutrition (PN). Which of the following
signs and symptoms causes the nurse to suspect A client is receiving parenteral nutrition (PN) with
that the client is experiencing hyperglycemia as a fat emulsion (lipids) piggybacked to the PN
complication? - ANSWER -Nausea, thirst, solution. For which signs of an adverse reaction
and increased urine output. to the fat emulsion should the nurse monitor the
client? - ANSWER -Headache
Chest and back pain
At 1600 the nurse checks a client's parenteral Nausea and vomiting
nutrition (PN) infusion bag and finds 1100 mL Chills
remaining in the 3000-mL bag. The solution is
running at a rate of 100 mL/hr. The bag was
hung the previous day at 1800. The nurse plans The nurse is preparing to change the solution
to change the infusion bag and tubing this bag and intravenous tubing of a client receiving
evening at: - ANSWER -1800. parenteral nutrition (PN) through a left subclavian
central venous line. Which essential action does
the nurse ask the client to perform just before
A nurse is changing the central line dressing of a switching the tubing? - ANSWER -Take a
client receiving parenteral nutrition (PN). The deep breath and hold it.
nurse notes moisture under the dressing
covering the catheter insertion site. What does
the nurse assess next? - ANSWER - A nurse suspects that a client receiving
Tightness of the tubing connections. parenteral nutrition (PN) through a central line
has an air embolism. The nurse immediately
positions the client on the: - ANSWER -Left
A client receiving parenteral nutrition (PN) side with the head lower than the feet.
requires fat emulsion (lipids), which will be
piggybacked to the PN solution. On obtaining a
bottle of fat emulsion, the nurse notes that fat A nurse is making initials rounds on a group of
globules are floating at the top of the solution. assigned clients. Which of the following clients
Which of these actions should the nurse take? - should the nurse see first? - ANSWER -A
ANSWER -Requesting a new bottle from client whose PN solution was decreased to a rate
the pharmacy. of 25 mL/hr who is now complaining of
weakness, headache, and sweating.
A nurse is preparing a client for the insertion of a
Questions and Answers
A nurse notes that the site of a client's peripheral
intravenous (IV) catheter is reddened, warm, A physician prescribes 2000 mL of 5% dextrose
painful, and slightly edematous near the insertion and normal saline 0.45% for infusion over 24
point of the catheter. On the basis of this hours. The drop factor is 15 gtt/mL. At how many
assessment, the nurse first: - ANSWER - drops per minute does the nurse set the flow
Removes the IV catheter. rate? (Round to the nearest whole number). -
ANSWER -21.
A nurse hangs a 500-mL bag of intravenous (IV)
fluid for an assigned client. One hour later the A nurse is assessing a peripheral intravenous
client complains of chest tightness, is dyspneic (IV) site and notes blanching, coolness, and
and apprehensive, and has an irregular pulse. edema at the insertion site. What should the
The IV bag has 100 mL remaining. Which of the nurse do first? - ANSWER -Remove the IV.
following actions should the nurse take first? -
ANSWER -Shutting off the IV infusion.
A home care nurse has been assigned a client
who has been discharged home with a
A nurse discontinues infusion of a unit of packed prescription for parenteral nutrition (PN). Which
red blood cells (RBCs) because the client is of the following parameters does the nurse plan
experiencing a transfusion reaction. After to check at each visit as a means of identifying
discontinuing the transfusion, which of the complications of the PN therapy? -
following actions does the nurse take next? - ANSWER -Glucose test
ANSWER -Contacting the healthcare Temperature
provider. Weight
A client with heart failure is being given A nurse is caring for a group of adult clients on
furosemide (Lasix) and digoxin (Lanoxin). The an acute care nursing unit. Which of the following
client calls the nurse and complains of anorexia clients does the nurse recognize as the least
and nausea. Which action should the nurse take likely candidate for parenteral nutrition (PN)? -
first? - ANSWER -Checking the result of ANSWER -45-year-old client who has
laboratory testing for potassium on the sample undergone repair of a hiatal hernia.
drawn 3 hours ago.
A client with a peripheral intravenous (IV) line in
A physician prescribes the administration of place has a new prescription for infusion of
parenteral nutrition (PN), to be started at a rate of parenteral nutrition (PN), a solution containing
50 mL/hr by way of infusion pump through an 25% glucose. Which of the following actions
established subclavian central line. After the first should be taken by the nurse? - ANSWER -
2 hours of the PN infusion, the client suddenly Questioning the healthcare provider about the
complains of difficulty breathing and chest pain. prescription.
The nurse immediately: - ANSWER -
Clamps the PN infusion line.
The first bag of parenteral nutrition (PN) solution
, Pharmacology and Intravenous Therapies Test
Questions and Answers
has arrived on the clinical unit for a client central intravenous line into the subclavian vein
beginning this nutritional therapy. The solution is by the healthcare provider. The nurse gathers the
to be infused by way of a central line. Which of equipment, places it at the bedside, and prepares
the following essential pieces of equipment does to assist the healthcare provider with the
the nurse obtain before hanging the solution? - procedure. As further preparation for the
ANSWER -Electronic infusion device. procedure, the nurse places the client: -
ANSWER -In a slight Trendelenburg
position.
A nurse is monitoring a client who is receiving
parenteral nutrition (PN). Which of the following
signs and symptoms causes the nurse to suspect A client is receiving parenteral nutrition (PN) with
that the client is experiencing hyperglycemia as a fat emulsion (lipids) piggybacked to the PN
complication? - ANSWER -Nausea, thirst, solution. For which signs of an adverse reaction
and increased urine output. to the fat emulsion should the nurse monitor the
client? - ANSWER -Headache
Chest and back pain
At 1600 the nurse checks a client's parenteral Nausea and vomiting
nutrition (PN) infusion bag and finds 1100 mL Chills
remaining in the 3000-mL bag. The solution is
running at a rate of 100 mL/hr. The bag was
hung the previous day at 1800. The nurse plans The nurse is preparing to change the solution
to change the infusion bag and tubing this bag and intravenous tubing of a client receiving
evening at: - ANSWER -1800. parenteral nutrition (PN) through a left subclavian
central venous line. Which essential action does
the nurse ask the client to perform just before
A nurse is changing the central line dressing of a switching the tubing? - ANSWER -Take a
client receiving parenteral nutrition (PN). The deep breath and hold it.
nurse notes moisture under the dressing
covering the catheter insertion site. What does
the nurse assess next? - ANSWER - A nurse suspects that a client receiving
Tightness of the tubing connections. parenteral nutrition (PN) through a central line
has an air embolism. The nurse immediately
positions the client on the: - ANSWER -Left
A client receiving parenteral nutrition (PN) side with the head lower than the feet.
requires fat emulsion (lipids), which will be
piggybacked to the PN solution. On obtaining a
bottle of fat emulsion, the nurse notes that fat A nurse is making initials rounds on a group of
globules are floating at the top of the solution. assigned clients. Which of the following clients
Which of these actions should the nurse take? - should the nurse see first? - ANSWER -A
ANSWER -Requesting a new bottle from client whose PN solution was decreased to a rate
the pharmacy. of 25 mL/hr who is now complaining of
weakness, headache, and sweating.
A nurse is preparing a client for the insertion of a
