IV Therapy Final Exam with Complete Solutions
A nurse hangs microdrip tubing on a client who needs an IV. How many gtts per ml is
delivered with microdrip tubing? - ANSWER-60 gtts per ml
A patient has started receiving TPN after surgery. The rate will be increased in
increments of ______ until the desired rate ordered is reached. - ANSWER-25 ml
A patient is prescribed an IV fluid to replace electrolytes and expand plasma volume.
Which type of fluid will the nurse provide to the patient? - ANSWER-hypertonic solution
A patient is prescribed an IV infusion of a hypertonic solution. Which fluid shift should
the nurse expect to occur with this type of infusion? - ANSWER-Fluid moves from the
interstitial space into the venous circulation
A patient receiving TPN fluid therapy experiences an air embolism in the central line.
The nurse should immediately turn the patient onto the: - ANSWER-left side and lower
the head of the bed
A patient rings the call light and states that the IV insertion site is painful. The site is
reddened, warm and swollen. The nurse assesses that the patient is most likely
experiencing: - ANSWER-phlebitis
A patient states that his IV site is sore. You assess the site and note redness and
swelling but no signs of palpable cord or streak. It would be staged as a: - ANSWER-1+
According to the Centers for Disease Control, IV sites should be rotated every: -
ANSWER-48 to 72
According to the Louisiana State Board of Practical Nurse Examiners, an LPN can do
the following IV skills. Select all that apply. - ANSWER-- initiate and maintain IV therapy
and administer IV medications by IVPB
- hang blood and blood products
- hang and monitor TPN infusions
- give medications per IV push
After insertion of a __________, a chest x-ray is taken to confirm catheter placement
and to rule out an accidental puncture of the pleural membrane. - ANSWER-central
catheter
An allergic transfusion reaction to blood is usually caused by: - ANSWER-antibodies
against plasma proteins
Are the components of TPN solution the same for all patients? - ANSWER-no
, As a nurse, what do you need to check for in the Drs. orders prior to initiating IV
therapy? - ANSWER-- solution
- additive
- dosage
- volume
- rate
- frequency
- route
Before equipment setup and venipuncture, _________ seconds of hand washing with
an antimicrobial soap are recommended. - ANSWER-15 to 30
Can you reuse the same cathlon for another patient or if you have to stick the patient
again? - ANSWER-no, get a brand new one
Coercion of a rational adult client to insert a cannula is considered which of the
following? - ANSWER-assault and battery
Hematoma formation is most often related to what? - ANSWER-- nicking the vein during
unsuccessful venipuncture attempt
- discontinuing an IV cannula or needle without holding pressure over the site
- applying a tourniquet too tightly above a previously attempted venipuncture
If the IV tubing drops onto the floor, what do you need to do next? - ANSWER-you pick
it up, and you go and get a new one.
If the nurse suspects that her patient is developing a thrombosis, which of the following
interventions should be made? - ANSWER-- discontinue the cannula and restart with a
new catheter in a different site
- apply a cold compress to the site to decrease the flow of blood
- notify the physician and assess for circulatory impairment
If the patient doesn't know if they are allergic to iodine prep, what can you ask them
instead that they are allergic to? - ANSWER-seafood
Is an isotonic solution good to use? - ANSWER-yes, because they maintain fluid
balance
IV therapy labels should be on which areas? - ANSWER-catheter site, tubing, and
solution container
Pre-transfusion testing on the donor blood would include: - ANSWER-- ABO and RH
group determination
- serologic testing for syphilis
- screening for unexpected antibodies
A nurse hangs microdrip tubing on a client who needs an IV. How many gtts per ml is
delivered with microdrip tubing? - ANSWER-60 gtts per ml
A patient has started receiving TPN after surgery. The rate will be increased in
increments of ______ until the desired rate ordered is reached. - ANSWER-25 ml
A patient is prescribed an IV fluid to replace electrolytes and expand plasma volume.
Which type of fluid will the nurse provide to the patient? - ANSWER-hypertonic solution
A patient is prescribed an IV infusion of a hypertonic solution. Which fluid shift should
the nurse expect to occur with this type of infusion? - ANSWER-Fluid moves from the
interstitial space into the venous circulation
A patient receiving TPN fluid therapy experiences an air embolism in the central line.
The nurse should immediately turn the patient onto the: - ANSWER-left side and lower
the head of the bed
A patient rings the call light and states that the IV insertion site is painful. The site is
reddened, warm and swollen. The nurse assesses that the patient is most likely
experiencing: - ANSWER-phlebitis
A patient states that his IV site is sore. You assess the site and note redness and
swelling but no signs of palpable cord or streak. It would be staged as a: - ANSWER-1+
According to the Centers for Disease Control, IV sites should be rotated every: -
ANSWER-48 to 72
According to the Louisiana State Board of Practical Nurse Examiners, an LPN can do
the following IV skills. Select all that apply. - ANSWER-- initiate and maintain IV therapy
and administer IV medications by IVPB
- hang blood and blood products
- hang and monitor TPN infusions
- give medications per IV push
After insertion of a __________, a chest x-ray is taken to confirm catheter placement
and to rule out an accidental puncture of the pleural membrane. - ANSWER-central
catheter
An allergic transfusion reaction to blood is usually caused by: - ANSWER-antibodies
against plasma proteins
Are the components of TPN solution the same for all patients? - ANSWER-no
, As a nurse, what do you need to check for in the Drs. orders prior to initiating IV
therapy? - ANSWER-- solution
- additive
- dosage
- volume
- rate
- frequency
- route
Before equipment setup and venipuncture, _________ seconds of hand washing with
an antimicrobial soap are recommended. - ANSWER-15 to 30
Can you reuse the same cathlon for another patient or if you have to stick the patient
again? - ANSWER-no, get a brand new one
Coercion of a rational adult client to insert a cannula is considered which of the
following? - ANSWER-assault and battery
Hematoma formation is most often related to what? - ANSWER-- nicking the vein during
unsuccessful venipuncture attempt
- discontinuing an IV cannula or needle without holding pressure over the site
- applying a tourniquet too tightly above a previously attempted venipuncture
If the IV tubing drops onto the floor, what do you need to do next? - ANSWER-you pick
it up, and you go and get a new one.
If the nurse suspects that her patient is developing a thrombosis, which of the following
interventions should be made? - ANSWER-- discontinue the cannula and restart with a
new catheter in a different site
- apply a cold compress to the site to decrease the flow of blood
- notify the physician and assess for circulatory impairment
If the patient doesn't know if they are allergic to iodine prep, what can you ask them
instead that they are allergic to? - ANSWER-seafood
Is an isotonic solution good to use? - ANSWER-yes, because they maintain fluid
balance
IV therapy labels should be on which areas? - ANSWER-catheter site, tubing, and
solution container
Pre-transfusion testing on the donor blood would include: - ANSWER-- ABO and RH
group determination
- serologic testing for syphilis
- screening for unexpected antibodies
