ATI PARENTERAL (IV) MEDICATIONS UPDATED
EXAMS GUIDE QUESTIONS AND ANSWERS SURE A+
✔✔The nurse is caring for a client who is receiving norepinephrine by continuous IV
infusion. During a routine assessment of the IV site, the nurse notes that the catheter is
no longer in the vein and the vesicant medication has infused into the subcutaneous
tissue. Which of the following actions should the nurse take?
A) Apply a tourniquet proximal to the IV site
B) Call the rapid response team and start oxygen
C) Prepare to administer a diuretic
D) Stop the infusion and prepare to administer an antidote - ✔✔D) Stope the infusion
and prepare to administer an antidote
✔✔A nurse is caring for a client who is receiving an antibiotic by intermittent IV infusion.
The client reports feeling short of breath and is wheezing. Which of the following actions
should the nurse take? (Select all that apply)
A) Initiate oxygen
B) Call the rapid response team
C) Prepare to administer acetylcysteine
D) Remove the IV catheter
E) Elevate the head of the bed to 45 degrees - ✔✔A, B, E
, ✔✔osmolarity - ✔✔the concentration of dissolved particles within a solution (or solute
within a solvent)
✔✔What type of solutions have an osmolarity of around 250-350 milliosmoles per liter?
- ✔✔isotonic
✔✔isotonic solutions - ✔✔similar in composition to body fluids and are used to maintain
or increase the volume within the vascular system; stays in the veins and interstitial
tissues, does not move into cells
✔✔0.9% sodium chloride - ✔✔normal saline, often the preferred diluent for mixing with
IV medications prior to administration.
✔✔What is the preferred solution to use when administering blood products? - ✔✔0.9%
sodium chloride
✔✔This solution contains electrolytes, sodium, chloride, potassium, calcium, and
lactate; isotonic solution used to treat acidosis. - ✔✔lactated ringer's
✔✔What type of solutions have an osmolarity of less than 200 milliosmoles per liter? -
✔✔hypotonic
✔✔T/F. Hypotonic solutions are less concentrated than blood and other body fluid and
are used to treat electrolyte imbalance by moving water into the cells. - ✔✔True
✔✔hypernatremia - ✔✔serum sodium level greater than 145 mEq/L in children and
adults
✔✔Which IV solution can be contraindicated for clients who have diabetes mellitus due
to its ability to increase blood glucose levels? - ✔✔Dextrose 5% (D5W)
✔✔Which type of solutions have an osmolarity greater than 350 milliosmoles per liter? -
✔✔hypertonic
✔✔T/F. Hypertonic solutions are not as concentrated as body fluids. - ✔✔False, they
are more concentrated
✔✔How many calories does 1 liter of 5% dextrose in water (D5W) provide? - ✔✔170
✔✔Which of the following IV solutions should a nurse use when preparing to administer
a blood transfusion?
EXAMS GUIDE QUESTIONS AND ANSWERS SURE A+
✔✔The nurse is caring for a client who is receiving norepinephrine by continuous IV
infusion. During a routine assessment of the IV site, the nurse notes that the catheter is
no longer in the vein and the vesicant medication has infused into the subcutaneous
tissue. Which of the following actions should the nurse take?
A) Apply a tourniquet proximal to the IV site
B) Call the rapid response team and start oxygen
C) Prepare to administer a diuretic
D) Stop the infusion and prepare to administer an antidote - ✔✔D) Stope the infusion
and prepare to administer an antidote
✔✔A nurse is caring for a client who is receiving an antibiotic by intermittent IV infusion.
The client reports feeling short of breath and is wheezing. Which of the following actions
should the nurse take? (Select all that apply)
A) Initiate oxygen
B) Call the rapid response team
C) Prepare to administer acetylcysteine
D) Remove the IV catheter
E) Elevate the head of the bed to 45 degrees - ✔✔A, B, E
, ✔✔osmolarity - ✔✔the concentration of dissolved particles within a solution (or solute
within a solvent)
✔✔What type of solutions have an osmolarity of around 250-350 milliosmoles per liter?
- ✔✔isotonic
✔✔isotonic solutions - ✔✔similar in composition to body fluids and are used to maintain
or increase the volume within the vascular system; stays in the veins and interstitial
tissues, does not move into cells
✔✔0.9% sodium chloride - ✔✔normal saline, often the preferred diluent for mixing with
IV medications prior to administration.
✔✔What is the preferred solution to use when administering blood products? - ✔✔0.9%
sodium chloride
✔✔This solution contains electrolytes, sodium, chloride, potassium, calcium, and
lactate; isotonic solution used to treat acidosis. - ✔✔lactated ringer's
✔✔What type of solutions have an osmolarity of less than 200 milliosmoles per liter? -
✔✔hypotonic
✔✔T/F. Hypotonic solutions are less concentrated than blood and other body fluid and
are used to treat electrolyte imbalance by moving water into the cells. - ✔✔True
✔✔hypernatremia - ✔✔serum sodium level greater than 145 mEq/L in children and
adults
✔✔Which IV solution can be contraindicated for clients who have diabetes mellitus due
to its ability to increase blood glucose levels? - ✔✔Dextrose 5% (D5W)
✔✔Which type of solutions have an osmolarity greater than 350 milliosmoles per liter? -
✔✔hypertonic
✔✔T/F. Hypertonic solutions are not as concentrated as body fluids. - ✔✔False, they
are more concentrated
✔✔How many calories does 1 liter of 5% dextrose in water (D5W) provide? - ✔✔170
✔✔Which of the following IV solutions should a nurse use when preparing to administer
a blood transfusion?
