!| !| !| !|
!| MANUAL OF I.V. THERA-
!| !| !| !|
!| PEUTICS:EVIDENCE-BASED !|
!| PRACTICE FOR INFUSION !| !| !|
!| THERAPY 8TH EDITIONLISA !| !| !|
!| GORSKI-latest
,Test !|Bank !|for !|Phillips’s !|Manual !|of !|I.V. !|Therapeutics: !|Evidence-Based !|Practice !|for !|Infusion !|Therapy,
!|7th !|Edition, !|Lisa !|Gorski, !|ISBN-13: !|9780803667044
Table !|of !|Contents
An !|Overview !|of !|Professional !|Practice !|Issues !|and !|Infusion !|Therapy
!|Infection !|Prevention !|and !|Occupational !|Risks
Fundamentals !|of!|Fluid !|and !|Electrolyte !|Balance
!|Parenteral !|Solutions
Infusion !|Equipment
Peripheral !|I.V. !|Catheters: !|Initiation !|and !|Maintenance !|of!|Peripheral !|Infusion !|Therapy
!|Phlebotomy !|Techniques
Central !|Venous !|Access
Complications !|of!|Infusion !|Therapy: !|Peripheral !|and !|Central !|Vascular !|Access !|Devices
!|Infusion !|Medication !|Safety, !|Methods, !|and !|Routes
Transfusion !|Therapy
!|Parenteral
!|Nutrition
,Chapter !|1: !|Professional !|Practice !|Concepts !|for !|Infusion !|Therapy
Multiple !|Choice
Identify !|the !|choice !|that !|best !|completes !|the !|statement !|or !|answers !|the !|question.
1. A !|nurse !|is !|attempting !|to !|initiate !|I.V. !|therapy !|for !|a !|client !|diagnosed !|with !|gastroenteritis. !|The !|client !|is
!|combative !|a nd !|resists !|t he !|nurse’s !|efforts !|t o !|start !|t he !|I.V. !|Which !|action !|by !|t he !|nurse !|would !|result
!|in !|an !|intentional !|tort?
A. Failing !|to !|document !|t he !|client’s !|combativeness
B. Refusing !|to !|wear !|gloves !|while !|starting !|the !|I.V.
C. Failing !|to !|report !|the !|client’s !|combativeness !|to !|a !|physician
D. Starting !|an !|I.V. !|o n !|a !|coherent !|client !|against !|the !|client’s !|wishes
2. A !|nurse !|who !|is !|caring !|for !|clients !|understands !|that !|he !|or !|she !|should !|provide !|care !|that !|meets !|at !|least !|the
!|minimum !|standards !|o f !|practice !|for !|nursing. !|Which !|phrase !|regarding !|standards !|o f !|practice !|is
!|most !|accurate?
A. Standards !|o f !|practice !|focus !|on !|the !|care !|provider !|and !|define !|needed !|activities !|and !|behaviors.
B. Standards !|o f !|practice !|focus !|on !|the !|recipient !|of !|care !|and !|describe !|the !|outcomes !|of !|care.
C. Standards !|o f !|practice !|are !|written !|laws !|enacted !|by !|the !|legislature.
D. Standards !|o f !|practice !|are !|t he !|result !|of !|t he !|performance !|o f !|a !|function !|or !|process.
3. Which !|incident !|would !|cause !|a !|nurse !|to !|be !|named !|as !|a !|defendant !|in !|a !|malpractice !|suit?
A. The !|nurse !|notes !|blood !|return !|noted !|in !|a !|peripheral !|IV !|catheter !|line.
B. The !|nurse !|reports !|early !|signs !|of !|infection !|from !|a !|peripheral !|line !|inserted !|by !|a !|nurse !|on
!|another !|unit
C. The !|nurse !|places !|two !|peripheral !|IV !|catheters !|in !|a !|patient !|requiring !|emergency !|IV !|fluids, !|but
!|o nly !|uses !|one
D. The !|nurse !|records !|nerve !|damage !|caused !|by !|a !|peripheral !|IV !|catheter !|inserted !|the !|previous
!|shift !|nurse
4. The !|intravenous !|route !|is !|t he !|most !|commonly !|used !|infusion !|route. !|The !|nurse !|notes !|that !|a !|client !|diagnosed
!|with !| metastatic !|cancer !|is !|receiving !|an !|intraosseous !|infusion. !|Should !|the !|nurse !|question !|the
!|healthcare !|pro- !|vider’s !|order?
A. Yes; !|the !|healthcare !|provider !|is !|not !|following !|INS !|recommendations.
B. No; !|the !|nurse !|should !|never !|question !|the !|healthcare !|provider’s !|order !|when !|it !|comes !|to
!|c hemother- !|apy.
C. Yes; !|this !|route !|o f !|infusion !|is !|dangerous !|and !|not !|accepted !|by !|t he !|INS.
D. No; !|other !|routes !|might !|be !|appropriate !|for !|administration !|in !|certain !|situations !|and !|with
!|selected !|fluids !|and !|medications.
, 5. Which !|competency !|assessment !|method !|is !|acceptable !|for !|nursing !|competencies !|which !|will !|o ccur !|once
!|per !|year !|in !|the !|skilled !|nursing !|facility?
A. Client !|Evaluation
B. Clinical !|Data
C. Sentinel !|Event !|Report
D. Skills !|Checklist
6. One !|of !|the !|primary !|values !|of !|the !|INS !|designation !|of !|CRNI !|(certified !|registered !|nurse, !|infusion) !|is !|to:
A. Protect !|the !|public
B. Attain !|competence
C. Reflect !|a !|measurable !|goal
D. Hold !|nurses !|accountable
7. Which !|problem-solving !|approach !|to !|clinical !|practice !|is !|the !|nurse !|manager !|applying !|when !|determining
!|patient !|preference !|and !|values !|for !|successful !|clinical !|outcomes?
A. Effective !|health-care !|practice
B. Evidence-based !|practice !|(EBP)
C. Answering !|a !|burning !|clinical !|question
D. One’s !|own !|clinical !|expertise
8. Seven !|days !|ago !|the !|PICC !|nurse !|inserted !|a !|PICC !|line !|into !|the !|right !|forearm !|of !|a !|client !|diagnosed !|with
!|cancer. !|When !|the !|nurse !|checks !|the !|client's !|site !|today, !|which !|nursing !|process !|outcome !|is
!|determined?
A. Evaluating !|cancer !|treatment
B. Implementing !|asepsis !|maintenance
C. Planning !|for !|complication !|prevention
D. Discussing !|prior !|cancer !|therapy
9. Which !|compensatory !|model !|has !|been !|applied !|if !|t he !|hospitalization !|rate !|for !|CLABSIs !|(central !|line-
associated !|bloodstream !|infections) !|decreased !|significantly !|over !|the !|last !|quarter?
A. VBP
B. HHRP
C. HAC
D. HHVBP
10. When !|called !|as !|an !|expert !|witness !|in !|an !|upcoming !|case, !|the !|nurse !|manager !|employs !|which !|techniques?
A. Examines !|evidence !|and !|give !|advice
B. Reviews !|charts !|and !|assesses !|jury !|selection
C. Gives !|deposition !|and !|notifies !|lawyers !|o f !|discrepancies
D. Testifies !|and !|establishes !|standards !|o f !|care