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Examen

NURSING SKILLS PRACTICE QUESTIONS WITH 100% RATED ANSWERS 2025/2026 LATEST UPDATE/GET A+

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Subido en
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Escrito en
2024/2025

Which nursing action is beneficial to deliver a small amount of fluid to a pediatric patient who is on intravenous (IV) therapy? A. Monitoring the drip rate every 2 hours B. Placing the patient in Fowler's position C. Inserting the volume-control device spike into the container D. Placing the intravenous container 36 inches above the IV site - C. When delivering a small amount of fluid to a pediatric patient who is on IV therapy, inserting the volume-control device spike into the container promotes the slow infusion of the fluid. The drip rate should be monitored every hour to maintain the flow rate. The patient is placed in Fowler's position if symptoms of overhydration occur. The IV container is placed 36 inches above the IV site in adults to regulate the flow rate. Which complication of intravenous (IV) therapy occurs due to a dislodged catheter? A. Phlebitis B. Infection C. Infiltration D.Circulatory overload - C. The nurse is reinforcing to a nursing student the teachings regarding the management of transfusion reactions. Which statements by the nurse indicate effective understanding regarding a febrile nonhemolytic reaction in a thrombocytopenic patient? Select all that apply. A. "I will adjust the transfusion volume." B. "I will administer aspirin." C. "I will stop the transfusion." D. "I will administer antipyretics." E. "I will restart the transfusion after some time." - C. D. The nurse is reinforcing to a nursing student the teachings regarding intravenous administration. Which statements by the nursing student indicate effective understanding? Select all that apply. Correct1 A. "I will avoid selecting fragile dorsal veins." B. "I will remove my gloves before palpating the vein." C. "I will select a vein from an area that appears tender." D. "I will avoid the extremity that is affected by the previous stroke." E. "I will try to puncture the vein by keeping the catheter at a 60- to 90-degree angle." - A, B, D Injecting intravenous fluids into fragile veins can cause hematoma and infiltration; therefore, fragile dorsal veins should be avoided. Removing gloves may help to clearly palpate veins; therefore, gloves should be removed before palpating the vein. Extremities affected by a stroke have compromised circulation and should thus be avoided. Selecting a vein from a tender area may predispose infection. The vein should be punctured at a 10- to 30-degree angle to prevent puncturing the posterior wall of the vein. The nurse curls a loop of intravenous tubing alongside the arm of a patient on intravenous (IV) therapy. Which outcome can be expected with this nursing action? A. Altered flow rate B. Reduced risk of infection C. Reduced risk of dislodging D. Increased access to the tubing junction - C. The nurse identifies air bubbles in the single-port intravenous (IV) tubing of a patient who is on intravenous maintenance therapy. Which action should be performed immediately? A. Turn the ports upside down B. Change the Intravenous tubing C. Tap the tubing to the IV line D. Change the vascular access device (VAD) - C. The nurse should immediately tap the IV tubing if he or she finds bubbles in the tubing and should also check the entire length of tubing to remove all of the bubbles. The nurse should turn the ports upside down if bubbles are found in multiple-port tubing. The nurse should change the IV tubing if it is found to have leaks. The nurse should change the VAD if it becomes dislodged.Test-Taking Tip: Do not worry if you select the same numbered answer repeatedly, because there usually is no pattern to the answers. The nurse is caring for a patient who developed redness and swelling at the catheter site during intravenous (IV) therapy. Which actions if performed by the nurse signify effective understanding of what to do? Select all that apply. A. Stopping the infusion immediately B. Applying a sterile dressing to the site C. Starting a new IV line in another extremity D. Contacting the primary health care provider E. Advising the patient to elevate the extremity - B, C, D Redness and swelling at the catheter site during IV therapy are indicative of infection; therefore, the nurse should apply a sterile dressing to the site to prevent exacerbation of the infection. The nurse can also start a new IV line in another extremity to prevent discontinuity in infusion. The nurse should contact the primary health care provider if the symptoms appear severe. The infusion need not be stopped but can be infused through the other IV line. Elevating the extremity may not decrease the symptoms of infection; the extremities are elevated if symptoms are indicative of infiltration or extravasation. Which method performed to foster venous distention promotes venous dilation? A. Applying a cold compress to the extremity B. Selecting a larger vein for venous access C. Palpating the vein by pressing downward D. Placing the extremity in a dependent position E. Placing the extremity in a dependent position promotes - D. Placing the extremity in a dependent position promotes venous dilation. Application of warmth to the extremity for several minutes with a warm washcloth increases blood in the vein by causing dilation. Selecting a larger vein for a vascular access device (VAD) prevents interruption of venous flow while allowing adequate blood flow around the catheter. Palpation of the vein by pressing it downward increases the sensitivity for better assessment of vein location. The registered nurse is discussing with a nursing student the nursing interventions performed while initiating an intravenous (IV) line. Which actions taken by the nurse indicate effective understanding? Select all that apply. 1 "I must use arm veins in older adults." 2 "I must use hand veins in children." Correct3 "I must use a distal site first, then a proximal site." Correct4 "I must refrain from using hand veins in ambulatory patients." Incorrect5 "I must perform venipuncture with care in patients with infiltration." - C, D

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Institución
Nursing pharmacology
Grado
Nursing pharmacology

Información del documento

Subido en
10 de julio de 2025
Número de páginas
15
Escrito en
2024/2025
Tipo
Examen
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NURSING SKILLS PRACTICE QUESTIONS WITH 100%
RATED ANSWERS 2025/2026 LATEST UPDATE/GET A+
The registered nurse is reinforcing to a nursing student the teachings regarding the
maintenance of intravenous (IV) flow rate when a polyvinyl chloride container is used for
infusion. Which statements by the nurse indicate effective understanding? Select all that
apply.

A. "I will monitor the drip rate every 3 hours."

B. "I will mark the date and time on the container."
C. "I will insert the volume-control device spike to the IV container."

D. "I will observe the patient for signs of overhydration and dehydration."

E. "I will instruct the patient to avoid raising the arm with the IV line." - C. D. E

The nurse is assigned to administer intravenous (IV) infusion. Which action if performed
by the nurse shows a need for further learning regarding IV infusion?
A. Compressing the drip chamber and releasing the fluid

B.Connecting the extension tubing with the injection port

C.Inserting the spike into the port of the IV bag with a twisting motion

D.Placing the roller clamp of the IV tubing 2 to 5 cm above the drip chamber - D.

What are the typical signs of phlebitis in a patient with an intravenous line? Select all
that apply.
A.Heat
B. Swelling
C. Paleness
D. Erythema
E. Tenderness - A,D, E

A patient on intravenous (IV) therapy reports mild pain and numbness at the puncture
site. The nurse finds edema 16 cm in size. Which grade according to the infiltration
scale is given to the patient?
A. Grade 1
B. Grade 2
C. Grade 3
D. Grade 4 - C.

While caring for a patient who is on intravenous (IV) therapy, the nurse finds that the
skin around the catheter site is taut, blanched, cool to the touch, and edematous. Which
complication is evident?

, A. Phlebitis
B. Bleeding
C. Infiltration
D. Local infection - C.

A patient has acute intravascular hemolysis as an adverse effect of transfusion reaction.
Which nursing intervention will be beneficial?
A.Administration of diuretics
B. Administration of antibiotics
C. Administration of antihistamines
D. Administration of glucocorticoids - A.
To maintain the urinary flow rate, the nurse must administer diuretics to a patient with
acute intravascular hemolysis as an adverse effect of transfusion reaction. Antibiotics
are required if the patient develops sepsis. Administration of antihistamines is beneficial
if the patient has an allergic reaction. Administration of glucocorticoids would be
beneficial if the patient has sepsis.

Which complication of intravenous (IV) therapy indicates the need for pressure at the
site?
A. Bleeding
B. Phlebitis
C. Infection
D. Fluid overload - A.

Which nursing action is beneficial to deliver a small amount of fluid to a pediatric patient
who is on intravenous (IV) therapy?
A. Monitoring the drip rate every 2 hours
B. Placing the patient in Fowler's position
C. Inserting the volume-control device spike into the container
D. Placing the intravenous container 36 inches above the IV site - C.
When delivering a small amount of fluid to a pediatric patient who is on IV therapy,
inserting the volume-control device spike into the container promotes the slow infusion
of the fluid. The drip rate should be monitored every hour to maintain the flow rate. The
patient is placed in Fowler's position if symptoms of overhydration occur. The IV
container is placed 36 inches above the IV site in adults to regulate the flow rate.

Which complication of intravenous (IV) therapy occurs due to a dislodged catheter?
A. Phlebitis
B. Infection
C. Infiltration
D.Circulatory overload - C.

The nurse is reinforcing to a nursing student the teachings regarding the management
of transfusion reactions. Which statements by the nurse indicate effective understanding
regarding a febrile nonhemolytic reaction in a thrombocytopenic patient? Select all that
apply.
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