Infusion Therapy Standards and Clinical Exam
Questionbank 2025-2026 Comprehensive
Questions and Answers and Explanations
Description: This document provides an extensive collection of multiple-choice questions with
correct answers and detailed explanations on infusion therapy, aligned with Infusion Nurses
Society (INS) Standards of Practice. It covers infection control, vascular access device
management, patient education, medication administration, legal and ethical considerations, and
complication management. Additional sections address pharmacology, fluid and electrolyte
imbalances, nutrition support, and emergency interventions, making it a complete study and
reference resource for clinical practice and exam preparation.
What is the primary source for the Infusion Therapy Standards of Practice?
a. Centers for Disease Control and Prevention (CDC)
b. Infusion Nurses Society
c. American Nurses Association (ANA)
d. Joint Commission
Correct Answer: b. Infusion Nurses Society
Explanation: The Infusion Nurses Society (INS) publishes the Infusion Therapy Standards of
Practice, which provide evidence-based guidelines for safe and effective infusion therapy. The
CDC, ANA, and Joint Commission contribute to healthcare standards but are not the primary
source for infusion therapy standards.
Why is informed consent required before starting infusion therapy?
a. To ensure payment from insurance providers
b. To confirm the patient understands risks and benefits
c. To document the nurse's credentials
d. To reduce hospital liability
Correct Answer: b. To confirm the patient understands risks and benefits
,Explanation: Informed consent ensures the patient understands the procedure, risks, benefits,
and alternatives, supporting their autonomy and decision-making. Options a, c, and d are not the
primary purposes of informed consent.
Which practice is most critical for infection prevention during infusion therapy?
a. Using non-sterile gloves for procedures
b. Performing hand hygiene before patient contact
c. Storing infusion supplies in open containers
d. Reusing single-use catheters
Correct Answer: b. Performing hand hygiene before patient contact
Explanation: Hand hygiene is the most critical practice for preventing infections during infusion
therapy, as it reduces the transmission of pathogens. Options a, c, and d increase infection risk
and are not recommended.
When developing a quality improvement initiative for infusion therapy, what is the first
step?
a. Implementing new protocols immediately
b. Collecting data on current performance
c. Reducing training sessions
d. Eliminating patient feedback
Correct Answer: b. Collecting data on current performance
Explanation: Collecting baseline data on current performance is the first step in a quality
improvement initiative to identify areas for improvement. Options a, c, and d are not appropriate
initial actions.
How often should infusion therapy policies be reviewed per INS standard?
a. Every 6 months
b. Annually
c. Every 3 years
d. Every 5 years
Correct Answer: c. Every 3 years
,Explanation: Per INS Standards of Practice, infusion therapy policies should be reviewed every
3 years to ensure alignment with current evidence-based practices. Options a, b, and d do not
reflect INS recommendations.
A patient declines infusion therapy after education. What should the nurse do?
a. Administer the therapy to ensure compliance
b. Document the refusal and inform the provider
c. Insist the patient reconsiders immediately
d. Proceed with an alternative without discussion
Correct Answer: b. Document the refusal and inform the provider
Explanation: Respecting patient autonomy, the nurse should document the refusal and notify the
provider to discuss alternatives or further education. Options a, c, and d violate patient rights or
proper protocol.
What defines evidence-based practice in infusion therapy?
a. Following outdated hospital protocols
b. Integrating research, expertise, and patient preferences
c. Relying solely on physician instructions
d. Using unverified online resources
Correct Answer: b. Integrating research, expertise, and patient preferences
Explanation: Evidence-based practice involves integrating the best available research, clinical
expertise, and patient values. Options a, c, and d do not align with this definition.
Which topic is most essential when educating a patient about home infusion therapy?
a. The cost of infusion equipment
b. Safe storage and disposal of supplies
c. The history of infusion nursing
d. The nurse's education background
Correct Answer: b. Safe storage and disposal of supplies
, Explanation: Safe storage and disposal of supplies (e.g., sharps) are critical to prevent infection
and ensure safety in home infusion therapy. Options a, c, and d are less essential for patient
education.
What is the purpose of a vascular access device (VAD) care bundle?
a. To standardize practices and reduce complications
b. To increase the use of infusion devices
c. To replace staff training programs
d. To limit patient education
Correct Answer: a. To standardize practices and reduce complications
Explanation: A VAD care bundle standardizes evidence-based practices (e.g., hand hygiene,
sterile technique) to reduce complications like infections. Options b, c, and d are not the purpose
of care bundles.
A nurse notices a colleague using an incorrect infusion technique. What is the initial
action?
a. Report the issue to the supervisor immediately
b. Discuss the concern privately with the colleague
c. Ignore the issue to maintain teamwork
d. Correct the technique publicly during the procedure
Correct Answer: b. Discuss the concern privately with the colleague
Explanation: Addressing the issue privately promotes a collaborative approach and allows for
correction without public embarrassment. Options a, c, and d are less appropriate as initial
actions.
Which precaution is most effective in preventing catheter-related bloodstream infections?
a. Changing gloves only after procedures
b. Using maximal sterile barrier precautions
c. Limiting hand hygiene to save time
d. Reusing sterile drapes
Correct Answer: b. Using maximal sterile barrier precautions
Questionbank 2025-2026 Comprehensive
Questions and Answers and Explanations
Description: This document provides an extensive collection of multiple-choice questions with
correct answers and detailed explanations on infusion therapy, aligned with Infusion Nurses
Society (INS) Standards of Practice. It covers infection control, vascular access device
management, patient education, medication administration, legal and ethical considerations, and
complication management. Additional sections address pharmacology, fluid and electrolyte
imbalances, nutrition support, and emergency interventions, making it a complete study and
reference resource for clinical practice and exam preparation.
What is the primary source for the Infusion Therapy Standards of Practice?
a. Centers for Disease Control and Prevention (CDC)
b. Infusion Nurses Society
c. American Nurses Association (ANA)
d. Joint Commission
Correct Answer: b. Infusion Nurses Society
Explanation: The Infusion Nurses Society (INS) publishes the Infusion Therapy Standards of
Practice, which provide evidence-based guidelines for safe and effective infusion therapy. The
CDC, ANA, and Joint Commission contribute to healthcare standards but are not the primary
source for infusion therapy standards.
Why is informed consent required before starting infusion therapy?
a. To ensure payment from insurance providers
b. To confirm the patient understands risks and benefits
c. To document the nurse's credentials
d. To reduce hospital liability
Correct Answer: b. To confirm the patient understands risks and benefits
,Explanation: Informed consent ensures the patient understands the procedure, risks, benefits,
and alternatives, supporting their autonomy and decision-making. Options a, c, and d are not the
primary purposes of informed consent.
Which practice is most critical for infection prevention during infusion therapy?
a. Using non-sterile gloves for procedures
b. Performing hand hygiene before patient contact
c. Storing infusion supplies in open containers
d. Reusing single-use catheters
Correct Answer: b. Performing hand hygiene before patient contact
Explanation: Hand hygiene is the most critical practice for preventing infections during infusion
therapy, as it reduces the transmission of pathogens. Options a, c, and d increase infection risk
and are not recommended.
When developing a quality improvement initiative for infusion therapy, what is the first
step?
a. Implementing new protocols immediately
b. Collecting data on current performance
c. Reducing training sessions
d. Eliminating patient feedback
Correct Answer: b. Collecting data on current performance
Explanation: Collecting baseline data on current performance is the first step in a quality
improvement initiative to identify areas for improvement. Options a, c, and d are not appropriate
initial actions.
How often should infusion therapy policies be reviewed per INS standard?
a. Every 6 months
b. Annually
c. Every 3 years
d. Every 5 years
Correct Answer: c. Every 3 years
,Explanation: Per INS Standards of Practice, infusion therapy policies should be reviewed every
3 years to ensure alignment with current evidence-based practices. Options a, b, and d do not
reflect INS recommendations.
A patient declines infusion therapy after education. What should the nurse do?
a. Administer the therapy to ensure compliance
b. Document the refusal and inform the provider
c. Insist the patient reconsiders immediately
d. Proceed with an alternative without discussion
Correct Answer: b. Document the refusal and inform the provider
Explanation: Respecting patient autonomy, the nurse should document the refusal and notify the
provider to discuss alternatives or further education. Options a, c, and d violate patient rights or
proper protocol.
What defines evidence-based practice in infusion therapy?
a. Following outdated hospital protocols
b. Integrating research, expertise, and patient preferences
c. Relying solely on physician instructions
d. Using unverified online resources
Correct Answer: b. Integrating research, expertise, and patient preferences
Explanation: Evidence-based practice involves integrating the best available research, clinical
expertise, and patient values. Options a, c, and d do not align with this definition.
Which topic is most essential when educating a patient about home infusion therapy?
a. The cost of infusion equipment
b. Safe storage and disposal of supplies
c. The history of infusion nursing
d. The nurse's education background
Correct Answer: b. Safe storage and disposal of supplies
, Explanation: Safe storage and disposal of supplies (e.g., sharps) are critical to prevent infection
and ensure safety in home infusion therapy. Options a, c, and d are less essential for patient
education.
What is the purpose of a vascular access device (VAD) care bundle?
a. To standardize practices and reduce complications
b. To increase the use of infusion devices
c. To replace staff training programs
d. To limit patient education
Correct Answer: a. To standardize practices and reduce complications
Explanation: A VAD care bundle standardizes evidence-based practices (e.g., hand hygiene,
sterile technique) to reduce complications like infections. Options b, c, and d are not the purpose
of care bundles.
A nurse notices a colleague using an incorrect infusion technique. What is the initial
action?
a. Report the issue to the supervisor immediately
b. Discuss the concern privately with the colleague
c. Ignore the issue to maintain teamwork
d. Correct the technique publicly during the procedure
Correct Answer: b. Discuss the concern privately with the colleague
Explanation: Addressing the issue privately promotes a collaborative approach and allows for
correction without public embarrassment. Options a, c, and d are less appropriate as initial
actions.
Which precaution is most effective in preventing catheter-related bloodstream infections?
a. Changing gloves only after procedures
b. Using maximal sterile barrier precautions
c. Limiting hand hygiene to save time
d. Reusing sterile drapes
Correct Answer: b. Using maximal sterile barrier precautions
