Clinical Skills - Elsevier
Study online at https://quizlet.com/_hm9fg2
1. Which task might the nurse delegate to nursing assistive personnel (NAP)
caring for a patient receiving IV medication via mini-infusion pump?
A. Assessing the IV site frequently for signs of infiltration
B. Notifying the nurse if the pump alarm sounds
C. Informing the physician that the patient is allergic to the prescribed medica-
tion
D. Ensuring that the medications being delivered intravenously are compati-
ble: Notifying the nurse if the pump alarm sounds
2. Which action by the nurse would reduce his or her exposure to bloodborne
pathogens while administering fluids to a patient by mini-infusion pump?
A. Cleaning the injection port with an antiseptic swab
B. Applying clean gloves
C. Recapping the end of the mini-infusion tubing after use
D. Performing hand hygiene prior to administration: Applying clean gloves
3. Which step to protect the patient from infection is of special concern when
preparing a mini-infusion pump to deliver an analgesic?
A. Ensure that the syringe is secure within the mini-infusion pump.
B. Identify any history of allergic reaction to the prescribed analgesic.
C. Use an antiseptic swab to wipe the proximal injection port on the primary
tubing.
D. Carefully depress the syringe plunger to fill the tubing with medication.: Use
an antiseptic swab to wipe the proximal injection port on the primary tubing.
4. What is the most important nursing intervention to ensure the patient's
safety when initiating infusion of an analgesic by mini-infusion pump?
A. Checking the flow rate of the primary infusion
B. Staying with the patient during the first few minutes of the infusion
C. Explaining the purpose of the medication to the patient
, Clinical Skills - Elsevier
Study online at https://quizlet.com/_hm9fg2
D. Documenting the patient's expected response to the analgesic: Staying with the
patient during the first few minutes of the infusion
5. What can the nurse do to help protect the patient from infiltration of IV
medication?
A. Use the most proximal insertion port on the existing primary tubing.
B. Ensure that the syringe has been securely loaded into the mini-infusion
pump.
C. Set the pump to deliver the medication over the prescribed time period.
D. Check the IV site for placement before and after the infusion.: Check the IV site for
placement before and after the infusion.
6. Which response might the nurse give to nursing assistive personnel (NAP)
who reports that the alarm is sounding on a patient's electronic infusion device
(EID)?
A. "Assess the IV site for signs of inflammation."
B. "Be sure to change the dressing on the IV site."
C. "I'll check the IV site and pump."
D. "Turn off the alarm.": "I'll check the IV site and pump."
7. How would the infusion of the IV fluids be affected if the tubing were unin-
tentionally dislodged from the chamber of the control mechanism of the EID?
A. The infusion would slow to a "keep vein open" rate.
B. The patient would receive a bolus of fluid.
C. The infusion would continue at the prescribed rate.
D. The flow of fluid would stop.: The flow of fluid would stop.
8. A patient is prescribed 1000 mL of intravenous (IV) normal saline to run over
8 hours. The initial fluid is hung at 0800. How many milliliters of fluid will have
infused by 1200?
A. 125 mL
B. 250 mL
C. 500 mL
D. 625 mL: 500 mL
, Clinical Skills - Elsevier
Study online at https://quizlet.com/_hm9fg2
9. The nurse calculates that the patient is to receive 125 mL of intravenous (IV)
normal saline per hour. After programming the infusion pump to deliver at that
rate, how would the nurse ensure accurate fluid administration?
A. First verify that the fluid is dripping, and then check the level of fluid remain-
ing in the container every hour.
B. Ask another nurse to assess the programming of the pump.
C. Set the pump alarm to sound when half of the fluid has infused.
D. Check the IV site for complications.: First verify that the fluid is dripping, and then check the leve
of fluid remaining in the container every hour.
10. Which information is not necessary for the nurse to include when document-
ing the use of an EID for an intravenous infusion?
A. Location of the insertion site
B. Time at which the infusion began
C. Patient's pulse and heart rate
D. Hourly volume flow rate of the infusion: Patient's pulse and heart rate
11. What would the nurse do if he or she were not able to insert a nasogastric
tube in either of a patient's nares?
A. Ask another nurse to attempt the insertion.
B. Document the attempts in the patient's medical record.
C. Notify the physician that the attempts were unsuccessful.
D. Allow the patient to rest for 30 minutes before resuming the process.: Notify
the physician that the attempts were unsuccessful.
12. What would the nurse do if he or she encountered resistance when inserting
a nasogastric tube?
A. Ask the patient to cough.
B. Withdraw the tube to the nasopharynx.
C. Encourage the patient to swallow.
D. Instruct the patient to hyperextend the neck.: Withdraw the tube to the nasopharynx.
Rationale: If the patient starts to cough, experiences a drop in oxygen saturation, or shows other signs of respiratory
Study online at https://quizlet.com/_hm9fg2
1. Which task might the nurse delegate to nursing assistive personnel (NAP)
caring for a patient receiving IV medication via mini-infusion pump?
A. Assessing the IV site frequently for signs of infiltration
B. Notifying the nurse if the pump alarm sounds
C. Informing the physician that the patient is allergic to the prescribed medica-
tion
D. Ensuring that the medications being delivered intravenously are compati-
ble: Notifying the nurse if the pump alarm sounds
2. Which action by the nurse would reduce his or her exposure to bloodborne
pathogens while administering fluids to a patient by mini-infusion pump?
A. Cleaning the injection port with an antiseptic swab
B. Applying clean gloves
C. Recapping the end of the mini-infusion tubing after use
D. Performing hand hygiene prior to administration: Applying clean gloves
3. Which step to protect the patient from infection is of special concern when
preparing a mini-infusion pump to deliver an analgesic?
A. Ensure that the syringe is secure within the mini-infusion pump.
B. Identify any history of allergic reaction to the prescribed analgesic.
C. Use an antiseptic swab to wipe the proximal injection port on the primary
tubing.
D. Carefully depress the syringe plunger to fill the tubing with medication.: Use
an antiseptic swab to wipe the proximal injection port on the primary tubing.
4. What is the most important nursing intervention to ensure the patient's
safety when initiating infusion of an analgesic by mini-infusion pump?
A. Checking the flow rate of the primary infusion
B. Staying with the patient during the first few minutes of the infusion
C. Explaining the purpose of the medication to the patient
, Clinical Skills - Elsevier
Study online at https://quizlet.com/_hm9fg2
D. Documenting the patient's expected response to the analgesic: Staying with the
patient during the first few minutes of the infusion
5. What can the nurse do to help protect the patient from infiltration of IV
medication?
A. Use the most proximal insertion port on the existing primary tubing.
B. Ensure that the syringe has been securely loaded into the mini-infusion
pump.
C. Set the pump to deliver the medication over the prescribed time period.
D. Check the IV site for placement before and after the infusion.: Check the IV site for
placement before and after the infusion.
6. Which response might the nurse give to nursing assistive personnel (NAP)
who reports that the alarm is sounding on a patient's electronic infusion device
(EID)?
A. "Assess the IV site for signs of inflammation."
B. "Be sure to change the dressing on the IV site."
C. "I'll check the IV site and pump."
D. "Turn off the alarm.": "I'll check the IV site and pump."
7. How would the infusion of the IV fluids be affected if the tubing were unin-
tentionally dislodged from the chamber of the control mechanism of the EID?
A. The infusion would slow to a "keep vein open" rate.
B. The patient would receive a bolus of fluid.
C. The infusion would continue at the prescribed rate.
D. The flow of fluid would stop.: The flow of fluid would stop.
8. A patient is prescribed 1000 mL of intravenous (IV) normal saline to run over
8 hours. The initial fluid is hung at 0800. How many milliliters of fluid will have
infused by 1200?
A. 125 mL
B. 250 mL
C. 500 mL
D. 625 mL: 500 mL
, Clinical Skills - Elsevier
Study online at https://quizlet.com/_hm9fg2
9. The nurse calculates that the patient is to receive 125 mL of intravenous (IV)
normal saline per hour. After programming the infusion pump to deliver at that
rate, how would the nurse ensure accurate fluid administration?
A. First verify that the fluid is dripping, and then check the level of fluid remain-
ing in the container every hour.
B. Ask another nurse to assess the programming of the pump.
C. Set the pump alarm to sound when half of the fluid has infused.
D. Check the IV site for complications.: First verify that the fluid is dripping, and then check the leve
of fluid remaining in the container every hour.
10. Which information is not necessary for the nurse to include when document-
ing the use of an EID for an intravenous infusion?
A. Location of the insertion site
B. Time at which the infusion began
C. Patient's pulse and heart rate
D. Hourly volume flow rate of the infusion: Patient's pulse and heart rate
11. What would the nurse do if he or she were not able to insert a nasogastric
tube in either of a patient's nares?
A. Ask another nurse to attempt the insertion.
B. Document the attempts in the patient's medical record.
C. Notify the physician that the attempts were unsuccessful.
D. Allow the patient to rest for 30 minutes before resuming the process.: Notify
the physician that the attempts were unsuccessful.
12. What would the nurse do if he or she encountered resistance when inserting
a nasogastric tube?
A. Ask the patient to cough.
B. Withdraw the tube to the nasopharynx.
C. Encourage the patient to swallow.
D. Instruct the patient to hyperextend the neck.: Withdraw the tube to the nasopharynx.
Rationale: If the patient starts to cough, experiences a drop in oxygen saturation, or shows other signs of respiratory
