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1. The primary goal of IV therapy is to:
a) Administer medications orally
b) Replace fluids and electrolytes
c) Deliver fluids, medications, or nutrients directly into the
bloodstream
d) Prevent dehydration
Rationale: IV therapy provides rapid delivery of fluids, electrolytes, blood
products, and medications directly into circulation for immediate effect.
2. Which of the following veins is most commonly used for peripheral IV
insertion?
a) Basilic vein
b) Cephalic vein
c) Jugular vein
d) Femoral vein
Rationale: The cephalic vein is easily accessible, superficial, and commonly used
for peripheral IV insertions.
, 3. What is the most appropriate angle for inserting a peripheral IV
catheter?
a) 15 degrees
b) 30 degrees
c) 45 degrees
d) 60 degrees
Rationale: A 30-degree angle allows for easier vein entry and reduces the risk of
puncturing through the vein.
4. The best antiseptic for cleaning the IV insertion site is:
a) Alcohol 70% only
b) Chlorhexidine solution
c) Soap and water
d) Hydrogen peroxide
Rationale: Chlorhexidine is preferred due to its broad-spectrum antimicrobial
activity and residual effect.
5. What gauge catheter is most appropriate for administering blood
products?
a) 22 gauge
b) 24 gauge
c) 18 gauge
d) 26 gauge
Rationale: Larger bore catheters (18G) allow rapid infusion of viscous fluids
such as blood products.
6. What should be done immediately after inserting an IV catheter?
a) Secure the dressing
b) Flush the line
c) Observe for blood return
d) Label the tubing
, Rationale: Observing for blood return confirms correct placement of the
catheter in the vein.
7. What is the purpose of a saline flush?
a) Prevent clot formation
b) Maintain catheter patency
c) Deliver medications
d) Clean the tubing
Rationale: Saline flushes maintain patency by preventing clot or residue build-
up in the catheter.
8. Which of the following is a sign of infiltration?
a) Redness at site
b) Hard vein
c) Cool, swollen skin around insertion site
d) Warm, tender area
Rationale: Infiltration occurs when IV fluid leaks into tissue, causing coolness,
swelling, and pallor.
9. Which of the following indicates phlebitis?
a) Redness, warmth, and tenderness along vein path
b) Cool, pale skin
c) Absence of pulse
d) Numbness
Rationale: Phlebitis is vein inflammation caused by irritation or infection,
characterized by redness and pain.
10.What should the nurse do if infiltration occurs?
a) Continue infusion
b) Stop infusion and elevate limb