and All Correct Answers 2025-2026
Updated.
A 4-year old child was recently admitted to the hospital and has orders for an intravenous (IV)
line to be started. Which of the following is an acceptable IV insertion site for a child?
-The scalp
-The antecubital space
-Ventral surface of the wrist
-The forearm - Answer -The forearm
The nurse is informing the patient of actions that may be taken to promote venous distention.
Which statement, if made by the patient, indicates further instruction is needed? (SATA)
-"I need to keep my arm elevated for 10 to 20 minutes"
-"You'll come back in a few minutes while I keep this warm towel on my arm"
-"I've seen other nurse's tap the vein multiple times, maybe that will work"
-"You can gently stroke the vein to make it pop up" - Answer -"I need to keep my arm elevated
for 10 to 20 minutes"
-"I've seen other nurse's tap the vein multiple times, maybe that will work"
The nursing instructor has been observing nursing students initiate an IV infusion. Which
action(s), if made by the nursing student, indicate(s) that further instruction is needed? (SATA)
, -Cleans the insertion site with chlorhexidine solution in a back-and-forth motion for 30 seconds;
allows the area to dry; then, while wearing gloves, palpates the vein before inserting the
catheter at a 10-to-30 degree angle.
-Applies the tourniquet, cleans the site, allows it to dry, perform the venipuncture, looks for
blood return, advances the catheter off the stylet, applies pressure about the insertion site,
connects the tubing, starts the inf - Answer -Cleans the insertion site with chlorhexidine
solution in a back-and-forth motion for 30 seconds; allows the area to dry; then, while wearing
gloves, palpates the vein before inserting the catheter at a 10-to-30 degree angle.
-Applies the tourniquet, cleans the site, allows it to dry, perform the venipuncture, looks for
blood return, advances the catheter off the stylet, applies pressure about the insertion site,
connects the tubing, starts the infusion, and releases the tourniquet
-Removes gloves to tape and apply the transparent dressing over the intravenous site. Tapes
tubing to transparent dressing
Which of the following situations indicates peripheral IV access could be discontinued (provided
the health care provider has given the corresponding order)? (SATA)
-Who has been receiving IV fluids for fluid maintenance is drinking fluids well and electrolytes
are within normal limits
-Receives all regularly scheduled medications by mouth and has prn orders for medications
administered intravenously
-Has completed the course of IV antibiotics and the intraenous accress device is unnecessary
-Is complaining of pain at the IV site and there is absence of a blood return
-Has an arm that is swollen and cool to the touch and complains of pain at the IV site - Answer
-Who has been receiving IV fluids for fluid maintenance is drinking fluids well and electrolytes
are within normal limits
-Has completed the course of IV antibiotics and the intraenous accress device is unnecessary