Question 1

Place the steps in order for the preparation to initiate a blood line: (Separate letters by a comma and space as follows: A, B, C, D, E.)

Accepted Answer

A)  Compare patient name, ID number on wrist bank with transfusion record. 
B)  Obtain Y-connector setup and saline and prime the filter with saline. 
C)  Clamp off saline and start blood. 
D)  Confirm the presence of a permission slip. 
E)  Obtain baseline vital signs. 
A)  Compare patient name, ID number on wrist bank with transfusion record. 
B)  Obtain Y-connector setup and saline and prime the filter with saline. 
C)  Clamp off saline and start blood. 
D)  Confirm the presence of a permission slip. 
E)  Obtain baseline vital signs.

Question 2

A nurse is monitoring the status of an elderly patient who is receiving IV therapy. Indicator of fluid volume overload is suspected when the nurse assesses:

Accepted Answer

A)  crackles in the lung fields. 
B)  pulse rate of 64 beats/min, irregular. 
C)  respirations of 16 breaths/min, regular. 
D)  slight edema to the feet. 
A)  crackles in the lung fields. 
B)  pulse rate of 64 beats/min, irregular. 
C)  respirations of 16 breaths/min, regular. 
D)  slight edema to the feet.

Question 3

After the blood infusion has started, the nurse should let the blood flow at 2 mL/min for the first ___________ minutes.

Accepted Answer

15
fifteen
The initial rate of

Question 4

A patient rings the call bell and states that the IV insertion site is painful. The site is reddened, warm, and swollen. The nurse assesses that the patient is most likely experiencing:

Accepted Answer

A)  bloodstream infection. 
B)  catheter embolus. 
C)  infiltration of the line. 
D)  phlebitis. 
A)  bloodstream infection. 
B)  catheter embolus. 
C)  infiltration of the line. 
D)  phlebitis.

Question 5

The nurse is planning for the initiation of a blood transfusion. The type of tubing the nurse will prepare is a _____ set.

Accepted Answer

A)  piggyback 
B)  primary infusion 
C)  controlled-volume 
D)  Y administration 
A)  piggyback 
B)  primary infusion 
C)  controlled-volume 
D)  Y administration

Question 6

The nurse assisting in the initiation of a blood transfusion is aware that the only appropriate solution to infuse through a parallel infusion set before and after the transfusion is:

Accepted Answer

A)  5% dextrose in water. 
B)  10% dextrose in water. 
C)  lactated Ringer's solution. 
D)  normal saline. 
A)  5% dextrose in water. 
B)  10% dextrose in water. 
C)  lactated Ringer's solution. 
D)  normal saline.

Question 7

The nurse evaluating a piggyback IV setup finds an error in the construction of the fluids. Which situation would the nurse correct?

Accepted Answer

A)  Secondary bag is hung higher than the primary bag. 
B)  Primary line clamp is closed. 
C)  Slide clamp near the insertion site is open. 
D)  Secondary line clamp is open. 
A)  Secondary bag is hung higher than the primary bag. 
B)  Primary line clamp is closed. 
C)  Slide clamp near the insertion site is open. 
D)  Secondary line clamp is open.

Question 8

A patient complains of chills, back pain, and shortness of breath a few minutes after the blood infusion is started. The first thing the nurse should do is:

Accepted Answer

A)  slow down the blood infusion. 
B)  stop the blood infusion and start the saline. 
C)  monitor vital signs and call the physician. 
D)  start low-flow oxygen as per facility protocol. 
A)  slow down the blood infusion. 
B)  stop the blood infusion and start the saline. 
C)  monitor vital signs and call the physician. 
D)  start low-flow oxygen as per facility protocol.

Question 9

A patient is admitted with a peripherally inserted central catheter (PICC). As part of standard care for this patient, the nurse should:

Accepted Answer

A)  obtain the patient's temperature every 2 hours. 
B)  prepare to infuse fluids at high volumes. 
C)  avoid taking blood pressures on the arm with the PICC line. 
D)  have the catheter withdrawn while the patient is hospitalized. 
A)  obtain the patient's temperature every 2 hours. 
B)  prepare to infuse fluids at high volumes. 
C)  avoid taking blood pressures on the arm with the PICC line. 
D)  have the catheter withdrawn while the patient is hospitalized.

Question 10

The nurse anticipates that the malnourished post-operative 70-year-old patient will receive an intravenous (IV) infusion of 5% dextrose in 0.45% saline. because it is:

Accepted Answer

A)  isotonic. 
B)  hypotonic. 
C)  hypertonic. 
D)  total parenteral nutrition. 
A)  isotonic. 
B)  hypotonic. 
C)  hypertonic. 
D)  total parenteral nutrition.

Question 11

A patient has just undergone placement of a central venous catheter through the subclavian vein. When the placement is complete, the nurse should:

Accepted Answer

A)  hang the prescribed fluid at a rate of 1 mL/min. 
B)  assess the quality of the breath sounds. 
C)  note the length of the tubing. 
D)  wait for the results of the chest radiograph before beginning fluids. 
A)  hang the prescribed fluid at a rate of 1 mL/min. 
B)  assess the quality of the breath sounds. 
C)  note the length of the tubing. 
D)  wait for the results of the chest radiograph before beginning fluids.

Exam 36: Administering Intravenous Solutions and Medications

Place the steps in order for the preparation to initiate a blood line: (Separate letters by a comma and space as follows: A, B, C, D, E.)

A nurse is monitoring the status of an elderly patient who is receiving IV therapy. Indicator of fluid volume overload is suspected when the nurse assesses:

After the blood infusion has started, the nurse should let the blood flow at 2 mL/min for the first ___________ minutes.

A patient rings the call bell and states that the IV insertion site is painful. The site is reddened, warm, and swollen. The nurse assesses that the patient is most likely experiencing:

The nurse is planning for the initiation of a blood transfusion. The type of tubing the nurse will prepare is a _____ set.

The nurse assisting in the initiation of a blood transfusion is aware that the only appropriate solution to infuse through a parallel infusion set before and after the transfusion is:

The nurse evaluating a piggyback IV setup finds an error in the construction of the fluids. Which situation would the nurse correct?

A patient complains of chills, back pain, and shortness of breath a few minutes after the blood infusion is started. The first thing the nurse should do is:

A patient is admitted with a peripherally inserted central catheter (PICC). As part of standard care for this patient, the nurse should:

The nurse anticipates that the malnourished post-operative 70-year-old patient will receive an intravenous (IV) infusion of 5% dextrose in 0.45% saline. because it is:

A patient has just undergone placement of a central venous catheter through the subclavian vein. When the placement is complete, the nurse should:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

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