Question 1

What is the advantage of an isotonic solution?

Accepted Answer

A)  It will cause water to be drawn from inside the cell and into the vascular space 
B)  There is very little if any net movement of fluid into or out of the cells 
C)  It will result in a net movement of water from the vascular space to inside the cell 
D)  It will allow the IV fluids to be compatible for mixing with other medications 
A)  It will cause water to be drawn from inside the cell and into the vascular space 
B)  There is very little if any net movement of fluid into or out of the cells 
C)  It will result in a net movement of water from the vascular space to inside the cell 
D)  It will allow the IV fluids to be compatible for mixing with other medications B

Question 2

A patient with pneumonia has an IV started to administer antibiotics.After 24 hours the patient develops a hematoma at the IV site.Which of the following is the most likely cause of this complication?

Accepted Answer

A)  Infiltration of the IV 
B)  Thrombus in the vessel 
C)  Inflammation of the surrounding tissue 
D)  Inflammation of the vein 
A)  Infiltration of the IV 
B)  Thrombus in the vessel 
C)  Inflammation of the surrounding tissue 
D)  Inflammation of the vein A

Question 3

A patient is admitted to the MICU with a closed head injury with cerebral edema.What type of IV solution will cause water to be drawn from inside the cell and into the vascular space and is desirable in cases of cerebral edema?

Accepted Answer

A)  Hypotonic solution 
B)  Hypertonic solution 
C)  Isotonic solution 
D)  Lactated Ringer's solution 
A)  Hypotonic solution 
B)  Hypertonic solution 
C)  Isotonic solution 
D)  Lactated Ringer's solution B

Question 4

What happens to the small air bubbles that pass through the IV tubing and enter into the patient?

Accepted Answer

Bubbles that are in the IV tubings that

Question 5

What is another name for 0.9% sodium chloride in water?

Accepted Answer

A)  Normal or physiologic saline 
B)  Lactated Ringer's solution 
C)  D5W 
D)  Plasma 
A)  Normal or physiologic saline 
B)  Lactated Ringer's solution 
C)  D5W 
D)  Plasma

Question 6

A patient has been brought to the emergency department suffering from heat exhaustion and dehydration.Which of the following fluids would enhance the function of cells that are hampered owing to the absence of necessary intracellular fluid?

Accepted Answer

A)  Hypotonic solution 
B)  Hypertonic solution 
C)  Isotonic solution 
D)  Lactated Ringer's solution 
A)  Hypotonic solution 
B)  Hypertonic solution 
C)  Isotonic solution 
D)  Lactated Ringer's solution

Question 7

Which of the following is an example of a hypertonic solution?

Accepted Answer

A)  0.9% NaCl 
B)  Plasma 
C)  Mannitol 
D)  0.225% NaCl 
A)  0.9% NaCl 
B)  Plasma 
C)  Mannitol 
D)  0.225% NaCl

Question 8

When applying a tourniquet to help with the insertion of an IV on a patient,where should the tourniquet be placed?

Accepted Answer

A)  Proximal to the intended insertion site 
B)  Distal to the intended insertion site 
C)  Over the insertion site 
D)  A tourniquet should never be used except when inserting an arterial line 
A)  Proximal to the intended insertion site 
B)  Distal to the intended insertion site 
C)  Over the insertion site 
D)  A tourniquet should never be used except when inserting an arterial line

Question 9

What is the purpose of transparent dressings on a IV?

Accepted Answer

Transparent IV dressings allow the patie

Question 10

What is the preferred IV site on an adult patient?

Accepted Answer

A)  The smallest artery that can be accessed 
B)  In the radial artery of the non-dominant hand 
C)  The temporal vein 
D)  A vein on the non-dominant hand or arm of the patient 
A)  The smallest artery that can be accessed 
B)  In the radial artery of the non-dominant hand 
C)  The temporal vein 
D)  A vein on the non-dominant hand or arm of the patient

Question 11

What is inflammation of the vein called?

Accepted Answer

A)  Phlebitis 
B)  Cellulitis 
C)  Thrombosis 
D)  Arteriosclerosis 
A)  Phlebitis 
B)  Cellulitis 
C)  Thrombosis 
D)  Arteriosclerosis

Question 12

After starting an IV,the practitioner is concerned about preventing an air embolism.Which of the following will best prevent an air embolism in the patient?

Accepted Answer

A)  Maintaining the IV bag in an upright position at all times 
B)  Ensuring that all air is removed before the tubing is connected to the catheter 
C)  Running the intravenous infusion at a normal rate. 
D)  a and b 
A)  Maintaining the IV bag in an upright position at all times 
B)  Ensuring that all air is removed before the tubing is connected to the catheter 
C)  Running the intravenous infusion at a normal rate. 
D)  a and b

Question 13

A patient needs to have an IV started for the administration of fluids because of dehydration.The practitioner gathers the equipment needed to start the IV.What personal protective equipment (PPE)should the practitioner gather?
I.Hair cover
II.Gloves
III.Mask
IV.Protective eyewear
V.Shoe covers

Accepted Answer

A)  I,II,III 
B)  II,III,IV 
C)  II only 
D)  I,IV,V 
A)  I,II,III 
B)  II,III,IV 
C)  II only 
D)  I,IV,V

Question 14

If a blood pressure cuff is used as a tourniquet,how should the cuff be inflated?

Accepted Answer

A)  To the maximum pressure of the cuff. 
B)  It is inflated to a pressure 20 to 30-mm Hg below the systolic pressure. 
C)  The same as the patient's diastolic pressure. 
D)  To 20 to 30 mmHg. 
A)  To the maximum pressure of the cuff. 
B)  It is inflated to a pressure 20 to 30-mm Hg below the systolic pressure. 
C)  The same as the patient's diastolic pressure. 
D)  To 20 to 30 mmHg.

Question 15

A patient with an IV complains of pain and tenderness at the IV site.The practitioner notes swelling at the IV site.Why should these findings be investigated thoroughly?

Accepted Answer

A)  The IV has infiltrated 
B)  Cellulitis is developing in the surrounding tissue 
C)  The possibility of thrombus formation 
D)  Inflammation of the vein 
A)  The IV has infiltrated 
B)  Cellulitis is developing in the surrounding tissue 
C)  The possibility of thrombus formation 
D)  Inflammation of the vein

Question 16

What happens when the fluid or medication that is being infused through an IV leaks out of the blood vessel that was cannulated?

Accepted Answer

A)  Infection 
B)  Infiltration 
C)  Thrombosis 
D)  Cellulitus 
A)  Infection 
B)  Infiltration 
C)  Thrombosis 
D)  Cellulitus

Question 17

Which of the following solutions is/are the most desirable for maintaining a normal environment for cellular function?

Accepted Answer

A)  Hypotonic solution 
B)  Hypertonic solution 
C)  Isotonic solution 
D)  Lactated Ringer's solution 
A)  Hypotonic solution 
B)  Hypertonic solution 
C)  Isotonic solution 
D)  Lactated Ringer's solution

Question 18

What is the purpose of a tourniquet when attempting to start an IV on a patient?

Accepted Answer

A)  It will stop the flow of fluids so that there will be no waste of fluids during the insertion of the IV 
B)  It stops the flow of the blood through the patient's arteries so there will be no blood loss during insertion of the IV 
C)  It causes the veins of the arm to distend and become engorged with blood 
D)  It causes the patient to not feel any irritation or pain during the insertion of the IV 
A)  It will stop the flow of fluids so that there will be no waste of fluids during the insertion of the IV 
B)  It stops the flow of the blood through the patient's arteries so there will be no blood loss during insertion of the IV 
C)  It causes the veins of the arm to distend and become engorged with blood 
D)  It causes the patient to not feel any irritation or pain during the insertion of the IV

Question 19

With some medical conditions,a tourniquet cannot be applied to the patient's arm.Which of the following are conditions where tourniquet application should not be applied?

Accepted Answer

A)  A shunt for renal dialysis 
B)  A previous mastectomy 
C)  A vein on the non-dominant arm 
D)  a and b 
A)  A shunt for renal dialysis 
B)  A previous mastectomy 
C)  A vein on the non-dominant arm 
D)  a and b

Question 20

A 0.225% NaCl solution is classified as which type of solution?

Accepted Answer

A)  Hypotonic solution 
B)  Hypertonic solution 
C)  Isotonic solution 
D)  Lactated Ringer's solution 
A)  Hypotonic solution 
B)  Hypertonic solution 
C)  Isotonic solution 
D)  Lactated Ringer's solution

Exam 23: Insertion and Maintenance of Intravenous Lines

What is the advantage of an isotonic solution?

A patient with pneumonia has an IV started to administer antibiotics.After 24 hours the patient develops a hematoma at the IV site.Which of the following is the most likely cause of this complication?

A patient is admitted to the MICU with a closed head injury with cerebral edema.What type of IV solution will cause water to be drawn from inside the cell and into the vascular space and is desirable in cases of cerebral edema?

What happens to the small air bubbles that pass through the IV tubing and enter into the patient?

What is another name for 0.9% sodium chloride in water?

A patient has been brought to the emergency department suffering from heat exhaustion and dehydration.Which of the following fluids would enhance the function of cells that are hampered owing to the absence of necessary intracellular fluid?

Which of the following is an example of a hypertonic solution?

When applying a tourniquet to help with the insertion of an IV on a patient,where should the tourniquet be placed?

What is the purpose of transparent dressings on a IV?

What is the preferred IV site on an adult patient?

What is inflammation of the vein called?

After starting an IV,the practitioner is concerned about preventing an air embolism.Which of the following will best prevent an air embolism in the patient?

A patient needs to have an IV started for the administration of fluids because of dehydration.The practitioner gathers the equipment needed to start the IV.What personal protective equipment (PPE)should the practitioner gather? I.Hair cover II.Gloves III.Mask IV.Protective eyewear V.Shoe covers

If a blood pressure cuff is used as a tourniquet,how should the cuff be inflated?

A patient with an IV complains of pain and tenderness at the IV site.The practitioner notes swelling at the IV site.Why should these findings be investigated thoroughly?

What happens when the fluid or medication that is being infused through an IV leaks out of the blood vessel that was cannulated?

Which of the following solutions is/are the most desirable for maintaining a normal environment for cellular function?

What is the purpose of a tourniquet when attempting to start an IV on a patient?

With some medical conditions,a tourniquet cannot be applied to the patient's arm.Which of the following are conditions where tourniquet application should not be applied?

A 0.225% NaCl solution is classified as which type of solution?

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Advanced Patient Assessment: Inspection, Palpation, and Percussion

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Introduction to Respiratory Care Pharmacology

Humidity and Aerosol Therapy

Bronchial Hygiene Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Emergency Airway Management

Artificial Airway Care

Chest Tubes

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

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