Question 1

To select a vein for an initial IV site,the best place to begin in a left-handed patient would be the:

Accepted Answer

A)  Antecubital vein of the right arm 
B)  Antecubital vein of the left arm 
C)  Right forearm 
D)  Left forearm 
A)  Antecubital vein of the right arm 
B)  Antecubital vein of the left arm 
C)  Right forearm 
D)  Left forearm

Question 2

The nurse is choosing an IV cannula for an older adult patient and will choose the smallest size that will deliver the appropriate fluid,which is a cannula of:

Accepted Answer

A)  12 gauge 
B)  14 gauge 
C)  18 gauge 
D)  22 gauge 
A)  12 gauge 
B)  14 gauge 
C)  18 gauge 
D)  22 gauge

Question 3

As part of a written standard protocol for the unit,the nurse adds that irrigation of an occluded cannula is not recommended.The rationale against performing this procedure is that it may:

Accepted Answer

A)  Damage a venous valve 
B)  Introduce an air embolus into the line 
C)  Cause the patient pain 
D)  Force blood clots into the main bloodstream 
A)  Damage a venous valve 
B)  Introduce an air embolus into the line 
C)  Cause the patient pain 
D)  Force blood clots into the main bloodstream

Question 4

The nurse is to give an IV push drug through a peripheral intermittent device.The nurse would: (Place these options in the correct sequence.)

Accepted Answer

A)  Clear the device with NS. 
B)  Flush the device with NS only or a combination of NS and heparin. 
C)  Check placement of the device. 
D)  Slowly administer the drug through the device. 
E)  Check the concentration of the drug. 
A)  Clear the device with NS. 
B)  Flush the device with NS only or a combination of NS and heparin. 
C)  Check placement of the device. 
D)  Slowly administer the drug through the device. 
E)  Check the concentration of the drug.

Question 5

The nurse has a patient with a tunneled central line with a triple-lumen catheter.The insertion site is covered by an occlusive dressing with yesterday's date.The nurse is to give an IV drug through the central line.The nurse would initially:

Accepted Answer

A)  Use any of the three ports for delivery. 
B)  Change the occlusive dressing. 
C)  Affirm catheter placement by withdrawing 3 ml of blood. 
D)  Check dilution of the drug. 
A)  Use any of the three ports for delivery. 
B)  Change the occlusive dressing. 
C)  Affirm catheter placement by withdrawing 3 ml of blood. 
D)  Check dilution of the drug.

Question 6

In making out the assignment for the evening shift,the licensed practical nurse (LPN)is careful to assign IV rounds to be performed:

Accepted Answer

A)  Every 15 minutes 
B)  Every 30 minutes 
C)  Every 60 minutes 
D)  Twice per shift 
A)  Every 15 minutes 
B)  Every 30 minutes 
C)  Every 60 minutes 
D)  Twice per shift

Question 7

The nurse is carefully checking IV sites for signs of infiltration,which are:

Accepted Answer

A)  Burning sensation, pain, and puffy 
B)  Pain, heat, and puffy 
C)  Burning sensation and no feeling at the site 
D)  Red streak up the arm 
A)  Burning sensation, pain, and puffy 
B)  Pain, heat, and puffy 
C)  Burning sensation and no feeling at the site 
D)  Red streak up the arm

Question 8

Using an IV infusion system that delivers 60 drops/ml,the nurse hangs a 1000-ml bag of 5% dextrose in water (D5W),which the physician has ordered to infuse at 80 ml/hr.It is now 10 AM.The nurse anticipates that the IV will need to be changed at:

Accepted Answer

A)  6 PM 
B)  8 PM 
C)  8:30 PM 
D)  10:30 PM 
A)  6 PM 
B)  8 PM 
C)  8:30 PM 
D)  10:30 PM

Question 9

The older adult patient is quite ill and confused and begins to cry pitifully when the nurse approaches the bed to start an IV.The best action for the nurse at this point would be to:

Accepted Answer

A)  Keep the infusion equipment out of sight as much as possible, talk slowly, and divert the attention of the patient. 
B)  Inform the patient that the physician has ordered the IV, and calmly continue to prepare the site and start the IV. 
C)  Give an analgesic as ordered, wait a few minutes, and then proceed. 
D)  Restrain the patient's arm to a padded arm board, and proceed as directed. 
A)  Keep the infusion equipment out of sight as much as possible, talk slowly, and divert the attention of the patient. 
B)  Inform the patient that the physician has ordered the IV, and calmly continue to prepare the site and start the IV. 
C)  Give an analgesic as ordered, wait a few minutes, and then proceed. 
D)  Restrain the patient's arm to a padded arm board, and proceed as directed.

Exam 18: Intravenous Therapy

To select a vein for an initial IV site,the best place to begin in a left-handed patient would be the:

The nurse is choosing an IV cannula for an older adult patient and will choose the smallest size that will deliver the appropriate fluid,which is a cannula of:

As part of a written standard protocol for the unit,the nurse adds that irrigation of an occluded cannula is not recommended.The rationale against performing this procedure is that it may:

The nurse is to give an IV push drug through a peripheral intermittent device.The nurse would: (Place these options in the correct sequence.)

The nurse has a patient with a tunneled central line with a triple-lumen catheter.The insertion site is covered by an occlusive dressing with yesterday's date.The nurse is to give an IV drug through the central line.The nurse would initially:

In making out the assignment for the evening shift,the licensed practical nurse (LPN)is careful to assign IV rounds to be performed:

The nurse is carefully checking IV sites for signs of infiltration,which are:

Using an IV infusion system that delivers 60 drops/ml,the nurse hangs a 1000-ml bag of 5% dextrose in water (D5W),which the physician has ordered to infuse at 80 ml/hr.It is now 10 AM.The nurse anticipates that the IV will need to be changed at:

The older adult patient is quite ill and confused and begins to cry pitifully when the nurse approaches the bed to start an IV.The best action for the nurse at this point would be to:

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Using an IV infusion system that delivers 60 drops/ml,the nurse hangs a 1000-ml bag of 5% dextrose in water (D₅W),which the physician has ordered to infuse at 80 ml/hr.It is now 10 AM.The nurse anticipates that the IV will need to be changed at: