Question 1

What signs of infiltration should be assessed by a nurse?

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

Question 2

Using an IV infusion system that delivers 60 drops/mL, a nurse hangs a 500-mL bag of normal saline (NS)at 0800.The physician has ordered a rate of 20 mL/hr.What should the nurse set the roller clamp to deliver?

Accepted Answer

A)  10 gtt/min 
B)  20 gtt/min 
C)  25 gtt/min 
D)  30 gtt/min

Question 3

What action should the nurse implement when discontinuing an intravenous (IV)line?

Accepted Answer

A)  Remove the dressing, remove the catheter, dispose of the used equipment in the sharps container, and chart observations and actions. 
B)  Observe the site for redness, swelling, and pain, and put on sterile gloves.Remove the dressing catheter and chart the findings and action. 
C)  Observe the site for redness, swelling, and pain, and put on clean gloves.Remove the dressing and catheter, place a 2 $\times$ 2 dressing over the site, and chart the findings and action. 
D)  Observe the site for redness, swelling, and pain and put on clean gloves.Remove the dressing and catheter; chart the findings and action.

Question 4

An intravenous (IV)administration of doxycycline (Vibramycin)has extravasated.What nursing action should be implemented after stopping the IV line?

Accepted Answer

A)  Notify the physician, and restart the IV line in another site. 
B)  Restart the IV line at another site and document the extravasation. 
C)  Flush NS through cannula at the insertion site. 
D)  Discard the IV tubing and the IV bag.

Question 5

What is a major advantage when medication is administered intravenously?

Accepted Answer

A)  Better maintained at a therapeutic blood level 
B)  Less expensive than oral route 
C)  Safer than administering by oral or intramuscular route 
D)  Lower incidence of allergy than other routes

Question 6

A nurse assesses for signs of infected phlebitis.How should the nurse most accurately describe this complication when documenting?

Accepted Answer

A)  Rupture of the cannula with a lump under the skin 
B)  Pale, cool skin with swelling at the puncture site 
C)  Firm, cool, raised, painful area at the puncture site; oozing and purulent drainage 
D)  Puncture site red, warm, with an oozing drainage

Question 7

A physician orders an infusion of 1000 mL of 5% dextrose in 0.45% NS to be completed in 8 hours.The IV delivery system's drop factor is 20 gtt.How many mL/hr should the nurse set the electronic infusion pump to deliver the infusion?

Accepted Answer

A)  125 mL/hr 
B)  100 mL/hr 
C)  85 mL/hr 
D)  42 mL/hr

Question 8

How often should intravenous (IV)rounds be performed during a nursing shift?

Accepted Answer

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

Exam 16: Intravenous Therapy

What signs of infiltration should be assessed by a nurse?

Using an IV infusion system that delivers 60 drops/mL, a nurse hangs a 500-mL bag of normal saline (NS) at 0800.The physician has ordered a rate of 20 mL/hr.What should the nurse set the roller clamp to deliver?

What action should the nurse implement when discontinuing an intravenous (IV) line?

An intravenous (IV) administration of doxycycline (Vibramycin) has extravasated.What nursing action should be implemented after stopping the IV line?

What is a major advantage when medication is administered intravenously?

A nurse assesses for signs of infected phlebitis.How should the nurse most accurately describe this complication when documenting?

A physician orders an infusion of 1000 mL of 5% dextrose in 0.45% NS to be completed in 8 hours.The IV delivery system's drop factor is 20 gtt.How many mL/hr should the nurse set the electronic infusion pump to deliver the infusion?

How often should intravenous (IV) rounds be performed during a nursing shift?