Question 1

When calculating a gravity infusion, in which unit of measure should the nurse express the flow rate?

Accepted Answer

A)  gtt/mL 
B)  gtt/min 
C)  gtt/sec 
D)  gtt/hr 
A)  gtt/mL 
B)  gtt/min 
C)  gtt/sec 
D)  gtt/hr B

Question 2

A nurse is inspecting the patient's IV tubing through which 0.9% sodium chloride solution is infusing. Within how many hours does IV tubing typically expire after removal from its sterile package?

Accepted Answer

A)  12 to 24 hours 
B)  20 to 30 hours 
C)  48 to 60 hours 
D)  24 to 96 hours 
A)  12 to 24 hours 
B)  20 to 30 hours 
C)  48 to 60 hours 
D)  24 to 96 hours D

Question 3

A provider orders IV replacement fluids for a patient. What is the purpose of replacement fluids?

Accepted Answer

A)  Maintain normal fluid balance. 
B)  Replenish fluids lost through injury or illness. 
C)  Provide a means to administer IV medications. 
D)  Restore electrolyte balance in the body. 
A)  Maintain normal fluid balance. 
B)  Replenish fluids lost through injury or illness. 
C)  Provide a means to administer IV medications. 
D)  Restore electrolyte balance in the body. B

Question 4

For which type of infusion are secondary administration sets typically used?

Accepted Answer

A)  Intermittent fluids, such as antibiotics 
B)  Continuous fluids 
C)  Maintenance fluids 
D)  Replacement fluids 
A)  Intermittent fluids, such as antibiotics 
B)  Continuous fluids 
C)  Maintenance fluids 
D)  Replacement fluids

Question 5

The nurse is caring for a patient with a patient-controlled analgesia (PCA) system in place. The patient is sleeping, but is moaning intermittently. The family asks the nurse to push the PCA button. What is the nurse's most appropriate response?

Accepted Answer

A)  "I cannot push the button, but you could do it instead." 
B)  "Since the patient is clearly in pain, I'll push the button." 
C)  "The risk of overdose increases when others push the pain button for the patient." 
D)  "Only the patient and the ordering provider can push the button." 
A)  "I cannot push the button, but you could do it instead." 
B)  "Since the patient is clearly in pain, I'll push the button." 
C)  "The risk of overdose increases when others push the pain button for the patient." 
D)  "Only the patient and the ordering provider can push the button."

Question 6

Which of the following descriptions regarding intermittent infusions are correct? Select all that apply.

Accepted Answer

A)  Used when patients need additional fluid or nutrients 
B)  Immediately followed by a saline or heparin flush 
C)  Administered continuously 
D)  Usually used for IV medications administered periodically 
E)  Are most often administered using microdrip tubing 
A)  Used when patients need additional fluid or nutrients 
B)  Immediately followed by a saline or heparin flush 
C)  Administered continuously 
D)  Usually used for IV medications administered periodically 
E)  Are most often administered using microdrip tubing

Question 7

Which drop factor is a microdrip tubing?

Accepted Answer

A)  60 gtt/mL 
B)  20 gtt/mL 
C)  15 gtt/mL 
D)  10 gtt/mL 
A)  60 gtt/mL 
B)  20 gtt/mL 
C)  15 gtt/mL 
D)  10 gtt/mL

Question 8

What is the most important safeguard against improper use of the PCA pump?

Accepted Answer

A)  Lockout interval 
B)  Nurse 
C)  Family 
D)  Locking of the pump with a key 
A)  Lockout interval 
B)  Nurse 
C)  Family 
D)  Locking of the pump with a key

Question 9

The nurse receives an order to increase the flow rate of an IV drip infusing by gravity. How may the nurse safely accomplish this?

Accepted Answer

A)  Close the roller clamp on the tubing. 
B)  Lower the height of the infusion bag. 
C)  Raise the height of the infusion bag. 
D)  Squeeze the infusion bag tightly. 
A)  Close the roller clamp on the tubing. 
B)  Lower the height of the infusion bag. 
C)  Raise the height of the infusion bag. 
D)  Squeeze the infusion bag tightly.

Question 10

Which information should be included on an IV fluid label? Select all that apply.

Accepted Answer

A)  Expiration date and time 
B)  Name of the solution 
C)  Patient's date of birth 
D)  Patient allergies 
E)  Flow rate of the infusion 
A)  Expiration date and time 
B)  Name of the solution 
C)  Patient's date of birth 
D)  Patient allergies 
E)  Flow rate of the infusion

Question 11

What is oncotic pressure?

Accepted Answer

A)  The pressure exerted by an individual's blood pressure that forces fluid from the circulatory system into the interstitial and intracellular spaces 
B)  The pressure exerted by plasma proteins that forces fluid from the circulatory system into the interstitial and intracellular spaces 
C)  The pressure exerted by an individual's blood pressure that draws fluid from the interstitial and intercellular spaces into the circulatory system 
D)  The pressure exerted by plasma proteins that draws fluid from the intracellular and interstitial spaces into the circulatory system 
A)  The pressure exerted by an individual's blood pressure that forces fluid from the circulatory system into the interstitial and intracellular spaces 
B)  The pressure exerted by plasma proteins that forces fluid from the circulatory system into the interstitial and intracellular spaces 
C)  The pressure exerted by an individual's blood pressure that draws fluid from the interstitial and intercellular spaces into the circulatory system 
D)  The pressure exerted by plasma proteins that draws fluid from the intracellular and interstitial spaces into the circulatory system

Question 12

Before connecting IV tubing to a patient, which of the following must the nurse do? Select all that apply.

Accepted Answer

A)  Ensure that the correct type of tubing is selected. 
B)  Inspect the tubing for defects. 
C)  Prime the tubing to purge the air. 
D)  Attach a piggyback set. 
E)  Open any closed slide or roller clamps. 
A)  Ensure that the correct type of tubing is selected. 
B)  Inspect the tubing for defects. 
C)  Prime the tubing to purge the air. 
D)  Attach a piggyback set. 
E)  Open any closed slide or roller clamps.

Question 13

The nurse is caring for a patient who is vomiting frequently. Which IV fluids should the nurse prepare as ordered?

Accepted Answer

A)  5% albumin 
B)  25% albumin 
C)  Dextran 40 
D)  5% dextrose in 0.45% sodium chloride solution (D5/0.45% normal saline) 
A)  5% albumin 
B)  25% albumin 
C)  Dextran 40 
D)  5% dextrose in 0.45% sodium chloride solution (D5/0.45% normal saline)

Question 14

What is the primary purpose of the IV tubing label?

Accepted Answer

A)  To decrease the possibility of tubing being used on the wrong patient 
B)  To remind nurses when the tubing change is due 
C)  To identify the nurse who last connected the tubing 
D)  To document the health care provider who ordered the infusion 
A)  To decrease the possibility of tubing being used on the wrong patient 
B)  To remind nurses when the tubing change is due 
C)  To identify the nurse who last connected the tubing 
D)  To document the health care provider who ordered the infusion

Question 15

A provider writes this order: "Infuse D5W/0.45% normal saline at 150 mL/hr." Which statement accurately describes how the nurse should implement this order?

Accepted Answer

A)  Intermittently over the next 24 hours 
B)  For at least 2 weeks 
C)  Continuously until the order is discontinued by the provider 
D)  For 24 hours only 
A)  Intermittently over the next 24 hours 
B)  For at least 2 weeks 
C)  Continuously until the order is discontinued by the provider 
D)  For 24 hours only

Question 16

Which characteristic of an infusion pump requires monitoring by the nurse to prevent complications?

Accepted Answer

A)  Infusion pumps must be plugged in to emergency (red) electrical outlets. 
B)  Infusion pumps provide less regulation of flow than do drip controllers. 
C)  Some infusion pumps, called "smart pumps," contain dosage calculation software. 
D)  Infusion pumps can overcome mild resistance and continue to pump into tissues. 
A)  Infusion pumps must be plugged in to emergency (red) electrical outlets. 
B)  Infusion pumps provide less regulation of flow than do drip controllers. 
C)  Some infusion pumps, called "smart pumps," contain dosage calculation software. 
D)  Infusion pumps can overcome mild resistance and continue to pump into tissues.

Question 17

Which of these IV fluids is a colloid?

Accepted Answer

A)  25% albumin 
B)  5% dextrose solution (D5W) 
C)  0.9% sodium chloride solution (NS) 
D)  Ringer's lactate (RL) 
A)  25% albumin 
B)  5% dextrose solution (D5W) 
C)  0.9% sodium chloride solution (NS) 
D)  Ringer's lactate (RL)

When calculating a gravity infusion, in which unit of measure should the nurse express the flow rate?

A nurse is inspecting the patient's IV tubing through which 0.9% sodium chloride solution is infusing. Within how many hours does IV tubing typically expire after removal from its sterile package?

A provider orders IV replacement fluids for a patient. What is the purpose of replacement fluids?

For which type of infusion are secondary administration sets typically used?

The nurse is caring for a patient with a patient-controlled analgesia (PCA) system in place. The patient is sleeping, but is moaning intermittently. The family asks the nurse to push the PCA button. What is the nurse's most appropriate response?

Which of the following descriptions regarding intermittent infusions are correct? Select all that apply.

Which drop factor is a microdrip tubing?

What is the most important safeguard against improper use of the PCA pump?

The nurse receives an order to increase the flow rate of an IV drip infusing by gravity. How may the nurse safely accomplish this?

Which information should be included on an IV fluid label? Select all that apply.

What is oncotic pressure?

Before connecting IV tubing to a patient, which of the following must the nurse do? Select all that apply.

The nurse is caring for a patient who is vomiting frequently. Which IV fluids should the nurse prepare as ordered?

What is the primary purpose of the IV tubing label?

A provider writes this order: "Infuse D₅W/0.45% normal saline at 150 mL/hr." Which statement accurately describes how the nurse should implement this order?

Which characteristic of an infusion pump requires monitoring by the nurse to prevent complications?

Which of these IV fluids is a colloid?

Whole Numbers

Fractions

Decimals and Percents

Dimensional Analysis

Measures and Equivalents

Conversions

Safety Considerations in Medication Administration

Prescriptions and Medication Orders

Reading Medication Labels and Syringes

Reconstituting Parenteral Medications From a Powder

Calculations Using Weight and Body Surface Area

Intravenous Calculations

Enteral Tube Feedings

Insulin Administration

Heparin Administration

Critical Care Dosage Calculations

Lifespan Considerations in Dosage Calculation

Filters

Exam 12: Intravenous Delivery Systems and Equipmen

When calculating a gravity infusion, in which unit of measure should the nurse express the flow rate?

A nurse is inspecting the patient's IV tubing through which 0.9% sodium chloride solution is infusing. Within how many hours does IV tubing typically expire after removal from its sterile package?

A provider orders IV replacement fluids for a patient. What is the purpose of replacement fluids?

For which type of infusion are secondary administration sets typically used?

The nurse is caring for a patient with a patient-controlled analgesia (PCA) system in place. The patient is sleeping, but is moaning intermittently. The family asks the nurse to push the PCA button. What is the nurse's most appropriate response?

Which of the following descriptions regarding intermittent infusions are correct? Select all that apply.

Which drop factor is a microdrip tubing?

What is the most important safeguard against improper use of the PCA pump?

The nurse receives an order to increase the flow rate of an IV drip infusing by gravity. How may the nurse safely accomplish this?

Which information should be included on an IV fluid label? Select all that apply.

What is oncotic pressure?

Before connecting IV tubing to a patient, which of the following must the nurse do? Select all that apply.

The nurse is caring for a patient who is vomiting frequently. Which IV fluids should the nurse prepare as ordered?

What is the primary purpose of the IV tubing label?

A provider writes this order: "Infuse D5W/0.45% normal saline at 150 mL/hr." Which statement accurately describes how the nurse should implement this order?

Which characteristic of an infusion pump requires monitoring by the nurse to prevent complications?

Which of these IV fluids is a colloid?

Whole Numbers

Fractions

Decimals and Percents

Dimensional Analysis

Measures and Equivalents

Conversions

Safety Considerations in Medication Administration

Prescriptions and Medication Orders

Reading Medication Labels and Syringes

Reconstituting Parenteral Medications From a Powder

Calculations Using Weight and Body Surface Area

Intravenous Calculations

Enteral Tube Feedings

Insulin Administration

Heparin Administration

Critical Care Dosage Calculations

Lifespan Considerations in Dosage Calculation

Filters

A provider writes this order: "Infuse D₅W/0.45% normal saline at 150 mL/hr." Which statement accurately describes how the nurse should implement this order?