Question 1

Which of the following are gravity-flow devices that regulate the fluid's passage through the pump?

Accepted Answer

A)  infusion pumps 
B)  infusion controllers 
C)  ultrasound-guided intravenous access devices 
D)  blood tubes

Question 2

Which of the following catheters would allow the greatest volume of fluid to be delivered in a given period?

Accepted Answer

A)  16 gauge, 2ʺ 
B)  14 gauge, ʺ  
C)  16 gauge, ʺ  
D)  14 gauge, 2ʺ

Question 3

What is the name of the needle used to access an implanted port?

Accepted Answer

A)  Huber 
B)  Portacath 
C)  Broviac 
D)  Hickman

Question 4

Which of the following is a disadvantage of pulmonary drug administration via nebulizer or metered dose inhaler?

Accepted Answer

A)  It requires a larger dose than other routes. 
B)  It requires the patient to have adequate ventilation. 
C)  Pulmonary absorption is a slow route for drug administration. 
D)  Side effects are more likely with pulmonary drug administration.

Question 5

With regard to placing peripheral intravenous lines with an ultrasound device, which of the following is NOT a correct statement about arteries and veins?

Accepted Answer

A)  Veins collapse easily and completely when gentle pressure is applied with the transducer. 
B)  Arteries will not collapse completely, although slight compression of artery walls can be seen. 
C)  Color-flow Doppler and pulsed-wave spectral Doppler can help identify veins and differentiate them from arteries. 
D)  Veins will often be pulsating and the venous walls may be thicker than arterial walls.

Question 6

Paramedics administer some medications under direct authorization from the medical director, and some under:

Accepted Answer

A)  Standard Precautions. 
B)  administration tubing. 
C)  blood tubing. 
D)  standing orders.

Question 7

A solid disk of compressed medicated powder, which may be scored to permit breaking, is known as a:

Accepted Answer

A)  suppository. 
B)  capsule. 
C)  tablet. 
D)  lozenge.

Question 8

Which of the following is considered a site of central venous access?

Accepted Answer

A)  Femoral vein 
B)  Median cephalic vein 
C)  External jugular vein 
D)  Saphenous vein

Question 9

Which of these procedures does NOT require a constricting band?

Accepted Answer

A)  External jugular IV insertion 
B)  Peripheral IV insertion 
C)  Cephalic vein IV insertion 
D)  Basilic vein IV insertion

Question 10

Your patient is having a cholecystectomy this evening. To prevent dehydration, she is to receive 5 percent dextrose in 0.45 percent saline solution at a rate of 150 mL/hour. Using 20 drops/mL tubing, what is the drip rate in drops/minute?

Accepted Answer

A)  150 
B)  75 
C)  60 
D)  50

Question 11

What must be done to the concentration of a medication if it is given endotracheally?

Accepted Answer

A)  2 to 2.5 times normal IV dose 
B)  1.5 times normal IV dose 
C)  Same as IV dose 
D)  3 times the IV dose

Question 12

Your patient is experiencing right lower quadrant pain following a syncopal episode. She reports that her last menstrual period (LMP) was about six weeks ago. While she is awaiting an abdominal CT, the surgery resident asks that you initiate an IV of lactated Ringer's solution using a blood set (10 drops/mL) and infuse 1 liter over 1 hour. What drip rate (in drops/minute) will you use to attain this rate of administration?

Accepted Answer

A)  17 
B)  600 
C)  67 
D)  167

Question 13

By which of the following routes will medication have the quickest onset of action?

Accepted Answer

A)  Intramuscular 
B)  Subcutaneous 
C)  Oral 
D)  Intradermal

Question 14

The maximum volume of medication to be delivered into the deltoid muscle is ________ mL.

Accepted Answer

A)  3 
B)  1 
C)  2 
D)  5

Question 15

Into which of the following containers would it be necessary to inject a volume of air equal to the intended volume of medication before withdrawing the medication with a needle and syringe?

Accepted Answer

A)  Ampule 
B)  Vial 
C)  Nebulizer 
D)  Prefilled syringe

Question 16

Using microdrip IV tubing, how many drops of fluid equal 1 mL?

Accepted Answer

A)  60 
B)  10 
C)  20 
D)  15

Question 17

Which of the following is the appropriate method for preparing a site for venipuncture or injection?

Accepted Answer

A)  Chemical sterilization 
B)  Use of a disinfectant 
C)  Use of an antiseptic 
D)  Use of a sanitizer

Question 18

A liquid preparation that contains small particles of a solid medication is known as a(n):

Accepted Answer

A)  suspension. 
B)  elixir. 
C)  syrup. 
D)  reconstituted medication.

Question 19

Which of the following gives you greater control over medication delivery and allows you to easily discontinue the infusion when therapy is complete or must be stopped?

Accepted Answer

A)  piggybacking IV infusions through an existing intravenous line 
B)  establishing a primary IV line and ensuring patency 
C)  inserting the hypodermic needle into the medication port and injecting the medication 
D)  confirming the medication, indication, dosage, and need for an IV bolus

Exam 14: Intravenous Access and Medication Administration