Question 1

The nurse is assessing an intravenous (IV) insertion site noting redness, warmth, and mild swelling. The patient reports a burning pain along the course of the vein during medication administration. Which term should the nurse use when documenting these findings in the medical record?

Accepted Answer

A)  Phlebitis
B)  Infiltration
C)  Extravasation
D)  Occlusion A

Question 2

Which intravenous (IV) fluid should the nurse prepare when a patient requires an isotonic solution?

Accepted Answer

A)  0.9% Normal saline
B)  2.5% Dextrose in water
C)  0.33% Sodium chloride
D)  5% Dextrose in lactated Ringer's A

Question 3

Which component should the nurse anticipate will be prescribed for a patient with severe thrombocytopenia?

Accepted Answer

A)  Platelets
B)  Albumin
C)  Fresh frozen plasma
D)  Packed red blood cells A

Question 4

Which component should the nurse anticipate will be prescribed for a patient who is not responding to crystalloids for volume expansion?

Accepted Answer

A)  Platelets
B)  Albumin
C)  Fresh frozen plasma
D)  Packed red blood cells

Question 5

The nurse is caring for a patient who needs to have a peripheral intravenous catheter placed. When the patient requests to have the intravenous (IV) started in the foot, what is the best response by the nurse?

Accepted Answer

A)  "There is an increased risk of infection if an IV is started in your feet or legs."
B)  "There is an increased risk of a clot or inflammation if an IV is started in your foot."
C)  "Placing an IV in your foot decreases blood flow to your feet."
D)  "Placing an IV in your foot is more painful."

Question 6

The nurse administers a blood transfusion to a patient who begins to experience itching and shortness of breath. The nurse notes the patient has hives and facial flushing. Which is the priority action by the nurse?

Accepted Answer

A)  Monitoring vital signs
B)  Stopping the transfusion
C)  Elevating the head of the bed
D)  Administering prescribed antihistamine

Question 7

The nurse should intervene if a patient receiving a blood transfusion develops the following clinical manifestations of circulatory overload. Select all that apply.

Accepted Answer

A)  Dyspnea
B)  Decreased urine output
C)  Bradycardia
D)  Increased blood pressure
E)  Jugular venous distention

Question 8

In providing care to a patient with a severe fluid deficit, which prescribed intravenous solution does the nurse recognize as most effective in expanding plasma volume?

Accepted Answer

A)  0.9 % Normal saline
B)  Dextrose 10% 3.0.45 % Normal saline
C)  Albumin

Question 9

The nurse is providing care to a patient who is receiving a blood transfusion. Ten minutes after the infusion is initiated, the patient reports a headache. On further assessment the nurse notes that the patient is experiencing dyspnea and feels warm to the touch. Which is the priority nursing action by the nurse?

Accepted Answer

A)  Stopping the transfusion
B)  Preparing for a full resuscitation
C)  Notifying the healthcare provider
D)  Decreasing the rate of the transfusion

Question 10

The nurse is administering a blood transfusion to an adult patient. The patient reports feeling cold and is shivering 15 minutes after the initiation of the transfusion. The patient's blood pressure has decreased since the last assessment. Which is the nurse's priority action?

Accepted Answer

A)  Slowing the infusion rate and notifying the healthcare provider
B)  Slowing the infusion rate and continuing to monitor the blood pressure every 5 minutes
C)  Stopping the blood infusion, and infusing normal saline through the existing intravenous (IV)  tubing
D)  Stopping the blood infusion, removing the tubing from the IV catheter, and replacing it with normal saline

Question 11

Which intravenous (IV) fluid should the nurse prepare when a patient requires a hypotonic solution?

Accepted Answer

A)  0.9% Normal saline
B)  5% Dextrose in water
C)  0.33% Sodium chloride
D)  5% Dextrose in lactated Ringer's

Question 12

The nurse is caring for a patient who is to have a peripherally inserted central catheter (PICC) line inserted tomorrow. Because the patient's current peripheral access line is infiltrated and needs to be restarted, which site would the nurse avoid using?

Accepted Answer

A)  Radial vein
B)  Cephalic vein
C)  Median cubital vein
D)  Dorsal metacarpal veins

Question 13

The nurse is initiating intravenous (IV) therapy for an adult patient who requires IV fluid infusion for 2 to 3 days and might require blood administration. Which would the nurse choose as the best option for IV catheterization?

Accepted Answer

A)  Butterfly
B)  Midline catheter
C)  Short over-the-needle catheter
D)  Implantable venous access device

Question 14

The nurse prepares to initiate intravenous (IV) access for an older adult patient who requires a blood transfusion. Which gauge needle is best for the nurse to use for this procedure?

Accepted Answer

A)  18
B)  20
C)  22
D)  24

Question 15

The nurse educator is developing a class on different types of intravenous catheters for an orientation for new staff. The nurse includes which types of catheters as examples of central venous devices? Select all that apply.

Accepted Answer

A)  Midline catheters
B)  PICC lines 3.20-gauge over-the-needle IVAD
C)  Implanted ports
D)  Butterfly catheters

Question 16

The nurse performs an hourly check of a patient's intravenous site and notes erythema. The patient denies pain or discomfort. Based on this data, what should the nurse document in the patient's medical record?

Accepted Answer

A)  Grade 1 phlebitis
B)  Grade 2 phlebitis
C)  Grade 3 phlebitis
D)  Grade 4 phlebitis

Question 17

In monitoring a patient's intravenous (IV) site, the nurse correlates which findings to an infiltration? Select all that apply.

Accepted Answer

A)  Redness at the insertion site
B)  Purulent discharge the insertion site
C)  Leaking of fluid from the insertion site
D)  Blanched skin near the insertion site
E)  Skin cool to touch near the insertion site

Question 18

Which component should the nurse anticipate will be prescribed for a patient with an elevated prothrombin time (PT) and international normalized ratio (INR) who is at an increased risk for bleeding?

Accepted Answer

A)  Platelets
B)  Albumin
C)  Fresh frozen plasma
D)  Packed red blood cells

Question 19

The nurse is reviewing new healthcare provider orders on a patient admitted for treatment of severe dehydration. The patient's serum osmolality is 300 mOsm/kg. It is a priority for the nurse to follow up with the provider if which solution is ordered?

Accepted Answer

A)  5% Dextrose in lactated Ringer's solution (D5LR) 
B)  Dextrose 5% in 0.45% normal saline 
C)  0.45% Normal saline
D)  Dextrose 5% in 0.9% normal saline

Question 20

The patient who has been receiving Total Parenteral Nutrition (TPN) is being tapered from this therapy. It is important for the nurse to monitor for which complication if the solution is discontinued too rapidly?

Accepted Answer

A)  Hyperkalemia
B)  Hypernatremia
C)  Hypoglycemia
D)  Hypocalcemia

Exam 10: Overview of Infusion Therapies

The nurse is assessing an intravenous (IV) insertion site noting redness, warmth, and mild swelling. The patient reports a burning pain along the course of the vein during medication administration. Which term should the nurse use when documenting these findings in the medical record?

Which intravenous (IV) fluid should the nurse prepare when a patient requires an isotonic solution?

Which component should the nurse anticipate will be prescribed for a patient with severe thrombocytopenia?

Which component should the nurse anticipate will be prescribed for a patient who is not responding to crystalloids for volume expansion?

The nurse is caring for a patient who needs to have a peripheral intravenous catheter placed. When the patient requests to have the intravenous (IV) started in the foot, what is the best response by the nurse?

The nurse administers a blood transfusion to a patient who begins to experience itching and shortness of breath. The nurse notes the patient has hives and facial flushing. Which is the priority action by the nurse?

The nurse should intervene if a patient receiving a blood transfusion develops the following clinical manifestations of circulatory overload. Select all that apply.

In providing care to a patient with a severe fluid deficit, which prescribed intravenous solution does the nurse recognize as most effective in expanding plasma volume?

The nurse is administering a blood transfusion to an adult patient. The patient reports feeling cold and is shivering 15 minutes after the initiation of the transfusion. The patient's blood pressure has decreased since the last assessment. Which is the nurse's priority action?

Which intravenous (IV) fluid should the nurse prepare when a patient requires a hypotonic solution?

The nurse is caring for a patient who is to have a peripherally inserted central catheter (PICC) line inserted tomorrow. Because the patient's current peripheral access line is infiltrated and needs to be restarted, which site would the nurse avoid using?

The nurse is initiating intravenous (IV) therapy for an adult patient who requires IV fluid infusion for 2 to 3 days and might require blood administration. Which would the nurse choose as the best option for IV catheterization?

The nurse prepares to initiate intravenous (IV) access for an older adult patient who requires a blood transfusion. Which gauge needle is best for the nurse to use for this procedure?

The nurse educator is developing a class on different types of intravenous catheters for an orientation for new staff. The nurse includes which types of catheters as examples of central venous devices? Select all that apply.

The nurse performs an hourly check of a patient's intravenous site and notes erythema. The patient denies pain or discomfort. Based on this data, what should the nurse document in the patient's medical record?

In monitoring a patient's intravenous (IV) site, the nurse correlates which findings to an infiltration? Select all that apply.

Which component should the nurse anticipate will be prescribed for a patient with an elevated prothrombin time (PT) and international normalized ratio (INR) who is at an increased risk for bleeding?

The nurse is reviewing new healthcare provider orders on a patient admitted for treatment of severe dehydration. The patient's serum osmolality is 300 mOsm/kg. It is a priority for the nurse to follow up with the provider if which solution is ordered?

The patient who has been receiving Total Parenteral Nutrition (TPN) is being tapered from this therapy. It is important for the nurse to monitor for which complication if the solution is discontinued too rapidly?