Question 1
Question
Because of a communication error, the pharmacy says that there is a long delay for a replacement bag of total parenteral nutrition TPN to be mixed and delivered to the unit for the patient. The nurse recognizes that a physicians order is needed for which type of IV fluid while awaiting the replacement bag of TPN?
Answer
-
0.45% Saline
-
5% Dextrose in water
-
10% Dextrose water
-
Lactate ringer
Question 2
Question
A nurse is assessing the patient who has severe vomiting and diarrhea. The purpose of IV infusions for this patient is to:
Answer
-
Provide fluids to reduce elevation in temperature
-
Control the nausea and vomiting
-
Replenish fluids and correct dehydration
-
Deliver medication to stabilize blood pressure
Question 3
Question
What is the nurses primary responsibility in the daily care of a patient with a central line?
Answer
-
Use sterile technique during insertion
-
Flush the line according to agency policy
-
Verify catheter placement with an x-ray examination
-
Rotate the insertion site every 72 hours
Question 4
Question
A patient receives a total of 4000 ML's of D5W over 48 hours. How many calories will this fluid supply?
Question 5
Question
A nurse is adding a secondary piggyback to the patients existing IV. To use the gravity system, the nurse should hang:
Answer
-
The piggyback bag higher than the maintenance IV bag
-
The maintenance IV bag at the same height as the piggyback bag
-
The piggyback bag and the maintenance IV bag using Y tubing
-
The maintenance IV bag after the piggyback bag is completed
Question 6
Question
The nurse needs to establish a peripheral IV access on adult trauma patient. Which catheter is the best choice?
Question 7
Question
In which circumstance would be used of a burette be advised as a safety device
Answer
-
A trauma patient needs several units of packed red blood cells
-
The patient needs IV fluids, but no infusion pump is available
-
An infant is at risk for IV fluid overload
-
A confused patient keeps trying to unplug the infusion pump
Question 8
Question
The nurse must assess for complications of IV therapy signs of common complications include:
Answer
-
Swelling and coldness at the site
-
Redness along the vein
-
Pale skin at the insertion site
-
Immobility of the extremity
-
Erythema and tenderness
-
Vomiting and diarrhea
Question 9
Question
The patient is receiving a blood transfusion in and begins to have symptoms within 10 minutes after the start of the transfusion. What is the priority action?
Answer
-
Take vital signs and call the physician
-
Place the patient in a Supine position and start oxygen
-
Stop the blood and change the IV tubing
-
Slow the blood and check the vital signs
Question 10
Question
A patient returns from physical therapy, and her IV has a very sluggish flow, but it was functioning well before going to PT. What is the priority nursing action?
Answer
-
Call PT and ask if anything happened to the IV during the treatment session
-
Discontinue the IV and restart be IV at a new site
-
Assess the IV insertion site and tubing and try repositioning the extremity
-
Use a heparin flush to clear the line
Question 11
Question
The doctor orders the D5W (5 % dextrose in water) to infuse at 150 mL/hr the nurse is using macrodrop tubing (10 gtt/mL.) what is the drop rate? [blank_start]25[blank_end] gtt/min
Question 12
Question
The doctor orders 1000 ML's of normal normal saline to infuse over eight hours. What is the pump setting? [blank_start]125[blank_end] mL/hr.
Question 13
Question
This has greater concentration also having greater tonicity then blood, solution Enters the vessel.
Answer
-
Hypotonic
-
Hypertonic
-
Isotonic
Question 14
Question
This solution is of equal solute concentration; solutions that have the same concentration, or osmolality, as blood and are used to expand the fluid volume of the body. It stays where I put it.
Answer
-
Isotonic
-
Hypotonic
-
Hypertonic
Question 15
Question
This solution is lesser concentration; containing less solute than extravascular fluid. This solution goes Out of the vessels.
Answer
-
Hypertonic
-
Hypotonic
-
Isotonic
Question 16
Question
This route is the main method of supplying The patient with fluids and medications when the patient is unable to take them orally.
Answer
-
Intervenous
-
Rectally
-
Topically
-
Orally
Question 17
Question
This is a concentrated dose given in a short period of time intravenously.
Answer
-
Bolus
-
TPN
-
Colloids
-
Infusion
Question 18
Question
Solutions that are given intravenously must be sterile they are supplied in plastic bags that come in what mLs?
Question 19
Question
This type of administration set consist of a bag a solution, a regular tubing set, and a needleless connector, and an IV stand.
Question 20
Question
This administration set, where medication is to be given intravenously and often added to an existing IV line by using what method.
Question 21
Question
This administration set is used to infuse certain blood products.
Answer
-
Primary IV sets
-
Piggyback IV sets
-
Secondary IV sets
-
Y site sets
Question 22
Question
You can administer blood products with any type of medication.
Question 23
Question
This type of administration set has a dose of diluted medication that can also be given through and infusion pump a machine that delivers Abby fluids at a rate that is set by the nurse.
Question 24
Question
You should be checking your pumps how often?
Answer
-
1-2 hours
-
6-8 hours
-
Every shift
-
Once a day
Question 25
Question
You can use these to trap particles such as undissolved medication or salts that have precipitated from solution.
Answer
-
Filters
-
Cannula
-
Hubs
-
Aseptic
Question 26
Question
What is the slogan that was developed to emphasize the importance of using a sterile alcohol pad with friction and time when assessing a central line injection port for IV connection.
Question 27
Question
What are some signs and symptoms of fluid overload
Question 28
Question
The wingtip or butterfly needle is meant for what type of therapy
Answer
-
Short term
-
Long term
-
Blood products
-
Viscous fluids
Question 29
Question
The wing tips for butterfly needles, and what type of gauges
Answer
-
Odd numbered
-
Even numbered
Question 30
Question
For clear aqueous solutions what size gauge needle is used
Answer
-
17-18 gauge
-
20 - 22 gauge
-
18 - 19 gauge
-
23-25 gauge
Question 31
Question
For a more viscous fluid, blood products or a rapid administration of large amounts of fluid what size gauge needle should you use?
Answer
-
18-19 gauge
-
20-22 gauge
-
23-25 gauge
-
Filtered needle
Question 32
Question
You should never take a blood pressure on the arm that has a Picc or ML catheter in place.
Question 33
Question
Correct placement of the subclavian catheter's must be verified by what type of procedure before any fluid is infuse through them?
Answer
-
X-ray
-
MRI
-
Ct scan
-
Palpation
Question 34
Question
Never use a syringe that is smaller than what mL for flushing a central line?
Question 35
Question
This is when a piece of the catheter travels through a vessel and lodges, obstructing blood flow.
Answer
-
Air embolus
-
Catheter embolus
-
Infiltration
-
Extravasation
Question 36
Question
This occurs when fluid or medication leaks out of the vein into the tissue with signs and symptoms including edema around the site and cool, pale tissue. The flow can be slow and sluggish.
Answer
-
Infiltration
-
Extravasation
-
Catheter embolus
-
Air embolus
Question 37
Question
This is the infiltration of the second drug from an IV line with the appearance of the site the patient's subjective complaints may initially be similar to those with infiltration the damage may go unnoticed for 48 to 72 hours.
Answer
-
Infiltration
-
Extravasation
-
Septicemia
-
Phlebitis
Question 38
Question
When administering blood products you must use a 20 gauge or larger needle
Question 39
Question
This is caused by irritation of the vein by the needle, the catheter, medications, or additives in the IV solution. The typical signs are your Erythema, warmth, swelling, and tenderness.
Answer
-
Phlebitis
-
Thrombosis
-
Septicemia
-
Speed shock
Question 40
Question
This is a type a blood stream infection that occurs when infectious pathogens are introduced into the bloodstream.
Answer
-
Phlebitis
-
Septicemia
-
Thrombosis
-
Speed shark
Question 41
Question
Your patient has an air embolus which can occur when changing bags or an opening the line and the subclavian have a sudden drop in the blood pressure increase in the pulse, what would be a nursing implication?
Answer
-
Place in Trendelenburg with patient on their left side
-
Elevate the head of the bed keep warm assessed for Edema, slowdown infusion rate and notify the physician
-
Remove IV catheter and restart IV in the other extremity
-
Nothing this is a normal function of the body
Question 42
Question
This occurs when fluids or medications are given by bolus or administered to rapidly?
Answer
-
Speed shock
-
Air embolus
-
Phlebitis
-
Circulatory overload
Question 43
Question
What is a nursing action if your patient has a catheter embolus?
Answer
-
Place a tourniquet it high on a limb above the IV site.
-
Place a tourniquet below the IV site
-
Nothing they will pass it themselves
-
Press the code button and start CPR
Question 44
Question
The primary fluid must be [blank_start]higher[blank_end] to flow before the secondary fluid.
Question 45
Question
Your flushing an IV after administering medications, how many mLs should you flush with?
Question 46
Question
How long do signed consents for blood last?
Answer
-
48-72 hours
-
12-24 hours
-
They don't expire
-
6 months
Question 47
Question
Evidence based practice indicates that what type of solution is the only solution used in combination with infusion of a blood products.
Answer
-
Normal saline
-
D5W
-
D5LR
-
Dextrose 5%
Question 48
Question
TPN must be replaced every [blank_start]24 hours[blank_end].
Answer
-
24 hours
-
12 hours
-
36 hours
-
7 days
Question 49
Question
Blood must be infused within how long of release from the blood bank.
Answer
-
4 hours
-
20 minutes
-
8 hours
-
After med pass
Question 50
Question
Your going to stay with your patient for the first little bit of blood administration, how long is minimum?
Answer
-
5 minutes
-
10 minutes
-
15 minutes
-
30 minutes
Question 51
Question
Your going to take your patient's vitals while administering blood at the beginning to get a baseline and again [blank_start]15[blank_end] minutes after start of administration.
Question 52
Question
What is the first nursing action when a transfusion reaction occurs?