IV Certification Study Guide Exam
Questions And Actual Answers.
____________ solution should be administered in larger veins. Why? - Answer Hypertonic, increased
flow rate
What is the blood flow rate in the cephalic and basilic veins? - Answer 45-95
What is the blood flow rate in the subclavian vein? - Answer 150-300
What is the blood flow rate in the superior vena cava? - Answer 2000
What are some veins you should avoid for venipuncture due to higher risk of nerve injury? (3) - Answer
Cephalic vein, antecubital fossa, palm side of wrist
What are the pros (1) and cons (3) of using the metacarpal veins? - Answer Easy to see, hard to access
in infants/lots of SC fat/loss of skin turgor in older adults
What are the pros (1) and cons (1) of using the basilic veins? - Answer Easy to palpate, moves easily
What is the 16 step venipuncture method? - Answer Check the order, hand hygiene, prepare
equipment, assess patient, select vein, pain management, catheter selection, gloving, site prep, vein
entry, catheter stabilization and dressing, label, dispose equipment, patient education, rate calculations,
documentation
What should the order for and IV include? (8) - Answer Date and time, infusate, route, dose, VTIB, rate,
duration, signature
What are some advantages of midline catheters? (2) - Answer Longer dwell time, improved
hemodilution
, PIVs are used for __ or fewer days of infusion. Midline catheter infusions last for up to __ days. - Answer
5, 14
When do you do hand hygiene when initiating an IV? (6) - Answer Before and after palpating catheter
insertion sites, inserting catheter, replacing catheter, accessing catheter, repairing catheter, dressing
catheter
What are some examples of patient identifiers? (3) - Answer Name, ID number, birth date
What is site selection based on? (6) - Answer Patient's condition, age, diagnosis, vascular condition,
history, type and duration of therapy
In today's practice, is the hand or forearm initially accessed? Why? (4) - Answer Forearm, increase
dwell time, decrease pain, promote self-care, prevent accidental removal
What are advantages to forearm placement? (5) - Answer Larger veins (better hemodilution), less
irritation, less movement, ease of stabilization, less interference with ADLs
When subsequent PIV placement is required, placement should always be ___________ the previously
placed PIV. - Answer Above
Where are some areas to avoid during IV initiation? (6) - Answer Lower extremities (embolism,
phlebitis), compromised veins, areas of flexion, cephalic vein above thumb, ventral surface of wrist (pain,
nerve damage), extremity with cellulitis/fistula/lymph node dissection/side of stroke
Are PIVs reliable for blood tests? - Answer Yes
Scalp veins are used in infants less than what age? - Answer 18 months
With patients who are receiving ______________ therapy, use the smallest cannula possible and make
sure to apply direct pressure over the site when discontinuing the IV. - Answer Anticoagulation
