Advanced Skills Final Exam Questions with Correct Answers
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Course
Advanced RN math ability
Institution
Advanced RN Math Ability
which of the following steps is necessary when a patient is prepared for IV insertion?
a) shaving the hair from the site
b) selecting a proximal site in an extremity
c) applying a tourniquet 4 to 6 inches above the selected site
d) vigorously taping and massaging the selected vein - Answer-c...
Advanced Skills Final Exam Questions
with Correct Answers
which of the following steps is necessary when a patient is prepared for IV insertion?
a) shaving the hair from the site
b) selecting a proximal site in an extremity
c) applying a tourniquet 4 to 6 inches above the selected site
d) vigorously taping and massaging the selected vein - Answer-c) applying a tourniquet
4 to 6 inches above the selected site
why is the IV push considered a dangerous method by which to administer
medications? (select all that apply)
a) it does not allow time to correct errors
b) it may be irritating to the lining of blood vessels
c) it can cause pain and abscesses
d) it can cause sloughing of tissues - Answer-all of the above
what should the nurse do when discontinuing a peripheral IV?
a) withdraw that catheter quickly
b) keep the hub perpendicular to the skin
c) apply pressure to the site for 1 minute
d) inspect the catheter for intactness after removal - Answer-d) inspect the catheter for
intactness after removal
true or false: intravenous therapy is a method of replacing fluid and electrolytes into the
blood stream rather than the digestive system - Answer-true
when considering IV insertion sites, which of the following are true? (select all that
apply)
a) avoid areas easily bumped in the elderly and children (like the wrists)
b) always start proximal with insertion sites and move more distal
c) avoid any site which appears infected
d) avoid using any site with a graft/fistula or mastectomy - Answer-a, c, d
true or false: infiltration occurs when IV fluids enter the surrounding space around the
venipuncture site - Answer-true
in order to discontinue an IV line, the nurse should obtain which item from the supply
area for applying pressure to the site after removing the IV catheter?
, a) elastic wrap
b) betadine swab
c) adhesive bandage
d) sterile 2x2 gauze - Answer-d) sterile 2x2 gauze
what is the best choice of IV size?
a) the larges one you fell you can successfully insert in the patient
b) the smallest you can find
c) the smallest gauge to accommodate therapy
d) the largest gauge your facility has - Answer-c) the smallest gauge to accommodate
therapy
what materials are necessary when preparing to start an IV? (select all that apply)
a) gloves
b) gown
c) IV catheter
d) saline flush
e) eye protection
f) mask
g) primed saline lock - Answer-a, c, d, g
when a patient who needs an IV has cold extremities and few veins are visible or small,
which of the following are acceptable techniques to help improve the likelihood of a
successful IV insertion?
a) turn up the heat in the room and return in about an hour when the patient is warmer
b) apply warm packs to the extremity for 5-10 minutes
c) blow warm air on the extremity with a blow dryer for 3-5 minutes
d) allow the tourniquet to remain in place for a few minutes while you prepare your
equipment - Answer-b) apply warm packs to the extremity for 5-10 minutes
when preparing to insert the needle into the skin, the bevel should be
a) down
b) up
c) it does not matter - Answer-b) up
while in the process of inserting an IV, which of the following is NOT acceptable:
a) enter the skin at a 30-40 degree angle
b) a device may be reused if it is in the same site as the original attempt
c) enter the skin directly over the vein
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