NURSING LAB EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
When initiating a peripheral IV in an adult for short term fluid replacement, the
nurse should select a ________gauge angiocatheter. - CORRECT ANSWER-22
Swelling, bruising and blood leaking at the IV site after inserting a peripheral IV
catheter are manifestations of: - CORRECT ANSWER-Hematoma
Which of the following actions enhance vein visibility prior to initiating peripheral
IV therapy? Select all that apply.
a) Apply a tourniquet 4-6cm above the selected site
b) place the extremity in a dependent position
c) use a transillumination (ultrasound device)
d) shave the skin surface to remove excess hair
e) apply a warm compress to the extremity - CORRECT ANSWER-b) place the
extremity in a dependent position
c) use a transillumination (ultrasound device)
e) apply a warm compress to the extremity
True or False
Aseptic technique and body fluid precautions are required when performing
venipuncture for blood specimen collection. - CORRECT ANSWER-True
Nursing Lab Exam QUESTIONS WITH COMPLETE SOLUTIONS
,When inserting an angiocatheter into a peripheral vein, the nurse should begin at
an angle of ________ and have the bevel _____. - CORRECT ANSWER-20-30
degrees; up
True or False
A location proximal to an existing site must be used when re-siting an IV into the
same extremity. - CORRECT ANSWER-True (vein selection)
Which assessment finding indicates correct application of a tourniquet to a
patient's arm? - CORRECT ANSWER-The nurse palpates a radial pulse on the arm.
Which interventions should be performed by the nurse when initiating peripheral
IV therapy for a pediatric patient? - CORRECT ANSWER-Encourage age-
appropriate distraction techniques during the procedure.
Which statement describes the potential effects of hemolysis on the diagnostic
results of blood specimens collected through venipuncture? Select all that apply.
a) The beneficial effects of hemolysis are enhanced by adding preservatives to
blood collection tubes.
b) Hemolyzed blood specimens will be rejected by the laboratory department.
c) Potassium values will be falsely elevated as a result of hemolysis.
d) Hemolysis improves the accuracy of most serum diagnostic values
e) Hemolysis results from hemoglobin and intracellular ingredients being released
into extracellular fluid. - CORRECT ANSWER-b) Hemolyzed blood specimens will be
rejected by the laboratory department.
c) Potassium values will be falsely elevated as a result of hemolysis.
e) Hemolysis results from hemoglobin and intracellular ingredients being
released into extracellular fluid.
Nursing Lab Exam QUESTIONS WITH COMPLETE SOLUTIONS
, While attempting to insert a peripheral IV, the nurse notes swelling and bruising
of the client's skin around the puncture site. What action should the nurse take? -
CORRECT ANSWER-Remove the IV catheter and apply pressure.
In patients that have a chest tube, range of motion (ROM) exercises are initiated
to prevent arm and shoulder stiffening. What nursing considerations are
appropriate for this intervention? Select all that apply
a) ROM exercises are done on the affected side.
b) ROM exercises should be initiated 24-48 hours post-surgical intervention.
c) Regular or scheduled doses of acetaminophen can help relieve shoulder pain.
d) Pain assessment should always precede exercise
e) Range of motion exercises should be initiated as soon as physiologically
possible. - CORRECT ANSWER-a) ROM exercises are done on the affected side.
c) Regular or scheduled doses of acetaminophen can help relieve shoulder pain.
d) Pain assessment should always precede exercise
e) Range of motion exercises should be initiated as soon as physiologically
possible.
The nurse monitoring a patient in the emergency room and is concerned that
pneumothorax may be present. What clinical indications would the nurse be
looking for? Select all that apply.
a) Increasing shortness of breath
b) Increasing oxygen saturation
c) Increased respiratory rate
d) Increased respiratory distress
e) Tachycardia - CORRECT ANSWER-a) Increasing shortness of breath
Nursing Lab Exam QUESTIONS WITH COMPLETE SOLUTIONS
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