IV Therapy Test
What is the composition of hypotonic intravenous solutions such as 0.45% NaCl?
A. Fewer dissolved particles than blood
B. Approximately the same number of dissolved particles as blood
C. Higher concentrations of dissolved particles than blood
D. Electrolytes and dextrose - ANS-A. Fewer dissolved particles than blood
Which technique by the nurse accurately maintains asepsis of a peripheral intravenous
(IV) access device?
A. Wear gloves when hanging all IV solutions.
B. Apply a topical antibiotic ointment to the insertion site.
C. Change fluid administration sets according to institutional policy.
D. Flush with heparin before use. - ANS-C. Change fluid administration sets according
to institutional policy.
A patient is admitted with hypovolemia due to lack of fluid intake and requires an
infusion of isotonic fluids. Which IV solution will the nurse administer?
A. D50.2 NS
B. D10 NS
C. 0.45 NS
D. 0.9 NS - ANS-D. 0.9 NS
A patient has a peripherally inserted central catheter (PICC) line inserted to continue IV
antibiotic therapy at home. With proper care, how long can this type of venous access
device remain in place?
A. 12 months
B. 6 months
C. 4 months
D. 2 months - ANS-A. 12 months
The physician orders a hypertonic IV for an extremely edematous patient. The nurse
anticipates that the IV preparation will be:
A. D5W in NS
, B. Lactated Ringer' solution
C. D5W in 0.25 NS
D. 10% glucose in water - ANS-D. 10% glucose in water
The nurse is carefully checking IV sites for signs of infiltration, which are:
A. Pain, cool to touch, and puffy
B. Pain, heat, and puffy
C. Burning sensation and no feeling at the site
D. Red streak up the arm - ANS-A. Pain, cool to touch, and puffy
An older adult patient is assessed by the nurse as showing signs of fluid volume
excess, which are:
A, Redness, warmth, and drainage of fluid at the IV site
B. Complaints of shortness of breath and bounding pulse
C. Redness, warmth, and tenderness at the IV site
D. Puffiness of face, dyspnea, and pain at the IV site - ANS-B. Complaints of shortness
of breath and bounding pulse
When discontinuing an IV, the nurse will:
A. Remove the dressing, remove the catheter, dispose of the used equipment in the
sharps container, and chart observations and actions.
B. Observe the site for redness, swelling, and pain, and put on sterile gloves. Remove
the dressing catheter and chart the findings and action.
C. Observe the site for redness, swelling, and pain, and put on clean gloves. Remove
the dressing and catheter; chart the findings and action.
D. Observe the site for redness, swelling, and pain, and put on clean gloves. Remove
the dressing and catheter, place a 2 x 2 dressing over the site, and chart the findings
and action. - ANS-D. Observe the site for redness, swelling, and pain, and put on clean
gloves. Remove the dressing and catheter, place a 2 x 2 dressing over the site, and
chart the findings and action.
A patient is receiving an intravenous (IV) infusion of 5% dextrose in 0.45% saline. This
solution is
A. isotonic.
B. hypotonic.
C. hypertonic.