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Unit 1 IV Therapy & Blood Administration NCLEX Exam Questions and Answers 100% Solved $10.99
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Unit 1 IV Therapy & Blood Administration NCLEX Exam Questions and Answers 100% Solved
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Unit 1 IV Therapy & Blood Administration NCLEX Exam Questions and Answers 100% Solved A nurse is assisting with caring for a client who will receive a unit of blood. Just before the infusion, it is most important for the nurse to assess the client's: 1. Vital signs 2. Skin color 3. Oxygen s...

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  • October 13, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
Unit 1 IV Therapy & Blood

Administration NCLEX Exam Questions

and Answers 100% Solved


A nurse is assisting with caring for a client who will receive a unit of blood.

Just before the infusion, it is most important for the nurse to assess the

client's:

1. Vital signs

2. Skin color

3. Oxygen saturation

4. Latest Hct level - ✔✔1.

A client who is receiving a blood transfusion rings the call bell for the nurse.

When entering the room, the nurse notes that the client is flushed,

dyspneic, and complaining of generalized itching. The nurse interprets that

the client is experiencing:

1. Bacteremia

2. Fluid overload

3. Hypovolemic shock

,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
4. A transfusion reaction - ✔✔4

A client who was receiving a blood transfusion has experienced a

transfusion reaction. The nurse sends the blood bag that was used for the

client to which of the following areas?

1. The pharmacy

2. The laboratory

3. The blood bank

4. The risk-management department - ✔✔3.

A nurse takes a client's temperature before giving a blood transfusion. The

temperature is 100 degrees F orally. The nurse reports the finding to the

RN and anticipates that which of the following actions will take place?

1. The transfusion will begin as prescribed

2. The blood will be held and the physician will be notified

3. The transfusion will begin after the administration of an antihistamine

4. The transfusion will begin after the administration of 600 mg of

acetaminophen - ✔✔2

A nurse is assisting with caring for a client who has received a transfusion

of platelets. The nurse determines that the client is benefiting most from

this therapy if the client exhibits which of the following?

1. An increased Hct level

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
2. An increased Hgb level

3. A decline of the temperature to normal

4. A decrease in oozing from puncture sites and gums - ✔✔4

A client has an order to receive 1000 mL of 5% dextrose in 0.45% NaCl.

After gathering the appropriate equipment, the nurse takes which action

first before spiking the IV bag with the tubing?

1. Uncaps the distal end of the tubing

2. Uncaps the spike portion of the tubing

3. Opens the roller clamp on the IV tubing

4. Closes the roller clamp on the IV tubing - ✔✔4.

A nurse is doing a routine assessment of a client's peripheral IV site. The

nurse notes that the site is cool, pale, and swollen and that the IV has

stopped running. The nurse determines that which of the following has

probably occurred?

1. Phlebitis

2. Infection

3. Infiltration

4. Thrombosis - ✔✔3.

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