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Relias IV Therapy/Infusion Competency Assessment
2025-2026
Relias IV Therapy/Infusion Competency 3 Exam A
Review Questions and Answers | 100% Pass
Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
1. A nurse is assessing clients who have
intravenous therapy prescribed. Which
assessment finding for a client with a
peripherally inserted central catheter (PICC)
requires immediate attention?
a. The initial site dressing is 3 days old.
b.The PICC was inserted 4 weeks ago.
c. A securement device is absent.
d.Upper extremity swelling is noted.:
=ANSWER>>: D
Upper extremity swelling could indicate infiltration, and
the PICC will need to be removed.
The initial dressing over the PICC site would be
changed within 24 hours. This does not
require immediate attention, but the swelling does. The
dwell time for PICCs can be months
or even years. Securement devices are being used
more often now to secure the catheter in
place and prevent complications such as phlebitis and
infiltration. The IV lacking one does not
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take priority over the client whose arm is swollen.
2. A nurse assesses a client's peripheral IV site,
and notices edema and tenderness above the
site. What action will the nurse take next?
a. Apply cold compresses to the IV site.
b.Elevate the extremity on a pillow.
c. Flush the catheter with normal saline.
d.Stop the infusion of intravenous fluids.:
=ANSWER>>: D
Infiltration occurs when the needle dislodges partially
or completely from the vein.
Signs of
infiltration include edema and tenderness above the
site. The nurse would stop the infusion
and remove the catheter. Cold compresses and
elevation of the extremity can be done after the
catheter is discontinued to increase client comfort.
Alternatively, warm compresses may be
prescribed per institutional policy and may help speed
circulation to the area.
3. A new nurse is caring for a client receiving drug
therapy via a smart pump. What statement by
the new nurse demonstrates the need for more
instruction on this technology?
a. "I don't need to manually calculate IV infusion
rates with smart pumps."
b."Responding to IV pump alarms is a high
priority for client safety."
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c. "The hospital can preprogram the pumps for
high-alert drug limits."
d."These pumps have a system to prevent fluids
from free-flowing into the client.":
=ANSWER>>: A
The "smarter" the pump is the more programming
needs to occur and errors can happen and systems can
fail. Using a programmable pump does not relieve the
nurse of his or her responsibility to monitor the infusion
site and rates and ensure the client is receiving the
fluids or medications as prescribed. The Joint
Commission continues to include responding to alarms
as a National Patient Safety Goal. Pumps can be
preprogrammed so that upper limits exist for high-alert
drugs. All electronic infusion devices have some
mechanism for preventing free flow of fluids if the
cassette or tubing is removed from the pump.
4. A nurse delegates care to an assistive
personnel (AP). Which statement will the nurse
include when delegating hygiene for a client
who has a vascular access device?
a. "Provide a bed bath instead of letting the
client take a shower."
b."Use sterile technique when changing the
dressing."
c. "Disconnect the intravenous fluid tubing prior
to the client's bath."
d."Use a plastic bag to cover the extremity with
the device.": =ANSWER>>: D
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