IV Therapy ATI Review Test Questions

question

Which of the following is an important nursing action when converting an IV infusion to a saline lock? A. Open the roller clamp of the primary infusion to prime the saline lock B. Apply pressure with a syringe to clear resistance in the IV catheter C. Attach secondary tubing to allow mobility D. Flush the IV catheter to confirm patency
answer

D
question

A nurse is discontinuing an IV infusion. For which of the following reasons is it important to verify and document the integrity and condition of the IV catheter? A. A broken-off catheter tip indicates the risk for an embolus B. Catheter erosion indicates that is was left in place too long C. Blood within the catheter could indicate clot formation D. Discoloration of the catheter could be a sign of phlebitis
answer

A
question

A nurse initiating a peripheral IV infusion punctures the skin and selected vein and observes blood return in the flashback chamber of the IV catheter. Which of the following actions should the nurse preform next? A. Secure the catheter to the skin with a transparent dressing B. Lower the catheter until it is almost flush with the skin C. Advance the catheter about 1/4 inch into the vein D. Remove the stylet slowly from the lumen of the catheter
answer

B
question

A nurse has just inserted a peripheral IV catheter for a continuous infusion. To secure the catheter, the nurse should A. leave the connection between the hub and the tubing uncovered B. wrap tape around the circumference of the patient’s arm C. tape the IV catheter’s hub securely to the patient’s skin D. place a piece of paper tape over the insertion site
answer

A
question

A nurse finds a patient’s IV insertion site red, warm, and slightly edematous. Which of the following actions should the nurse perform first? A. Check for a blood return B. Elevate the extremity C. Discontinue the IV line D. Apply warm, moist heat
answer

C
question

A nurse is removing an IV catheter from a patient whose IV infusion has been discontinued. Which of the following actions is appropriate? A. Apply firm pressure over the vein B. Leave the roller clamp slightly open C. Pull the catheter straight back form the insertion site D. Lift the hub slightly upward away from the skin
answer

C
question

A patient in early stage renal failure is prescribed an infusion of 0.45% NaCl. This type of solution is appropriate because it A. pulls fluid from the cells and increases vascular volume B. dilutes extracellular fluid and rehydrates the cells C. replaces extracellular volume and maintains intravascular volume D. draws fluid into blood vessels and reduces interstitial compartments
answer

B
question

A nurse has just initiated a peripheral IV infusion of 5% dextrose in water. How often should the nurse plan to replace the primary infusion tubing? A. Every 24 hours B. Every 48 hours C. Every 72 hours D. Every 108 hours
answer

C
question

A nurse who has just initiated an IV infusion explains to the patient that complications are possible and that she will monitor the infusion regularly. The nurse should teach the patient that which of the following findings is an indication of early infiltration? A. Moisture B. Bruising C. Tingling D. Coolness
answer

D
question

A patient is to receive 1,000 mL of 5% dextrose in lactated Ringer’s over 8 hours. Using tubing with a drop factor of 15 gtt/mL, the nurse should regulate the fluid to infuse at how many drops per minute?
answer

31 gtt/min

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