Intravenous Therapy Quizzes: Master IV Insertion, Maintenance, and Discontinuation

Question 1

In selecting the optimal IV fluid for a patient, which factors are crucial to take into account?

Accepted Answer

Patient's age, weight, and fluid balance

Answer

Type of IV catheter employed

Answer

Time of day

Question 2

As per standard protocol, what is the maximum duration an IV catheter can remain inserted in a patient's vein?

Accepted Answer

96 hours

Answer

72 hours

Answer

120 hours

Answer

144 hours

Question 3

Which of the following is NOT recognized as a potential complication associated with IV therapy?

Accepted Answer

Hypotension

Answer

Infection

Answer

Infiltration

Answer

Thrombophlebitis

Question 4

What is the primary purpose of a heparin lock?

Accepted Answer

To maintain IV access when fluids are not running

Answer

To administer medications

Answer

To draw blood samples

Answer

To prevent blood clots

Question 5

To prevent infection during IV therapy, which principle is essential?

Accepted Answer

Aseptic technique during IV insertion and maintenance

Answer

Frequent glove changes

Answer

Prophylactic antibiotic administration

Answer

Wearing sterile gowns and face masks

Question 6

Which type of IV catheter is most commonly used in adults?

Accepted Answer

Peripheral IV catheter

Answer

Central venous catheter

Answer

Umbilical venous catheter

Answer

Arterial catheter

Question 7

For peripheral IV catheter insertion, the optimal site is the:

Accepted Answer

Antecubital fossa

Answer

Dorsum of the hand

Answer

Femoral vein

Answer

External jugular vein

Question 8

Before administering IV medications, it is crucial to:

Accepted Answer

Perform all of the above

Answer

Confirm patient allergies

Answer

Verify the medication order

Answer

Calculate the dosage

Question 9

When drawing blood from an IV catheter, it is essential to:

Accepted Answer

Perform all of the above steps

Answer

Use a sterile syringe

Answer

Flush the catheter with saline before and after drawing blood

Answer

Label the specimen with the patient's information

Question 10

When providing IV therapy to an end-stage renal disease patient who has declined dialysis, what ethical and legal considerations should guide the nurse's actions?

Accepted Answer

Consult with an ethics committee and/or seek legal advice to inform decision-making.

Answer

Follow the physician's orders without considering the patient's wishes.

Answer

Administer IV therapy without obtaining informed consent.

Answer

Assume no responsibility for any complications arising from IV therapy.

Question 11

Which of the following is the preferred site for IV insertion in most adults?

Accepted Answer

Antecubital vein

Answer

Radial vein

Answer

Dorsum of the hand

Answer

Femoral vein

Question 12

Which of the following is a material commonly used in peripheral intravenous catheters?

Accepted Answer

Plastic

Answer

Metal

Answer

Glass

Answer

Ceramic

Question 13

What is the recommended maximum duration for the use of a peripheral intravenous catheter?

Accepted Answer

72 hours

Answer

24 hours

Answer

48 hours

Answer

96 hours

Question 14

Why is aseptic technique essential during IV insertion?

Accepted Answer

To prevent infections by keeping the area sterile.

Answer

To ensure the IV fluids flow at the correct rate.

Answer

To avoid damaging blood vessels.

Question 15

During an assessment for intravenous (IV) therapy, which aspect should be prioritized by the nurse?

Accepted Answer

Assessing the integrity of the patient's veins

Answer

Evaluating the patient's skin turgor

Answer

Evaluating the patient's fluid intake

Answer

Assessing the patient's mental status

Question 16

What is the primary purpose of utilizing a heparin lock?

Accepted Answer

Maintaining the patency of an IV line and preventing clotting

Answer

Allowing for the infusion of fluids

Answer

Administering medications

Question 17

To flush an IV line properly, what is the recommended procedure?

Accepted Answer

Clamp the IV line, inject 10-20 mL of normal saline, and unclamp

Answer

Unclamp the IV line and inject 5 mL of normal saline

Answer

Clamp the IV line, inject 50 mL of normal saline, and unclamp

Question 18

When calculating the flow rate for an IV infusion, what is the appropriate formula?

Accepted Answer

Volume to be infused (mL) / Time (hr)

Answer

Volume to be infused (mL) x Time (hr)

Answer

Time (hr) / Volume to be infused (mL)

Question 19

A patient receiving IV antibiotics develops a fever and chills. What is the appropriate nursing action?

Accepted Answer

Immediately discontinue the IV infusion and notify the healthcare provider

Answer

Administer antipyretics to reduce the fever

Answer

Monitor the patient's temperature and vital signs

Question 20

What is the main purpose of implementing a blood transfusion reaction protocol?

Accepted Answer

To provide guidance to nurses in recognizing and managing transfusion reactions

Answer

To prevent transfusion reactions from occurring

Answer

To document the steps of the transfusion process

Question 21

Which type of intravenous (IV) catheter is most commonly used in healthcare settings?

Accepted Answer

Peripheral IV catheter

Answer

Central venous catheter

Answer

Umbilical vein catheter

Answer

Arterial line

Question 22

What is the most important nursing intervention to prevent IV infiltration?

Accepted Answer

Regularly assessing the IV site and patient's response

Answer

Elevating the IV bag above the insertion site

Answer

Using a large-bore needle for IV insertion

Question 23

What is the primary purpose of flushing an IV line with normal saline?

Accepted Answer

To maintain patency and prevent clotting

Answer

To dilute medications

Answer

To draw blood samples

Answer

To administer medications

Question 24

Which of the following is the most common site for administering IV medications?

Accepted Answer

Peripheral IV catheter

Answer

Umbilical vein catheter

Answer

Central venous catheter

Answer

Arterial line

Question 25

What is the primary purpose of using a heparin lock in IV therapy?

Accepted Answer

Maintaining IV access for intermittent medication administration

Answer

Providing rapid infusion of large fluid volumes

Answer

Preventing blood clotting in the IV tubing

Question 26

In IV administration, which of the following conditions is considered a contraindication?

Accepted Answer

Severe edema

Answer

Age over 65

Answer

History of hypertension

Answer

Mild dehydration

Question 27

When preparing an IV bag for administration, which action is crucial to maintain sterility and prevent contamination?

Accepted Answer

Spiking the bag with a sterile needle

Answer

Mixing medications in the IV bag

Answer

Suspending the bag from the IV pole

Answer

Priming the IV tubing

Question 28

Which of the following is a primary indication for the administration of intravenous fluids?

Accepted Answer

Dehydration (inadequate fluid levels in the body)

Answer

Diabetes (chronic metabolic disorder)

Answer

Pneumonia (infection of the lungs)

Answer

Hypertension (high blood pressure)

Question 29

An early indicator of an IV infiltration is:

Accepted Answer

Swelling or induration around the IV site

Answer

Chills and fever

Answer

Slowed heart rate

Answer

Increased blood pressure

Question 30

The maximum duration an IV bag can be hung before replacement is:

Accepted Answer

24 hours

Answer

48 hours

Answer

12 hours

Answer

36 hours

Question 31

Which of the following is a contraindication for IV therapy?

Accepted Answer

Active sepsis

Answer

Electrolyte imbalance

Answer

Severe dehydration

Answer

Recent surgery

Question 32

A potential complication of IV therapy is:

Accepted Answer

Infection

Answer

Fracture

Answer

Traumatic brain injury

Answer

Stroke

Question 33

The primary purpose of flushing an IV line is:

Accepted Answer

To maintain patency and prevent clotting

Answer

To monitor fluid flow rate

Answer

To administer medications

Answer

To draw blood samples

Question 34

An indication for initiating IV therapy includes:

Accepted Answer

Severe dehydration

Answer

Minor cuts

Answer

Nausea

Answer

Headache

Question 35

An example of an IV fluid is:

Accepted Answer

Normal saline (0.9% NaCl)

Answer

Ibuprofen

Answer

Aspirin

Answer

Acetaminophen

Question 36

Before administering intravenous medication, what is the **first** action a nurse should take?

Accepted Answer

Verify the patient's identity using two identifiers.

Answer

Select the appropriate IV site.

Answer

Cleanse the IV site with antiseptic.

Question 37

When caring for a patient with an IV line, what is a **priority** nursing intervention related to IV therapy?

Accepted Answer

Monitoring the IV site for signs of infiltration or phlebitis.

Answer

Administering the IV fluids at the prescribed rate.

Answer

Documenting the IV fluid intake.

Question 38

To minimize the risk of complications during peripheral IV catheter insertion, which technique is **recommended**?

Accepted Answer

Use aseptic technique throughout the procedure.

Answer

Select a vein in the dominant arm.

Answer

Insert the catheter at a 90-degree angle.

Answer

Apply a tourniquet for a prolonged period of time.

Question 39

Which of the following is a potential complication that can arise from IV therapy?

Accepted Answer

Fluid overload

Answer

Improved circulation

Answer

Increased heart rate

Answer

Decreased blood pressure

Question 40

When discontinuing an IV line, what is the **first** action a nurse should take?

Accepted Answer

Stop the IV fluid infusion.

Answer

Apply pressure to the IV site.

Answer

Remove the IV catheter.

Question 41

Which of the following is **NOT** an essential component of an IV system?

Accepted Answer

Sterile gloves

Answer

IV tubing

Answer

IV bag containing solution

Answer

Intravenous catheter

Question 42

Which of the following observations at an IV site indicates that extravasation has occurred?

Accepted Answer

Swelling and pain at the IV site

Answer

Absence of redness or irritation

Answer

Clear and patent IV tubing

Answer

Stable fluid flow rate

Question 43

In an adult patient, which of the following veins is most appropriate for IV insertion?

Accepted Answer

Median cubital vein

Answer

Great saphenous vein

Answer

Dorsal hand vein

Answer

Subclavian vein

Question 44

What is a potential complication that can arise from IV therapy?

Accepted Answer

Infection

Answer

Pain relief

Answer

Hydration

Answer

Nutrition

Question 45

The primary responsibility of a nurse in IV therapy is to:

Accepted Answer

Ensure the safe and effective administration of IV fluids and medications.

Answer

Monitor IV fluids and medications only

Answer

Insert and remove IV catheters

Question 46

The primary purpose of the IV flow regulator is to:

Accepted Answer

Control the rate of IV fluid infusion

Answer

Provide access for IV medications

Answer

Prevent backflow of blood into the IV bag

Question 47

The most crucial reason for using aseptic technique during intravenous therapy is to:

Accepted Answer

Prevent infection at the insertion site

Answer

Ensure the IV fluid is administered at the correct rate

Answer

Make the procedure faster and easier

Question 48

Your patient with an IV in their left hand complains of pain and redness. Your priority action should be to:

Accepted Answer

Assess the IV site for signs of phlebitis

Answer

Discontinue the IV immediately

Answer

Administer pain medication

Question 49

Which of the following is NOT a common complication of intravenous therapy?

Accepted Answer

Increased blood pressure

Answer

Phlebitis

Answer

Infiltration

Question 50

The top nursing priority during a blood transfusion is to:

Accepted Answer

Monitor for signs of a transfusion reaction

Answer

Document the patient's fluid intake and output

Answer

Assess the patient's vital signs every 4 hours

Question 51

A patient receiving a continuous IV infusion of normal saline is receiving an IV fluid that is classified as:

Accepted Answer

Isotonic

Answer

Hypotonic

Answer

Hypertonic

Question 52

The main purpose of an IV pump is to:

Accepted Answer

Deliver fluids at a precise rate

Answer

Warm the IV fluids

Answer

Prevent infection at the insertion site

Question 53

To prevent complications with a central venous catheter (CVC), the most crucial nursing intervention is to:

Accepted Answer

Maintain strict aseptic technique during all CVC procedures

Answer

Administer pain medication as needed

Answer

Encourage the patient to ambulate frequently