Intravenous Drug Therapy Quiz
Intravenous Drug Therapy Quiz
Intravenous Drug Therapy Quiz
True/False
Indicate whether the statement is true or false.
____ 1. The primary reason for using an IV infusion pump is to save the nurse time.
____ 2. The purpose of an IV filter is to remove particulate matter.
____ 3. IV infusion devices may continue to function properly even though the site is infiltrated.
____ 4. An IV that infuses too rapidly may cause circulatory overload.
____ 5. Clients receiving home IV therapy are instructed to change the dressing on central venous catheters using
clean technique.
____ 6. When referring to IV administration tubing, drop factor represents the number of drops in each milliliter of IV
fluid.
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 7. Which of the following interventions is essential for the nurse to perform when caring for a client receiving an
intravenous drug infusion?
a. Employ clean technique when handling the intravenous equipment.
b. Monitor the client during the infusion.
c. Prime the tubing once the infusion has started.
d. Use the largest gauge intravenous needle available.
____ 8. The venipuncture site for an intravenous infusion in a 12-year-old is most often located in the:
a. scalp. c. foot.
b. hand. d. upper arm.
____ 9. What is the first action the nurse should perform when administering a drug intravenously through a special
administration chamber?
a. Inject the medication to be administered into the chamber.
b. Set the intravenous flow rate.
c. Prime the infusion equipment.
d. Open all the clamps.
____ 10. Which rate, in general, is a safe dose when administering a medication via an intravenous bolus injection?
a. 0.5 mL per minute c. 2 mL per minute
b. 1 mL per minute d. 3 mL per minute
____ 11. Which procedure is correct for administering a drug by intravenous push through a heparin lock?
a. Flush the setup with prescribed fluid, disinfect the injection port, aspirate, administer the
medication, chart.
b. Disinfect the injection port, administer the medication, flush the setup with the prescribed
fluid, chart.
c. Disinfect the injection port, flush the setup with the prescribed fluid, aspirate, administer
the medication, flush again, chart.
d. Wash hands, flush the setup with the prescribed fluid, aspirate, administer the medication,
chart.
____ 12. The nurse is caring for a client receiving an intravenous infusion via an electronic infusion device. The device
begins to alarm and the nurse addresses this problem as soon as possible because the alarm:
a. is annoying to the client.
b. indicates an increase in the rate of the infusion.
c. denotes the presence of pain at the infusion site.
d. stops the infusion, which could result in a clogged IV line.
____ 13. A client receiving intravenous medication who develops fever, chills, and nausea is likely to have developed:
a. extravasation of fluid. c. a pyrogenic reaction.
b. tissue necrosis. d. pulmonary edema.
____ 14. The gauge of the IV needle is determined by which of the following factor(s)?
a. viscosity of the medication c. condition of the vein selected
b. size of the vein selected d. all of the above
____ 15. The primary purpose of priming all IV tubing before connecting it to the client is to:
a. prevent air embolism.
b. ensure that an accurate dose of medication is delivered.
c. aid in the solution flow through an infusion device.
d. establish flow rate.
____ 16. When attempting venipuncture, if applying a tourniquet fails to raise an appropriate vein, the nurse may try
which of the following technique(s)?
a. Instruct the client to open and close the fist.
b. Tap the vein lightly.
c. Lower the body part below the level of the heart.
d. All of the above
____ 17. The client’s family has asked the nurse why they should not turn off the alarm on the client’s IV infusion
pump. The nurse’s best response is:
a. “It’s a nursing responsibility.”
b. “You have not been trained in the use of the IV infusion device.”
c. “You may accidentally change the rate of infusion.”
d. “It needs to be checked.”
____ 18. The nurse assesses the client’s IV site and determines that it has infiltrated. The nurse’s best response is to:
a. call the physician.
b. immediately stop the IV infusion.
c. apply a cold compress and slow the rate of infusion.
d. make out an incident report.
____ 19. The client complains of loss of motion in the arm with an IV infusing. The nurse assesses the IV site and
notes that the site is red, warm, and swollen. What is the most likely cause?
a. tissue necrosis c. thrombophlebitis
b. pyrogenic reaction d. fluid overload
____ 20. The physician ordered the client to receive 1000 mL of IV fluid every 8 hours. How much should the client
receive each hour?
a. 100 mL c. 150 mL
b. 125 mL d. 200 mL
____ 21. The physician ordered the client to receive 125 mL of IV fluid every hour. How many drops per minute will
the client receive if the tubing has a drop factor of 60?
a. 10 gtt c. 60 gtt
b. 12.5 gtt d. 125 gtt
____ 22. The physician ordered the client to receive 2000 mL of IV fluid per 24 hours. How many drops will the client
receive per minute if the tubing has a drop factor of 10?
a. 10 gtt c. 14 gtt
b. 12 gtt d. none of the above
____ 23. When preparing to administer an intravenous push medication via a primary infusion, the nurse must:
a. be certain to use a filter needle.
b. check compatibility of the medication with the infusion fluid.
c. cleanse the infusion port following medication administration.
d. disconnect the primary tubing during administration of the bolus.
____ 24. When intravenous fluid escapes from the vein into surrounding tissues because an infusion is running too
rapidly, the nurse should first:
a. check for venous backflow.
b. discontinue the infusion.
c. restart the infusion in a different site.
d. apply warm, moist packs to the skin.
____ 25. The physician has ordered the client to receive 500 mL fluid over 4 hours. How many drops per minute will
the client receive if the drop factor is 15?
a. 10 c. 31
b. 21 d. 45
____ 26. The physician has ordered the client to receive 250 mL fluid over 2 hours. How many drops per minute will
the client receive if the drop factor is 60?
a. 12.5 c. 50
b. 25 d. 125
Intravenous Drug Therapy
Answer Section
TRUE/FALSE
1. ANS: F PTS: 1
2. ANS: T PTS: 1
3. ANS: T PTS: 1
4. ANS: T PTS: 1
5. ANS: F PTS: 1
6. ANS: T PTS: 1
MULTIPLE CHOICE
7. ANS: B PTS: 1
8. ANS: B PTS: 1
9. ANS: C PTS: 1
10. ANS: B PTS: 1
11. ANS: C PTS: 1
12. ANS: D PTS: 1
13. ANS: C PTS: 1
14. ANS: D PTS: 1
15. ANS: A PTS: 1
16. ANS: D PTS: 1
17. ANS: D PTS: 1
18. ANS: B PTS: 1
19. ANS: B PTS: 1
20. ANS: B PTS: 1
21. ANS: D PTS: 1
22. ANS: C PTS: 1
23. ANS: B PTS: 1
24. ANS: A PTS: 1
25. ANS: C PTS: 1
26. ANS: D PTS: 1