NMNC 4335 IV Skills Practice Test

These questions are part of the practice quiz. Start practicing

• Which finding is most consistent with fluid volume deficit in a patient with GI bleeding?
• Which information should be documented after initiating IV access?
• Which statement best describes who may remove CVADs?
• Which signs indicate phlebitis?
• In the correct sequence for discontinuing IV access, which step comes second?
• Which assessment is a clinical marker of vascular volume in a patient at high risk of extracellular fluid volume deficit?
• Which central venous pressure finding indicates fluid volume deficit?
• What is the recommended dressing change frequency for a transparent central line dressing?
• What should you do first if signs of infiltration are observed at an IV site?
• The nurse applies the tourniquet to the selected site. The nurse would release the tourniquet at which time?
• In pediatric patients, which monitoring considerations are important when infusing potassium-containing solutions?
• What is the most appropriate immediate action when infiltration at a VAD site is suspected?
• Which signs are most consistent with IV phlebitis?
• After stopping an IV infiltration, what is the next immediate nursing action?
• Lactated Ringer's differs from normal saline in composition and usage. Which statement is accurate?
• Which CVAD is commonly used for vascular access lasting about 1 week to 6 months and is inserted in the arm?
• Which of the following is a sign of an IV complication such as infiltration?
• Where should the IV piggyback be connected relative to the roller clamp when initiating the infusion?
• What is the purpose of an infusion pump alarm and how should you respond to an occlusion alarm?
• Where should an IV piggyback medication be hung relative to the existing IV infusion?
• Which statement about PICCs is true?
• Name two key components of central line hub care to reduce infection.
• Which statement about CVADs best describes their use?
• What is included in aseptic technique during IV insertion?
• Which action would the nurse take first if an allergic reaction to a blood transfusion occurs?
• What is the function of the dacron cuff on a centrally inserted catheter?
• Which of the following is a common cause of CVAD catheter occlusion?
• Which drop factor is typical for microdrip IV systems?
• Which parameter is used to monitor a patient’s fluid status during IV therapy?
• For a left-handed patient who had a right mastectomy but has good veins in the right hand, where is the best IV catheter site?
• Which mechanism explains the movement of water when a hypertonic IV solution is infused?
• Why must IV drug compatibility be checked before administering two meds in the same line?
• Why is daily weight monitoring recommended during IV therapy?
• Which description describes signs of IV phlebitis and the appropriate initial actions?
• Isotonic IV solutions have osmolality close to plasma. Which option best reflects this, including two typical examples?
• Which management step is indicated for CVAD migration?
• Before hanging an IV solution that contains potassium, which assessment is essential?
• Where does the tip of a centrally inserted catheter typically rest?
• When transitioning or discontinuing TPN/PPN, which monitoring is essential?
• Which single action is essential before inserting an IV cannula to maintain asepsis?
• During the initial phase of a blood product transfusion, what is the recommended nursing action?
• Which monitoring is recommended during IV potassium therapy?
• When placing additional IVs, where should the new site be relative to a previous IV site?
• What is a common goal of CVADs in patient care?
• After total thyroidectomy, which finding indicates hypocalcemia requiring assessment?
• Which reaction requires stopping IV infusion and reassessing per protocol?
• What measures help prevent phlebitis when securing IV catheters?
• When preparing an IV piggyback medication, which practice is essential to prevent contamination?
• Which signs are associated with IV infiltration?
• If restarting an IV infusion after a suspected reaction, what is required?
• What defines the difference between a primary IV infusion and an IV piggyback (IVPB)?
• An older-adult patient is receiving IV 0.9% NaCl and new crackles are heard at the lung bases. What is the priority action?
• Which step is performed last in the proper discontinuation of IV access?
• If an IV line becomes occluded but IV access is still needed, which steps should you take?
• Which are key considerations for IV care in older adults?
• Which symptom is not typically part of a transfusion reaction?
• Which item is NOT typically documented after initiating IV access?
• Which complication is specifically more associated with central venous catheters than typical PICC lines?
• Which steps should you take when a patient with a known latex allergy requires IV therapy?
• Which of the following is an advantage of PICCs?
• The intravenous (IV) line infiltrates and needs restarting on a client diagnosed with acquired immunodeficiency syndrome (AIDS). Which precautions would the nurse take when restarting the IV?
• Which line type is not recommended for infusion of vesicant medications due to higher risk of infiltration?
• A nurse notes blanching, coolness, and edema at an IV site. What is the most appropriate action?
• Which of the following is a typical use of a central venous catheter?
• What is the most essential practice to perform before IV cannulation to ensure asepsis?
• Redness and tenderness on IV site led to discontinuation with restart documented due to which complication?
• Which nursing action would the nurse perform first if nerve damage is suspected during an intravenous catheter insertion?
• Which items should be recorded when documenting IV rate changes or discontinuation?
• If a patient reports a burning sensation at the IV site during infusion, what is the appropriate action?
• Which action reduces the risk of infiltration when working with fragile veins in older adults?
• Which scenario commonly warrants using an 18-gauge IV catheter?
• What should be done to ensure the catheter tip is intact after removal?
• Long-term treatment for hyperphosphatemia due to renal failure includes which of the following?
• In treating an infiltration of a nonvesicant IV solution leaking into the extravascular tissue, which action should be performed first?
• What imaging finding would indicate a pneumothorax from CVAD insertion?
• Where is an IV ideally placed for most adults?
• Which patient is at greatest risk for developing hypermagnesemia?
• Which step is described as part of the PICC removal sequence regarding sutures and withdrawal?
• Which statement is a typical indication for a central venous catheter instead of a peripheral IV?
• Before starting IV therapy, what safety checks should you perform on the IV solution?
• When a medication order specifies compatibility with normal saline, which IV diluent should you use?
• Which sequence correctly represents the steps a nurse would take before administering a blood transfusion?
• Why are older adults at risk for fluid and electrolyte imbalance during postoperative care?
• Which solution contains lactate, potassium, and calcium?
• Which statement is true about IV drip systems?
• What is the typical initial rate for initiating a blood product transfusion and how should you monitor?
• Which actions constitute essential elements of hand hygiene before IV care?
• Which statement about implanted ports is true?
• Which of the following are primary complications of IV therapy?
• Which sign suggests extracellular fluid volume excess?
• Which action is discouraged when preparing the skin for IV cannula insertion?
• What is the purpose of maintaining a saline lock when an IV is not continuously infusing?
• How often do you change IV tubing in most hospital settings?
• If resistance is met while withdrawing a PICC line, what is the recommended action?
• When recording ice chip intake for intake and output, what portion should be documented?
• Which statement is true about lactated Ringer's in relation to calcium-containing medications?
• What steps are included when verifying drug compatibility with lactated Ringer's before infusion?
• Which statement best describes signs of IV infiltration and the immediate action?
• Which statement describes a key nursing consideration for TPN/PPN?
• Which statement best describes Y-site compatibility?
• Which statement best describes how the lungs act as an acid-base buffer?
• Why is central venous access preferred for high-dose potassium infusions?
• Which of the following is a key component of assessing an IV line?
• A client is scheduled to receive total parenteral nutrition (TPN). To administer TPN, which piece of equipment is important for the nurse to obtain?
• Which preparation steps are appropriate before placing an IV?
• Why must LR be used with caution in patients with renal impairment?
• What should you teach a patient about proper PICC line care?
• Which statement describes available lumen configurations for central venous catheters?
• Which statement best describes proper IV solution labeling?
• Which intervention is used if CVAD catheter embolism occurs?
• Why must you check compatibility with lactated Ringer's before infusing certain medications?
• Which statement correctly describes an implanted subcutaneous port?
• How should you clamp a syringe during flushing with a negative/neutral pressure cap?
• What considerations are important when supervising IV therapy in elderly patients?
• During PICC removal with sterile gloves and mask, what instruction is given to the patient regarding head position?
• What does CVAD stand for?
• What angle is recommended for the initial needle insertion during venipuncture for cannulation?
• Which statement about PICCs is true?
• Why is regular flushing of a peripheral IV with saline important?
• For a PICC, which restriction is commonly observed regarding measurements on the arm with the catheter?
• During CVAD removal, what should be done with sutures?
• Which item is essential to document when a new IV access is established?
• How should latex allergy considerations be addressed when IV contrast or meds are used?
• A patient reports pain and redness at a vascular access device (VAD) site. What action should the nurse take first?
• What is the effect of metabolism on D5W after administration?
• Which finding would most likely indicate an IV site complication such as infiltration?
• The client's intravenous (IV) site is tender with erythema, warmth, and mild edema. Which action will the nurse take?
• Which IV gauge is typically preferred for an initial peripheral IV in an adult with no anticipated rapid fluid needs?
• Who is authorized to insert a PICC?
• Which action should be performed after bleeding has stopped following PICC removal?
• When a transfusion reaction is suspected, what is the essential initial action?
• In a patient with hyponatremia and fluid volume excess, which nursing intervention is appropriate?
• Which is a priority nursing intervention for a patient with hypokalemia and stable cardiac function?
• In gravity drip calculations, what units express the drop factor?
• Provide the formula to calculate gravity drip rate (drops per minute) for a given volume, time, and drop factor.
• Which sequence correctly describes starting an IV piggyback infusion?
• Which signs indicate an IV-related air embolism and what are the immediate interventions?
• In pediatric patients, which veins are commonly used for IV access in babies, and what needle gauge is typically used?
• Which is included in managing CVAD catheter occlusion?
• What are systemic signs of CVAD infection?
• Interpret the following ABG values: pH 7.26, PaCO2 55 mm Hg, PaO2 68 mm Hg, HCO3- 24 mEq/L. Which disorder is indicated?
• What are the three main types of CVADs?
• Which finding would most strongly suggest IV infiltration at the vascular access site?
• Define IV infiltration and list the initial management steps.
• When a norepinephrine infusion is prescribed for a client in septic shock, which intravenous line would be the most appropriate for the infusion?
• What is the first step when an occlusion is suspected in the IV line?
• Which description best identifies IV infiltration?
• Implanted ports are central lines used mainly for chemotherapy and require specialized needles and trained staff to access. Which statement best reflects this?
• Before initiating IV therapy, which actions should you verify to ensure safety?
• Which statement correctly describes macrodrip and microdrip infusion systems?
• What should you do if a patient develops fever during an IV antibiotic infusion?
• What is the initial management for extravasation of a vesicant drug?
• Which manifestation is associated with loop diuretic use?
• In IV therapy, which scenario typically requires use of a large vein?
• What is the pulsatile flush technique in maintaining PICC patency?
• What is the recommended time frame for relocating or replacing a peripheral IV catheter if no signs of infection are present?
• At minimum, how often should IV sites be checked for patency and integrity?
• Which sign most closely indicates extracellular fluid volume deficit?
• If a client who is receiving a blood transfusion develops fever, chills, and low back pain, what action would the nurse take first?
• A patient has arterial blood gas results: pH 7.52, PaCO2 30 mm Hg, HCO3- 24 mEq/L. The nurse determines these results indicate which disturbance?
• Which sequence correctly describes venipuncture for cannulation?
• What is the main reason norepinephrine should be infused through a central line rather than a peripheral vein?
• Which action helps prevent dislodgement of a PICC line or central venous catheter?
• What action should the nurse take when an IV infusion is delivering and the IV site becomes cool, pale, and swollen?
• Which statement correctly describes who can remove PICCs and non-tunneled central venous catheters?
• 5% dextrose in water (D5W) is typically used as a primary IV fluid for which reason?
• What is the initial glove step when removing a PICC line?
• Which sign most clearly indicates a transfusion reaction?
• Which sequence describes the correct response to suspected IV extravasation of a vesicant?
• When a client who is receiving a potassium infusion via a peripheral intravenous (IV) site reports a burning sensation above the IV site, which action would the nurse take first?
• During an IV push, what is a key safety step?
• What is a key advantage of an implanted subcutaneous port compared with external IV access?
• Which symptom suggests an air embolism during IV therapy?
• Which action is most accurate for ensuring proper identification and safety before discontinuing an IV infusion?
• Which combination of symptoms indicates speed shock during IV therapy and what should you do?
• How frequently should IV site assessment occur in adult inpatients?
• What action should be taken immediately after removing a PICC line to prevent air entry and control bleeding?
• What is a standard approach to maintaining PICC patency after use?
• Which action demonstrates proper aseptic technique during IV insertion?
• What is a key disadvantage of CVADs relative to peripheral IVs?
• Before administering an IV push medication, what is the most important action for the nurse to take?
• What is a key objective of patient education before IV therapy?
• In which scenarios should you avoid dextrose-containing IV solutions with certain medications?
• Which IV site is commonly used first for adults and is generally avoided for long-term therapy due to movement?
• What is a general guideline for programming an infusion pump for a prescribed rate?
• An order is for 500 mL of 0.9% NaCl to infuse over 4 hours. What rate should be programmed into the infusion pump?
• How do you verify patient identity and medication before IV administration?
• After removing an IV catheter from a patient on anticoagulants, what is the most appropriate nursing intervention?
• During an IV line with suspected air embolism, what is the first step to take?
• Is intravenous therapy considered a medication?
• Before using a newly placed CVAD for IV antibiotics, what must be verified?
• A health care provider prescribes two units of blood for a client. Which nursing interventions are necessary before the blood transfusion is administered?
• Which symptom is commonly associated with a transfusion reaction?
• A 2-year-old toddler is to have intravenous (IV) antibiotic therapy. Which action will the nurse take to prevent the child from pulling out the IV line?
• Which method is commonly used to estimate maintenance IV fluids in pediatric patients?
• The provider prescribes one unit of packed red blood cells to be administered to a client. To ensure the client's safety, which action will the nurse take during administration of blood products?
• Which of the following is NOT a sign of IV infiltration?
• Which statement best describes the overall approach to CVAD removal procedures?
• Which type of dressing is specified for CVAD dressing changes?
• After completing an IV piggyback infusion, what should you do with the drip rate?
• What are field sticks in IV practice?
• Which of the following describes the proper technique to discontinue IV access?
• What is a Port-a-Cath?
• Which practice is essential to prevent infection with central venous catheters?
• Which steps are included in safe administration of blood products?
• Which of the following reflects appropriate maximum IV potassium administration rates?
• Which step is most appropriate when starting an IV in a patient with AIDS to protect healthcare personnel?
• Which scenario is appropriate for using a small peripheral vein?
• When during withdrawal should the patient perform the Valsalva maneuver?
• What should be done immediately after removing a PICC line to prevent air from entering the patient and to control bleeding?
• Which statement correctly describes a PICC line?
• How often should a peripheral IV catheter be evaluated for dwell time, and when should it be replaced?
• Which action needs correction regarding insertion of an intravenous cannula for administration of fluids?
• Which statement about intravenous potassium administration is correct?
• When a client's total parenteral nutrition (TPN) bag is empty, which action is appropriate for the nurse to take?
• During CVAD dressing changes, which cleansing agent is specified?
• Which statement about central venous access devices (CVADs) is true?
• Which care principle is part of Port-a-Cath maintenance?
• Which action is essential before starting IV therapy that includes potassium to ensure patient safety?
• Which symptom best indicates IV phlebitis?
• Which fluid is typically used for replacement in a patient with a fluid volume deficit?
• Which assessment tool is used to rate IV infiltration severity?
• A client is to receive a transfusion of packed red blood cells (PRBCs). Which solution would the nurse use to prime the blood intravenous (IV) tubing?
• What are signs of local CVAD infection at the insertion site?