Reference no: EM133953542
Question
1. During the end of shift report, the day shift nurse discusses the parenteral intake from the "primary IV." What does the evening shift nurse understand about the primary IV?
a. It has an end cap that can be accessed by a needless system to infuse IV medications.
b. It is always infused using an IV pump.
c. It is the main continuous IV used to provide fluid and electrolytes.
d. It is usually inserted into a large vein near the heart.
2. When reading an IV order the nurse would expect which of the following components to be in the MD order?
a. The amount of IV solution to be infused.
b. The time that the IV is to be started.
c. The time that the IV will be completed.
d. The infusion is via gravity or use of IV pump.
3. Which of the following can the nurse use to manually control the rate of flow of the IV infusing by gravity?
a. Slide clamp
b. Drip chamber
c. Injection port
d. Roller clamp
4. Which of the following is true about an order for an IV piggyback?
a. It has components required of all medication orders.
b. It specifies the type of IV solution used to dilute the medication.
c. It specifies the volume of IV solution in the IV bag.
d. It includes the infusion time for the medication.
5. Which of the following is a standard of care for a patient who is receiving an IV infusion via an IV pump?
a. Checking the number of gtt/min for the IV infusion.
b. Checking regularly that the IV is infusing at the ordered rate.
c. Monitoring the IV at the beginning and end of the shift.
d. Listening for an alarm button to sound before checking the IV tubing for patency.
6. The nurse has the following IV order: Start 1,000 mL 0.9% NaCl every 12 hr. What is mL/hr the nurse will set on the IV pump?
a. 12 mL/hr
b. 80 mL/hr
c. 83 mL/hr
d. 84 mL/hr
7. The nurse has the following new IV order: Start 500 mL D5W at 80 mL/hr. The IV is to be infused by IV pump. What is the rate of infusion that the nurse will set on the IV pump?
a. 6.25 mL/hr
b. 63 mL/hr
c. 80 mL/hr
d. 83 mL/hr
8. The order is for 1 L of 0.9% NaCl over 6 hr. What is the mL/hr the nurse will set on the IV pump?
a. 16 mL/hr
b. 17 mL/hr
c. 166 mL/hr
d. 167 mL/hr
9. The nurse has the following IV order: Start 1,000 mL D5/0.9% NaCl to infuse over 8 hr. What is the rate of infusion that the nurse will set on the IV pump?
a. 12 mL/hr
b. 13 mL/hr
c. 125 mL/hr
d. 130 mL/hr
10. The evening nurse assesses the patient at the start of the shift. The IV order is to infuse 1,000 mL of lactated Ringer's over 6 hr. The IV was started by the day nurse at 12 noon using an IV pump. Based on this assessment, which of the following should the evening nurse expect?
a. The IV will be completed by 1400.
b. The IV pump will be set at 167 mL/hr.
c. The IV pump will be infusing at 167 gtt/min.
d. The IV fluid will last throughout the evening shift.
11. A premixed IV bag of 1 g cefoxitin in 50 mL D5W is to be administered over 30 minutes. What is the rate of infusion that the nurse will set on the IV pump?
a. 100 mL/hr
b. 25 mL/hr
c. 10 mL/hr
d. 2 mL/hr
12. What is the drop factor of microdrip IV tubing?
a. 10 gtt/mL
b. 15 gtt/mL
c. 20 gtt/mL
d. 60 gtt/mL
13. Which of the following correctly describes a macrodrip IV tubing?
a. Macrodrip IV tubing has larger sized drops than a pedidrip IV tubing.
b. The size of the drop is written on the macrodrip IV tubing.
c. There is only one size drop with macrodrip IV tubing.
d. Macrodrip tubing has a small needle-like projection in the drop chamber.
14. The nurse starts 500 mL of IV fluid by gravity at 12 noon. The nurse has an IV tubing with a drop factor of 15 gtt/mL. The IV is to infuse at 125 mL/hr. The IV tubing should be regulated to _____ gtt/min.
a. 4
b. 18
c. 31
d. 125
15. The nurse starts 1 L of IV fluid by gravity to infuse over 10 hours. The IV tubing has a drop factor of 10 gtt/mL. The IV tubing should be regulated to _____ gtt/min.
a. 10
b. 16
c. 17
d. 20
16. The nurse is to infuse 1 unit of packed red blood cells (235 mL) over 2 hours. The blood tubing has a drop factor of 20 gtt/mL. The packed red blood cells will infuse over _____ gtt/min.
a. 4
b. 39
c. 42
d. 78
17. The IVPB order is for Vancomycin 1 g in 200 mL of 0.9% NaCl over 90 minutes. How many mL/hr will the nurse set on the IV pump?
a. 2 mL/hr
b. 3 mL/hr
c. 13 mL/hr
d. 133 mL/hr
18. The label of a premixed IV from the manufacturer does not have the following information:
a. Volume of IV fluid in the IV bag
b. Name and dose of medication in the IV bag
c. Line markings on the IV bag
d. Strength of medication in the IV
19. A 500 mL IV is infusing by gravity through an IV tubing that has a drop factor of 60 gtt/mL. The IV is infusing at a rate of 50 mL/hr. The nurse knows that with a pedidrip IV tubing, the number of mL/hr = the number of gtt/min. What rate will the nurse set on the gravity IV?
a. 60 gtt/mL
b. 50 gtt/min
c. 30 gtt/min
d. 50 gtt/mL
20. The nurse is to infuse 1,000 mL of total parenteral nutrition (TPN) over 12 hours. The TPN has an IV tubing with a drop factor of 20 gtt/mL. How many mL/hr will the nurse program into the IV pump?
a. 28 mL/hr
b. 42 mL/hr
c. 62 mL/hr
d. 83 mL/hr