IV Essentials Post-test

30 Questions
Knowledge Quizzes & Trivia

This test is designed to test your knowledge of IV insertion and safety issues associated with IV therapy. After passing the written portion of this test, hands-on training and experience with IV insertion is recommended in order to provide high quality patient care. Good Luck!

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Questions and Answers
  • 1. 
    The primary function of veins is to carry blood
    • A. 

      From the body to the heart.

    • B. 

      From the heart to the body.

    • C. 

      From the lungs to the body.

  • 2. 
    • A. 

      Redirect blood flow to another vein.

    • B. 

      Shut off blood flow to stop bleeding.

    • C. 

      Prevent backflow of blood as it travels through the body.

    • D. 

      Help blood flow more forcefully through the body.

  • 3. 
    What is the first step in the insertion of a peripheral IV line or saline lock?
    • A. 

      Get permission from the patient/family member.

    • B. 

      Obtain a physician's order.

    • C. 

      Educate the patient about the need for IV access.

  • 4. 
    What materials are necessary when preparing to start an IV? (check all that apply)
    • A. 

      Gloves

    • B. 

      Gown

    • C. 

      IV start kit

    • D. 

      IV catheter

    • E. 

      Saline flush

    • F. 

      Eye protection

    • G. 

      Mask

    • H. 

      Primed saline or heparin lock

  • 5. 
    • A. 

      The largest one you feel you can successfully insert in the patient.

    • B. 

      The smallest one you can find.

    • C. 

      The smallest guage to accommodate therapy.

    • D. 

      The largest guage your facility has.

  • 6. 
    What is the ideal time to use a winged infusion set?
    • A. 

      With agitated patients

    • B. 

      For long term therapy

    • C. 

      For patients with fragile veins

    • D. 

      For IV push drugs

  • 7. 
    • A. 

      A patient who is scheduled for knee replacement surgery tomorrow

    • B. 

      A patient who needs a CT scan with infusion

    • C. 

      A child who is getting a tonsilectomy today

    • D. 

      An infant who needs antibiotic therapy for possible sepsis

  • 8. 
    • A. 

      Turn up the heat in the room and return in about an hour when the patient is warmer

    • B. 

      Apply warm packs to the extremity for 5-10 minutes

    • C. 

      Blow warm air on the extremity with a blow dryer for 3-5 minutes

    • D. 

      Allow the tourniquet to remain in place for a few minutes while you prepare your equipment

  • 9. 
    After applying the tourniquet, if the vein feels hard or rope-like, you should:
    • A. 

      Use it, it's the best choice for an IV

    • B. 

      Stretch it to prevent rolling

    • C. 

      Select another site

    • D. 

      Have tha patient relax his/her fist

  • 10. 
    • A. 

      Antecubital fossa

    • B. 

      Non-dominant hand

    • C. 

      Dominant forearm

    • D. 

      It doesn't matter where the first IV is placed

  • 11. 
    • A. 

      Lower extremities of a diabetic patient

    • B. 

      Previously used veins and sclerotic veins

    • C. 

      Veins in the affected arm of a woman with a mastectomy

    • D. 

      Veins in the arm of a dialysis AV fistula

    • E. 

      All of the above

  • 12. 
    What is the first step in preparing the IV site?
    • A. 

      Wash your hands

    • B. 

      Wash your hands

    • C. 

      Wash your hands

    • D. 

      Wash your hands

  • 13. 
    What is the second step in preparing the IV site?
    • A. 

      Put on gloves

    • B. 

      Put on gown

    • C. 

      Put on eye protection

    • D. 

      Put on mask

  • 14. 
    When preparing to insert the needle into the skin, the bevel should be
    • A. 

      Down

    • B. 

      Up

    • C. 

      It doesn't matter

  • 15. 
    While in the process of inserting an IV, which of the following is NOT acceptable:
    • A. 

      Enter the skin at a 30-40 degree angle

    • B. 

      A device may be reused as long as it is in the same site as the original attempt

    • C. 

      Enter the skin directly over the vein

    • D. 

      Enter the skin slightly adjacent to the vein and direct the needle into the side of the vein wall

  • 16. 
    How can you verify that you have entered the vein with the IV catheter?
    • A. 

      You will be able to see the catheter through the skin

    • B. 

      You learn through experience where the vein should be located

    • C. 

      You observe a flashback of blood

    • D. 

      You palpate with your non-dominant hand for the "pop" of the vein when the needle enters it

  • 17. 
    What step would you take if you have attempted IV access and are unsure of proper placement?
    • A. 

      Remove the catheter and try again.

    • B. 

      Attempt to flush the catheter.

    • C. 

      Pull the catheter back a few millimeters and check for blood return

    • D. 

      Go ahead and begin IV infusion.

  • 18. 
    What would be an indication that your IV insertion attempt was not successful?
    • A. 

      The insertion site begins to bruise

    • B. 

      The insertion site does not flush easily

    • C. 

      The site swells when fluids are flushed through

    • D. 

      All of the above

  • 19. 
    • A. 

      Call the doctor to tell him you can't get the IV

    • B. 

      Keep trying until you get the IV

    • C. 

      Consult another professional to initiate therapy

    • D. 

      Hydrate the patient with oral fluids and try again in a few hours

  • 20. 
    • A. 

      Ensure that the tape does not cover the insertion site

    • B. 

      Ensure that the patient is unable to see the insertion site

    • C. 

      Ensure that the extremity is completely immobilized

    • D. 

      Ensure that the cannula is taped to the tubing or saline/heparin lock device

  • 21. 
    • A. 

      When the patient is diaphoretic

    • B. 

      With a patient at end of life

    • C. 

      When the IV needs to be viewed routinely

    • D. 

      When there is a lot of moisture on the patient's skin

  • 22. 
    When using a transparent semi-permeable membrane dressing on an IV site, it is important to avoid
    • A. 

      Cleansing the site before applying the dressing

    • B. 

      Smoothing the dressing from the certer to the edges

    • C. 

      Applying tape around the edges of the dressing

    • D. 

      All of the above

  • 23. 
    After flushing a saline/heparin lock device, why is it important to clamp the connection tubing prior to removing the syringe?
    • A. 

      Positive pressure prevents backflow of blood into the cannula and can increase patency of your IV.

    • B. 

      If you take the syringe out first, you risk contamination of the IV site because the system is no longer closed.

    • C. 

      Clamping th tubing prevents blood from coming out of the IV site, preventing the risk of exposure to blood for the professional.

    • D. 

      If you do not clamp the tubing first, air may be allowed to enter the tubing and the patient's life may be at risk.

  • 24. 
    What information is important to include on the label of the IV dressing?
    • A. 

      Date IV was initiated

    • B. 

      Time IV was initiated

    • C. 

      The initials of the professional who initiated the IV

    • D. 

      All of the above

    • E. 

      None of the above

  • 25. 
    • A. 

      Wash your hands

    • B. 

      Wash your hands

    • C. 

      Wash your hands

    • D. 

      Wash your hands

  • 26. 
    What is the final step after completion of a venipuncture?
    • A. 

      Report to the doctor

    • B. 

      Document your actions and how the procedure was tolerated

    • C. 

      Clean up your mess

  • 27. 
    What is the most important step when discontinuing IV therapy?
    • A. 

      Ensure the patient isn't bruised.

    • B. 

      Inspect the extremity for any signs of edema and apply a warm compress if swelling is noted.

    • C. 

      Inspect the condition of the catheter tip and notify the physician immediately if any damage is noted.

    • D. 

      Document the date, time and initials of the professional who removed the IV on the patient's band-aid.

  • 28. 
    It is not necessary to wear gloves when discontinuing an IV since there is no risk of exposure to blood or body fluids.
    • A. 

      True

    • B. 

      False

  • 29. 
    A transparent semi-permeable dressing applied over gauze is considered a gauze dressing and should be changed every 48 hours.
    • A. 

      True

    • B. 

      False

  • 30. 
    In order to prevent needle sticks and exposure to HIV and other blood borne pathogens, it is of utmost importance that healthcare professionals dispose of all used IV catheters and cannulas in the proper containers.
    • A. 

      True

    • B. 

      False