IV Essentials: Intravenous Therapy Quiz! TrIVia

30 Questions | Total Attempts: 27773

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IV Essentials: Intravenous Therapy Quiz! TrIVia - Quiz

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 are recommended in order to provide high-quality patient care.


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. 
    The purpose of valves in veins is to
    • 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?
    • 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. 
    What is the best choice of cannula size?
    • 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. 
    In which of the following circumstances would one choose an over-the-needle catheter over a winged infusion set for IV insertion.
    • 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. 
    When a patient who needs an IV has cold extremities and few veins are visible or small, which of the following are acceptable techniques to help improve the likelihood of a successful IV insertion?
    • 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. 
    If a patient is expected to need multiple IVs or an extended hospitalization, it is best to choose which of the following sites for the first IV:
    • A. 

      Antecubital fossa

    • B. 

      Non-dominant hand

    • C. 

      Dominant forearm

    • D. 

      It doesn't matter where the first IV is placed

  • 11. 
    Which of the following veins should be avoided when initiating an IV?
    • 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. 
    After 2 unsuccessful attempts at insertion of an IV, the best thing for a health care professional to do would be:
    • 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. 
    When securing the hub of the IV cannula to the skin, it is very important to:
    • 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. 
    It is NOT the best choice to use a gauze dressing in which of the following patient care situations:
    • 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. 
    What do you do before leaving the patient's room after initiating IV access?
    • A. 

      Wash your hands

    • B. 

      Wash your hands

    • C. 

      Wash your hands

    • D. 

      Wash your hands

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