IV Insertion Safety Issues: Quiz!

16 Questions | Total Attempts: 4286

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IV Insertion Safety Issues: 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 to provide high-quality patient care.


Questions and Answers
  • 1. 
    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 gauge to accommodate therapy.

    • D. 

      The largest gauge your facility has.

  • 2. 
    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

  • 3. 
    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

  • 4. 
    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

  • 5. 
    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

  • 6. 
    When preparing to insert the needle into the skin, the bevel should be:
    • A. 

      Down

    • B. 

      Up

    • C. 

      It doesn't matter

  • 7. 
    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

  • 8. 
    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

  • 9. 
    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.

  • 10. 
    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

  • 11. 
    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

  • 12. 
    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

  • 13. 
    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.

  • 14. 
    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

  • 15. 
    In order to prevent needle sticks and exposure to HIV and other bloodborne 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

  • 16. 
    When discontinuing an IV, what type of dressing should you use:
    • A. 

      Tegaderm only 

    • B. 

      Gauze pad with piece of tape

    • C. 

      No dressing is needed

    • D. 

      Band-aid or band-aid with gauze or tegaderm with gauze (if the patient is allergic to adhestive/band-aids)