Summer IV Quiz- Part I

25 Questions

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Summer Quizzes & Trivia

First 3 sections of IV. Not included is matching


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Questions and Answers
  • 1. 
    Which of the following is a primary consideration in fluid and electrolye imbalance in pediatric patients?
    • A. 

      A young child has a smaller body surface in relation to weight, resulting in greater fluid loss than in adults

    • B. 

      Metabolic rate is three times slower than the adult, which increases water requirements greatly

    • C. 

      Pediatric patients have mature hemeostatic-regulating mechanisms

    • D. 

      The younger the child, the greater the risk of fluid and electrolyte imbalance, fluid overload, and congestive heart failure.

  • 2. 
    • A. 

      Provided with an explanation of what the procedure entails

    • B. 

      Required to be present during the procedure

    • C. 

      Asked to restrain the child during the procedure

    • D. 

      Emotional in front of the patient

  • 3. 
    • A. 

      Cutdown catheter

    • B. 

      ONC

    • C. 

      PICC

    • D. 

      Winged infusion set

  • 4. 
    • A. 

      24

    • B. 

      20

    • C. 

      18

    • D. 

      16

  • 5. 
    • A. 

      Be filled to its capacity

    • B. 

      Have incremental hourly filling

    • C. 

      Contain no more than one third of the infant's daily fluid replacement at any given time

    • D. 

      Contain the infant's daily fluid requirement

  • 6. 
    • A. 

      In the playroom where distraction is great

    • B. 

      In a treatment room

    • C. 

      At the child's bedside

    • D. 

      At the nurses's station while the parent or guardian holds the child

  • 7. 
    Which one of the following statements applies to the use of scalp veins for venipuncture?
    • A. 

      Scalp veins are considered the first choice for establishing vascular access in infants

    • B. 

      This site can be used up to 30 months of age

    • C. 

      Using this site can cause physchological stress for the child's parent or guardian

    • D. 

      Minimal securement is required because dislodgement is unlikely

  • 8. 
    To ensure the accurate infusion flow rate in a pediatric patient, the flow rate should be adjusted when the child is?
    • A. 

      Ambulating

    • B. 

      Crying

    • C. 

      Playing

    • D. 

      Resting

  • 9. 
    The intake and output of a pediatric IV therapy patient should be computed and recorded for accurate monitoring every?
    • A. 

      Half hour

    • B. 

      Hour

    • C. 

      2 hours

    • D. 

      4 hours

  • 10. 
    • A. 

      Fluid volume deficit

    • B. 

      Fluid volume excess

    • C. 

      Hypernatremia

    • D. 

      Infiltration

  • 11. 
    Which of the following variables affect how often infusion flow rates must be monitored for pediatric patients?
    • A. 

      Age of child, clinical status, and mode of delivery

    • B. 

      Age of child, composition of fluid, and skin turgor

    • C. 

      Clinical status, composition of fluid, and experience of nurse

    • D. 

      Clinical status, mode of delivery, and renal function

  • 12. 
    • A. 

      Platelets and cryoprecipitate

    • B. 

      Plasma and granulocytes

    • C. 

      Fresh red blood cells and plasma

    • D. 

      Cross matched whole blood and albumin

  • 13. 
    The preservative sodium benzoate in the form of benzyl alcohol is recognized as being toxic to which group?
    • A. 

      Neonates and infants

    • B. 

      Infants and toddlers

    • C. 

      Toddlers and preschoolers

    • D. 

      Adolescents

  • 14. 
    • A. 

      Birth to 4 days

    • B. 

      Birth to 1 month

    • C. 

      1 month to 6 months

    • D. 

      1 month to 1 year

  • 15. 
    Which statement is applicable to the principles of pediatric drug administration?
    • A. 

      General pharmacokinetic parameters have no effect on therapy

    • B. 

      There is often a lack of information regarding interaction between a drug and the body processes of a child

    • C. 

      Dosage is usually calculated in milligrams per kilogram of weight

    • D. 

      Monitoring for an adverse drug reaction is unnecessary because such events are rare

  • 16. 
    Which of the following methods may an IV-certified LPN use to administer an IV push drug?
    • A. 

      Using a safety syringe and needle to inject directly into the vein or into the injection port of an intermittent infusion set

    • B. 

      Through injection port of an intermittent infusion set or using syringe and needle to directly enter an artery

    • C. 

      By accessing an implanted port with a Huber needle or through Y injection port of primary infusion administration set

    • D. 

      Using syringe and needle to directly enter vein or by accessing an implanted port with a Huber needle

  • 17. 
    Selecting the largest vein suitable for direct injection of an IV drug will?
    • A. 

      Provide heparin-locked infusion set

    • B. 

      Provide immediate hemodilution of the drug

    • C. 

      Prevent therapeutic incompatibility

    • D. 

      Prevent brachial plexus injury

  • 18. 
    It is often necessary to flush the primary administration set or an intermittent infusion device with normal saline before IV push drug administration to prevent?
    • A. 

      Bioincompatibility

    • B. 

      Infiltration

    • C. 

      Mechanical phlebitis

    • D. 

      Thrombotic process

  • 19. 
    In using a syringe/needle for directly injecting a drug into a vein, the needle should be bevel:
    • A. 

      Down at 30 degree angle, reaching 1/2 inch into the vein

    • B. 

      Up at 10-30 degree angle, reaching 1/4 inch into the vein

    • C. 

      Down at 15 degree angle, reaching 1/8 inch into the vein

    • D. 

      Up at 15 degree angle, reaching 1/16 inch into the vein

  • 20. 
    Infiltration of a drug being adminstered IV push could result in which of the following conditions?
    • A. 

      Chemical phlebitis

    • B. 

      Clotting cascade

    • C. 

      Mechanical phlebitis

    • D. 

      Potential tissue damage

  • 21. 
    • A. 

      Name of drug, dosage, rate of adminstration, name of prescribing physician, and date and time

    • B. 

      Name of drug, dosage, manufacturer, rate of administration, and date and time

    • C. 

      Name of drug, dosage, rate of administration, date and time and mode of delivery

    • D. 

      Name of drug, dosage, lot number, rate of administration, and date and time

  • 22. 
    Volumes of fluids furnished with precalculated, prepackaged systems containing diluent and drug include which of the following?
    • A. 

      50, 75, and 100 ml

    • B. 

      50, 100, and 250 ml

    • C. 

      100, 250 and 1000 ml

    • D. 

      250, 500 and 1000 ml

  • 23. 
    Commercially available precalculated, prepackaged systems containing diluent and drug include which of the following systems?
    • A. 

      ADD-Vantage and Mini-Bag Plus

    • B. 

      Centermark and VERIFUSE

    • C. 

      VERIFUSE and ADD-Vantage

    • D. 

      Mini-Bag Plus and Centermark

  • 24. 
    Which of the following principles applies to precalculated, prepackaged drug systems?
    • A. 

      Determine the integrity of diluent and drug containers after use

    • B. 

      Employ blood barrier techniques druing assembly

    • C. 

      Ensure that the drug is completely dissolved and is within the diluent container

    • D. 

      Disconnect drug vial from the diluent container during drug infusion

  • 25.