IV THERAPY NCLEX QUESTIONS &
DETAILED ANSWERS PASSED 100%
A client had a 1000 mL bag of 5% dextrose in 0.9% sodium chloride hung at 3pm. The
nurse making rounds at 3:45 pm finds that the client is complaining of a pounding
headache and is dyspneic, is experiencing chills, and is apprehensive, with an
increased pulse rate. The IV bag has 400 mL remaining. The nurse should take which
action first?
1. Call the physician
2. Slow the IV infusion
3. Sit the client up in bed
4. Remove the IV catheter - Correct Answer ✔✔ 2. Slow the IV infusion
The nurse has a prescription to hang an IV bag of 1000 mL 5% dextrose in water with
20 mEq potassium chloride. The nurse should plan to do which of the following
immediately after injecting the potassium chloride in to the port of the IV bag?
1. Rotate the bag gently.
2. Attach the tubing to the client
3. Prime the tubing with the IV solution
Check the solution for yellowish discoloration - Correct Answer ✔✔ 1.Rotate the bag
gently
A client with the recent diagnosis of MI and impaired renal function is recuperating on
the step-down cardiac unit. The client's blood pressure has been borderline low and IV
fluids have been infusing at 100 mL /hr via a central line catheter in the right internal
jugular for approx 24 hours to increase renal output and maintain the blood pressure.
Upon entering the client's room, the nurse notes that the client is breathing rapidly and
is coughing. The nurse determines that the client is most likely experiencing which
complication of IV therapy.
1. Hematoma
2. Air embolism
3. Systemic infection
4. Circulatory overload - Correct Answer ✔✔ 4. Circulatory overload
The nurse is making initial rounds on the nursing unit to assess the condition of
assigned clients. The nurse notes that a client's IV site is cool, pale, and swollen, and
the solution is not infusing. The nurse concludes that which of the following
complications has occurred.
1. Infection
2. Phlebitis
3. Infiltration
4. Thrombosis - Correct Answer ✔✔ 3. Infiltration
DETAILED ANSWERS PASSED 100%
A client had a 1000 mL bag of 5% dextrose in 0.9% sodium chloride hung at 3pm. The
nurse making rounds at 3:45 pm finds that the client is complaining of a pounding
headache and is dyspneic, is experiencing chills, and is apprehensive, with an
increased pulse rate. The IV bag has 400 mL remaining. The nurse should take which
action first?
1. Call the physician
2. Slow the IV infusion
3. Sit the client up in bed
4. Remove the IV catheter - Correct Answer ✔✔ 2. Slow the IV infusion
The nurse has a prescription to hang an IV bag of 1000 mL 5% dextrose in water with
20 mEq potassium chloride. The nurse should plan to do which of the following
immediately after injecting the potassium chloride in to the port of the IV bag?
1. Rotate the bag gently.
2. Attach the tubing to the client
3. Prime the tubing with the IV solution
Check the solution for yellowish discoloration - Correct Answer ✔✔ 1.Rotate the bag
gently
A client with the recent diagnosis of MI and impaired renal function is recuperating on
the step-down cardiac unit. The client's blood pressure has been borderline low and IV
fluids have been infusing at 100 mL /hr via a central line catheter in the right internal
jugular for approx 24 hours to increase renal output and maintain the blood pressure.
Upon entering the client's room, the nurse notes that the client is breathing rapidly and
is coughing. The nurse determines that the client is most likely experiencing which
complication of IV therapy.
1. Hematoma
2. Air embolism
3. Systemic infection
4. Circulatory overload - Correct Answer ✔✔ 4. Circulatory overload
The nurse is making initial rounds on the nursing unit to assess the condition of
assigned clients. The nurse notes that a client's IV site is cool, pale, and swollen, and
the solution is not infusing. The nurse concludes that which of the following
complications has occurred.
1. Infection
2. Phlebitis
3. Infiltration
4. Thrombosis - Correct Answer ✔✔ 3. Infiltration
