UNIT 1 IV THERAPY & BLOOD
ADMINISTRATION NCLEX QUESTIONS
& ACCURATE ANSWERS PASSED
ALREADY GRADED A+
A nurse is assisting with caring for a client who will receive a unit of blood. Just before
the infusion, it is most important for the nurse to assess the client's:
1. Vital signs
2. Skin color
3. Oxygen saturation
4. Latest Hct level - Correct Answer ✔✔ 1.
A client who is receiving a blood transfusion rings the call bell for the nurse. When
entering the room, the nurse notes that the client is flushed, dyspneic, and complaining
of generalized itching. The nurse interprets that the client is experiencing:
1. Bacteremia
2. Fluid overload
3. Hypovolemic shock
4. A transfusion reaction - Correct Answer ✔✔ 4
A client who was receiving a blood transfusion has experienced a transfusion reaction.
The nurse sends the blood bag that was used for the client to which of the following
areas?
1. The pharmacy
2. The laboratory
3. The blood bank
4. The risk-management department - Correct Answer ✔✔ 3.
A nurse takes a client's temperature before giving a blood transfusion. The temperature
is 100 degrees F orally. The nurse reports the finding to the RN and anticipates that
which of the following actions will take place?
1. The transfusion will begin as prescribed
2. The blood will be held and the physician will be notified
3. The transfusion will begin after the administration of an antihistamine
4. The transfusion will begin after the administration of 600 mg of acetaminophen -
Correct Answer ✔✔ 2
A nurse is assisting with caring for a client who has received a transfusion of platelets.
The nurse determines that the client is benefiting most from this therapy if the client
exhibits which of the following?
1. An increased Hct level
, 2. An increased Hgb level
3. A decline of the temperature to normal
4. A decrease in oozing from puncture sites and gums - Correct Answer ✔✔ 4
A client has an order to receive 1000 mL of 5% dextrose in 0.45% NaCl. After gathering
the appropriate equipment, the nurse takes which action first before spiking the IV bag
with the tubing?
1. Uncaps the distal end of the tubing
2. Uncaps the spike portion of the tubing
3. Opens the roller clamp on the IV tubing
4. Closes the roller clamp on the IV tubing - Correct Answer ✔✔ 4.
A nurse is doing a routine assessment of a client's peripheral IV site. The nurse notes
that the site is cool, pale, and swollen and that the IV has stopped running. The nurse
determines that which of the following has probably occurred?
1. Phlebitis
2. Infection
3. Infiltration
4. Thrombosis - Correct Answer ✔✔ 3.
A nurse is assigned to care for a client with a peripheral IV infusion. The nurse is
providing hygiene care to the client and would avoid which of the following while
changing the client's hospital gown?
1. Using a hospital gown with snaps at the sleeves
2. Disconnecting the IV tubing from the catheter in the vein
3. Checking the IV flow rate immediately after changing the hospital gown
4. Putting the bag and tubing thru the sleeve, followed by the client's arm - Correct
Answer ✔✔ 2
A nurse is making a worksheet and listing the tasks that need to be performed for
assigned adult clients during the shift. The nurse writes on the plan to check the IV of an
assigned client who is receiving fluid replacement therapy at least every:
1. 1 hour
2. 2 hours
3. 3 hours
4. 4 hours - Correct Answer ✔✔ 1
A nurse is checking the insertion site of a peripheral IV catheter. The nurse notes the
site to be reddened, warm, painful, and slightly edematous in the area of the vein
proximal to the IV catheter. The nurse interprets that this is likely the result of:
1. Phlebitis of the vein
2. Infiltration of the IV line
3. Hypersensitivity to the IV solution
4. An allergic reaction to the IV catheter material - Correct Answer ✔✔ 1
ADMINISTRATION NCLEX QUESTIONS
& ACCURATE ANSWERS PASSED
ALREADY GRADED A+
A nurse is assisting with caring for a client who will receive a unit of blood. Just before
the infusion, it is most important for the nurse to assess the client's:
1. Vital signs
2. Skin color
3. Oxygen saturation
4. Latest Hct level - Correct Answer ✔✔ 1.
A client who is receiving a blood transfusion rings the call bell for the nurse. When
entering the room, the nurse notes that the client is flushed, dyspneic, and complaining
of generalized itching. The nurse interprets that the client is experiencing:
1. Bacteremia
2. Fluid overload
3. Hypovolemic shock
4. A transfusion reaction - Correct Answer ✔✔ 4
A client who was receiving a blood transfusion has experienced a transfusion reaction.
The nurse sends the blood bag that was used for the client to which of the following
areas?
1. The pharmacy
2. The laboratory
3. The blood bank
4. The risk-management department - Correct Answer ✔✔ 3.
A nurse takes a client's temperature before giving a blood transfusion. The temperature
is 100 degrees F orally. The nurse reports the finding to the RN and anticipates that
which of the following actions will take place?
1. The transfusion will begin as prescribed
2. The blood will be held and the physician will be notified
3. The transfusion will begin after the administration of an antihistamine
4. The transfusion will begin after the administration of 600 mg of acetaminophen -
Correct Answer ✔✔ 2
A nurse is assisting with caring for a client who has received a transfusion of platelets.
The nurse determines that the client is benefiting most from this therapy if the client
exhibits which of the following?
1. An increased Hct level
, 2. An increased Hgb level
3. A decline of the temperature to normal
4. A decrease in oozing from puncture sites and gums - Correct Answer ✔✔ 4
A client has an order to receive 1000 mL of 5% dextrose in 0.45% NaCl. After gathering
the appropriate equipment, the nurse takes which action first before spiking the IV bag
with the tubing?
1. Uncaps the distal end of the tubing
2. Uncaps the spike portion of the tubing
3. Opens the roller clamp on the IV tubing
4. Closes the roller clamp on the IV tubing - Correct Answer ✔✔ 4.
A nurse is doing a routine assessment of a client's peripheral IV site. The nurse notes
that the site is cool, pale, and swollen and that the IV has stopped running. The nurse
determines that which of the following has probably occurred?
1. Phlebitis
2. Infection
3. Infiltration
4. Thrombosis - Correct Answer ✔✔ 3.
A nurse is assigned to care for a client with a peripheral IV infusion. The nurse is
providing hygiene care to the client and would avoid which of the following while
changing the client's hospital gown?
1. Using a hospital gown with snaps at the sleeves
2. Disconnecting the IV tubing from the catheter in the vein
3. Checking the IV flow rate immediately after changing the hospital gown
4. Putting the bag and tubing thru the sleeve, followed by the client's arm - Correct
Answer ✔✔ 2
A nurse is making a worksheet and listing the tasks that need to be performed for
assigned adult clients during the shift. The nurse writes on the plan to check the IV of an
assigned client who is receiving fluid replacement therapy at least every:
1. 1 hour
2. 2 hours
3. 3 hours
4. 4 hours - Correct Answer ✔✔ 1
A nurse is checking the insertion site of a peripheral IV catheter. The nurse notes the
site to be reddened, warm, painful, and slightly edematous in the area of the vein
proximal to the IV catheter. The nurse interprets that this is likely the result of:
1. Phlebitis of the vein
2. Infiltration of the IV line
3. Hypersensitivity to the IV solution
4. An allergic reaction to the IV catheter material - Correct Answer ✔✔ 1
