NCLEX REVIEW QUESTIONS IV
THERAPY AND BLOOD
ADMINISTRATION QUESTIONS &
DETAILED COMPLETE SOLUTIONS
The nurse is assisting with the caring for a client who will receive a unit of blood. Just
before the infusion, it is most important for the nurse to check which item? - Correct
Answer ✔✔ Vital Signs
A client who is receiving a blood Transfusion pushes the call light for the nurse. When
entering the room, the nurse notices that the. Client is flushed, dyspneic, and
complaining of generalized itching. How should the nurse correctly interpret these
findings? - Correct Answer ✔✔ Transfusion Reaction
A client who was receiving a blood transfusion has experienced a transfusion reaction.
The nurse send the blood bag that was used for the client to which area? - Correct
Answer ✔✔ The blood bank
The nurse takes a client's temp before giving a blood transfusion. The temp is 100• F
(37.7• C) orally. the nurse reports findings to the RN and anticipates which action will
take place? - Correct Answer ✔✔ The blood will be held, and the primary health care
provider will be notified
Which of the clients is/are MOST LIKELY to develop fluid (circulatory) overload? -
Correct Answer ✔✔ A premature infant
A 101 yr old man
A client with heart failure
A client receiving renal dialysis
A client has a prescription to receive 1000 ml of 5% dextrose in 0.45% sodium chloride.
After gathering the appropriate equipment, the nurse take which action FIRST before
spiking the IV bag with tubing? - Correct Answer ✔✔ Closes the roller clamp on the IV
*to prevent the solution from running freely through the tubing after it's attached to the
IV bag.
The nurse is doing a routine assessment of the clients peripheral intravenous IV site.
The nurse notes that the site is cool, pale and swollen as that the IV has stopped
running. The nurse determines that which has probably occurred? - Correct Answer ✔✔
Infiltration
THERAPY AND BLOOD
ADMINISTRATION QUESTIONS &
DETAILED COMPLETE SOLUTIONS
The nurse is assisting with the caring for a client who will receive a unit of blood. Just
before the infusion, it is most important for the nurse to check which item? - Correct
Answer ✔✔ Vital Signs
A client who is receiving a blood Transfusion pushes the call light for the nurse. When
entering the room, the nurse notices that the. Client is flushed, dyspneic, and
complaining of generalized itching. How should the nurse correctly interpret these
findings? - Correct Answer ✔✔ Transfusion Reaction
A client who was receiving a blood transfusion has experienced a transfusion reaction.
The nurse send the blood bag that was used for the client to which area? - Correct
Answer ✔✔ The blood bank
The nurse takes a client's temp before giving a blood transfusion. The temp is 100• F
(37.7• C) orally. the nurse reports findings to the RN and anticipates which action will
take place? - Correct Answer ✔✔ The blood will be held, and the primary health care
provider will be notified
Which of the clients is/are MOST LIKELY to develop fluid (circulatory) overload? -
Correct Answer ✔✔ A premature infant
A 101 yr old man
A client with heart failure
A client receiving renal dialysis
A client has a prescription to receive 1000 ml of 5% dextrose in 0.45% sodium chloride.
After gathering the appropriate equipment, the nurse take which action FIRST before
spiking the IV bag with tubing? - Correct Answer ✔✔ Closes the roller clamp on the IV
*to prevent the solution from running freely through the tubing after it's attached to the
IV bag.
The nurse is doing a routine assessment of the clients peripheral intravenous IV site.
The nurse notes that the site is cool, pale and swollen as that the IV has stopped
running. The nurse determines that which has probably occurred? - Correct Answer ✔✔
Infiltration
