Chapter 10: Overview of Infusion Therapies
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse anticipates which fluid movement when administering an isotonic
IV fluid to a patient?
1. Fluid moves from the cells into the intravascular space
2. Fluid moves from the intravascular space into the intracellular space
3. Causes no or equal movement of fluid into or out of cells
4. Fluid moves from the intravascular space into the interstitial spaces
____ 2. The nurse is reviewing new healthcare provider orders on a patient admitted
for treatment of severe dehydration. The patient’s serum osmolality is 300 mOsm/kg.
It is a priority for the nurse to follow up with the provider if which solution is
ordered?
1. 5% Dextrose in lactated Ringer’s solution (D5LR)
2. Dextrose 5% in 0.45% normal saline
3. 0.45% Normal saline
4. Dextrose 5% in 0.9% normal saline
____ 3. In providing care to a patient with a severe fluid deficit, which prescribed
intravenous solution does the nurse recognize as most effective in expanding plasma
volume?
1. 0.9 % Normal saline
2. Dextrose 10%
3. 0.45 % Normal saline
4. Albumin
____ 4. Which intravenous (IV) fluid should the nurse prepare when a patient requires
an isotonic solution?
1. 0.9% Normal saline
2. 2.5% Dextrose in water
3. 0.33% Sodium chloride
4. 5% Dextrose in lactated Ringer’s
____ 5. Which intravenous (IV) fluid should the nurse prepare when a patient requires
a hypertonic solution?
1. 0.9% Normal saline
,2. 2.5% Dextrose in water
3. 0.33% Sodium chloride
4. 5% Dextrose in lactated Ringer’s
____ 6. Which intravenous (IV) fluid should the nurse prepare when a patient requires
a hypotonic solution?
1. 0.9% Normal saline
2. 5% Dextrose in water
3. 0.33% Sodium chloride
4. 5% Dextrose in lactated Ringer’s
____ 7. The nurse prepares to initiate intravenous (IV) access for an older adult
patient who requires a blood transfusion. Which gauge needle is best for the nurse to
use for this procedure?
1. 18
2. 20
3. 22
4. 24
____ 8. The nurse is providing care to a trauma patient who will require the rapid
administration of large volumes of fluid in addition to a blood transfusion. Which
gauge should the nurse use when initiating intravenous (IV) access for this patient?
1. 18
2. 20
3. 22
4. 24
____ 9. The nurse is initiating intravenous (IV) therapy for an adult patient who
requires IV fluid infusion for 2 to 3 days and might require blood administration.
Which would the nurse choose as the best option for IV catheterization?
1. Butterfly
2. Midline catheter
3. Short over-the-needle catheter
4. Implantable venous access device
____ 10. The nurse is caring for a patient who needs to have a peripheral intravenous
catheter placed. When the patient requests to have the intravenous (IV) started in the
foot, what is the best response by the nurse?
, 1. “There is an increased risk of infection if an IV is started in your feet or legs.”
2. “There is an increased risk of a clot or inflammation if an IV is started in your foot.”
3. “Placing an IV in your foot decreases blood flow to your feet.”
4. “Placing an IV in your foot is more painful.”
____ 11. The nurse is caring for a patient who is to have a peripherally inserted
central catheter (PICC) line inserted tomorrow. Because the patient’s current
peripheral access line is infiltrated and needs to be restarted, which site would the
nurse avoid using?
1. Radial vein
2. Cephalic vein
3. Median cubital vein
4. Dorsal metacarpal veins
____ 12. The nurse performs an hourly check of a patient’s intravenous site and notes
erythema. The patient denies pain or discomfort. Based on this data, what should the
nurse document in the patient’s medical record?
1. Grade 1 phlebitis
2. Grade 2 phlebitis
3. Grade 3 phlebitis
4. Grade 4 phlebitis
____ 13. The nurse is assessing an intravenous (IV) insertion site noting redness,
warmth, and mild swelling. The patient reports a burning pain along the course of the
vein during medication administration. Which term should the nurse use when
documenting these findings in the medical record?
1. Phlebitis
2. Infiltration
3. Extravasation
4. Occlusion
____ 14. The nurse correlates the administration of which blood component to the
patient with acute blood loss?
1. Platelets
2. Albumin
3. Fresh frozen plasma
4. Packed red blood cells
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse anticipates which fluid movement when administering an isotonic
IV fluid to a patient?
1. Fluid moves from the cells into the intravascular space
2. Fluid moves from the intravascular space into the intracellular space
3. Causes no or equal movement of fluid into or out of cells
4. Fluid moves from the intravascular space into the interstitial spaces
____ 2. The nurse is reviewing new healthcare provider orders on a patient admitted
for treatment of severe dehydration. The patient’s serum osmolality is 300 mOsm/kg.
It is a priority for the nurse to follow up with the provider if which solution is
ordered?
1. 5% Dextrose in lactated Ringer’s solution (D5LR)
2. Dextrose 5% in 0.45% normal saline
3. 0.45% Normal saline
4. Dextrose 5% in 0.9% normal saline
____ 3. In providing care to a patient with a severe fluid deficit, which prescribed
intravenous solution does the nurse recognize as most effective in expanding plasma
volume?
1. 0.9 % Normal saline
2. Dextrose 10%
3. 0.45 % Normal saline
4. Albumin
____ 4. Which intravenous (IV) fluid should the nurse prepare when a patient requires
an isotonic solution?
1. 0.9% Normal saline
2. 2.5% Dextrose in water
3. 0.33% Sodium chloride
4. 5% Dextrose in lactated Ringer’s
____ 5. Which intravenous (IV) fluid should the nurse prepare when a patient requires
a hypertonic solution?
1. 0.9% Normal saline
,2. 2.5% Dextrose in water
3. 0.33% Sodium chloride
4. 5% Dextrose in lactated Ringer’s
____ 6. Which intravenous (IV) fluid should the nurse prepare when a patient requires
a hypotonic solution?
1. 0.9% Normal saline
2. 5% Dextrose in water
3. 0.33% Sodium chloride
4. 5% Dextrose in lactated Ringer’s
____ 7. The nurse prepares to initiate intravenous (IV) access for an older adult
patient who requires a blood transfusion. Which gauge needle is best for the nurse to
use for this procedure?
1. 18
2. 20
3. 22
4. 24
____ 8. The nurse is providing care to a trauma patient who will require the rapid
administration of large volumes of fluid in addition to a blood transfusion. Which
gauge should the nurse use when initiating intravenous (IV) access for this patient?
1. 18
2. 20
3. 22
4. 24
____ 9. The nurse is initiating intravenous (IV) therapy for an adult patient who
requires IV fluid infusion for 2 to 3 days and might require blood administration.
Which would the nurse choose as the best option for IV catheterization?
1. Butterfly
2. Midline catheter
3. Short over-the-needle catheter
4. Implantable venous access device
____ 10. The nurse is caring for a patient who needs to have a peripheral intravenous
catheter placed. When the patient requests to have the intravenous (IV) started in the
foot, what is the best response by the nurse?
, 1. “There is an increased risk of infection if an IV is started in your feet or legs.”
2. “There is an increased risk of a clot or inflammation if an IV is started in your foot.”
3. “Placing an IV in your foot decreases blood flow to your feet.”
4. “Placing an IV in your foot is more painful.”
____ 11. The nurse is caring for a patient who is to have a peripherally inserted
central catheter (PICC) line inserted tomorrow. Because the patient’s current
peripheral access line is infiltrated and needs to be restarted, which site would the
nurse avoid using?
1. Radial vein
2. Cephalic vein
3. Median cubital vein
4. Dorsal metacarpal veins
____ 12. The nurse performs an hourly check of a patient’s intravenous site and notes
erythema. The patient denies pain or discomfort. Based on this data, what should the
nurse document in the patient’s medical record?
1. Grade 1 phlebitis
2. Grade 2 phlebitis
3. Grade 3 phlebitis
4. Grade 4 phlebitis
____ 13. The nurse is assessing an intravenous (IV) insertion site noting redness,
warmth, and mild swelling. The patient reports a burning pain along the course of the
vein during medication administration. Which term should the nurse use when
documenting these findings in the medical record?
1. Phlebitis
2. Infiltration
3. Extravasation
4. Occlusion
____ 14. The nurse correlates the administration of which blood component to the
patient with acute blood loss?
1. Platelets
2. Albumin
3. Fresh frozen plasma
4. Packed red blood cells
