Created By: A Solution
Test Bank for Phillips’s Manual of I.V. Therapeutics: Evidence-
Based Practice for Infusion Therapy, 7th Edition, Lisa Gorski,
ISBN-13: 9780803667044
Chapter 1: Professional Practice Concepts for Infusion Therapy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is attempting to initiate I.V. therapy for a client diagnosed with gastroenteritis.
The client is combative and resists the nurse’s efforts to start the I.V. Which action by the nurse
would result in an intentional tort?
A. Failing to document the client’s combativeness
B. Refusing to wear gloves while starting the I.V.
C. Failing to report the client’s combativeness to a physician
D. Starting an I.V. on a coherent client against the client’s wishes
2. A nurse who is caring for clients understands that he or she should provide care that
meets at least the minimum standards of practice for nursing. Which phrase regarding standards
of practice is most accurate?
A. Standards of practice focus on the care provider and define needed activities and
behaviors.
B. Standards of practice focus on the recipient of care and describe the outcomes of care.
C. Standards of practice are written laws enacted by the legislature.
D. Standards of practice are the result of the performance of a function or process.
3. Which incident would cause a nurse to be named as a defendant in a malpractice suit?
A. The nurse notes blood return noted in a peripheral IV catheter line.
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B. The nurse reports early signs of infection from a peripheral line inserted by a nurse on
another unit
C. The nurse places two peripheral IV catheters in a patient requiring emergency IV fluids,
but only uses one
D. The nurse records nerve damage caused by a peripheral IV catheter inserted the previous
shift nurse
4. The intravenous route is the most commonly used infusion route. The nurse notes that a
client diagnosed with metastatic cancer is receiving an intraosseous infusion. Should the nurse
question the healthcare pro- vider’s order?
A. Yes; the healthcare provider is not following INS recommendations.
B. No; the nurse should never question the healthcare provider’s order when it comes to
chemother- apy.
C. Yes; this route of infusion is dangerous and not accepted by the INS.
D. No; other routes might be appropriate for administration in certain situations and with
selected fluids and medications.
5. Which competency assessment method is acceptable for nursing competencies which will
occur once per year in the skilled nursing facility?
A. Client Evaluation
B. Clinical Data
C. Sentinel Event Report
D. Skills Checklist
6. One of the primary values of the INS designation of CRNI (certified registered nurse,
infusion) is to:
A. Protect the public
B. Attain competence
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C. Reflect a measurable goal
D. Hold nurses accountable
7. Which problem-solving approach to clinical practice is the nurse manager applying when
determining patient preference and values for successful clinical outcomes?
A. Effective health-care practice
B. Evidence-based practice (EBP)
C. Answering a burning clinical question
D. One’s own clinical expertise
8. Seven days ago the PICC nurse inserted a PICC line into the right forearm of a client
diagnosed with cancer. When the nurse checks the client's site today, which nursing process
outcome is determined?
A. Evaluating cancer treatment
B. Implementing asepsis maintenance
C. Planning for complication prevention
D. Discussing prior cancer therapy
9. Which compensatory model has been applied if the hospitalization rate for CLABSIs
(central line-associated bloodstream infections) decreased significantly over the last quarter?
A. VBP
B. HHRP
C. HAC
D. HHVBP
10. When called as an expert witness in an upcoming case, the nurse manager employs which
techniques?
A. Examines evidence and give advice
B. Reviews charts and assesses jury selection
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C. Gives deposition and notifies lawyers of discrepancies
D. Testifies and establishes standards of care
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
1. A nurse is caring for multiple clients in a rehabilitation facility. During the shift, the
nurse notes that several clients are on high-risk medications. According to the Risk Evaluation
and Mitigation Strategy (REMS) program, when can the U.S. Food and Drug Administration
(FDA) require a REMS? (Se- lect all that apply.)
A. Before FDA drug approval
B. After FDA drug approval
C. During a client evaluation
D. At an ethics committee meeting
E. After client informed consent
2. A new infusion clinic is being started. The nursing supervisor of the new clinic must
conform to specific standards of practice when developing nursing policies and procedures for
the new program. To which organizational standards of practice must the nurse manager adhere?
(Select all that apply.)
A. Centers for Disease Control and Prevention (CDC) guidelines
B. Infusion Nurses Society (INS) standards
C. American Medical Association (AMA) standards
D. Oncology Nursing Society (ONS) standards
E. U.S. Food and Drug Administration (FDA)
A+ Page 4
Test Bank for Phillips’s Manual of I.V. Therapeutics: Evidence-
Based Practice for Infusion Therapy, 7th Edition, Lisa Gorski,
ISBN-13: 9780803667044
Chapter 1: Professional Practice Concepts for Infusion Therapy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is attempting to initiate I.V. therapy for a client diagnosed with gastroenteritis.
The client is combative and resists the nurse’s efforts to start the I.V. Which action by the nurse
would result in an intentional tort?
A. Failing to document the client’s combativeness
B. Refusing to wear gloves while starting the I.V.
C. Failing to report the client’s combativeness to a physician
D. Starting an I.V. on a coherent client against the client’s wishes
2. A nurse who is caring for clients understands that he or she should provide care that
meets at least the minimum standards of practice for nursing. Which phrase regarding standards
of practice is most accurate?
A. Standards of practice focus on the care provider and define needed activities and
behaviors.
B. Standards of practice focus on the recipient of care and describe the outcomes of care.
C. Standards of practice are written laws enacted by the legislature.
D. Standards of practice are the result of the performance of a function or process.
3. Which incident would cause a nurse to be named as a defendant in a malpractice suit?
A. The nurse notes blood return noted in a peripheral IV catheter line.
A+ Page 1
,Created By: A Solution
B. The nurse reports early signs of infection from a peripheral line inserted by a nurse on
another unit
C. The nurse places two peripheral IV catheters in a patient requiring emergency IV fluids,
but only uses one
D. The nurse records nerve damage caused by a peripheral IV catheter inserted the previous
shift nurse
4. The intravenous route is the most commonly used infusion route. The nurse notes that a
client diagnosed with metastatic cancer is receiving an intraosseous infusion. Should the nurse
question the healthcare pro- vider’s order?
A. Yes; the healthcare provider is not following INS recommendations.
B. No; the nurse should never question the healthcare provider’s order when it comes to
chemother- apy.
C. Yes; this route of infusion is dangerous and not accepted by the INS.
D. No; other routes might be appropriate for administration in certain situations and with
selected fluids and medications.
5. Which competency assessment method is acceptable for nursing competencies which will
occur once per year in the skilled nursing facility?
A. Client Evaluation
B. Clinical Data
C. Sentinel Event Report
D. Skills Checklist
6. One of the primary values of the INS designation of CRNI (certified registered nurse,
infusion) is to:
A. Protect the public
B. Attain competence
A+ Page 2
,Created By: A Solution
C. Reflect a measurable goal
D. Hold nurses accountable
7. Which problem-solving approach to clinical practice is the nurse manager applying when
determining patient preference and values for successful clinical outcomes?
A. Effective health-care practice
B. Evidence-based practice (EBP)
C. Answering a burning clinical question
D. One’s own clinical expertise
8. Seven days ago the PICC nurse inserted a PICC line into the right forearm of a client
diagnosed with cancer. When the nurse checks the client's site today, which nursing process
outcome is determined?
A. Evaluating cancer treatment
B. Implementing asepsis maintenance
C. Planning for complication prevention
D. Discussing prior cancer therapy
9. Which compensatory model has been applied if the hospitalization rate for CLABSIs
(central line-associated bloodstream infections) decreased significantly over the last quarter?
A. VBP
B. HHRP
C. HAC
D. HHVBP
10. When called as an expert witness in an upcoming case, the nurse manager employs which
techniques?
A. Examines evidence and give advice
B. Reviews charts and assesses jury selection
A+ Page 3
, Created By: A Solution
C. Gives deposition and notifies lawyers of discrepancies
D. Testifies and establishes standards of care
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
1. A nurse is caring for multiple clients in a rehabilitation facility. During the shift, the
nurse notes that several clients are on high-risk medications. According to the Risk Evaluation
and Mitigation Strategy (REMS) program, when can the U.S. Food and Drug Administration
(FDA) require a REMS? (Se- lect all that apply.)
A. Before FDA drug approval
B. After FDA drug approval
C. During a client evaluation
D. At an ethics committee meeting
E. After client informed consent
2. A new infusion clinic is being started. The nursing supervisor of the new clinic must
conform to specific standards of practice when developing nursing policies and procedures for
the new program. To which organizational standards of practice must the nurse manager adhere?
(Select all that apply.)
A. Centers for Disease Control and Prevention (CDC) guidelines
B. Infusion Nurses Society (INS) standards
C. American Medical Association (AMA) standards
D. Oncology Nursing Society (ONS) standards
E. U.S. Food and Drug Administration (FDA)
A+ Page 4
