IV Therapy Management Quiz: Site Assessment and Safety

1. Question 1
   • Collecting specimens, assessing reflexes, and treating wounds
   • Replacing fluids and electrolytes, providing medications, and replenishing blood volume
   • Measuring vital signs, providing nutrition, and improving mobility
   • Maintaining skin integrity, promoting sleep, and preventing falls
2. Question 2
   • The medication remains localized at the insertion site
   • The medication is automatically neutralized by the vein
   • The medication is delayed until it reaches the digestive system
   • The medication enters the bloodstream directly and acts rapidly
3. Question 3
   • Discontinuing a peripheral IV
   • Hanging a secondary IV bag
   • Calculating the IV rate
   • Assessing the IV site
4. Question 4
   • A completed discharge summary
   • A dietary consultation
   • A mobility assessment
   • A medication order
5. Question 5
   • Monitoring the effectiveness of IV therapy
   • Changing the patient’s diet
   • Assessing hearing acuity
   • Collecting a wound specimen
6. Question 6
   • Assume that all IV solutions have the same purpose
   • Verify the ordered therapy before it enters the bloodstream
   • Begin the infusion and verify the order afterward
   • Rely on the appearance of the solution instead of the order
7. Question 7
   • Deviations from normal tissue appearance
   • The color of the patient’s clothing
   • The patient’s preferred arm position
   • The patient’s dietary preferences
8. Question 8
   • A documented flow rate
   • A completed medication order
   • A correctly identified patient
   • A visible deviation from normal tissue appearance
9. Question 9
   • It eliminates the need to verify the IV order
   • It determines the patient’s medication dose
   • It helps identify abnormal changes at the access point
   • It replaces documentation of nursing actions
10. Question 10
    • Comparing the site with expected normal tissue appearance
    • Changing the prescribed therapy independently
    • Determining the patient’s preferred medication route
    • Estimating the patient’s blood volume without assessment
11. Question 11
    • The patient’s meal intake
    • The patient’s hearing response
    • The integrity of the dressing and catheter stabilization
    • The color of the IV pole
12. Question 12
    • The finding can be excluded from documentation
    • The IV site and catheter stabilization require reassessment
    • The IV therapy is automatically effective
    • The medication order is no longer needed
13. Question 13
    • The order is reviewed without observing the site
    • Only the IV bag is inspected
    • The site is compared with normal tissue appearance and the dressing and stabilization are evaluated
    • Only the patient’s comfort is recorded
14. Question 14
    • An intact dressing
    • A deviation in tissue appearance
    • A site with no observed abnormal change
    • Stable catheter support
15. Question 15
    • To replace the requirement for an IV order
    • To recognize a possible complication before it progresses
    • To select a medication dose
    • To determine the patient’s final discharge date
16. Question 16
    • A statement that no assessment was needed
    • A note about the patient’s unrelated meal preference
    • The statement that the site was acceptable without additional detail
    • A description of the site appearance and dressing or stabilization status
17. Question 17
    • Recognize the change as a deviation from normal and follow appropriate reporting and escalation expectations
    • Ignore it because the IV bag is still hanging
    • Assume the change is normal without reassessment
    • Document only the prescribed fluid name
18. Question 18
    • Infiltration
    • Catheter stabilization
    • Flow-rate calculation
    • Primary solution administration
19. Question 19
    • Primary tubing change
    • Catheter stabilization
    • Normal site appearance
    • Extravasation
20. Question 20
    • An intact dressing with no abnormal observation
    • Changes suggesting local vascular irritation along the vein
    • A documented nursing action
    • A correctly verified fluid order
21. Question 21
    • A verified order before therapy begins
    • A secure catheter with no visible abnormality
    • A recorded IV therapy assessment
    • An unexpected local change that is not consistent with normal tissue appearance
22. Question 22
    • Remove the documentation of the finding
    • Change the prescribed therapy independently
    • Recognize the abnormal finding and follow the appropriate complication and escalation process
    • Continue without reassessment because the therapy has already started
23. Question 23
    • Medication-order verification
    • Catheter occlusion
    • Normal tissue appearance
    • Blood-volume replenishment
24. Question 24
    • Infiltration concerns catheter stabilization, whereas phlebitis concerns patient identification
    • Infiltration concerns fluid entering surrounding tissue, whereas phlebitis concerns vascular irritation
    • Infiltration concerns blood-volume replacement, whereas phlebitis concerns tubing changes
    • Infiltration concerns order verification, whereas phlebitis concerns documentation
25. Question 25
    • Catheter stabilization, dressing integrity, and primary bag preparation
    • Order verification, documentation, and flow-rate calculation
    • Blood-volume replenishment, medication delivery, and fluid replacement
    • Infiltration, extravasation, phlebitis, and catheter occlusion
26. Question 26
    • Significant deviations require timely recognition, response, and escalation
    • Only the IV bag needs to be documented
    • IV complications resolve automatically with time
    • Documentation is unrelated to patient safety
27. Question 27
    • Seek appropriate supervision and follow agency policy for escalation
    • Assume the finding is expected
    • Make an undocumented independent change
    • Continue the infusion until the next scheduled assessment
28. Question 28
    • Confirm the patient’s preferred visiting hours
    • Verify the solution order and designated flow rate
    • Determine whether the patient has completed a meal
    • Choose a flow rate based only on personal preference
29. Question 29
    • The patient’s vein automatically controls the prescribed rate
    • The flow rate has no relationship to safe administration
    • The nurse is responsible for calculating and ensuring the designated rate
    • Only the IV bag label determines whether the rate is correct
30. Question 30
    • The nurse manages secondary solutions but not primary solutions
    • The nurse manages primary solutions but not secondary solutions
    • The nurse prepares and hangs both primary and secondary IV solutions as appropriate
    • The nurse only observes the patient and never manages the solution

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