NCLEX CRUSADE ACADEMY TEST - 5 INTRAVENOUS MEDICATION ADMINISTRATION

1. A nurse is prioritizing IV medications for a critically ill patient. Which therapy is considered FIRST priority?. Antibiotics. Continuous hydration/TPN. Stool softeners. Vitamin supplementation.

2. Which IV catheter size is the minimum recommended for blood transfusion?. 24G. 22G. 20G. 18G.

3. Which catheter gauge is best for rapid fluid resuscitation?. 24G. 22G. 20G. 14G or 16G.

4. Which IV site should be avoided in a patient with a history of mastectomy?. Opposite arm. Hand veins. Mastectomy side arm. Forearm veins.

5. A nurse is preparing medication from an ampule. What is the FIRST step?. Insert filter needle. Tap the ampule neck. Break the ampule. Purge the syringe.

6. Why is a filter needle used when drawing medication from an ampule?. Prevent infection. Prevent micro glass aspiration. Increase medication flow. Reduce pain during injection.

7. What is the primary effect of isotonic IV solutions on cells?. Cells swell. Cells shrink. No fluid shift occurs. Cells rupture.

8. What happens to cells when hypotonic fluids are administered?. Cells shrink. Cells swell. Cells dehydrate. No change occurs.

9. Hypertonic IV solutions cause which cellular response?. Cellular swelling. Cellular rupture. Fluid moves out of the cell. No osmotic movement.

10. Which condition is an indication for hypotonic IV fluids?. Cerebral edema. Dehydration from DKA. Severe burns. Increased intracranial pressure.

11. Hypotonic fluids are contraindicated in which condition?. Dehydration. Vomiting. Increased intracranial pressure. Blood loss.

12. What is the maximum recommended hang time for TPN solution?. 12 hours. 24 hours. 36 hours. 48 hours.

13. Which catheter is typically required for long term TPN therapy?. Peripheral IV. Midline catheter. PICC line or central venous catheter. Butterfly needle.

14. Which complication is associated with central line insertion?. Pneumothorax. Hyperglycemia. Hypertension. Hypothermia.

15. Before using a newly inserted central venous catheter, the nurse must verify placement by: Ultrasound. ECG monitoring. X ray confirmation. Blood pressure reading.

16. Which solution is compatible with packed red blood cell transfusion?. Dextrose 5%. Lactated Ringers. Normal saline. Half normal saline.

17. What equipment is mandatory when administering blood products?. Infusion pump. Blood filter. Pressure bag. Inline heater.

18. Which blood product increases platelet count?. PRBCs. Platelets. Cryoprecipitate. Plasma.

19. Cryoprecipitate is primarily used to replace: Red blood cells. Platelets. Clotting factors. Albumin.

20. What is the FIRST nursing action when a transfusion reaction occurs?. Call the physician. Stop the transfusion. Administer antihistamine. Document symptoms.

21. After stopping a transfusion due to a reaction, what should the nurse do next?. Remove IV line. Flush blood tubing. Maintain IV access with normal saline. Restart blood infusion.

22. A postpartum woman wants to donate blood 6 weeks after delivery. What should the nurse advise?. She can donate now. Wait at least 6 months. Wait 3 months. Donate only platelets.

23. Which symptom indicates a possible blood transfusion reaction?. Mild thirst. Fever and chills. Increased appetite. Slight fatigue.

24. When administering IV fluids, what should the nurse assess BEFORE increasing the infusion rate?. Blood pressure. Lung sounds. Heart rate. Oxygen saturation.

25. Which rule is considered a Golden Rule of IV therapy?. Increase IV rates quickly if delayed. Administer fluids immediately after line insertion. Always assess before acting. Avoid monitoring electrolytes.