NCLEX CRUSADE ACADEMY TEST - 3 ESSENTIAL VIDEO - IV THERAPY

1. According to IV therapy safety principles, what is the nurse's primary role when administering IV fluids?. Increase IV rates when delays occur. Act as the legal mediator between medical orders and patient safety. Follow physician orders without assessment. Delegate all IV monitoring tasks.

2. What is the 'Golden Rule' of IV therapy regarding delayed fluids?. Increase the rate to catch up. Double the next infusion bag. Never arbitrarily increase IV rates. Stop the infusion.

3. Before increasing an IV rate, the nurse must assess for which complication?. Dehydration. Fluid overload. Hypoglycemia. Bradycardia.

4. In the IV medication priority matrix, which tier represents the highest acuity?. Tier 1. Tier 2. Tier 3. Tier 4.

5. Which IV gauge is typically required for rapid fluid administration or blood transfusion?. 24G. 22G. 20G or larger. 26G.

6. A 24G IV catheter is most commonly used for which population?. Trauma patients. Pediatric patients. Blood transfusion patients. Rapid resuscitation.

7. Which IV fluid is considered isotonic?. 0.45% Normal Saline. 3% Saline. 0.9% Normal Saline. D10W.

8. Hypotonic fluids cause what effect on cells?. Cells shrink. Cells swell. Cells rupture immediately. No change.

9. Hypertonic solutions cause fluid to move in which direction?. Into the cell. Out of the cell. Into RBC membranes. No movement.

10. What is a major contraindication for hypotonic solutions?. Diabetes. Cranial trauma. Hypertension. Anemia.

11. Which nutrient component is NOT typically part of TPN?. Amino acids. Dextrose. Lipids. Hemoglobin.

12. What is the maximum hang time for TPN?. 8 hours. 12 hours. 24 hours. 48 hours.

13. TPN should be administered using which equipment?. Gravity tubing. Infusion pump. Syringe push. Manual drip set.

14. Which vascular access is typically required for long term TPN?. Peripheral IV. Central line. Subcutaneous line. Intramuscular route.

15. What must be verified before using a central venous catheter?. Patient consent. Chest X ray confirmation of placement. IV pump calibration. Temperature.

16. Which fluid is compatible with blood transfusions?. D5W. Lactated Ringer. Normal Saline. D10W.

17. What tubing setup is required for blood transfusion?. Standard IV tubing. Y tubing with filter. Insulin tubing. Syringe tubing.

18. Packed red blood cells primarily treat which condition?. Hypoglycemia. Anemia. Thrombocytopenia. Infection.

19. Platelet transfusions are primarily indicated for: Anemia. Hemorrhage risk from thrombocytopenia. Infection. Dehydration.

20. Fresh frozen plasma primarily replaces which components?. Platelets. Clotting factors. Red blood cells. White blood cells.

21. What is the FIRST action when a transfusion reaction occurs?. Notify physician. Stop transfusion immediately. Document event. Administer oxygen.

22. After stopping a transfusion reaction, the nurse should keep the vein open with: D5W. Lactated Ringer. Normal Saline. D10W.

23. Which symptom may indicate a transfusion reaction?. Increased appetite. Rash and fever. Improved breathing. Stable vitals.

24. Which complication is associated with central line insertion?. Pneumothorax. Hypertension. Hypoglycemia. Renal failure.

25. What is a key monitoring parameter during TPN therapy?. Blood glucose levels. Vision changes. Hearing ability. Muscle reflex.

26. D5W ultimately behaves like which type of fluid after metabolism?. Hypertonic. Isotonic. Hypotonic. Colloid.

27. Which IV access should NOT be used?. Arm with AV fistula. Dominant arm. Forearm vein. Hand vein.

28. What is a key sign of fluid overload?. Crackles in lungs. Dry skin. Low pulse. Dilated pupils.

29. Which patient requires caution with hypotonic fluids?. Dehydrated patient. Patient with head injury. Patient with mild fever. Patient with UTI.

30. What is the nurse's final safety step before IV therapy administration?. Increase rate. Verify patient identity. Ignore unusual findings. Skip documentation.