1.

The following are the management of Extravasation EXCEPT

Stop the I.V. flow immediately

Estimate the amount of extravasated solution and notify prescriber.

Administer the appropriate antidote according to protocol.

Place the extremity in a lower level to prevent absorption

2.Air embolism can be prevented by

Rapid administration of IV fluids

Slow administration of IV fluids

Using of Infusion pumps

Removing air from IV tubing

The following are the management of infiltration EXCEPT

Stop the infusion and remove the device

Elevate the limb to increase patient comfort

Check the patient′s pulse and capillary refill time.

Perform venipuncture in the same location and restart the infusion

Phlebitis can be prevented by the following EXCEPT

Using proper venipuncture technique.

 Changing the infusion site regularly according to policy.

Observing the I.V. site frequently

Administering undiluted drugs

Rapid flow of fluid into the drip chamber indicates

Patency of the IV line

Infiltration

Extravasation

Increased pressure at the bottle

An infusion pump works by developing

Positive pressure on the tube

Negative pressure on the tube

Atmospheric pressure

Resistance on the tube

What is the best choice of cannula size?

The largest one to insert easily.

The smallest one you can find.

The smallest gauge to accommodate therapy.

 The largest gauge available in the ward.
The purpose of valves in vein is to

Redirect blood flow to another vein.

Shut off blood flow to stop bleeding.

Prevent backflow of blood as it travels through the body.

Help blood flow more forcefully through the body.

What is the size of syringe that should be used to flush a peripheral IV
cannula?

1ml syringe

5ml syringe

10ml syringe

2ml syringe
What step will you follow while performing venipuncture for peripheral
I.V. insertion?

Wear Sterile gloves

Wear Rubber gloves

Wear Clean gloves

 Use washed bare hands
Which I.V. puncture site should be used only as a choice?

Cephalic vein

Metacarpal vein

Basilic vein

antecubital fossa
Which of the following is NOT a characteristic of a vein?

highly distensible

thin walled vessels

less elastic than arteries

More muscular than arteries

. Venospasm can be treated by

Cold application

Hot application

Elevating the part

Administering more fluids

 All IV insertion sites should be cleansed with a scrub using

Solution with 2% Chlorhexidine and 70% Alcohol

A solution with 80% Ethyl Alcohol

Solution of 10% Povidone-Iodine

A solution with 65-75% of Alcohol

. Which one of the following is the vesicant medication?

Antihypertensive drugs

Antineoplastic drugs

Antihistamines

Diuretics

. How often should you change the IV infusion set?

Every 36 hours

Every 48 hours

Every 24 hours

Every 72 hours

. The following actions can be performed immediately after removal of

IV needle EXCEPT
 Apply firm pressure at the site

Hold the client’s arm above the body

Check the catheter to make sure it is intact

Hold the client’s arm below the body

The veins in lower extremities of adult patients can be used

In routine IV infusion

Only for Emergency access

For blood transfusion

For short term IV Infusions

How to develop more sensitive palpation skills?

By using the thumb for palpation.

By using the same finger and palpating before every cannulation

By not palpating when the vein is visible for cannulation

By using which ever finger is comfortable

The contamination of the IV solution can occur by

Using clean gloves for IV procedure

 Leaving IV bag to hang at bedside for more than 24 hours

Using infusion pumps

Using syringe pumps

The following confirms that the needle has entered the vein EXCEPT .

Sudden lack of resistance is felt

Blood returns in the lumen of the needle

Feeling of less pain

Feeling of progressive pain

Which colour venflon has the largest gauge size?

Pink

Ash

Orange

Green
Which of the following statement is true about stopcocks?

It connects more than one IV solution

It prevents air embolism

It prevents pulmonary embolism

 It prevents phlebitis
For a patient requiring long term IV therapy, which of the following site
is the best for the first IV

Antecubital fossa

Lower Extremities

Forearm

It doesn′t matter where the first IV is placed

Which of the following should be avoided when selecting vein for IV
cannulation ?

Areas without valves

Areas of increased venous blood flow

Areas of extension

Areas of flexion
The most common source of bacteria responsible for IV infection
comes from wrong

Airborne sources

The patient’s skin

The cannula
 Healthcare worker’s hands
In which of the below mentioned conditions antidote is administered if
available? .

Infiltration

Extravasation

Infarction

Hematoma
How many layers are there in a vein?

Four layers

Three layers

Two layers

One layer
Leaking of vesicant drug into surrounding tissue is known as

Infiltration

Infarction

Extravasation

Transvasation
If the requirement is 400 mL in 2 hours, and the drop factor is 15
drops/mL, the drops per minute should be

25

50

75

80
Venipuncture is contraindicated in a site if it presents with wrong

Large and tortuous vein

Dark skin colour

Infection

Invisible vein
The frequency of changing the transparent sterile dressing unless
spoiled is

24 hours

48 hours

72 hours

96 hours
18G green venflon is used for

Pre-Operative Patients
 Rapid Infusions

Children

Fragile veins
Complications like phlebitis or thrombus will arise from damage to
which layer of the vein.

Tunica Adventitia

Tunica Media

Tunica Intima

Tunica Externa
Which of the following is an action by a nurse which can cause
infection during an IV Therapy?

Using IV Tray.

Following hand washing technique

Pricking needles into IV Bags during Infusiion.

Disposing needles in a sharps disposal container.

The following factors influence the flow rate in PIV infusion EXCEPT

Position and patency of the tubing

 Height of the infusion bottle

Amount of fluid

Catheter size
The following are the signs and symptoms of infiltration EXCEPT .

Swelling at the venipuncture site

Tightness at the venipuncture site

Cool skin and blanching

Decreased or stopped flow rate

The butterfly needle can be secured by .

Crisscross method

Straight method

Parallel method

Square method
Which of the following is NOT an indication for IV Therapy?

Dermatitis, cellulitis or burns at the peripheral site.

For the administration of emergency medication

To correct and maintain fluid and electrolyte balance.

 To provide access for diagnostic tests and procedures.
The primary function of vein is to carry blood

From the body to the heart.

From the lungs to the body

From the heart to the body.

From the lungs to the muscles.