True or false: The initial infusion rate for every blood product is a single fixed value that does not depend on the patient or local policy.
3 Blood Product Administration and Monitoring Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Blood Product Administration and Monitoring, test your knowledge, and prepare for your next test or exam.
Why is an approved blood administration set fitted with a standard blood filter used for cellular blood components?
- A
To warm the component to body temperature
- B
To remove clots and cellular debris while allowing the component to pass
- C
To measure the patient’s blood pressure during administration
- D
To prevent all transfusion reactions
Which solution is identified as a compatible option for priming a blood-component administration set?
- A
Sterile water
- B
A dextrose solution
- C
Sterile 0.9% sodium chloride
- D
Any available IV solution
True or false: When possible, avoid infusing another medication through the same line at the same time as a blood component.
- A
True
- B
False
Before transfusion, record baseline temperature, pulse, respirations, and .
Which actions are appropriate preparations before starting a transfusion? Select all that apply.
- A
Review the transfusion order and consent
- B
Begin the transfusion before confirming required pre-transfusion testing
- C
Assess the patient and record baseline vital signs and existing symptoms
- D
Prepare the appropriate equipment
- E
Tell the patient to promptly report new symptoms
At the bedside, a product label and the transfusion documentation appear to have a discrepancy. What is the safest action?
- A
Check only that the product label names the intended component
- B
Ask the patient to confirm the product is theirs, then begin
- C
Match the required patient identifiers to the product label and transfusion documentation, check the product, and resolve discrepancies before starting
- D
If one identifier differs, use clinical judgment to decide whether the mismatch matters
A patient remains stable after transfusion begins. About how many minutes after starting should the nurse reassess the patient? Enter the number of minutes.
If compatible IV fluid is needed during a suspected reaction, do not flush blood remaining in the existing tubing into the patient; use or access as directed by protocol.
Red-cell transfusions commonly have a maximum administration time of how many hours? Enter the number of hours; follow local instructions for timing and handling.
Which new symptoms should a patient be told to report immediately during a transfusion? Select all that apply.
- A
Chills
- B
Itching or a rash
- C
Feeling feverish
- D
Feeling hungry
- E
Pain or difficulty breathing
A patient is at risk of fluid overload. Which approach should guide the nurse’s rate planning?
- A
Increase the rate to finish as quickly as possible
- B
Consider cardiac, renal, and fluid status, and follow any ordered slower rate or other precautions
- C
Ignore the prescribed rate if the patient has no symptoms
- D
Use a slower rate and disregard the product’s and facility’s time limits
Ten minutes after a transfusion starts, a patient develops chills and shortness of breath. Describe the nurse’s immediate priorities and how IV access should be managed.
When may ordinary IV tubing be substituted for an approved blood administration set?
- A
Ordinary IV tubing may always be substituted for an approved blood administration set.
- B
Ordinary IV tubing may be used only when facility policy specifically permits it for that product.
- C
Ordinary IV tubing is required whenever a blood component is infused slowly.
- D
Ordinary IV tubing may be used if the patient has no previous transfusion reaction.
Which approach is appropriate when starting a blood-component transfusion?
- A
Start at the fastest rate the patient can tolerate and check in at completion.
- B
Start at a fixed rate for all patients and leave once the infusion begins.
- C
Begin at the prescribed, cautious rate and stay with or closely observe the patient during the first 5–15 minutes.
- D
Begin at the prescribed rate but delay observation until after the first 15 minutes.
Besides a compatible solution, what may be used to prime a blood-component administration set? Enter the concise term.
During a suspected transfusion reaction, flush the blood remaining in the existing tubing into the patient to maintain IV access.
- A
True
- B
False
How many vital-sign measures are listed for recording at baseline before a transfusion? Enter a whole number.
What is the immediate first action when a transfusion reaction is suspected?
- A
Stop the transfusion immediately.
- B
Continue the transfusion at a slower rate while assessing the patient.
- C
Flush the existing blood tubing into the patient before stopping.
- D
Wait for the next scheduled vital-sign assessment before acting.
When planning a blood component’s administration time and handling, which guidance should the nurse follow?
- A
Use the same administration-time instructions for every product and facility.
- B
Follow the applicable product instructions and the facility’s current procedures for timing and handling.
- C
Choose the administration time solely according to the patient’s preference.
- D
Use a standard administration time without consulting facility procedures.