Free Practice Quiz Question List

3 IV Fluids and Infusion Management Online Quiz Questions

Use this free practice quiz with 20 questions to review 3 IV Fluids and Infusion Management, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

An adult has ongoing gastrointestinal losses. True or false: A routine maintenance prescription alone is necessarily enough to meet the patient's fluid needs.

A
True
B
False

Choose one

1 point

A hospitalized adult can meet current fluid needs by drinking and has no reason the oral route cannot be used. Which approach is most appropriate?

A
Continue IV fluids because they are preferred whenever available.
B
Use the oral or enteral route if it can meet the patient's needs.
C
Withhold all fluids until an IV prescription is written.
D
Use IV fluids indefinitely once they have been started.

Fill in the blank

1 point

Complete the pump-rate formula: $\text{Pump rate} =$ $\div$ . The volume is measured in mL and the time in hr.

Choose all

1 point

Select all correctly matched IV fluid purposes and their aims.

A
Resuscitation — treating urgent circulatory volume loss.
B
Maintenance — replacing a specific measured ongoing loss only.
C
Replacement — addressing existing or ongoing losses.
D
Maintenance — providing routine needs when oral intake is inadequate.
E
Resuscitation — providing routine needs whenever oral intake is inadequate.
F
Reassessment — checking whether the plan remains appropriate.

Choose one

1 point

An adult has signs of acute hypovolemia and needs IV fluid resuscitation. Which broad fluid category is commonly used initially?

A
A hypotonic fluid, with no further assessment needed.
B
An isotonic crystalloid, followed by reassessment of the patient's response.
C
A routine maintenance prescription, without considering the acute volume loss.
D
No fluid category; resuscitation does not use IV fluids.

True or false

1 point

True or false: Patients receiving IV fluids need regular clinical and fluid-balance review, with more frequent monitoring when indicated.

A
True
B
False

Fill in the blank

1 point

Before calculating a gravity infusion rate, check the printed on the actual administration set.

Choose one

1 point

A clinician believes a patient's prescribed infusion rate may need adjustment, but no local protocol authorizes them to change it independently. What should they do?

A
Change the rate immediately based on personal judgment.
B
Stop all future IV therapy without consultation.
C
Follow the prescription and consult the appropriate clinician or authorized protocol before changing the rate.
D
Ignore the concern because prescribed rates do not need review.

Written response

1 point

A prescription specifies 1,000 mL over 8 hr. Calculate the pump rate in mL/hr.

Choose all

1 point

A clinician is reviewing an adult's IV fluid plan. Select all factors that should inform fluid selection and review.

A
The patient's condition.
B
Existing or ongoing losses.
C
The color of the administration set.
D
Other fluid intake.
E
Medications.
F
Examination findings.
G
Laboratory results.

True or false

1 point

True or false: IV fluids should be prescribed, administered, and monitored by trained clinicians.

A
True
B
False

Choose one

1 point

An adult develops new breathlessness and increasing peripheral edema during an infusion. What is the most appropriate response?

A
Assume the symptoms are expected and continue without assessment.
B
Promptly assess the patient and escalate according to local policy.
C
Independently reduce the prescribed rate regardless of authorization.
D
Wait until the infusion is complete before informing anyone.

Written response

1 point

An order specifies 750 mL over 6 hr using tubing labeled 60 gtt/mL. Calculate the gravity rate, rounding to a whole drop per minute.

Open ended

1 point

During a shift, recorded intake is 1,250 mL and output is 900 mL. What is the net balance, and name two additional observations that can help assess the patient's fluid status.

Choose one

1 point

An adult is receiving IV fluids in hospital. Which approach to monitoring is appropriate?

A
Review the patient only if they report feeling unwell.
B
Review the patient and fluid balance regularly, increasing monitoring frequency when indicated.
C
Review fluid balance only at the end of the IV prescription.
D
Monitoring is unnecessary once the infusion rate has been calculated.

Choose one

1 point

An adult has signs of acute hypovolemia and needs IV fluid resuscitation. Which approach best describes the usual initial fluid category and the next step?

A
A maintenance fluid, continued without reviewing the patient’s response.
B
A replacement fluid, with no further assessment needed after administration.
C
An isotonic crystalloid, followed by reassessment of the patient’s response.
D
Any available IV fluid, continued until the prescribed volume is complete regardless of response.

Choose one

1 point

A patient has ongoing gastrointestinal losses. Is a routine maintenance prescription alone necessarily sufficient?

A
No; the plan should account for ongoing losses as well as the patient’s other needs and clinical findings.
B
Yes; maintenance fluids automatically replace any gastrointestinal losses.
C
Yes; ongoing losses do not affect fluid planning once maintenance has been prescribed.
D
No; but the plan should be based only on the patient’s current oral intake.

Choose one

1 point

Before calculating a gravity infusion rate, what should the clinician do to identify the correct tubing drop factor?

A
Use the drop factor most commonly used in the ward, regardless of the set.
B
Estimate the drop factor from the fluid volume.
C
Use a drop factor remembered from a previous infusion.
D
Check the drop factor printed on the actual administration set.

Written response

1 point

During a shift, recorded intake is 1,250 mL and recorded output is 900 mL. What is the net balance in mL?

Written response

1 point

An infusion order specifies 1,000 mL over 8 hours. What pump rate in mL/hr delivers the prescribed volume over the prescribed time?