Free Practice Quiz Question List

6 Foundations of IV and Parenteral Therapy Online Quiz Questions

Use this free practice quiz with 20 questions to review 6 Foundations of IV and Parenteral Therapy, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

A midline catheter is a form of central venous access because its tip terminates in a central vein.

A
True
B
False

Choose one

1 point

A prescribed IV solution has a lower effective concentration than plasma. Which general effect should the clinician anticipate?

A
A hypertonic solution, because it moves water into cells
B
A hypotonic solution, because it promotes water movement into cells
C
An isotonic solution, because it has a lower effective concentration than plasma
D
A colloid, because all colloids move water into cells

Fill in the blank

1 point

Complete each statement about infusion sets: delivers a continuous solution, while a delivers an intermittent medication through compatible primary tubing.

Written response

1 point

Which vascular access device is inserted through a peripheral vein but has its tip terminating in a central vein?

Choose all

1 point

A clinician is preparing an infusion on a smart pump. Which statements about the pump are correct? Select all that apply.

A
A medication library may provide medication-related safeguards.
B
A smart pump makes it unnecessary to check the medication order.
C
Dose limits may be included as a safeguard.
D
A smart pump eliminates the need to monitor the patient’s response.

Choose one

1 point

An infusion pump alarm sounds during therapy. What is the safest initial response?

A
Silence the alarm first, then check the patient only if it returns.
B
Increase the programmed rate to clear the alarm.
C
Assess the patient and the full infusion system to identify the cause.
D
Disconnect the tubing without assessing the patient or device.

True or false

1 point

There is one universal safe rate for administering all IV push medications.

A
True
B
False

Written response

1 point

Using gravity tubing calibrated at 15 drops/mL, calculate the rate for 100 mL infused over 60 minutes. Use $\text{drops/min} = \frac{\text{volume in mL} \times \text{drop factor in drops/mL}}{\text{time in minutes}}$ . Round to the nearest whole drop.

Fill in the blank

1 point

Fluid entering the tissue surrounding a peripheral catheter is called .

Choose all

1 point

Before administering an IV medication through a line that already has an infusion running, which actions support safe delivery? Select all that apply.

A
Verify the order and patient, including required medication-administration checks.
B
Confirm the medication concentration and verify compatibility with the solution and infusing medications.
C
Assume two medications can share a line if they are being administered to the same patient.
D
Disinfect the access point as directed and use sterile, single-use equipment.

Choose one

1 point

A patient receiving a tissue-damaging IV medication develops unexpected pain and swelling at the access site. What is the most appropriate response?

A
Flush the line immediately to check whether it is still patent.
B
Assess the patient and follow the applicable protocol; do not flush unless that protocol directs it.
C
Increase the infusion rate to finish the medication quickly.
D
Ignore the site if fluid can still be infused.

Open ended

1 point

A prescribed IV therapy is expected to continue beyond short-term peripheral access. Explain how the clinician should select an appropriate vascular access device, including factors to consider and why tip location matters.

Choose one

1 point

Before starting or changing a pump-controlled infusion, which check best helps detect setup and programming problems?

A
Check only that the programmed rate appears on the pump display.
B
Trace the tubing from container to patient, confirm the correct line and channel, check settings, and inspect for kinks or disconnections.
C
Silence any alarms before determining their cause.
D
Assume the setup is correct if the patient has no immediate symptoms.

Written response

1 point

What is the clinical term for inflammation of a vein that may be associated with redness, warmth, or a palpable venous cord?

True or false

1 point

True or false: A smart pump’s medication library and dose limits make it unnecessary to verify the order, concentration, and programmed settings.

A
True
B
False

Choose one

1 point

A patient with cardiac impairment is receiving an isotonic crystalloid. Which monitoring priority is most appropriate?

A
Monitor only for water moving into cells.
B
Monitor for fluid overload, including worsening edema or respiratory status.
C
Expect the solution to draw water into cells and reduce extracellular volume.
D
Assume fluid overload is not a concern because the solution is isotonic.

Written response

1 point

Fluid from a peripheral IV catheter is entering the surrounding tissue. What is the name of this complication?

Choose one

1 point

A patient needs longer-term therapy that requires central access. Which device is inserted through a peripheral vein and has its tip terminating in a central vein?

A
A midline, because its tip terminates in a central vein.
B
A short peripheral IV catheter, because it is intended for longer treatment requiring central access.
C
A PICC, because it is inserted peripherally and its tip terminates in a central vein.
D
An intraosseous device, because it is generally used for long-term central therapy.

Choose one

1 point

What is the purpose of a secondary, or piggyback, administration set in a typical IV setup?

A
It delivers an intermittent medication through compatible primary tubing.
B
It replaces the vascular access device and provides central access.
C
It is used only to regulate gravity flow through a roller clamp.
D
It delivers a continuous solution and cannot be used for intermittent medication.

Choose one

1 point

A volumetric infusion pump alarms during an infusion. What should the clinician do first?

A
Silence the alarm and wait to see whether it sounds again.
B
Increase the programmed rate to clear a possible occlusion.
C
Disconnect the tubing and restart the infusion without checking the patient.
D
Assess the patient and the full infusion system to identify the cause of the alarm.