Free Practice Quiz Question List

7 IV Medication Administration and Monitoring Online Quiz Questions

Use this free practice quiz with 20 questions to review 7 IV Medication Administration and Monitoring, test your knowledge, and prepare for your next test or exam.

20 questions

Written response

1 point

A $500$ -mL infusion is to run over $4$ hours using tubing with a drop factor of $15$ drops/mL. What gravity rate is needed, rounded to the nearest whole drop per minute?

Written response

1 point

A patient weighing $70$ kg has an order for $5$ mcg/kg/min. The solution contains $400$ mg in $250$ mL. What pump rate is needed in mL/hour? Round to the nearest tenth.

Choose one

1 point

While preparing an IV medication, you notice unexpected particles in the solution. What should you do?

A
Administer it if the medication name and concentration match the order.
B
Do not use it, and follow the appropriate process to obtain a suitable product.
C
Shake it until the particles are no longer visible, then administer it.
D
Dilute it further to correct the unexpected appearance.

Choose one

1 point

An infusion pump displays an alert during an IV infusion. What is the safest next step?

A
Silence the alert and continue if the displayed rate matches the order.
B
Increase the infusion rate briefly to see whether the alert clears.
C
Investigate the cause of the alert before taking further action.
D
Disconnect the pump and administer the remaining medication by IV push.

True or false

1 point

A flush after an IV medication can move residual medication in the tubing into the patient, so the flush volume and rate may affect the dose received.

A
True
B
False

Choose one

1 point

Two medications are planned for administration through a shared IV line, and the solution appears clear. What should you do before co-infusing them?

A
The medications are compatible because the solution remains clear.
B
Check a current approved compatibility reference or consult a pharmacist before co-infusing.
C
Compatibility in the same bag guarantees compatibility through a shared line.
D
Use the medications together if they have the same prescribed administration time.

Choose one

1 point

After preparing an IV medication from a single-dose container for one patient, which restriction applies to any remaining contents?

A
Do not use the remaining contents for another patient; handle them according to applicable policy.
B
Use the remaining contents for another patient if you use a new syringe.
C
Reuse the syringe for the same patient after replacing the needle.
D
Share the remaining contents with another patient if they receive the same medication.

Choose one

1 point

A medication is ordered for IV push. Which approach is safest before and during administration?

A
Give the medication rapidly because it is prescribed as a push.
B
Use the administration time from a different medication with the same route.
C
Verify the drug-specific administration time and give it at the specified rate.
D
Omit the rate check if the patient has a patent IV line.

Choose one

1 point

A patient receiving an IV infusion develops new dyspnea and edema. What is the most appropriate response?

A
Continue the infusion and reassess only at the next routine interval.
B
Seek immediate clinical assessment for possible fluid overload.
C
Flush the line to determine whether the symptoms improve.
D
Increase the infusion rate to complete the prescribed volume sooner.

Written response

1 point

A volume of $500\ \mathrm{mL}$ must infuse over $4$ hours through tubing with a drop factor of $15\ \mathrm{drops/mL}$ . Using $\mathrm{drops/minute} = (\mathrm{volume} \times \mathrm{drop\ factor}) \div \mathrm{time\ in\ minutes}$ , calculate the rate and round to the nearest whole drop per minute.

Written response

1 point

A patient weighing $70\ \mathrm{kg}$ has an order for $5\ \mathrm{mcg/kg/min}$ . The solution contains $400\ \mathrm{mg}$ in $250\ \mathrm{mL}$ . Calculate the pump rate in mL/hour and round to the nearest tenth.

Choose one

1 point

A medication order has conflicting information about the prescribed dose. What is the safest action before preparing or administering the medication?

A
Administer the dose using the most common practice for that medication.
B
Pause and clarify the order with the prescriber or pharmacist before administration.
C
Ask the patient which dose they usually receive.
D
Proceed and document the uncertainty afterward.

Choose one

1 point

Which preparation approach best supports aseptic practice when preparing an IV medication?

A
Prepare the medication in a clean, designated area using aseptic technique and an appropriate new sterile device.
B
Prepare the medication at the bedside using any available surface, as long as the vial looks clean.
C
Reuse a syringe if it is used only for the same medication.
D
Prepare the medication in a shared area without applying sterile technique if it will be administered promptly.

Choose all

1 point

Before preparing an IV medication dose, which actions are appropriate? Select all that apply.

A
Verify the patient and the medication.
B
Check the indication, dose, route, and time against the order.
C
Assume allergies are not relevant if the medication was prescribed.
D
Check allergies and relevant clinical parameters.
E
Clarify incomplete or conflicting order information before proceeding.

Choose all

1 point

During an IV infusion, which monitoring actions are appropriate? Select all that apply.

A
Reassess the patient at intervals appropriate to the medication, route, patient, and facility policy.
B
Check that the infusion is running at the intended rate and that the line and pump are functioning.
C
Monitor drug-specific vital signs, symptoms, laboratory results, or other parameters as indicated.
D
Assess the access site for pain, swelling, redness, temperature changes, or leakage.
E
Rely on the pump display alone if it shows the programmed rate.

True or false

1 point

A prepared IV syringe will not be administered immediately as part of an uninterrupted preparation-and-administration process. It should be labeled.

A
True
B
False

True or false

1 point

Infiltration involves non-vesicant fluid entering surrounding tissue, whereas extravasation involves a vesicant or tissue-damaging medication entering surrounding tissue.

A
True
B
False

Fill in the blank

1 point

Infiltration occurs when fluid enters the tissue surrounding the access site.

Fill in the blank

1 point

Phlebitis is inflammation of the .

Open ended

1 point

Explain how a clinician should monitor an IV infusion beyond simply checking the pump display. Include what should be assessed and how monitoring should be guided.