Practice Quiz

Vascular Access Exam Prep - Question List

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51. A nurse is administering vasopressin IV to a patient with bleeding esophageal varices. When evaluating the therapeutic effect of this drug on the patient’s condition, the nurse should check for:
  1. Increased pulse rate
  2. Increased hemostasis
  3. Increased urine output
  4. Increased blood pressure
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52. As the nurse is making her rounds, she notes that a client’s intravenous site is cool, slightly edematous, and painful. When the vein proximal to the IV site is occluded by the nurse, the IV fluid continues to flow. The nurse determines that which of the following complications is being experienced by the client?
  1. Phlebitis
  2. Hematoma
  3. Infiltration
  4. Infection
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53. Which of the following are important components of developing an educational program for a patient and their family?
  1. The patient’s reading abilities
  2. The nurse’s schedule to allow enough time for teaching
  3. The patient’s relationship with their spouse
  4. Both A and C
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54. At 9:00 a.m., a nurse finds that a client being infused with 5% dextrose in 0.9% sodium chloride is having difficulty of breathing. On assessment, the nurse notes increased blood pressure, distended jugular veins, and crackles on auscultation. The solution in a 1,000 ml infusion bag was hung at 8:00 a.m. The remaining solution is measured at 600 ml. The nurse’s most immediate action is to:
  1. Notify the physician
  2. Place the client in semi-Fowler’s
  3. Stop the infusion and contact the physician
  4. Stop the infusion and remove the IV catheter
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55. A nurse is enrolled in an orientation program regarding clients’ rights, confidentiality, and ethical practices in nursing. Which of the following situations is an example of a breach of confidentiality?
  1. Release of laboratory results to the client via an encrypted electronic email.
  2. Disclosing information for reimbursement of hospital payment.
  3. Disclosing the client’s disease prognosis to the estranged spouse.
  4. Using a reference number to replace the client’s name in the medical record.
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