Vascular Access Exam Prep - Question List

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41. A physician orders 1000 ml of normal saline solution to be infused over 12 hours. The drop factor is 15 drops per 1 ml. A nurse sets the flow rate at how many drops per minute?
  1. 21 drops
  2. 24 drops
  3. 30 drops
  4. 31 drops
42. A nurse is changing a client’s abdominal dressing. A nursing assistant enters the room and informs the nurse that the IV fluid ordered for another client, who is experiencing difficulty breathing, has just arrived from the pharmacy. The nurse’s most appropriate action is to:
  1. Drape the client’s abdomen, administer the IV fluid to the dyspneic client, and finish the treatment.
  2. Ask the nursing assistant to find another nurse to administer the IV fluid, finish the treatment, and check on the respiratory rate of the dyspneic client.
  3. Ask the nursing assistant to teach deep breathing exercises to dyspneic client until she’s free to administer the IV.
  4. Finish cleansing the wound, apply the sterile dressing, and administer IV fluid to the dyspneic client.
43. A nurse notes that the site of the client’s intravenous catheter is edematous and cool. Which of the following nursing actions is not appropriate for this client?
  1. Removing the intravenous catheter immediately
  2. Rubbing or massaging the infiltrated area
  3. Elevating the affected extremity
  4. Application of warm or cool compresses over the site
44. Where is the antecubital fossa located?
  1. The bend of the elbow, front of the arm.
  2. The bend of the elbow, back of the arm.
  3. The bend of the elbow, outer side of arm.
  4. The bend of the elbow, inner side of arm.
45. Generally, where and how is a tourniquet applied for a venipuncture procedure?
  1. Midway between the shoulder and bend of elbow. Applied with enough pressure to compress and engorge the vein.
  2. Three inches above venipuncture site. Applied with enough pressure to slow or stop blood flow.
  3. Two inches above venipuncture site. Applied with enough pressure to compress and engorge the vein.
  4. Midway between the shoulder and bend of elbow. Applied with enough pressure to slow or stop blood flow.

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