IV Site Selection Quiz

A patient with a history of radical mastectomy on the left side requires IV access. Considering the patient's medical history, which site is MOST appropriate for venipuncture?

An elderly patient requires IV therapy. Given the special considerations for elderly patients, which approach is MOST appropriate when selecting a vein?

A patient with end-stage renal disease has an arteriovenous fistula in their left arm for hemodialysis. Where should you attempt venipuncture for IV access?

Which factor is LEAST relevant when selecting a vein for venipuncture?

After multiple attempts to establish peripheral IV access on a patient's upper extremities have failed, what is the MOST appropriate alternative site to consider, keeping in mind the recommendations outlined?

A patient undergoing chemotherapy has fragile veins. What strategy would be MOST appropriate when initiating IV therapy?

What is the PRIMARY reason for avoiding venipuncture in veins below a previous IV infiltration?

A nurse is preparing to insert a peripheral IV catheter. After applying a tourniquet, the nurse palpates a potential venipuncture site and finds that the vein feels sclerosed and thrombosed. What is the MOST appropriate action?

Which of the following actions is MOST critical in preventing bacterial phlebitis during IV therapy?

A patient's IV site presents with blanching, edema extending 4 inches in all directions, coolness to the touch, and mild pain. According to the Infiltration Scale, what grade of infiltration is this?

Which statement BEST differentiates extravasation from infiltration?

A patient receiving intravenous medication complains of pain at the insertion site. Upon assessment, you note erythema, edema, streak formation, and a palpable venous cord less than 1 inch long. What Phlebitis Scale grade does this represent?

Which of the following factors contributes to the development of mechanical phlebitis?

Following insertion of a peripheral IV, a nurse observes a raised, ecchymotic area around the insertion site. What immediate action should the nurse take, prioritizing patient safety and accurate intervention?

A patient is receiving a continuous infusion of a vesicant medication. During assessment, the nurse notes that the IV site is painful, red, and swollen, and the surrounding skin is tight and leaking fluid. Which intervention is MOST appropriate?

In which clinical scenario is the use of a pump or controller to manage IV infusions MOST critical, emphasizing precise drug delivery and patient safety?

What is the primary reason for using a 10 mL syringe when flushing a Central Venous Access Device (CVAD)?

A patient with a CVAD is experiencing a low Central Venous Pressure (CVP) without the use of diuretics. Which of the following conditions should be suspected?

During the insertion of a CVAD, a member of the healthcare team briefly compromises the sterile field. According to the CR-BSI prevention bundle, what is the appropriate immediate action?

A patient with an implanted port reports pain in the neck and palpitations following a recent port access. What complication should the nurse suspect?

When should the dressing on a Central Venous Access Device (CVAD) be changed?

What is the primary purpose of using chlorhexidine for skin disinfection prior to CVAD insertion?

Why is it essential to avoid taking blood pressure measurements on the arm with a PICC line?

What does a high Central Venous Pressure (CVP) reading likely indicate in a patient with a CVAD?

Which of the following practices most effectively minimizes the risk of Central Line-Associated Bloodstream Infections (CLABSI)?

A patient with osteomyelitis requires long-term intravenous antibiotic therapy. Which central venous access device is most suitable, balancing infection risk and duration of therapy?

The physician orders an IV push medication for a patient. What is the most critical nursing action to ensure patient safety during administration?

What is the primary rationale for flushing an IV line with saline before and after administering medication via IV push?

A chemotherapy patient requires frequent infusions. Which central venous access device would be most appropriate to minimize infection risk and maximize comfort?

In which clinical scenario is a non-tunneled central venous catheter the MOST appropriate choice for vascular access?

What is the primary risk associated with administering a medication via IV bolus?

What is the MOST significant advantage of using a tunneled central venous catheter compared to a non-tunneled catheter?

A patient with a known hepatic disorder requires intravenous fluid replacement. Which of the following solutions should be avoided due to the risk of exacerbating their condition?

During a blood transfusion, a nurse observes that a patient has developed urticaria and is wheezing. Which of the following actions is the priority?

A patient receiving a blood transfusion suddenly develops a high fever, chills, and complaints of lower back pain. Which type of transfusion reaction is the MOST likely cause, and what is the immediate nursing intervention?

Which of the following best explains the rationale for using only 0.9% isotonic saline solution when administering blood products?

A patient with heart failure is receiving a blood transfusion. Which of the following signs would indicate circulatory overload, requiring immediate intervention?

A patient is about to receive a unit of packed red blood cells. What is the MOST important nursing intervention to ensure patient safety before initiating the transfusion?

A patient who is immunocompromised is scheduled to receive a vaccine. What type of immunity will the patient develop as a result of the vaccination?

A nurse is teaching a client about different types of immunity. Which of the following statements accurately describes naturally acquired passive immunity?

A patient undergoing induction therapy for acute myeloid leukemia (AML) develops severe neutropenia. Which nursing intervention is the MOST critical during this phase?

A patient with acute myeloid leukemia (AML) is undergoing chemotherapy. The nurse notes lab values indicating hyperkalemia, hyperphosphatemia, and hyperuricemia. Which complication is MOST likely occurring, and what is the priority nursing intervention?

During which phase of chronic myeloid leukemia (CML) would a patient MOST likely exhibit symptoms such as fatigue, anemia, splenomegaly, bone pain and unexplained fever without any obvious signs of infection?

A patient with chronic myeloid leukemia (CML) has been on Tyrosine Kinase Inhibitors (TKIs) for five years and has achieved a stable chronic phase. Which statement reflects the MOST accurate understanding of their long-term treatment plan?

A patient with chronic myeloid leukemia (CML) presents with dyspnea and confusion. Lab results show an extremely elevated leukocyte count. Which intervention is the FIRST priority?

Which of the following instructions is MOST important for a patient with acute myeloid leukemia (AML) who is undergoing induction therapy to prevent infection?

What is the PRIMARY reason why patients with extremely high leukocyte counts due to chronic myeloid leukemia (CML) are considered immunosuppressed, despite the elevated numbers?

A patient with acute myeloid leukemia (AML) is prescribed hematopoietic stem cell transplant (HSCT) after induction and consolidation therapy. Which statement BEST explains the purpose of HSCT in this context?

Selecting a Vein

Short Peripheral Catheters

Factors for Vein Selection

Sites to Avoid for IV

Elderly Considerations

Non-Dominant Hand

Arm with Fistula

Gauge Size for IV

Strict aseptic technique

PICC line veins

Infiltration Scale

Phlebitis Scale

Complications of IV

Local Complications

Mechanical phlebitis

Hematoma

CVAD Placement Technique

Accessing Ports

Dressing Change Frequency

Central lines

Low CVP Indicator

Non-tunneled catheter

High CVP Indicator

Catheter Cap Change

Tunneled catheter

CR-BSI Prevention Bundle

PICC line

IV push

Chlorhexidine Use

IV bolus

Flushing

Risk of complications

Hypernatremia

Lactated Ringer's Solution

Metabolic Alkalosis

Blood Transfusion Guidelines

Acute Hemolytic Reaction

Febrile Non-Hemolytic Reaction

Transfusion-Related Acute Lung Injury (TRALI)

Naturally Acquired Active Immunity

Blast Cells

Induction Therapy

Consolidation Therapy

Hematopoietic Stem Cell Transplant (HSCT)

Chronic Myeloid Leukemia (CML)

Stages of CML

Tumor Lysis Syndrome

Tyrosine Kinase Inhibitors (TKIs)