INP 4 final exam Questions with Complete Solutions (Latest 2025) When is IV fluids therapy used? - Correct Answers ✅Primarily for fluid replacement in patients unable to take oral fluids and as a means of supplying the patients with electrolytes and nutrients Why should patients receiving IV medications be closely monitored? - Correct Answers ✅Such patients are at risk for adverse reactions. When that med hits the bloodstream its game over.What is assessed before, during, and after IV infusions? - Correct Answers ✅Vital signs!What is an IV bolus? - Correct Answers ✅"Push"; introduction of a concentrated dose of a medication directly into the patients systemic circulation.What is the advantage of IV bolus'? - Correct Answers ✅- only needs a small amount of fluid to deliver the medication; therefore, it is useful when patients are restricted on fluids What is one of the first steps in changing an IV primary bag? - Correct Answers ✅Is the new bag compatible with all solutions being given? 1 / 4
INP 4 final exam Questions with Complete Solutions (Latest 2025) What should be noted on IV labels? (on IV bag and line) -
Correct Answers ✅BAG: patient name, what is the solution,
rate, date it was hung, initials, time
Line: when it was changed, what date it is due to change
You see air in the IV line! What do you do? - Correct Answers ✅Use the ports!1) Swab for 10 secs 2) Clamp 3) Using a 10cc syringe, draw out through the lowest port from the bubble What is your scope for PIVs? How about central lines? -
Correct Answers ✅PIV:
-PN may perform ALL functions, with appropriate training
Central:
-We can only assess
Please perform an IV assessment - Correct Answers ✅First:
take notes of physicians order and bring with you to assess the bag- what is it and at what rate? 2 / 4
INP 4 final exam Questions with Complete Solutions (Latest 2025) 1) Is it the right solution? expired?2) is there enough left?3) Sediment?
4) labelled: patient's name, solution, date, initial, time
5) drip chamber-1/2-1/3 4) Count drips- whether it is a pump or not 5) kinks? Air? (down the line) 6) DRIPS @IV site- drainage (dressing dry & intact), redness, itchiness, pain, swelling What are the benefits of having a saline lock? - Correct Answers ✅Can stop the IV at anytime and disconnect (You do not need a doctors order for this)
IV: You suspect the client is experiencing fluid overload. What
are your nursing interventions in order? - Correct Answers ✅1) Assess the patient for compromised circulatory regulation- VITAL SIGNS, INPUT/OUTPUT, FOCUSED RESP &
CARDIAC AX
2)Stop the infusion 3) Notify the patient's health care provider immediately 3 / 4
INP 4 final exam Questions with Complete Solutions (Latest 2025)
IV: Patient's IV site shows swelling, warmth, redness, and
tenderness. What is this indicating? What are your NI? - Correct Answers ✅Phlebitis
- inflammation of the vein caused by mechanical and/ or
chemical irritation 1) D/c IV 2) Apply warm compresses then cool compresses 3) Notify RN- reinsertion 4) Document
IV: You note coolness, pallor, and swelling at the IV site. What
is it? What are your NI? - Correct Answers ✅Infiltration -the escape of NONVESICANT solutions into interstitial tissue
NI:
1) D/C IV
2) Elevate extremity 3) Apply cool compresses 4) Notify RN 5) Document
IV: You note coolness of the skin around site, skin is taut,
slowing of the IV rate, and tissue necrosis (ok u wont see see
- / 4