practice quiz 1

As part of a large hospital's IV team, two nurses are responsible for inserting peripherally inserted central catheters (PICCs) at the bedside for patients who require this form of venous access. Which of the following patients would most likely require a PICC? A)An elderly man who has been admitted from the community with a fluid volume deficit. B)A woman who recently suffered a pelvic fracture in a motor vehicle accident. C)A man whose low serum potassium requires a stat infusion of potassium chloride. D)A woman who has just been ordered total parenteral nutrition (TPN).

D)A woman who has just been ordered total parenteral nutrition (TPN).

The mother of a patient with cancer comes to the nurse concerned with her daughter's safety. She states that the dose of morphine that her daughter requires to control her pain is getting "higher and higher." As a result, the mother is afraid that her daughter will overdose. The nurse should educate the mother about what aspect of her daughter's pain management? A)There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug. B)The dose range is higher with cancer patients, and the medical team will be very careful to prevent addiction. C)Frequently, female patients and younger patients need higher doses of opioids to be comfortable. D)The increased risk of overdose is an inevitable risk of maintaining adequate pain control during cancer treatment.

A)There is no absolute maximum opioid dose and her daughter is becoming more tolerant to the drug.

Hickman and Groshong are examples of which type of central venous access device? A)Tunneled central catheters B)Peripherally inserted central catheters C)Non-tunneled central catheters D)Implanted ports

A)Tunneled central catheters

A patient is recovering from a craniotomy with tumor debulking. Which comment by the patient indicates to the nurse a correct understanding of what the surgery entailed? A)I will be glad to finally be done with treatments for this thing." B)"I am so glad the doctor was able to remove the entire tumor." C)"I guess the doctor could not remove the entire tumor." D)"Thank goodness the tumor is contained and curable."

C)"I guess the doctor could not remove the entire tumor."

A patient is about to receive a transfusion of packed red blood cells (PRBC's). Prior to administration, what action should the nurse perform? A)Ensure that the patient has granted verbal consent for transfusion. B)Have the patient identify his or her blood type in writing. C)Facilitate insertion of a central venous catheter. D)Assess the patient's vital signs to establish baselines.

D)Assess the patient's vital signs to establish baselines.