Practice Test Geeks(IV) Intravenous Therapy Certified Practice Test
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IV Therapy in Special Populations Flashcards

6 cards from real IV practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 IV Therapy in Special Populations flashcards as text

  1. Which vein is preferred for peripheral IV access in neonates and infants when scalp veins are unavailable?

    Answer: Dorsal hand or foot veins

    Dorsal hand and foot veins are preferred peripheral IV access sites in neonates and infants due to their relative stability and accessibility.

  2. Why is it critical to use microbore (low-volume) IV tubing when infusing medications to neonates?

    Answer: To minimize dead-space volume and prevent large unintended drug boluses during flushes

    Microbore tubing minimizes dead-space volume in pediatric IV lines, preventing inadvertent drug boluses when lines are flushed in neonates.

  3. Which IV solution is generally avoided in premature neonates due to the risk of kernicterus?

    Answer: IV solutions containing benzyl alcohol as a preservative

    Benzyl alcohol, used as a preservative in some IV solutions and medications, is toxic to premature neonates and is associated with 'gasping syndrome' and kernicterus.

  4. In elderly patients, which factor most significantly increases the risk of IV therapy complications such as fluid overload?

    Answer: Decreased cardiac and renal reserve

    Decreased cardiac and renal reserve in elderly patients impairs their ability to handle IV fluid loads, significantly increasing the risk of fluid overload.

  5. A pediatric patient requires IV medication, and the prescribed dose is weight-based. After calculating the dose, what is the nurse's next critical step?

    Answer: Verify the calculated dose with a second nurse and confirm it does not exceed the maximum single dose

    Weight-based pediatric IV medication doses must be independently verified by a second nurse and confirmed against maximum dose limits to prevent dosing errors.

  6. Which oncology patient receiving vesicant chemotherapy via peripheral IV requires the most vigilant site assessment?

    Answer: A patient with a hand vein insertion 30 minutes before infusion start

    Peripheral hand vein IVs placed shortly before vesicant administration carry the highest risk of extravasation due to vein fragility and poor fixation; central access is strongly preferred.

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