ABCs of IVs Index



Making Connections

Critical Thinking


Critical Thinking:

Part 1


Part 1
Part 2
Part 3
Answer Sheet (PDF)
Answer Page

Critical Thinking/Application Questions: Print off an answer sheet and record your answers for each of the Parts. When you have completed a Part go to the Answer Page and check your results and review the explanations given.

Part 1: Question 8

What rate is the secondary line/piggy back infusion running at in this picture?

A. 125

B. 948

C. 200

D. 87

Part 1: Question 9

You enter your client's room and realize that the occlusion alarm is sounding on the IV pump. Which of the following is the best course of action?

A. Remove the IV since it is probably infiltrated

B. Reset the pump by turning it off and back on again

C. Tell the patient to stop hitting the buttons when you leave the room

D. Visually inspect the entire line and site to look for clamps that are on, bubbles, kinks or infiltration

Part 1: Question 10

You are caring for a 10 year old pediatric client that requires an infusion of IV steroids due to worsening asthma symptoms.  The child appears worried about the pump. Which of the following demonstrates the most therapeutic response by the nurse?

A. Have the parents restrain the child during the infusion

B. Distract the child while the infusion is running

C. Offer choices as to where they'd like to sit while the infusion is running

D. Administer sedatives to relax the child during the infusion



Part 1: Question 7

The nurse is preparing to administer an IV push medication, what's wrong with this picture?

A. The nurse is not wearing scrubs

B. Sterility has been broken

C. The needle being used is too large

D. A needle is being used to access a clave port


Part 1: Question 6

Which of the following is NOT a good indicator of an infiltrated IV?

A. Swelling

B. Pump alarm indicating occlusion

C. Patient report of pain at the site

D. IV dressing that is flaking off


Part 1: Question 5

Which syringe would you select to administer 2mg of Morphine from a 5mg/5cc vial?

            A.                    B.                        C.                      D.


Part 1: Question 3

The student pictured is about to connect the clip-lock cannula to the primary line.  What's wrong with this picture?

A. Sterility has been broken

B. The student is not wearing gloves

C. The clip-lock cannula is not attached to any tubing

D. The connection is being made too high on the primary tubing line


Part 1: Question 2

You need to administer Ancef (an antibiotic) to your pediatric patient who is 52kg.  The dosing is recommended at 6.25-25 mg/kg. A syringe comes up with 1500mg of Ancef mixed in 10cc of normal saline. Is this dose safe? What is the safe range for dosing?

A. Yes/No     B. Safe Range:_________


Part 1: Question 4

The adult patient you are admitting needs an IV started. Knowing that the patient will be needed a blood tranfusion, which gauge of IV would you select to insert?

A. 16

B. 18

C. 20

D. 22


Part 1: Question 1

Which of the following is NOT one of the eight rights related to medication administration that we have discussed?

A. Education

B. Documentation

C. Skill Performance

D. Time


Answer Page