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Practice Question

A nurse is setting the infusion rate for an IV fluid order of 1000 mL of normal saline over 8 hours. What should the infusion pump rate be ser to

Answer Choices:

Correct Answer:

125 mL/hr.

Rationale:

◈ IV pump rate formula: Total volume ÷ hours → 1000 mL ÷ 8 hr = 125 mL/hr.

◈ The pump must be exact because incorrect rates can lead to underhydration or fluid overload.

◈ Infusion pumps administer fluids based on hourly precision, making accurate calculation essential for safety.

◈ Normal saline requires controlled infusion to avoid electrolyte shifts or circulatory overload.

◈ This calculation aligns with standard nursing dosage-calculation principles.

100 mL/hr

◈ Would deliver only 800 mL in 8 hours, leading to under-infusion.

◈ Fails to meet provider order.

150 mL/hr

◈ Would deliver 1200 mL, exceeding the ordered volume.

◈ Places patient at risk for fluid overload.

80 mL/hr

◈ Only 640 mL would infuse, under 2/3 of ordered amount.

◈ Could compromise fluid balance.

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This question is from ATI PN Fundamentals IV Fluids & Central Line Management Exam which contains 46 questions.

More Questions from This Exam
A nurse needs to change the IV tubing for a client receiving peripheral IV therapy. What is the correct procedure for this task?

Answer Choices:

A. Clamp the IV tubing, remove the old tubing, attach the new tubing, and unclamp
B. Attach the new tubing, clamp the IV line, and remove the old tubing
C. Unclamp the IV tubing, attach the new tubing, and remove the old tubing
D. Remove the old tubing, attach the new tubing, and unclamp the IV line
A nurse is caring for a client who requires long-term central venous access for total parenteral nutrition due to gastrointestinal dysfunction. When comparing tunneled and non tunneled central venous access devices (CVADs), which characteristic best distinguishes the tunneled CVAD from the no tunneled CVAD in terms of insertion and maintenance?

Answer Choices:

A. Nontunneled CVADS require surgical insertion and are intended for long-term use, while tunneled CVADS can be inserted quickly at the bedside for emergency short-term access.
B. Tunneled CVADs do not require sterile dressing changes, but nontunneled CVADs require sterile dressings and frequent site assessment due to higher infection FISK
C. Nontunneled CVADs are always implanted under the chest wall skin and can remain in place for months, whereas tunneled CVADs are used only for a brief access and are inserted peripherally.
D. Tunneled CVADS are surgically implanted under the skin and have a cuff to secure the catheter, reducing infection risk, whereas nontunneled CVADs are percutaneously inserted at the bedside without a cuff and are intended for short-term use.
From Exam
ATI PN Fundamentals IV Fluids & Central Line Management Exam

46 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Fundamentals of Nursing
  • Answer Choices: 4
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