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Practice Question

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:

Correct Answer:

Clamp the IV tubing, remove the old tubing, attach the new tubing, and unclamp

Rationale:

🔶 Clamping prevents air from entering the line, which is essential to prevent air embolism and accidental free-flow of IV fluid.

🔶 Removing the old tubing first maintains control of the line and avoids contamination.

🔶 Attaching new tubing while the line is still clamped ensures proper priming and sterility before infusion resumes.

🔶 Unclamping at the end re-establishes fluid flow safely after the system is secured.

🔶 This sequence supports aseptic technique, patient safety, and correct pressure management.

Incorrect Options

Attach the new tubing, clamp the IV line, and remove the old tubing

🔶 This exposes the tubing end to air before clamping, increasing embolism risk.

🔶 It also risks accidental leakage or contamination.

Unclamp the IV tubing, attach the new tubing, and remove the old tubing

🔶 Leaving the line unclamped during manipulation is unsafe and may cause uncontrolled fluid flow.

🔶 This violates safe IV-changing protocols.

Remove the old tubing, attach the new tubing, and unclamp the IV line

🔶 Removing the old tubing without clamping first risks air entry and leakage.

🔶 Sequence fails to prioritize patient safety.

Want to practice more questions like this?

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

More Questions from This Exam
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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