ACLS for EMT-Basics: IV Therapy Test

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IV Therapy Test

While EMT-Basics do not administer IV Therapy, they can do quite a bit in preparation, which is critical to make the call as smooth and efficient as possible. Take this test to gauge your knowledge of IV Therapy.

1: You need to administer 300 mL of lactated Ringer’s solution over 30 minutes. You have a 1,000 mL solution of lactated Ringer’s on hand. Your administration set is 10 gtt/mL. How many gtt/min will you administer?
	A:100 gtt/min
	B: 1 gtt/min
	C:10 gtt/min
	D:1000 gtt/min

2: True or false: 2 mL of isotonic crystalloid solution are needed to replace 1 mL of patient blood.
	A:TRUE
	B: FALSE

3: What problem do the following signs indicate? ·fever ·allergic reaction ·acute, sharp lower back pain ·hemolytic reaction ·cyanosis
	A:jugular vein distention
	B: reaction to Rh factor
	C:transfusion reaction
	D:metabolic acidosis

4: Indicate which of the following is the correct dosage administration of D₅₀ for a child.
	A:½ amp of D₅₀ plus ½ amp normal saline
	B: 8 mL normal saline plus 2 mL of D₅₀
	C:1 full amp of D₅₀
	D:¾ amp of D₅₀ plus ¼ amp of normal saline

5: True or false: If you are using an over-the-needle catheter to start an IV on a pediatric patient, gauges of 20 to 26 are the best choices for insertions.
	A:TRUE
	B: FALSE

6: Which of the following is a sign of the progressive phase of shock?
	A:patient appears to bounce back to normal
	B: development of postural hypotension
	C:pale, cool, clammy skin
	D:750 mL blood loss

7: Which of the following is not an electrolyte that plays an important role in the body?
	A:bicarbonate
	B: calcium
	C:sodium
	D:hydrogen

8: True or false: a hypotonic solution such as D₅W may be needed for a patient on dialysis when diuretic therapy dehydrates the cells.
	A:TRUE
	B: FALSE

9: When administering IV therapy to a geriatric patient, you should:
	A:use a varicose vein
	B: use a small gauge catheter
	C:monitor closely to prevent fluid overloads
	D:avoid the use of tape

10: In selecting an IV site, you should:
	A:avoid areas that have a round appearance
	B: avoid areas where the vein crosses over joints
	C:generally use large, protruding veins
	D:avoid veins that appear firm when palpated

11: Fill in the blanks with the correct combination from those provided below: “Decreased urine output leads to __________, which leads to an increase in HCO₃^-, which leads to __________.”
	A:an increase in H⁺, acidosis
	B: an increase in CO₂, acidosis
	C:a decrease in H⁺, alkalosis
	D:a decrease in CO₂, acidosis

12: Which of the following should not be done in the event of an allergic reaction to an IV medication?
	A:slow the IV rate
	B: discontinue the IV and remove the solution
	C:leave the catheter in place
	D:monitor ABCs and vital signs

13: Which of the following describes the term “isotonic?”
	A:A solution that has the same concentration of sodium as does the cell.
	B: The natural tendency for substances to flow from an area of higher concentration to an area of lower concentration.
	C:A solution that has a higher concentration of potassium than does the cell.
	D:A solution that has a lower concentration of sodium than the cell.

14: Fill in the blank: “If a patient’s respiratory rate is too high, __________ is likely to develop.”
	A:hypokalemia
	B: acidosis
	C:hypercalcemia
	D:alkalosis

15: True or false: If a hematoma appears to be controlled and the flow of the IV is not affected, monitor the IV site and leave the line in place.
	A:TRUE
	B: FALSE

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