Free IV Fluids and Blood Transfusion MCQs with Answers
50 IV Fluids and Blood Transfusion MCQs from Nursing Pharmacology, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.
IV therapy covers crystalloid and colloid fluids, electrolyte replacement, maintenance and resuscitation fluids, infusion equipment and complications such as infiltration, phlebitis, fluid overload and electrolyte imbalance. Blood transfusion content includes compatibility, cross matching, administration precautions and recognition of haemolytic, febrile and allergic reactions, distinct from ordinary IV fluid reactions.
Last updated
50 questions · page 1 of 3
- A. 0.9% sodium chloride
- B. 3% sodium chloride
- C. 5% dextrose in water
- D. 20% human albumin
Explanation: 0.9% sodium chloride is an isotonic crystalloid that expands extracellular fluid volume.
Correct answer: 0.9% sodium chloride- A. 0.9% sodium chloride
- B. Ringer lactate
- C. 5% human albumin
- D. 5% dextrose in water
Explanation: Human albumin is a colloid containing large protein molecules that increase plasma oncotic pressure.
Correct answer: 5% human albumin- A. Give it by rapid IV push
- B. Administer it diluted through an infusion pump
- C. Mix it with blood in the same tubing
- D. Give it undiluted through a small vein
Explanation: IV potassium chloride must be diluted and administered at a controlled rate using an infusion pump because rapid administration can cause…
Correct answer: Administer it diluted through an infusion pump- A. Phlebitis
- B. Infiltration
- C. Fluid overload
- D. Haemolytic reaction
Explanation: Infiltration occurs when a nonvesicant IV fluid enters surrounding tissue, causing coolness, pallor, swelling and a slow infusion.
Correct answer: Infiltration- A. Increase the infusion rate
- B. Stop the infusion and assess the site
- C. Apply pressure and continue the infusion
- D. Flush the cannula with concentrated saline
Explanation: These findings indicate phlebitis, so the nurse should stop the infusion and assess the IV site before removing the cannula according to…
Correct answer: Stop the infusion and assess the site- A. Slow or stop the infusion and assess breathing
- B. Place the patient flat and offer oral fluids
- C. Flush the line rapidly with normal saline
- D. Apply a warm compress to the IV site
Explanation: Breathlessness, crackles and falling oxygen saturation suggest fluid overload with an immediate breathing problem.
Correct answer: Slow or stop the infusion and assess breathing- A. 5% dextrose in water
- B. 0.9% sodium chloride
- C. Ringer lactate
- D. 5% human albumin
Explanation: 0.9% sodium chloride is compatible with blood components and is used with standard blood administration tubing.
Correct answer: 0.9% sodium chloride- A. Verify the patient and blood details with a second trained nurse
- B. Warm the blood in a microwave for faster administration
- C. Add medication to the blood bag before transfusion
- D. Start the unit without checking the expiry time
Explanation: The patient identity, blood group, compatibility record, unit number and expiry must be checked according to hospital policy, commonly by…
Correct answer: Verify the patient and blood details with a second trained nurse- A. Stop the transfusion and keep the IV line open with normal saline
- B. Reduce the rate and continue while observing the patient
- C. Give an antipyretic and restart the same unit
- D. Flush the blood rapidly through the existing tubing
Explanation: Chills, fever and back pain may indicate an acute haemolytic transfusion reaction, which is life threatening.
Correct answer: Stop the transfusion and keep the IV line open with normal saline- A. Mild allergic transfusion reaction
- B. Acute haemolytic transfusion reaction
- C. Febrile non-haemolytic reaction
- D. Circulatory overload reaction
Explanation: Itching and urticaria without respiratory or circulatory compromise are typical of a mild allergic reaction to plasma proteins.
Correct answer: Mild allergic transfusion reaction- A. 0.45% sodium chloride
- B. 0.9% sodium chloride
- C. 3% sodium chloride
- D. 5% human albumin
Explanation: 0.45% sodium chloride is hypotonic and provides less sodium than plasma, so water moves into cells.
Correct answer: 0.45% sodium chloride- A. To replace routine daily fluid losses
- B. To rapidly correct severe shock
- C. To increase the patient's haemoglobin
- D. To provide immediate treatment for hyperkalaemia
Explanation: Maintenance fluids replace expected daily water and electrolyte losses when oral intake is inadequate.
Correct answer: To replace routine daily fluid losses- A. 100 mL per hour
- B. 125 mL per hour
- C. 150 mL per hour
- D. 175 mL per hour
Explanation: The rate is calculated as 1,000 mL divided by 8 hours, which equals 125 mL per hour.
Correct answer: 125 mL per hour- A. Electronic infusion pump
- B. Gravity tubing without a clamp
- C. Syringe without a driver
- D. Blood pressure cuff around the bag
Explanation: An electronic infusion pump controls the volume and rate accurately, especially when a small or precise amount is prescribed.
Correct answer: Electronic infusion pump- A. Improved appetite
- B. New dependent oedema
- C. Warm hands bilaterally
- D. Urine that is pale yellow
Explanation: New dependent oedema with rapid weight gain can be an early sign of excess fluid retention.
Correct answer: New dependent oedema- A. Neurological status and serum sodium
- B. Bowel sounds and abdominal girth
- C. Visual acuity and hearing
- D. Skin temperature and hair texture
Explanation: Hypertonic saline can change serum sodium rapidly, and neurological observations help detect worsening hyponatraemia or complications of…
Correct answer: Neurological status and serum sodium- A. To test donor serum against recipient urine
- B. To test recipient serum against donor red cells
- C. To measure the patient's clotting time
- D. To determine the donor's platelet count
Explanation: A major crossmatch tests the recipient's serum against donor red cells for antibodies that could cause agglutination or haemolysis.
Correct answer: To test recipient serum against donor red cells- A. A blood filter
- B. A burette chamber
- C. A urinary drainage bag
- D. A nebuliser reservoir
Explanation: Blood administration sets contain a filter that helps remove clots and particulate material before the blood enters the patient.
Correct answer: A blood filter- A. AB positive
- B. A positive
- C. B negative
- D. O negative
Explanation: O negative red cells lack A, B, and Rh D antigens and are generally used when emergency red-cell transfusion is needed before…
Correct answer: O negative- A. Delayed haemolytic transfusion reaction
- B. Simple crystalloid infiltration
- C. Immediate allergic skin reaction
- D. Venous air embolism
Explanation: A delayed haemolytic transfusion reaction can occur several days after transfusion when antibodies destroy transfused red cells, causing…
Correct answer: Delayed haemolytic transfusion reactionIV Fluids and Blood Transfusion MCQs: common questions
Are these IV Fluids and Blood Transfusion MCQs free?
Yes. All IV Fluids and Blood Transfusion MCQs from Nursing Pharmacology are free on TestUstad, with unlimited attempts and no account needed. Nothing on this page is a sample or a trial.
How many IV Fluids and Blood Transfusion MCQs are on this page?
There are 50 IV Fluids and Blood Transfusion MCQs in the Nursing Pharmacology bank, shown ten to a page with the correct answer and an explanation on each.
Does every IV Fluids and Blood Transfusion MCQ have an explanation?
Yes. Each IV Fluids and Blood Transfusion question shows the correct option and a written explanation of why it is correct, so a wrong answer teaches you something rather than just being marked wrong.
Can I take a timed IV Fluids and Blood Transfusion test?
Yes. The practice button on this page starts a free IV Fluids and Blood Transfusion test drawn from the Nursing Pharmacology bank. It marks each answer instantly, gives you a score at the end, and can be retaken as many times as you like.