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 3 of 3
- A. 0.45% sodium chloride
- B. 0.9% sodium chloride
- C. 3% sodium chloride
- D. 5% dextrose in water
Explanation: 3% sodium chloride is hypertonic and raises the extracellular sodium concentration.
Correct answer: 3% sodium chloride- A. Hypernatremia
- B. Hyponatremia
- C. Hypercalcemia
- D. Hypomagnesemia
Explanation: A sodium level of 124 mmol/L with confusion, nausea and cramps indicates hyponatremia.
Correct answer: Hyponatremia- A. Increase the infusion rate
- B. Clamp the tubing promptly
- C. Flush the line with sterile water
- D. Place the empty bag below the patient
Explanation: The nurse should clamp the tubing promptly to prevent air entering the line and to stop the prescribed infusion safely.
Correct answer: Clamp the tubing promptly- A. Add prescribed medication to the blood line
- B. Use the blood line for a dextrose infusion
- C. Use a separate line for incompatible medications
- D. Mix the unit gently with antibiotics before use
Explanation: Packed red blood cells should run through a dedicated line, with medications administered separately because drugs may damage cells or…
Correct answer: Use a separate line for incompatible medications- A. Packed red blood cells
- B. Fresh frozen plasma
- C. Platelet concentrate
- D. Cryoprecipitate
Explanation: Fresh frozen plasma supplies multiple clotting factors and is used when bleeding is associated with a deficiency of these factors.
Correct answer: Fresh frozen plasma- A. Fresh frozen plasma
- B. Packed red blood cells
- C. Cryoprecipitate
- D. Platelet concentrate
Explanation: Cryoprecipitate is rich in fibrinogen and is used when fibrinogen replacement is required.
Correct answer: Cryoprecipitate- A. Bacterial contamination of the blood product
- B. Mild allergic transfusion reaction
- C. Simple dilutional hyponatraemia
- D. Local infiltration at the IV site
Explanation: High fever, rigors and hypotension during transfusion suggest bacterial contamination, which is a medical emergency.
Correct answer: Bacterial contamination of the blood product- A. Discard them in the clinical waste bin
- B. Send them to the laboratory for investigation
- C. Return them to the blood bank without documentation
- D. Reconnect them after the symptoms settle
Explanation: The blood bag and tubing should be sent for laboratory investigation according to hospital policy, together with the required patient…
Correct answer: Send them to the laboratory for investigation- A. Citrate-related hypocalcaemia
- B. Acute hypernatremia
- C. Transfusion-associated hyperkalaemia
- D. Dilutional hypermagnesemia
Explanation: Citrate used to preserve blood binds ionised calcium, and rapid or massive transfusion can produce hypocalcaemia.
Correct answer: Citrate-related hypocalcaemia- A. Cool swelling around the cannula
- B. Blanching of the surrounding skin
- C. Burning pain with blister formation
- D. A slower flow through the tubing
Explanation: Burning pain with blistering suggests tissue injury from extravasation of a vesicant and requires immediate action according to the drug…
Correct answer: Burning pain with blister formation