An anxious student hyperventilating before an exam has a pH of 7.55, PaCO2 of 27, and HCO3 of 24. Calculate the imbalance.
Uncompensated Respiratory Alkalosis?



Calculate the gtts/min for 250 mL NS over 4 hours with a drop factor of 10.
What is 10 gtts/min?

The minimum time to "scrub the hub" with an antimicrobial agent.
What is 10-15 seconds?
This complication is marked by a palpable cord, redness, and pain at the site.
What is phlebitis?
This isotonic solution is the only fluid compatible with blood transfusions.
What is 0.9% Normal Saline?
A patient with chronic COPD has a pH of 7.28, PaCO2 of 52, and HCO3 of 24. Calculate the imbalance.
What is Uncompensated Respiratory Acidosis?



A patient is ordered 500 mg of a drug; it comes as 250 mg in 5 mL. Calculate the volume to give.
What is 10 mL?

This gauge catheter is the "golden rule" size: smallest gauge and shortest length.
What is the smallest needed for therapy?
A PN nursing action for an IV site showing cool skin, swelling, and leaking.
What is stop infusion (infiltration)?
This solution, often used for NPO patients, is isotonic in the bag but hypotonic in the body.
What is D5W?
A patient in diabetic ketoacidosis (DKA) presents with a pH of 7.30, PaCO2 of 32, and HCO3 of 19. Calculate the imbalance.
What is Partially Compensated Metabolic Acidosis?





Calculate the mL/hr for 1,000 mL of D5 1/2 NS to infuse over 12 hours.
What is 83 mL/hr?

This acronym stands for the sequence used to flush an intermittent device.
What is S.A.S.H. (Saline, Admin, Saline, Heparin)?
The first priority action for a patient with bounding pulses, dyspnea, and JVD during IV therapy.
What is slow the rate & notify RN/MD?
These solutions, like 3% NaCl, cause fluid to shift from the cells into the vascular space.
What are hypertonic solutions?
A patient with persistent vomiting shows a pH of 7.48, PaCO2 of 48, and HCO3 of 30. Calculate the imbalance.
What is Partially Compensated Metabolic Alkalosis?




Convert 28 lbs into kilograms for a weight-based dose calculation.
What is 12.7 kg?

This vein in the arm is the most suitable for a PICC line insertion.
What is the Basilic Vein?
This 2026 safety standard requires changing primary tubing every 96 hours unless contaminated.
What is the Facility/CDC protocol?
This balanced electrolyte solution is often used for surgical patients or burns.
What is Lactated Ringer’s (LR)?
A patient's labs show a pH of 7.37, PaCO2 of 50, and HCO3 of 30. Calculate the imbalance.
What is Fully Compensated Respiratory Acidosis?


A pump is set to 125 mL/hr. Total volume is 1,000 mL. Calculate how many hours it will run.
What is 8 Hours?

The PN nurse must avoid using this on elderly patients to prevent "blown" veins.
What is a Tourniquet?
LPNs/PNs in many states are prohibited from ever administering this type of IV therapy.
What is blood/TPN/Chemo?
A patient with cerebral edema should avoid these solutions to prevent cell swelling.
What is Hypotonic Solutions (e.g., 0.45% NS)?