[
  {
    "Question": "What is the primary purpose of intravenous (IV) therapy?",
    "Answer": "B",
    "Explanation": "IV therapy is used to deliver fluids, medications, or nutrients directly into a patient's bloodstream for rapid and controlled absorption.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/3/3a/IV_drip_bag.jpg",
    "OptionA": "To administer oral medications",
    "OptionB": "To deliver fluids and medications directly into the bloodstream",
    "OptionC": "To measure blood pressure",
    "OptionD": "To perform blood transfusions only",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "IV Therapy Basics",
    "Item": 1,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "Which of the following is a common complication associated with IV therapy?",
    "Answer": "C",
    "Explanation": "Phlebitis, or inflammation of the vein, is a common complication of IV therapy caused by irritation from the catheter or infused solutions.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/4/4f/Phlebitis_in_IV_site.jpg",
    "OptionA": "Hypertension",
    "OptionB": "Hypoglycemia",
    "OptionC": "Phlebitis",
    "OptionD": "Diabetes",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "IV Therapy Complications",
    "Item": 2,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "What is the main reason for using a central line instead of a peripheral IV line?",
    "Answer": "A",
    "Explanation": "Central lines are used when long-term access is needed or when medications that are irritating to smaller veins must be administered.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/7/7f/Central_venous_catheter_placement.jpg",
    "OptionA": "To provide long-term or high-volume intravenous access",
    "OptionB": "To measure blood sugar levels",
    "OptionC": "To administer oral medications",
    "OptionD": "To perform routine blood pressure monitoring",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "Central Line Uses",
    "Item": 3,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "Which blood product is primarily used to increase red blood cell count in patients with anemia?",
    "Answer": "D",
    "Explanation": "Packed red blood cells (PRBCs) are transfused to increase oxygen-carrying capacity in patients with anemia or blood loss.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/0/0a/Red_blood_cells.jpg",
    "OptionA": "Platelets",
    "OptionB": "Plasma",
    "OptionC": "Cryoprecipitate",
    "OptionD": "Packed red blood cells",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "Blood Products",
    "Item": 4,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "What is the correct angle of insertion for a peripheral IV catheter?",
    "Answer": "B",
    "Explanation": "The peripheral IV catheter is typically inserted at a 15 to 30-degree angle to the skin to enter the vein smoothly and reduce trauma.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/8/8a/IV_insertion.jpg",
    "OptionA": "45 to 60 degrees",
    "OptionB": "15 to 30 degrees",
    "OptionC": "90 degrees",
    "OptionD": "5 degrees",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "IV Catheter Insertion Technique",
    "Item": 5,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "Which of the following is NOT a typical indication for blood transfusion?",
    "Answer": "D",
    "Explanation": "Hypertension is not an indication for blood transfusion; transfusions are typically given for anemia, blood loss, or clotting disorders.",
    "PictureURL": "",
    "OptionA": "Severe anemia",
    "OptionB": "Massive blood loss",
    "OptionC": "Coagulation factor deficiencies",
    "OptionD": "Hypertension",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "Blood Transfusion Indications",
    "Item": 6,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "What is the primary risk associated with central venous catheter placement?",
    "Answer": "A",
    "Explanation": "Pneumothorax, or lung collapse, is a serious risk during central line insertion due to accidental puncture of the lung.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/9/9f/Pneumothorax_X-ray.jpg",
    "OptionA": "Pneumothorax",
    "OptionB": "Hypoglycemia",
    "OptionC": "Hypertension",
    "OptionD": "Phlebitis",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "Central Line Risks",
    "Item": 7,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "Which blood product is used to improve clotting in patients with bleeding disorders?",
    "Answer": "B",
    "Explanation": "Fresh frozen plasma contains clotting factors and is used to treat bleeding due to clotting factor deficiencies.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/9/9a/Blood_bags.jpg",
    "OptionA": "Packed red blood cells",
    "OptionB": "Fresh frozen plasma",
    "OptionC": "Platelets",
    "OptionD": "Albumin",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "Blood Products for Clotting",
    "Item": 8,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "What is the most important step to prevent infection when administering IV therapy?",
    "Answer": "C",
    "Explanation": "Proper hand hygiene and aseptic technique are critical to prevent infection during IV insertion and maintenance.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/5/5f/Handwashing_illustration.jpg",
    "OptionA": "Using a large gauge needle",
    "OptionB": "Administering antibiotics before IV insertion",
    "OptionC": "Performing hand hygiene and using aseptic technique",
    "OptionD": "Using a tourniquet for more than 5 minutes",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "Infection Prevention in IV Therapy",
    "Item": 9,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "Which of the following is a sign of infiltration at an IV site?",
    "Answer": "A",
    "Explanation": "Swelling and coolness around the IV site indicate infiltration, where fluid leaks into surrounding tissue instead of the vein.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/6/6a/IV_infiltration.jpg",
    "OptionA": "Swelling and coolness around the site",
    "OptionB": "Redness and warmth only",
    "OptionC": "Increased blood pressure",
    "OptionD": "Fever",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "IV Infiltration Signs",
    "Item": 10,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "Which of the following medications is commonly administered via IV push for rapid effect?",
    "Answer": "D",
    "Explanation": "Morphine is often given via IV push to provide quick pain relief, but it must be administered carefully to avoid adverse effects.",
    "PictureURL": "",
    "OptionA": "Oral antibiotics",
    "OptionB": "Topical creams",
    "OptionC": "Inhaled bronchodilators",
    "OptionD": "Morphine",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "Medications via IV Push",
    "Item": 11,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "What is the purpose of a blood transfusion reaction protocol?",
    "Answer": "B",
    "Explanation": "The protocol guides healthcare providers to recognize, respond to, and manage adverse reactions during or after blood transfusions to ensure patient safety.",
    "PictureURL": "",
    "OptionA": "To speed up the transfusion process",
    "OptionB": "To manage and treat adverse transfusion reactions",
    "OptionC": "To increase blood volume rapidly",
    "OptionD": "To prevent blood clotting",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "Blood Transfusion Reaction Protocol",
    "Item": 12,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "Which of the following is an advantage of using a peripherally inserted central catheter (PICC line)?",
    "Answer": "A",
    "Explanation": "PICC lines provide long-term intravenous access and reduce the need for repeated needle sticks, improving patient comfort.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/1/1e/PICC_line_insertion.jpg",
    "OptionA": "Long-term IV access with less frequent insertion",
    "OptionB": "Can be used for arterial blood sampling",
    "OptionC": "Requires no sterile technique",
    "OptionD": "Only used for blood transfusions",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "PICC Line Advantages",
    "Item": 13,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "Which of the following is the best practice when discontinuing an IV line to prevent complications?",
    "Answer": "C",
    "Explanation": "Applying pressure immediately after removal prevents bleeding and hematoma formation at the IV site.",
    "PictureURL": "",
    "OptionA": "Remove the catheter quickly without pressure",
    "OptionB": "Flush the IV line after removal",
    "OptionC": "Apply pressure to the site after removal",
    "OptionD": "Leave the dressing off to air dry",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "IV Discontinuation Best Practices",
    "Item": 14,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  },
  {
    "Question": "Which of the following is a sign of a transfusion reaction that requires immediate intervention?",
    "Answer": "B",
    "Explanation": "Fever and chills during a transfusion may indicate a hemolytic or febrile reaction, requiring immediate cessation of the transfusion and medical evaluation.",
    "PictureURL": "",
    "OptionA": "Mild headache after transfusion",
    "OptionB": "Fever and chills during transfusion",
    "OptionC": "Slight fatigue after transfusion",
    "OptionD": "Increased appetite",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Pharmacological and Parenteral Therapies Practice Test",
    "Content Type": "Multiple Choice",
    "Title": "Signs of Transfusion Reaction",
    "Item": 15,
    "Type": "multiple choice",
    "Path": "Pharmacological and parenteral therapies – IV therapy, blood products, central lines"
  }
]