IV THERAPY NCLEX PRACTICE &
REVIEW GUIDE 2026 | NGN-STYLE
QUESTIONS
27+ (2026 A+ Verified) Exam Questions | Verified Solutions | Correct
Answer Keys
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 13 Qs
This document, "IV Therapy NCLEX Practice & Review Guide 2026 | NGN-Style Questions", covers
essential topics in IV therapy, including infusion management, phlebitis, infiltration, circulatory overload,
and IV access maintenance. The document provides 27 NGN-style questions with correct answers and
detailed explanations, allowing students to review and understand key concepts in IV therapy. By using
this document, students can effectively study and review IV therapy concepts to better prepare for the
NCLEX exam.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A client had a 1000 mL bag of 5% dextrose in 0.9% sodium chloride hung at 3pm. The nurse making
rounds at 3:45 pm finds that the client is complaining of a pounding headache and is dyspneic, is
experiencing chills, and is apprehensive, with an increased pulse rate. The IV bag has 400 mL
remaining. The nurse should take which action first?
1. Call the physician
2. Slow the IV infusion
3. Sit the client up in bed
4. Remove the IV catheter
CORRECT ANSWER
Slow the IV infusion
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, RATIONALE: The nurse should slow the IV infusion first because the client's symptoms, such as a pounding headache,
dyspnea, chills, and increased pulse rate, suggest an infusion rate that is too rapid, potentially causing fluid overload or
an osmotic shift. By slowing the IV infusion, the nurse can prevent further complications and allow the client's body to
adjust to the existing fluid load before calling the physician or taking further action.
QUESTION 2
The nurse has a prescription to hang an IV bag of 1000 mL 5% dextrose in water with 20 mEq
potassium chloride. The nurse should plan to do which of the following immediately after injecting the
potassium chloride in to the port of the IV bag?
1. Rotate the bag gently.
2. Attach the tubing to the client
3. Prime the tubing with the IV solution
Check the solution for yellowish discoloration
CORRECT ANSWER
Rotate the bag gently
RATIONALE: Rotating the bag gently helps to distribute the potassium chloride evenly throughout the IV solution,
preventing it from settling at the bottom of the bag and potentially causing uneven administration to the client. This
action is crucial to ensure a consistent concentration of potassium chloride in the solution and prevent potential
complications or adverse reactions.
QUESTION 3
A client with the recent diagnosis of MI and impaired renal function is recuperating on the step-down
cardiac unit. The client's blood pressure has been borderline low and IV fluids have been infusing at
100 mL /hr via a central line catheter in the right internal jugular for approx 24 hours to increase
renal output and maintain the blood pressure. Upon entering the client's room, the nurse notes that
the client is breathing rapidly and is coughing. The nurse determines that the client is most likely
experiencing which complication of IV therapy.
1. Hematoma
2. Air embolism
3. Systemic infection
4. Circulatory overload
CORRECT ANSWER
Circulatory overload
RATIONALE: The symptoms of rapid breathing and coughing in a client receiving IV fluids for an extended period are
indicative of fluid overload, which occurs when the body's ability to process fluids is surpassed, causing an imbalance in
fluid distribution and potential cardiac strain. The client's impaired renal function and borderline low blood pressure
already suggest compromised fluid management capabilities, making circulatory overload a likely consequence of
excessive IV fluid administration.
QUESTION 4
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REVIEW GUIDE 2026 | NGN-STYLE
QUESTIONS
27+ (2026 A+ Verified) Exam Questions | Verified Solutions | Correct
Answer Keys
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 13 Qs
This document, "IV Therapy NCLEX Practice & Review Guide 2026 | NGN-Style Questions", covers
essential topics in IV therapy, including infusion management, phlebitis, infiltration, circulatory overload,
and IV access maintenance. The document provides 27 NGN-style questions with correct answers and
detailed explanations, allowing students to review and understand key concepts in IV therapy. By using
this document, students can effectively study and review IV therapy concepts to better prepare for the
NCLEX exam.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A client had a 1000 mL bag of 5% dextrose in 0.9% sodium chloride hung at 3pm. The nurse making
rounds at 3:45 pm finds that the client is complaining of a pounding headache and is dyspneic, is
experiencing chills, and is apprehensive, with an increased pulse rate. The IV bag has 400 mL
remaining. The nurse should take which action first?
1. Call the physician
2. Slow the IV infusion
3. Sit the client up in bed
4. Remove the IV catheter
CORRECT ANSWER
Slow the IV infusion
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, RATIONALE: The nurse should slow the IV infusion first because the client's symptoms, such as a pounding headache,
dyspnea, chills, and increased pulse rate, suggest an infusion rate that is too rapid, potentially causing fluid overload or
an osmotic shift. By slowing the IV infusion, the nurse can prevent further complications and allow the client's body to
adjust to the existing fluid load before calling the physician or taking further action.
QUESTION 2
The nurse has a prescription to hang an IV bag of 1000 mL 5% dextrose in water with 20 mEq
potassium chloride. The nurse should plan to do which of the following immediately after injecting the
potassium chloride in to the port of the IV bag?
1. Rotate the bag gently.
2. Attach the tubing to the client
3. Prime the tubing with the IV solution
Check the solution for yellowish discoloration
CORRECT ANSWER
Rotate the bag gently
RATIONALE: Rotating the bag gently helps to distribute the potassium chloride evenly throughout the IV solution,
preventing it from settling at the bottom of the bag and potentially causing uneven administration to the client. This
action is crucial to ensure a consistent concentration of potassium chloride in the solution and prevent potential
complications or adverse reactions.
QUESTION 3
A client with the recent diagnosis of MI and impaired renal function is recuperating on the step-down
cardiac unit. The client's blood pressure has been borderline low and IV fluids have been infusing at
100 mL /hr via a central line catheter in the right internal jugular for approx 24 hours to increase
renal output and maintain the blood pressure. Upon entering the client's room, the nurse notes that
the client is breathing rapidly and is coughing. The nurse determines that the client is most likely
experiencing which complication of IV therapy.
1. Hematoma
2. Air embolism
3. Systemic infection
4. Circulatory overload
CORRECT ANSWER
Circulatory overload
RATIONALE: The symptoms of rapid breathing and coughing in a client receiving IV fluids for an extended period are
indicative of fluid overload, which occurs when the body's ability to process fluids is surpassed, causing an imbalance in
fluid distribution and potential cardiac strain. The client's impaired renal function and borderline low blood pressure
already suggest compromised fluid management capabilities, making circulatory overload a likely consequence of
excessive IV fluid administration.
QUESTION 4
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