NUR 172 qUiz 3 qUestioNs With Complete
solUtioNs
The pt has an IV at 150mL/hr. The nurse notes the patient has SOB, RR
28, Pox 88% and
crackles in the lung bases. What will the nurse do first? – answer Slow
the IV rate to 10mL/hr
The nurse is assessing a pts peripheral IV site and finds the site has
redness, is warm, has
swelling, and the infusion has slowed. What action will the nurse take? -
answer Remove the IV
The nurse enters the room to assess the pts peripheral IV site and finds
the skin is cool,
taut (tight) and has edema all around the IV site. Vancomycin is
infusing, The pt would be
experiencing which complication? - answer Extravasation
A nurse hang an IV of NS to gravity but forgot to prime the tubing. The
pt received a line
full of air. What actions will the nurse take? (Select All)- answer - Notify
the RN directing the LPNs care
Turn the pt on their left side and make sure the head of the bed is lower
than hips and hips lower than feet
Apply 100% oxygen per non-rebreather mask.
An elderly pt has an IV infusing at 150mL/hr. The nurse JVD, RR 28, and
crackles in the lung bases. Which action is first for the nurse to take?-
answer - Stop the IV fluid
, The nurse finds a pts IV very edematous. A vesicant is infusing. What
will the nurse do? (Select All)- answer - Call the pharmacy and see if
there is an antidote
Call the Dr. and ask about applying heat or cold pack
Stop the infusion immediately
An adult pt has developed a fever and elevated WBC. The jugular
central line site has a purulent drainage oozing from the insertion site.
Which order may the LPN in Ohio legally do? answer - Hang
Vancomycin IVPB to a newly inserted PICC
An Ohio LPN is working on a pediatric unit. Which intervention/order is
the LPN allowed to carry out on this unit? - answer Change PICC
dressing on a 10yo child
The nurse notices redness, swelling, and exudate at the pts peripheral IV
site. What actions will the nurse take? - answer Remove the IV, apply a
sterile dressing and call the Dr.
The LPN is caring for an elderly pt who has a saline lock in place. The
lock is no longer being used. What action with the nurse take? - answer
Continue to flush and change the dressing as needed but consider
asking the Dr to remove the ASAP
The nurse notices an ecchymotic area and swelling surrounding a pts
venipuncture site. The nurse has removed the IV. What action will the
nurse take? - answer Apply light pressure and ice to the area and have
the pt elevate the extremity on a pillow ( PIE)
solUtioNs
The pt has an IV at 150mL/hr. The nurse notes the patient has SOB, RR
28, Pox 88% and
crackles in the lung bases. What will the nurse do first? – answer Slow
the IV rate to 10mL/hr
The nurse is assessing a pts peripheral IV site and finds the site has
redness, is warm, has
swelling, and the infusion has slowed. What action will the nurse take? -
answer Remove the IV
The nurse enters the room to assess the pts peripheral IV site and finds
the skin is cool,
taut (tight) and has edema all around the IV site. Vancomycin is
infusing, The pt would be
experiencing which complication? - answer Extravasation
A nurse hang an IV of NS to gravity but forgot to prime the tubing. The
pt received a line
full of air. What actions will the nurse take? (Select All)- answer - Notify
the RN directing the LPNs care
Turn the pt on their left side and make sure the head of the bed is lower
than hips and hips lower than feet
Apply 100% oxygen per non-rebreather mask.
An elderly pt has an IV infusing at 150mL/hr. The nurse JVD, RR 28, and
crackles in the lung bases. Which action is first for the nurse to take?-
answer - Stop the IV fluid
, The nurse finds a pts IV very edematous. A vesicant is infusing. What
will the nurse do? (Select All)- answer - Call the pharmacy and see if
there is an antidote
Call the Dr. and ask about applying heat or cold pack
Stop the infusion immediately
An adult pt has developed a fever and elevated WBC. The jugular
central line site has a purulent drainage oozing from the insertion site.
Which order may the LPN in Ohio legally do? answer - Hang
Vancomycin IVPB to a newly inserted PICC
An Ohio LPN is working on a pediatric unit. Which intervention/order is
the LPN allowed to carry out on this unit? - answer Change PICC
dressing on a 10yo child
The nurse notices redness, swelling, and exudate at the pts peripheral IV
site. What actions will the nurse take? - answer Remove the IV, apply a
sterile dressing and call the Dr.
The LPN is caring for an elderly pt who has a saline lock in place. The
lock is no longer being used. What action with the nurse take? - answer
Continue to flush and change the dressing as needed but consider
asking the Dr to remove the ASAP
The nurse notices an ecchymotic area and swelling surrounding a pts
venipuncture site. The nurse has removed the IV. What action will the
nurse take? - answer Apply light pressure and ice to the area and have
the pt elevate the extremity on a pillow ( PIE)
