2026 Actual Exam 100 Questions with 100%
Verified Correct Answers with Rationale
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A client is scheduled a test that requires an NPO status and has been ordered 5%
Dextrose in water (D5W). The nurse understands which of the following to be the best
rational for this action: - CORRECT ANSWER: isotonic solutions maintain body fluid
balance
A nurse hangs microdrip tubing on a client who needs an IV. How many gtts per ml is
delivered with microdrip tubing? - CORRECT ANSWER: 60 gtts per ml
A patient has started receiving TPN after surgery. The rate will be increased in
increments of ______ until the desired rate ordered is reached. - CORRECT ANSWER:
25 ml
A patient is prescribed an IV fluid to replace electrolytes and expand plasma volume.
Which type of fluid will the nurse provide to the patient? - CORRECT ANSWER:
hypertonic solution
A patient is prescribed an IV infusion of a hypertonic solution. Which fluid shift should
the nurse expect to occur with this type of infusion? - CORRECT ANSWER: Fluid
moves from the interstitial space into the venous circulation
A patient receiving TPN fluid therapy experiences an air embolism in the central line.
The nurse should immediately turn the patient onto the: - CORRECT ANSWER: left side
and lower the head of the bed
, A patient rings the call light and states that the IV insertion site is painful. The site is
reddened, warm and swollen. The nurse assesses that the patient is most likely
experiencing: - CORRECT ANSWER: phlebitis
A patient states that his IV site is sore. You assess the site and note redness and
swelling but no signs of palpable cord or streak. It would be staged as a: - CORRECT
ANSWER: 1+
According to the Centers for Disease Control, IV sites should be rotated every: -
CORRECT ANSWER: 48 to 72
According to the Louisiana State Board of Practical Nurse Examiners, an LPN can do
the following IV skills. Select all that apply. - CORRECT ANSWER: - initiate and
maintain IV therapy and administer IV medications by IVPB
- hang blood and blood products
- hang and monitor TPN infusions
- give medications per IV push
After insertion of a __________, a chest x-ray is taken to confirm catheter placement
and to rule out an accidental puncture of the pleural membrane. - CORRECT ANSWER:
central catheter
An allergic transfusion reaction to blood is usually caused by: - CORRECT ANSWER:
antibodies against plasma proteins
Are the components of TPN solution the same for all patients? - CORRECT ANSWER:
no
As a nurse, what do you need to check for in the Drs. orders prior to initiating IV
therapy? - CORRECT ANSWER: - solution
- additive