INTRAVENOUS-IV THERAPY FINAL
EXAM 2025 LATEST QUESTIONS AND
DETAILED CORRECT ANSWERS
(VERIFIED ANSWERS) | A+ GRADED
STUDY RESOURCE
The nurse observes that the insertion site of an IV catheter
looks pale and puffy. When palpated, the area feels cool
to the touch. The best action for the nurse to take is to
A. discontinue the infusion and start a new IV site.
B. apply warm compresses to the site.
C. monitor the patient's temperature every 4 hours.
D. call the physician and report these findings. Correct
Answer A. discontinue the infusion and start a new IV site.
A patient rings the call bell and states that the IV insertion
site is painful. The site is reddened, warm, and swollen.
The patient is most likely experiencing
A. blood stream infection.
B. catheter embolus.
C. infiltration of the line.
D. phlebitis. Correct Answer D. phlebitis.
,Regardless of the state or setting in which an LPN/LVN
practices, he can expect to have which responsibility with
regard to IV therapy?
A. Add medications to IV solutions.
B. Hang IV piggyback medications.
C. Monitor IV therapy.
D. Start IV lines. Correct Answer C. Monitor IV therapy.
A nurse is monitoring the status of an elderly patient who
is receiving IV therapy. Which clinical sign is more
indicative that this patient is experiencing fluid overload?
A. Crackles in the lung fields
B. Pulse rate of 64 beats/min, irregular
C. Respirations of 16 breaths/min, regular
D. Slight edema to the feet Correct Answer A. Crackles in
the lung fields
A nurse is caring for a patient with an IV piggyback whose
infusion is behind schedule. The best nursing action is to:
A. restart the infusion with a new IV solution bag.
B. open the clamp and infuse a large amount of fluid at
one time.
C. hang the solution that is to run in first at the lowest
height.
D. track accurate intake and output every shift. Correct
Answer D. track accurate intake and output every shift.
,The LVN/LPN is told by the RN to discontinue an IV line to
the patient. The best nursing action is to
A. check the physician's order.
B. stop the IV flow by clamping tubing securely.
C. wash hands and don gloves.
D. quickly withdraw the cannula and apply pressure.
Correct Answer A. check the physician's order.
A patient has an intermittent IV device, or a saline lock. An
important nursing consideration is to
A. monitor continuous fluid infusion to the device.
B. infuse saline or heparin solution to maintain patency.
C. discontinue when the IV medication is finished.
D. keep the patient in bed to prevent dislodgement.
Correct Answer B. infuse saline or heparin solution to
maintain patency.
Using an IV infusion system that delivers 60 drops/ml, the
nurse hangs a 1000-ml bag of 5% dextrose in water
(D5W), which the physician has ordered to infuse at 80
ml/hr. It is now 10 AM. The nurse anticipates that the IV
will need to be changed at:
A. 6 PM
B. 8 PM
C. 8:30 PM
D. 10:30 PM Correct Answer D. 10:30 PM
, A patient has an order for an infusion of 5% dextrose in
0.45% sodium chloride at a rate of 100 mL/hr IV. The IV
tubing has a drop factor of 15 gtt/mL. At how many drops
per minute should the nurse regulate the infusion?
A. 15
B. 17
C. 25
D. 33 Correct Answer C. 25
Rationale: 100 ml/hr / 60 min * 15 gtt/ml = 25 gtt/min
A patient is receiving an intravenous (IV) infusion of 5%
dextrose in 0.45% saline. This solution is
A. isotonic.
B. hypotonic.
C. hypertonic.
D. low molecular. Correct Answer C. hypertonic.
A patient will be receiving a blood transfusion. The nurse
will need to use a
A. Y administration set.
B. piggyback set.
C. controlled-volume set.
D. primary infusion set. Correct Answer A. Y
administration set.
A patient is receiving a medication via IV piggyback. What
indicates the setup is incorrect?
EXAM 2025 LATEST QUESTIONS AND
DETAILED CORRECT ANSWERS
(VERIFIED ANSWERS) | A+ GRADED
STUDY RESOURCE
The nurse observes that the insertion site of an IV catheter
looks pale and puffy. When palpated, the area feels cool
to the touch. The best action for the nurse to take is to
A. discontinue the infusion and start a new IV site.
B. apply warm compresses to the site.
C. monitor the patient's temperature every 4 hours.
D. call the physician and report these findings. Correct
Answer A. discontinue the infusion and start a new IV site.
A patient rings the call bell and states that the IV insertion
site is painful. The site is reddened, warm, and swollen.
The patient is most likely experiencing
A. blood stream infection.
B. catheter embolus.
C. infiltration of the line.
D. phlebitis. Correct Answer D. phlebitis.
,Regardless of the state or setting in which an LPN/LVN
practices, he can expect to have which responsibility with
regard to IV therapy?
A. Add medications to IV solutions.
B. Hang IV piggyback medications.
C. Monitor IV therapy.
D. Start IV lines. Correct Answer C. Monitor IV therapy.
A nurse is monitoring the status of an elderly patient who
is receiving IV therapy. Which clinical sign is more
indicative that this patient is experiencing fluid overload?
A. Crackles in the lung fields
B. Pulse rate of 64 beats/min, irregular
C. Respirations of 16 breaths/min, regular
D. Slight edema to the feet Correct Answer A. Crackles in
the lung fields
A nurse is caring for a patient with an IV piggyback whose
infusion is behind schedule. The best nursing action is to:
A. restart the infusion with a new IV solution bag.
B. open the clamp and infuse a large amount of fluid at
one time.
C. hang the solution that is to run in first at the lowest
height.
D. track accurate intake and output every shift. Correct
Answer D. track accurate intake and output every shift.
,The LVN/LPN is told by the RN to discontinue an IV line to
the patient. The best nursing action is to
A. check the physician's order.
B. stop the IV flow by clamping tubing securely.
C. wash hands and don gloves.
D. quickly withdraw the cannula and apply pressure.
Correct Answer A. check the physician's order.
A patient has an intermittent IV device, or a saline lock. An
important nursing consideration is to
A. monitor continuous fluid infusion to the device.
B. infuse saline or heparin solution to maintain patency.
C. discontinue when the IV medication is finished.
D. keep the patient in bed to prevent dislodgement.
Correct Answer B. infuse saline or heparin solution to
maintain patency.
Using an IV infusion system that delivers 60 drops/ml, the
nurse hangs a 1000-ml bag of 5% dextrose in water
(D5W), which the physician has ordered to infuse at 80
ml/hr. It is now 10 AM. The nurse anticipates that the IV
will need to be changed at:
A. 6 PM
B. 8 PM
C. 8:30 PM
D. 10:30 PM Correct Answer D. 10:30 PM
, A patient has an order for an infusion of 5% dextrose in
0.45% sodium chloride at a rate of 100 mL/hr IV. The IV
tubing has a drop factor of 15 gtt/mL. At how many drops
per minute should the nurse regulate the infusion?
A. 15
B. 17
C. 25
D. 33 Correct Answer C. 25
Rationale: 100 ml/hr / 60 min * 15 gtt/ml = 25 gtt/min
A patient is receiving an intravenous (IV) infusion of 5%
dextrose in 0.45% saline. This solution is
A. isotonic.
B. hypotonic.
C. hypertonic.
D. low molecular. Correct Answer C. hypertonic.
A patient will be receiving a blood transfusion. The nurse
will need to use a
A. Y administration set.
B. piggyback set.
C. controlled-volume set.
D. primary infusion set. Correct Answer A. Y
administration set.
A patient is receiving a medication via IV piggyback. What
indicates the setup is incorrect?
