Nur 172 Final Exam Review
An experienced nurse is reviewing with a new nurse about
discon nuing an IV. The new nurse needs more educa on when he
states which of the following? - correct answers Apply pressure over the
IV site, then pull the catheter out."
- pressure should not applied un l catheter is removed.
An LPN is working on a medical/surgical floor of a small town hospital.
The shi has just started, it is now 0730. Several pa ents need an IV
inserted. Which pa ent will the LPN insert an IV first? - correct answers
A 46 year old post-op pt. who is has hyperlipidemia, hypertension and is
complaining of severe chest pain.
- ABC ( Airway,Breathing,Circula on)
- Chest pain trumps everything
A 40 year old pa ent was in a car accident three days ago. The pa ent is
NPO. The pa ent is to receive a unit of blood today for a hemoglobin of
6.8. Which task would be appropriate for the RN to delegate to a LPN? -
correct answers Start the IV with an 18 gauge needle in the right
forearm.
Which complica on will the LPN immediately remove the IV catheter? -
correct answers The IV site is red and warm.
,- Signs of phlebi s
A pa ent is receiving an IV of LR at 50 ml/hr. The pa ent has also
received two IVPBs today: 100ml and 75ml. The pa ent is NPO. The pt.
had a urine output per urinal of 200ml. Then an indwelling catheter was
inserted and the catheter was emp ed at the end of the shi , 700 ml
was obtained. The pa ent had two J-P drains. J-P drain A was emp ed
twice: 50 ml and 75 ml. J-P drain B was emp ed three mes: 50ml,
45ml, 50ml. The pa ent had two diarrhea stools that measured 65ml
and 100ml. The pa ent was also diaphore c today (unable to measure).
The LPN has an order to call the physician at the end of the shi and
give an update. This facility is on 12 hour shi s. What will the LPN
report? - correct answers This pa ent needs more IV fluid.
- More output than input means more iv fluids.
A pa ent has an IV with Albumin 25% infusing. Which symptom, related
to this infusion would most concern the nurse? - correct answers Lungs
now have crackles in the bases.
- hypertonic solu on , watch for fluid overload, listen to lungs,
pulmonary edema, HTN
A nurse is presen ng an in-service to her unit about blood transfusion
reac ons. The nurse states which of the following signs/symptoms
represent a probable acute hemoly c transfusion reac on? - correct
answers "Fever, tachycardia, chest pain, back pain, low BP."
, A nurse is teaching a student nurse about hypotonic solu ons. The
nurse will include which statement in the teaching? - correct answers
"The blood pressure will usually decrease when giving this type of
fluid."
Which statement made by the student nurse indicates a need for
further teaching about solu ons with IV Dextrose? - correct answers
"Administering an IV with dextrose gives the pa ent carbohydrates and
lipids."
A pa ent has a sodium level of 120. The nurse will do which of the
following ac ons? - correct answers Place seizure pads on the pa ent's
side-rails.
The pa ent reports a pounding headache, dyspnea, and has an
increased pulse rate. The nurse is orien ng a new LPN and teaches her
what to do in this situa on. The new LPN needs more instruc on when
she makes which statement? - correct answers "Go find the RN and ask
her/him what to do."
- Slow down infusion rate
Which statement is true regarding inser on of a peripheral IV? - correct
answers The inser on site should be scrubbed with chlorhexidine and
An experienced nurse is reviewing with a new nurse about
discon nuing an IV. The new nurse needs more educa on when he
states which of the following? - correct answers Apply pressure over the
IV site, then pull the catheter out."
- pressure should not applied un l catheter is removed.
An LPN is working on a medical/surgical floor of a small town hospital.
The shi has just started, it is now 0730. Several pa ents need an IV
inserted. Which pa ent will the LPN insert an IV first? - correct answers
A 46 year old post-op pt. who is has hyperlipidemia, hypertension and is
complaining of severe chest pain.
- ABC ( Airway,Breathing,Circula on)
- Chest pain trumps everything
A 40 year old pa ent was in a car accident three days ago. The pa ent is
NPO. The pa ent is to receive a unit of blood today for a hemoglobin of
6.8. Which task would be appropriate for the RN to delegate to a LPN? -
correct answers Start the IV with an 18 gauge needle in the right
forearm.
Which complica on will the LPN immediately remove the IV catheter? -
correct answers The IV site is red and warm.
,- Signs of phlebi s
A pa ent is receiving an IV of LR at 50 ml/hr. The pa ent has also
received two IVPBs today: 100ml and 75ml. The pa ent is NPO. The pt.
had a urine output per urinal of 200ml. Then an indwelling catheter was
inserted and the catheter was emp ed at the end of the shi , 700 ml
was obtained. The pa ent had two J-P drains. J-P drain A was emp ed
twice: 50 ml and 75 ml. J-P drain B was emp ed three mes: 50ml,
45ml, 50ml. The pa ent had two diarrhea stools that measured 65ml
and 100ml. The pa ent was also diaphore c today (unable to measure).
The LPN has an order to call the physician at the end of the shi and
give an update. This facility is on 12 hour shi s. What will the LPN
report? - correct answers This pa ent needs more IV fluid.
- More output than input means more iv fluids.
A pa ent has an IV with Albumin 25% infusing. Which symptom, related
to this infusion would most concern the nurse? - correct answers Lungs
now have crackles in the bases.
- hypertonic solu on , watch for fluid overload, listen to lungs,
pulmonary edema, HTN
A nurse is presen ng an in-service to her unit about blood transfusion
reac ons. The nurse states which of the following signs/symptoms
represent a probable acute hemoly c transfusion reac on? - correct
answers "Fever, tachycardia, chest pain, back pain, low BP."
, A nurse is teaching a student nurse about hypotonic solu ons. The
nurse will include which statement in the teaching? - correct answers
"The blood pressure will usually decrease when giving this type of
fluid."
Which statement made by the student nurse indicates a need for
further teaching about solu ons with IV Dextrose? - correct answers
"Administering an IV with dextrose gives the pa ent carbohydrates and
lipids."
A pa ent has a sodium level of 120. The nurse will do which of the
following ac ons? - correct answers Place seizure pads on the pa ent's
side-rails.
The pa ent reports a pounding headache, dyspnea, and has an
increased pulse rate. The nurse is orien ng a new LPN and teaches her
what to do in this situa on. The new LPN needs more instruc on when
she makes which statement? - correct answers "Go find the RN and ask
her/him what to do."
- Slow down infusion rate
Which statement is true regarding inser on of a peripheral IV? - correct
answers The inser on site should be scrubbed with chlorhexidine and
