Practical Nurse IV Guide | Verified Questions,
Scope of Practice & Core Concepts | Updated
2025
What population can the IV certified LPN nurse *NOT* administer intravenous therapy to? -
✔✔neonates
What form of IV medication can the IV certified LPN *NOT* administer? - ✔✔IV push or IV bolus
What type of drugs can the IV certified LPN *NOT* administer and/or infuse? - ✔✔antineoplastic drugs
(chemotherapy)
True or False:
The IV certified LPN *CANNOT* access a central venous device such as an implanted port. - ✔✔True.
However, if the port has already been accessed by an RN or licensed healthcare provider, the LPN may
flush the port or draw blood from it as per the physician's order.
What should the IV certified LPN do if he/she is asked to hang a bag of blood for infusion? - ✔✔Refuse.
It is out of the scope of practice for the IV certified LPN to infuse blood or blood products.
What should the IV certified LPN do if he/she is asked to remove a central venous catheter? -
✔✔Refuse. It is out of the scope of practice for the IV certified LPN to remove central venous catheters.
Is it within the scope of practice for the IV certified LPN to administer premixed drugs? - ✔✔Yes.
However, it is out of the scope of practice for the IV certified LPN to mix or add drugs to the fluid
container of an existing intravenous infusion.
Is it within the scope of practice for the IV certified LPN to mix or add drugs to the fluid container of an
existing intravenous infusion? - ✔✔No. However, the IV certified LPN can administer premixed drugs
that will infuse over a minimum of 30 minutes.
, At what rate should the IV certified LPN infuse premixed intravenous drugs? - ✔✔Over a *minimum* of
30 minutes.
Graduate practical nurses in the state of Missouri must take the test for licensing within how many days
following graduation? - ✔✔90 days. If the individual fails the licensing test, he/she can no longer
practice as a graduate practical nurse.
True or False:
It is important for every nurse to maintain ongoing, documented, specialized knowledge, education,
skills, training, judgement, and experience related to practical nursing. - ✔✔True. Many employers offer
and/or mandate a specific amount of CEUs each year, but it is also the responsibility of each nurse to
keep current on skills and changes in best practice. *It is extremely important to document and keep a
log*
Why is it important *NOT* to place an IV access in the feet of adults? - ✔✔It increases the risk for blood
clots in the lower extremities.
What is the difference between arteries and veins? - ✔✔Arteries carry oxygenated blood from the heart
to the tissues of the body. Veins carry deoxygenated blood from the tissues of the body to the heart.
Which contains valves, veins or arteries? - ✔✔Veins. They have one-way valves that prevent reflux of
blood and keep it flowing in one direction.
What causes the vasovagal reaction? - ✔✔1. Fear of needles or IV therapy
2. A traumatic experience with previous IV therapy or multiple unsuccessful venipuncture attempts
3. Unfamiliarity with venipuncture or lack of patient preparation
What percentage of fluid is the average adult body composed of? - ✔✔60%
What is the smallest needle size that can be used to infuse blood products? - ✔✔20 gauge. Needles that
are smaller than this size will cause the blood cells to burst as they pass through.
Scope of Practice & Core Concepts | Updated
2025
What population can the IV certified LPN nurse *NOT* administer intravenous therapy to? -
✔✔neonates
What form of IV medication can the IV certified LPN *NOT* administer? - ✔✔IV push or IV bolus
What type of drugs can the IV certified LPN *NOT* administer and/or infuse? - ✔✔antineoplastic drugs
(chemotherapy)
True or False:
The IV certified LPN *CANNOT* access a central venous device such as an implanted port. - ✔✔True.
However, if the port has already been accessed by an RN or licensed healthcare provider, the LPN may
flush the port or draw blood from it as per the physician's order.
What should the IV certified LPN do if he/she is asked to hang a bag of blood for infusion? - ✔✔Refuse.
It is out of the scope of practice for the IV certified LPN to infuse blood or blood products.
What should the IV certified LPN do if he/she is asked to remove a central venous catheter? -
✔✔Refuse. It is out of the scope of practice for the IV certified LPN to remove central venous catheters.
Is it within the scope of practice for the IV certified LPN to administer premixed drugs? - ✔✔Yes.
However, it is out of the scope of practice for the IV certified LPN to mix or add drugs to the fluid
container of an existing intravenous infusion.
Is it within the scope of practice for the IV certified LPN to mix or add drugs to the fluid container of an
existing intravenous infusion? - ✔✔No. However, the IV certified LPN can administer premixed drugs
that will infuse over a minimum of 30 minutes.
, At what rate should the IV certified LPN infuse premixed intravenous drugs? - ✔✔Over a *minimum* of
30 minutes.
Graduate practical nurses in the state of Missouri must take the test for licensing within how many days
following graduation? - ✔✔90 days. If the individual fails the licensing test, he/she can no longer
practice as a graduate practical nurse.
True or False:
It is important for every nurse to maintain ongoing, documented, specialized knowledge, education,
skills, training, judgement, and experience related to practical nursing. - ✔✔True. Many employers offer
and/or mandate a specific amount of CEUs each year, but it is also the responsibility of each nurse to
keep current on skills and changes in best practice. *It is extremely important to document and keep a
log*
Why is it important *NOT* to place an IV access in the feet of adults? - ✔✔It increases the risk for blood
clots in the lower extremities.
What is the difference between arteries and veins? - ✔✔Arteries carry oxygenated blood from the heart
to the tissues of the body. Veins carry deoxygenated blood from the tissues of the body to the heart.
Which contains valves, veins or arteries? - ✔✔Veins. They have one-way valves that prevent reflux of
blood and keep it flowing in one direction.
What causes the vasovagal reaction? - ✔✔1. Fear of needles or IV therapy
2. A traumatic experience with previous IV therapy or multiple unsuccessful venipuncture attempts
3. Unfamiliarity with venipuncture or lack of patient preparation
What percentage of fluid is the average adult body composed of? - ✔✔60%
What is the smallest needle size that can be used to infuse blood products? - ✔✔20 gauge. Needles that
are smaller than this size will cause the blood cells to burst as they pass through.
