LPN IV THERAPY EXAM WITH VERIFIED
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
UPDATE 2025
You received a report on a 65-year-old patient who underwent resection of an
abdominal aortic aneurysm. The nurse told you that the patient has lactated
Ringer's solution infusing at 150 ml/hour. When you enter the patient's room to
perform your assessment, you note that the patient is in respiratory distress. You
check his blood pressure and find that it's elevated. You also note jugular vein
distention. This patient is most likely experiencing:
A. circulatory overload.
B. hypersensitivity.
C. systemic infection.
D. a hemolytic reaction. - ANSWER-A.
Jugular vein distention, respiratory distress, increased blood pressure, crackles,
and positive fluid balance are signs of circulatory overload.
You note phlebitis at the I.V. site of a patient who has been receiving I.V. fluids
for the past 3 days. Phlebitis is a common complication associated with which
type of I.V. solution?
A. Low osmolarity
B. High osmolarity
C. Normal pH solution
D. Isotonic - ANSWER-. B.
Phlebitis is associated with administration of drugs or solutions that are acidic
or alkaline and those with high osmolarity.
,Erythrocytes, thrombocytes, and leukocytes, the cellular or formed elements of
blood, make up about what percentage of blood volume?
A. 35%
B. 45%
C. 55%
D. 70% - ANSWER-B.
The cellular, or formed, elements make up about 45% of blood volume and
include erythrocytes, thrombocytes, and leukocytes.
A patient is ordered a transfusion of 1 unit of packed red blood cells (RBCs) to
treat a hemoglobin (Hb) level of 8.9 g/dl. As you administer the blood, you
observe the patient closely, remembering that a hemolytic reaction can occur
when how much blood is infused?
A. 10 ml
B. 50 ml
C. 100 ml
D. 250 ml – ANSWER- A.
A hemolytic reaction can occur with as little as 10 ml infused.
A 52-year-old patient develops a life-threatening granulocytopenia that isn't
responding to antibiotics. Which blood component might be prescribed for this
patient?
A. Leukocyte-poor red blood cells (RBCs)
B. Platelets
C. White blood cells (WBCs)
D. Packed RBCs - ANSWER-C.
WBCs may be given to a patient with life-threatening granulocytopenia that
isn't responding to antibiotics. This is especially true if the patient has positive
blood cultures or a persistent fever greater than 101º F (38.3º C).
,A 74-year-old patient is receiving vancomycin through a secondary I.V. set.
Which of the following devices prevents backflow of the secondary solution
into the primary solution?
A. Backcheck valve
B. In-line filter
C. Burette
D. Volumetric pump - ANSWER-A.
A backcheck valve prevents backflow of the secondary solution into the
primary solution.
The practitioner orders an I.V. infusion for a patient who just entered the
emergency department with complaints of severe abdominal pain. You begin
preparing the equipment needed to start the infusion. At what distance should
the I.V. solution be hung above the venipuncture site?
A. 18" (45.7 cm)
B. 24" (60.9 cm)
C. 30" (76.2 cm)
D. 36" (91.4 cm) - ANSWER-D.
The I.V. bottle or bag should be hung on the I.V. pole about 36" (91.4 cm)
above the venipuncture site.
A 37-year-old with acute leukemia has an implanted port in place. What type of
needle should be used to access his implanted port?
A. Winged infusion set
B. Coring needle
C. Noncoring needle
D. Over-the-needle catheter - ANSWER-C.
To avoid damaging the port's silicone rubber septum, a noncoring needle should
be used.
, A 43-year-old patient with bladder cancer has an implanted port in place. He
complains of a burning sensation and swelling in the subcutaneous tissue
around the port. Which complication is he most likely experiencing?
A. Fibrin sheath formation
B. Chylothorax
C. Thrombosis
D. Extravasation - ANSWER-D.
A burning sensation and swelling of the subcutaneous tissue are signs of
extravasation.
A patient is prescribed two medications as preoperative sedation before going to
the operating room for a colon resection. You would like to administer the
medications together in one syringe. In order for the drugs to be compatible in a
syringe:
A. both should be opioids.
B. one should have a high pH and one a low pH.
C. they should have similar pH values.
D. they should be mixed with saline. - ANSWER-
C. Generally, drugs and solutions that are to be mixed should have similar pH
values to avoid incompatibility.
You mix two medications in a syringe and notice a precipitate. The precipitate
indicates:
A. therapeutic incompatibility.
B. physical incompatibility.
C. chemical incompatibility.
D. environmental incompatibility. - ANSWER-
C. Precipitation, gas bubbles, and color changes are basic signs of chemical
incompatibility.
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
UPDATE 2025
You received a report on a 65-year-old patient who underwent resection of an
abdominal aortic aneurysm. The nurse told you that the patient has lactated
Ringer's solution infusing at 150 ml/hour. When you enter the patient's room to
perform your assessment, you note that the patient is in respiratory distress. You
check his blood pressure and find that it's elevated. You also note jugular vein
distention. This patient is most likely experiencing:
A. circulatory overload.
B. hypersensitivity.
C. systemic infection.
D. a hemolytic reaction. - ANSWER-A.
Jugular vein distention, respiratory distress, increased blood pressure, crackles,
and positive fluid balance are signs of circulatory overload.
You note phlebitis at the I.V. site of a patient who has been receiving I.V. fluids
for the past 3 days. Phlebitis is a common complication associated with which
type of I.V. solution?
A. Low osmolarity
B. High osmolarity
C. Normal pH solution
D. Isotonic - ANSWER-. B.
Phlebitis is associated with administration of drugs or solutions that are acidic
or alkaline and those with high osmolarity.
,Erythrocytes, thrombocytes, and leukocytes, the cellular or formed elements of
blood, make up about what percentage of blood volume?
A. 35%
B. 45%
C. 55%
D. 70% - ANSWER-B.
The cellular, or formed, elements make up about 45% of blood volume and
include erythrocytes, thrombocytes, and leukocytes.
A patient is ordered a transfusion of 1 unit of packed red blood cells (RBCs) to
treat a hemoglobin (Hb) level of 8.9 g/dl. As you administer the blood, you
observe the patient closely, remembering that a hemolytic reaction can occur
when how much blood is infused?
A. 10 ml
B. 50 ml
C. 100 ml
D. 250 ml – ANSWER- A.
A hemolytic reaction can occur with as little as 10 ml infused.
A 52-year-old patient develops a life-threatening granulocytopenia that isn't
responding to antibiotics. Which blood component might be prescribed for this
patient?
A. Leukocyte-poor red blood cells (RBCs)
B. Platelets
C. White blood cells (WBCs)
D. Packed RBCs - ANSWER-C.
WBCs may be given to a patient with life-threatening granulocytopenia that
isn't responding to antibiotics. This is especially true if the patient has positive
blood cultures or a persistent fever greater than 101º F (38.3º C).
,A 74-year-old patient is receiving vancomycin through a secondary I.V. set.
Which of the following devices prevents backflow of the secondary solution
into the primary solution?
A. Backcheck valve
B. In-line filter
C. Burette
D. Volumetric pump - ANSWER-A.
A backcheck valve prevents backflow of the secondary solution into the
primary solution.
The practitioner orders an I.V. infusion for a patient who just entered the
emergency department with complaints of severe abdominal pain. You begin
preparing the equipment needed to start the infusion. At what distance should
the I.V. solution be hung above the venipuncture site?
A. 18" (45.7 cm)
B. 24" (60.9 cm)
C. 30" (76.2 cm)
D. 36" (91.4 cm) - ANSWER-D.
The I.V. bottle or bag should be hung on the I.V. pole about 36" (91.4 cm)
above the venipuncture site.
A 37-year-old with acute leukemia has an implanted port in place. What type of
needle should be used to access his implanted port?
A. Winged infusion set
B. Coring needle
C. Noncoring needle
D. Over-the-needle catheter - ANSWER-C.
To avoid damaging the port's silicone rubber septum, a noncoring needle should
be used.
, A 43-year-old patient with bladder cancer has an implanted port in place. He
complains of a burning sensation and swelling in the subcutaneous tissue
around the port. Which complication is he most likely experiencing?
A. Fibrin sheath formation
B. Chylothorax
C. Thrombosis
D. Extravasation - ANSWER-D.
A burning sensation and swelling of the subcutaneous tissue are signs of
extravasation.
A patient is prescribed two medications as preoperative sedation before going to
the operating room for a colon resection. You would like to administer the
medications together in one syringe. In order for the drugs to be compatible in a
syringe:
A. both should be opioids.
B. one should have a high pH and one a low pH.
C. they should have similar pH values.
D. they should be mixed with saline. - ANSWER-
C. Generally, drugs and solutions that are to be mixed should have similar pH
values to avoid incompatibility.
You mix two medications in a syringe and notice a precipitate. The precipitate
indicates:
A. therapeutic incompatibility.
B. physical incompatibility.
C. chemical incompatibility.
D. environmental incompatibility. - ANSWER-
C. Precipitation, gas bubbles, and color changes are basic signs of chemical
incompatibility.
