NEW YORK IV THERAPY FOR LPNS PRACTICE EXAM | STUDY GUIDE | TESTBANK |
LATEST UPDATE 2026/2027 | 30 QUESTIONS | 100% CORRECT ANSWERS
TABLE OF CONTENTS
I. New York LPN Scope of Practice and Regulatory Requirements — Questions 1–5
II. Vascular Access, Infusion Technology, and Aseptic Technique — Questions 6–10
III. IV Solutions, Medications, Compatibility, and Administration — Questions 11–15
IV. IV Calculations, Monitoring, and Complications — Questions 16–20
V. Patient Safety, Special Populations, Documentation, and Clinical Judgment —
Questions 21–25
VI. Advanced Clinical Scenarios and Professional Decision-Making — Questions 26–
30
INTRODUCTION
This New York IV Therapy for LPNs practice examination is designed around the
current New York State framework governing LPN participation in intravenous
therapy, together with essential competencies in vascular access, infusion
technology, pharmacology, calculations, infection prevention, monitoring,
complications, documentation, and patient safety. New York requires appropriate IV
therapy education and demonstrated clinical competency before an LPN provides
IV therapy, with additional training requirements applying in specified healthcare
settings. The questions emphasize application rather than memorization and
require careful consideration of scope of practice, supervision, patient assessment,
medication safety, infusion complications, and clinical judgment. Expect challenging
scenarios that distinguish permissible LPN functions from activities requiring RN or
other authorized clinician intervention.
QUESTIONS 1–30
Question 1
An LPN in a New York hospital has completed the required IV therapy training and
competency validation. The supervising RN assigns the LPN to administer a
prescribed IV antibiotic through an established short peripheral IV catheter. The
medication is not the patient's first dose, does not require titration or hemodynamic
monitoring, and is not administered by IV push. Which action is most appropriate?
,A. Administer the medication because the assignment falls within the trained LPN's
IV therapy role
B. Refuse because New York LPNs may administer only IV fluids, not IV medications
C. Administer the medication only if the catheter is a central venous access device
D. Administer the medication only by IV push to ensure accurate dosing
Correct Answer: A
Explanation: A trained and competent New York LPN may administer certain
prescribed IV drugs through a peripheral IV catheter under appropriate
supervision, subject to specific exclusions such as first doses, IV push medications,
antineoplastic agents, and drugs requiring titration or hemodynamic monitoring.
Question 2
A newly hired LPN reports that she completed an IV therapy course three years ago
and has extensive prior experience starting peripheral IVs. Her employer asks her to
begin providing IV therapy immediately. Which response best reflects current New
York requirements?
A. Prior experience eliminates the need for additional IV education
B. The LPN may independently begin IV therapy after observing another nurse for
one shift
C. The LPN should complete required training and demonstrate current clinical
competency before providing IV therapy
D. The LPN may provide IV therapy if a physician signs a competency waiver
Correct Answer: C
Explanation: New York guidance requires appropriate IV therapy training and
demonstrated clinical competency before an LPN provides IV therapy; specified
facilities must provide additional IV training at least annually.
Question 3
A supervising RN is unavailable on the unit when an LPN is preparing to administer
a prescribed IV medication. The patient suddenly develops dyspnea and
hypotension. Which action by the LPN is most appropriate?
,A. Continue the infusion because the medication was already prescribed
B. Independently diagnose the cause and initiate a new treatment regimen
C. Take appropriate immediate safety measures and obtain timely intervention from
the supervising clinician
D. Wait until the RN returns before reporting the patient's condition
Correct Answer: C
Explanation: The supervising clinician must be available to personally intervene
when necessary. An LPN should recognize deterioration, take appropriate
immediate safety measures within competence, and promptly obtain authorized
clinical intervention rather than independently assuming responsibilities outside
LPN scope.
Question 4
Which assignment represents an activity that remains outside the New York LPN's
scope even when the LPN has extensive IV experience and the supervising clinician
is physically present?
A. Monitoring a prescribed peripheral IV infusion
B. Drawing blood from an established peripheral IV catheter
C. Inserting a short peripheral IV catheter in the hand
D. Inserting a peripherally inserted central catheter
Correct Answer: D
Explanation: New York guidance does not authorize LPNs to insert or remove
central venous access devices, including PICCs. Experience or supervision does not
expand the legal scope of practice.
Question 5
An LPN is asked to prepare an IV medication at 0900 but is told that another nurse
will administer it during the next shift at 1900. What is the most appropriate
response?
A. Prepare it because medication preparation is always within LPN scope
B. Prepare it if the medication is refrigerated afterward
, C. Do not prepare it because the LPN will not administer it during the same shift
D. Prepare it only if the prescribing provider personally approves the preparation
Correct Answer: C
Explanation: New York guidance permits a trained LPN to prepare, reconstitute, or
label IV drugs and solutions as prescribed when the LPN will administer them to
the patient during the same shift. Preparing IV therapy for administration by
another nurse on a later shift is outside that authorization.
Question 6
An LPN is selecting a site for insertion of a short peripheral IV catheter in an adult
patient. Which site-selection principle is most appropriate?
A. Select any vein regardless of the therapy because all peripheral veins have
equivalent characteristics
B. Select an appropriate superficial peripheral vein while considering vessel
condition, therapy, and patient factors
C. Prefer a femoral vein because it provides more reliable access
D. Select a midline catheter whenever peripheral access is difficult
Correct Answer: B
Explanation: Appropriate vascular anatomy and vein selection are fundamental
components of IV therapy competency. Short peripheral catheters are inserted
into suitable superficial peripheral veins, while midline and central access devices
involve different competencies and scope considerations.
Question 7
During inspection of a peripheral IV site, the LPN observes coolness, swelling, pallor,
and slowed infusion at the insertion site. Which complication is most strongly
suspected?
A. Phlebitis
B. Infiltration
C. Systemic fluid overload
D. Catheter-related bloodstream infection
LATEST UPDATE 2026/2027 | 30 QUESTIONS | 100% CORRECT ANSWERS
TABLE OF CONTENTS
I. New York LPN Scope of Practice and Regulatory Requirements — Questions 1–5
II. Vascular Access, Infusion Technology, and Aseptic Technique — Questions 6–10
III. IV Solutions, Medications, Compatibility, and Administration — Questions 11–15
IV. IV Calculations, Monitoring, and Complications — Questions 16–20
V. Patient Safety, Special Populations, Documentation, and Clinical Judgment —
Questions 21–25
VI. Advanced Clinical Scenarios and Professional Decision-Making — Questions 26–
30
INTRODUCTION
This New York IV Therapy for LPNs practice examination is designed around the
current New York State framework governing LPN participation in intravenous
therapy, together with essential competencies in vascular access, infusion
technology, pharmacology, calculations, infection prevention, monitoring,
complications, documentation, and patient safety. New York requires appropriate IV
therapy education and demonstrated clinical competency before an LPN provides
IV therapy, with additional training requirements applying in specified healthcare
settings. The questions emphasize application rather than memorization and
require careful consideration of scope of practice, supervision, patient assessment,
medication safety, infusion complications, and clinical judgment. Expect challenging
scenarios that distinguish permissible LPN functions from activities requiring RN or
other authorized clinician intervention.
QUESTIONS 1–30
Question 1
An LPN in a New York hospital has completed the required IV therapy training and
competency validation. The supervising RN assigns the LPN to administer a
prescribed IV antibiotic through an established short peripheral IV catheter. The
medication is not the patient's first dose, does not require titration or hemodynamic
monitoring, and is not administered by IV push. Which action is most appropriate?
,A. Administer the medication because the assignment falls within the trained LPN's
IV therapy role
B. Refuse because New York LPNs may administer only IV fluids, not IV medications
C. Administer the medication only if the catheter is a central venous access device
D. Administer the medication only by IV push to ensure accurate dosing
Correct Answer: A
Explanation: A trained and competent New York LPN may administer certain
prescribed IV drugs through a peripheral IV catheter under appropriate
supervision, subject to specific exclusions such as first doses, IV push medications,
antineoplastic agents, and drugs requiring titration or hemodynamic monitoring.
Question 2
A newly hired LPN reports that she completed an IV therapy course three years ago
and has extensive prior experience starting peripheral IVs. Her employer asks her to
begin providing IV therapy immediately. Which response best reflects current New
York requirements?
A. Prior experience eliminates the need for additional IV education
B. The LPN may independently begin IV therapy after observing another nurse for
one shift
C. The LPN should complete required training and demonstrate current clinical
competency before providing IV therapy
D. The LPN may provide IV therapy if a physician signs a competency waiver
Correct Answer: C
Explanation: New York guidance requires appropriate IV therapy training and
demonstrated clinical competency before an LPN provides IV therapy; specified
facilities must provide additional IV training at least annually.
Question 3
A supervising RN is unavailable on the unit when an LPN is preparing to administer
a prescribed IV medication. The patient suddenly develops dyspnea and
hypotension. Which action by the LPN is most appropriate?
,A. Continue the infusion because the medication was already prescribed
B. Independently diagnose the cause and initiate a new treatment regimen
C. Take appropriate immediate safety measures and obtain timely intervention from
the supervising clinician
D. Wait until the RN returns before reporting the patient's condition
Correct Answer: C
Explanation: The supervising clinician must be available to personally intervene
when necessary. An LPN should recognize deterioration, take appropriate
immediate safety measures within competence, and promptly obtain authorized
clinical intervention rather than independently assuming responsibilities outside
LPN scope.
Question 4
Which assignment represents an activity that remains outside the New York LPN's
scope even when the LPN has extensive IV experience and the supervising clinician
is physically present?
A. Monitoring a prescribed peripheral IV infusion
B. Drawing blood from an established peripheral IV catheter
C. Inserting a short peripheral IV catheter in the hand
D. Inserting a peripherally inserted central catheter
Correct Answer: D
Explanation: New York guidance does not authorize LPNs to insert or remove
central venous access devices, including PICCs. Experience or supervision does not
expand the legal scope of practice.
Question 5
An LPN is asked to prepare an IV medication at 0900 but is told that another nurse
will administer it during the next shift at 1900. What is the most appropriate
response?
A. Prepare it because medication preparation is always within LPN scope
B. Prepare it if the medication is refrigerated afterward
, C. Do not prepare it because the LPN will not administer it during the same shift
D. Prepare it only if the prescribing provider personally approves the preparation
Correct Answer: C
Explanation: New York guidance permits a trained LPN to prepare, reconstitute, or
label IV drugs and solutions as prescribed when the LPN will administer them to
the patient during the same shift. Preparing IV therapy for administration by
another nurse on a later shift is outside that authorization.
Question 6
An LPN is selecting a site for insertion of a short peripheral IV catheter in an adult
patient. Which site-selection principle is most appropriate?
A. Select any vein regardless of the therapy because all peripheral veins have
equivalent characteristics
B. Select an appropriate superficial peripheral vein while considering vessel
condition, therapy, and patient factors
C. Prefer a femoral vein because it provides more reliable access
D. Select a midline catheter whenever peripheral access is difficult
Correct Answer: B
Explanation: Appropriate vascular anatomy and vein selection are fundamental
components of IV therapy competency. Short peripheral catheters are inserted
into suitable superficial peripheral veins, while midline and central access devices
involve different competencies and scope considerations.
Question 7
During inspection of a peripheral IV site, the LPN observes coolness, swelling, pallor,
and slowed infusion at the insertion site. Which complication is most strongly
suspected?
A. Phlebitis
B. Infiltration
C. Systemic fluid overload
D. Catheter-related bloodstream infection
