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NUR 172 Exam I Questions & Verified Answers | IV Therapy, Fluid Balance, IV Calculations, Isotonic & Hypotonic Solutions, LPN Scope of Practice, IV Safety & Patient Care | Updated 2026/2027 | Instant Download

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NUR 172 Exam I Questions & Verified Answers covering essential nursing concepts in IV therapy, fluid management, IV solution selection, infusion calculations, LPN scope of practice, IV documentation, delegation, patient assessment, and IV safety. This exam-focused resource brings together clinical scenarios involving fluid volume, IV complications, solution tonicity, infusion rates, and priority nursing interventions. Topics covered include: * Normal urine output and decreased urine output * IV site assessment and documentation * IV catheter size and site description * Patient response and fluid documentation * Shortness of breath following IV fluid bolus * Priority nursing interventions for fluid overload * Head-of-bed elevation and provider notification * Concerning BUN and creatinine results * Intake and output monitoring * Lactated Ringer's for burn fluid replacement * IV fluids for vomiting and diarrhea * Dehydration and IV therapy * DKA and fluid-management concepts * NPO patients and fluid management * NS infusion and respiratory complications * KVO IV rates * Hypotonic IV solutions * Isotonic IV solutions * Hypertonic IV solutions * Fluid shifts and tonicity * Normal saline 0.9% * Lactated Ringer's solution * D5/LR * IV solutions for trauma and blood loss * LPN IV scope of practice * Adult and pediatric IV therapy considerations * Peripheral IV catheter insertion * Hand, forearm and antecubital IV sites * IV insertion restrictions * IV antibiotic administration * Gentamicin and vancomycin concepts * IV multivitamin solutions * IV infusion calculations * mL/hr calculations * IV pump calculations * Drop-factor concepts * IV tubing package information * Hypotonic solution precautions * Blood pressure and IV solution selection * UAP delegation related to IV therapy * Empty IV bags and pump alarms * IV site redness and reporting * Spiking and priming IV tubing * Six rights of medication administration * Allergy verification * Roller-clamp safety * Maintaining IV sterility * Air-bubble inspection * Patient refusal of IV therapy * Incorrect IV solution administration * Reporting IV errors * IV therapy for older adults * Nursing assessment and priority interventions This resource is useful for NUR 172 students reviewing IV therapy, fluid and electrolyte concepts, IV calculations, solution tonicity, LPN responsibilities, delegation, documentation, and patient-safety concepts for Exam I.

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NUR 172 Exam I
Questions Verified and
Provided with A+ Graded
Answers |Latest Updated
2026

,Always be concerned with the decreased urine output (less than 75 mL within 3 hours)


Normal output is 30 mL per hour


What do you document about an IV?


IV site, the IV size, description of the site, call light in reach, how patient responded and
fluid infused


You have a patient who received a bolus of 500 mL/hr and now they are short of
breath, what would your nursing intervention be?


Raise the head of the bed, notify the physician




Which labs would be the most concerning, that you would report right away?


BUN of 40
Potassium of 4.9
Creatinine of 4.1


You have an IV of NS going at 50 mL/hr for 8 hours and the patient drank several
glasses of water during the shift, the patient only received 100 mL of the IV fluid, what
would you do?


Report I's and O's to the doctor

,What replacement fluid would you give to a patient who has come into the hospital for
burns?


Lactated Ringers


What patient would you give IV fluids to?


- DKA = regular insulin (LPNs cannot administer)
- Vomiting and Diarrhea
- NPO **ALWAYS PRIORITY**


You have a patient who has lung disease receiving NS at 150 mL/hr and they are short of
breath with a pulse oximeter of 90%, what would you do?


Slow down IV to KVO (keep veins open)


0.45% of NS going 100 mL/hr, the alarm is ringing because the bag is empty and the
patient's pulse is 110, respiratory rate of 22 and the blood pressure is 80/40, and the O2 sat
is 95. What would you do?


DO NOT ADMINISTER ANY MORE HYPOTONIC SOLUTION, RECOMMEND
HYPERTONIC


What does isotonic solutions do to the body?


It will not cause fluid shift when infused


A 17 year old comes into the ER needing an IV started, what would we do?


LPN’s cannot do anything IV wise for a patient younger than 18, contact the RN


A 19 year old patient needs gentamicin, what would you do?

, You are working with an RN, and she is teaching you about IV insertion, what are you
allowed to do?


The LPN can place IV catheter in the forearm, antecubital space and hand. NOT THE
BICEP.


Can LPN's hang the 2nd, 3rd, 4th bag of NS with multivitamins?


yes


Can LPNs hang NS for adults?


yes they can


Can LPNs hang the second bag of IV antibiotic, not the first?


No, you can hang the first bag of antibiotics for the adult


Can LPNs hang IV antibiotics of vancomycin for an adult?


yes LPNs can


0.9% NaCl needs to infuse over 7 hours, you have 100 mL, the drop factor is 15 drops per
minute, what would you set the pump at? (if it's a pump always mL/hr)


100/7 = 14 mL/hr

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