IV THERAPY CORE EXAM SET 2025 QUESTIONS WITH
ANSWERS GUARANTEE A+
✔✔List two types of IV drug incompatibilities. - ✔✔Physical incompatibility - medications
form an insoluble precipitate.
Therapeutic incompatibility - drug reactions change potency or actions enhancing
effects or actions cancel each other out.
✔✔The Infusion Nurses' Society recommends standards of nursing practice. What is
done with medications that are not completely infused? - ✔✔They may be discarded
after 24 hours.
✔✔What role will the LPN play in monitoring the patient receiving patient-controlled
analgesia? - ✔✔In accordance with agency protocol: teach patient how to operate the
pump; how often the medication will be released; signs and symptoms of complications
to watch for. Assess the effectiveness of drugs, infusion site, vitals, level of
consciousness, pump set up and function.
✔✔If a patient with a spinal narcotic is then given PO or IM morphine, what
assessments must the LPN make? - ✔✔May require hourly respiration count as
additional narcotics can cause greater sedation. Assess vitals, especially respiratory
rate, level of consciousness.
✔✔List three nursing actions that occur during precannulation - ✔✔Hand hygiene,
gather and prepare all equipment, check the order, ID, assess, educate patient, select
site.
✔✔List three nursing actions that occur during cannulation - ✔✔Cannula selection, vein
entry, site preparation, wash hands, gloves, open clamp to ascertain flow, tape/stabilize
site.
✔✔List three nursing actions that occur during post cannulation - ✔✔Clean up, stabilize
device, document, label site, patient education, set drip rate.
✔✔List three nursing actions that help protect the patient from injury during IV
cannulation - ✔✔Allow site to air dry after using antiseptic; nothing but sterile needle
touches site after cleansing; wear gloves; patient education; medication 'rights'; if vein
'blows' apply pressure, open IV clamp slowly, observe site for problems; discontinue IV
for pain, swelling, redness.
✔✔List three things the LPN can do to protect him/herself from being injured while
starting an IV - ✔✔Wear gloves; use 1 hand to insert needle; don't recap needle - place
in sharps container; use standard precautions; correct handling of sharps; limit
exposure to IV meds; document accurately.
, ✔✔When selecting a vein site, you should_____? - ✔✔Select a hand vein first and then
move up the arm
✔✔If there is a high likelihood of the patient receiving blood, which needle would the
LPN choose? - ✔✔An 18 gauge over the needle cannula.
✔✔ Define, give an example of, and discuss fluid shifts caused by Isotonic fluids. -
✔✔Causes vascular expansion but no fluid shift. Examples are 5% dextrose in water,
normal saline and lactated ringers.
✔✔List three reasons why a patient might need IV therapy. - ✔✔Blood products, rapid
administration of meds or continuous infusion, unable to take PO.
✔✔List three activities related to IV therapy the LPN may legally perform in Arizona. -
✔✔Approved IV PB meds through peripheral IV's
Central lines: maintain, flush, give approved IVPB meds
All infusions can be turned off by LPN
Calculate infusion rates for unmedicated and medicated IV infusions
Provide IV line and site care
Removal of peripheral catheters used for IV therapy
✔✔List two activities that are not in the LPN scope of practice for IV therapy in Arizona -
✔✔Administration of parenteral nutrition
Administration of blood, blood products, or plasma expanders
Some IVPB's not approved
May not start or discontinue central lines
No IV push meds
✔✔List three ethical issues LPN's face with IV therapy - ✔✔The patient refused IV
therapy
Religious considerations prevent the patient from receiving IV therapy
The patient has a differing opinion to the person with medical POA for them
The patient's right to informed consent
✔✔If the LPN fails to recognize redness, pain, and purulent exudate coming from an IV
site and the patient is transferred to ICU for septic shock on the next shift, the LPN is
guilty of ______? - ✔✔Malpractice
✔✔The best way for the LPN to decrease his or her liability is to _____? - ✔✔Document
all findings and activities
ANSWERS GUARANTEE A+
✔✔List two types of IV drug incompatibilities. - ✔✔Physical incompatibility - medications
form an insoluble precipitate.
Therapeutic incompatibility - drug reactions change potency or actions enhancing
effects or actions cancel each other out.
✔✔The Infusion Nurses' Society recommends standards of nursing practice. What is
done with medications that are not completely infused? - ✔✔They may be discarded
after 24 hours.
✔✔What role will the LPN play in monitoring the patient receiving patient-controlled
analgesia? - ✔✔In accordance with agency protocol: teach patient how to operate the
pump; how often the medication will be released; signs and symptoms of complications
to watch for. Assess the effectiveness of drugs, infusion site, vitals, level of
consciousness, pump set up and function.
✔✔If a patient with a spinal narcotic is then given PO or IM morphine, what
assessments must the LPN make? - ✔✔May require hourly respiration count as
additional narcotics can cause greater sedation. Assess vitals, especially respiratory
rate, level of consciousness.
✔✔List three nursing actions that occur during precannulation - ✔✔Hand hygiene,
gather and prepare all equipment, check the order, ID, assess, educate patient, select
site.
✔✔List three nursing actions that occur during cannulation - ✔✔Cannula selection, vein
entry, site preparation, wash hands, gloves, open clamp to ascertain flow, tape/stabilize
site.
✔✔List three nursing actions that occur during post cannulation - ✔✔Clean up, stabilize
device, document, label site, patient education, set drip rate.
✔✔List three nursing actions that help protect the patient from injury during IV
cannulation - ✔✔Allow site to air dry after using antiseptic; nothing but sterile needle
touches site after cleansing; wear gloves; patient education; medication 'rights'; if vein
'blows' apply pressure, open IV clamp slowly, observe site for problems; discontinue IV
for pain, swelling, redness.
✔✔List three things the LPN can do to protect him/herself from being injured while
starting an IV - ✔✔Wear gloves; use 1 hand to insert needle; don't recap needle - place
in sharps container; use standard precautions; correct handling of sharps; limit
exposure to IV meds; document accurately.
, ✔✔When selecting a vein site, you should_____? - ✔✔Select a hand vein first and then
move up the arm
✔✔If there is a high likelihood of the patient receiving blood, which needle would the
LPN choose? - ✔✔An 18 gauge over the needle cannula.
✔✔ Define, give an example of, and discuss fluid shifts caused by Isotonic fluids. -
✔✔Causes vascular expansion but no fluid shift. Examples are 5% dextrose in water,
normal saline and lactated ringers.
✔✔List three reasons why a patient might need IV therapy. - ✔✔Blood products, rapid
administration of meds or continuous infusion, unable to take PO.
✔✔List three activities related to IV therapy the LPN may legally perform in Arizona. -
✔✔Approved IV PB meds through peripheral IV's
Central lines: maintain, flush, give approved IVPB meds
All infusions can be turned off by LPN
Calculate infusion rates for unmedicated and medicated IV infusions
Provide IV line and site care
Removal of peripheral catheters used for IV therapy
✔✔List two activities that are not in the LPN scope of practice for IV therapy in Arizona -
✔✔Administration of parenteral nutrition
Administration of blood, blood products, or plasma expanders
Some IVPB's not approved
May not start or discontinue central lines
No IV push meds
✔✔List three ethical issues LPN's face with IV therapy - ✔✔The patient refused IV
therapy
Religious considerations prevent the patient from receiving IV therapy
The patient has a differing opinion to the person with medical POA for them
The patient's right to informed consent
✔✔If the LPN fails to recognize redness, pain, and purulent exudate coming from an IV
site and the patient is transferred to ICU for septic shock on the next shift, the LPN is
guilty of ______? - ✔✔Malpractice
✔✔The best way for the LPN to decrease his or her liability is to _____? - ✔✔Document
all findings and activities
