CNJNE IV Certification Exam
Section 3: Complications & Troubleshooting
Certified Nursing Jr. Nurse Exam - IV Therapy
Prepared for CNJNE Candidates
1. Which of the following is a sign of infiltration?
A. Redness along the vein
B. Swelling and coolness at the IV site
C. Warmth and purulent drainage
D. Rapid pulse and hypotension
2. What is the appropriate immediate action if phlebitis is suspected?
A. Apply a tourniquet above the site
B. Discontinue the IV and apply a warm compress
C. Flush the line with normal saline
D. Elevate the limb and resume infusion
3. A patient receiving IV fluids complains of shortness of breath and has crackles
on auscultation. What complication is most likely?
A. Phlebitis
B. Infiltration
C. Fluid overload
D. Air embolism
,4. Which of the following best describes extravasation?
A. Leakage of a vesicant solution into surrounding tissue
B. Accidental arterial puncture
C. Leakage of isotonic solution into the tissue
D. Obstruction of the IV catheter
5. What is the most serious risk associated with an air embolism?
A. Pain at the insertion site
B. Cardiac arrest
C. Hematoma
D. Infection
6. When troubleshooting a sluggish IV flow rate, the nurse should first:
A. Increase the drip rate
B. Replace the catheter immediately
C. Check for kinks in the tubing or catheter position
D. Administer a bolus flush
7. A hematoma at the IV site is usually caused by:
A. Using a small gauge catheter
B. Poor venipuncture technique or vein trauma
C. A kinked IV line
D. Air entering the line
8. Which of the following is a key prevention strategy for catheter-related
bloodstream infections (CRBSIs)?
, A. Using tourniquets above the IV site
B. Strict aseptic technique during insertion and maintenance
C. Elevating the IV site
D. Using a butterfly needle for long-term therapy
9. Signs of an occluded IV catheter include:
A. Fever and chills
B. Inability to flush or aspirate blood
C. Swelling at the site
D. Presence of a hematoma
10. The presence of red streaking and a hard, cord-like vein along the IV site
most likely indicates:
A. Infiltration
B. Phlebitis
C. Occlusion
D. Hematoma
11. Which condition is a potential result of prolonged use of the same IV site?
A. Air embolism
B. Phlebitis
C. Extravasation
D. Infiltration
12. Which patient is at the highest risk for IV infiltration?
A. Young adult with intact veins
B. Middle-aged patient receiving antibiotics
C. Elderly patient with fragile veins
D. Patient with a central line
Section 3: Complications & Troubleshooting
Certified Nursing Jr. Nurse Exam - IV Therapy
Prepared for CNJNE Candidates
1. Which of the following is a sign of infiltration?
A. Redness along the vein
B. Swelling and coolness at the IV site
C. Warmth and purulent drainage
D. Rapid pulse and hypotension
2. What is the appropriate immediate action if phlebitis is suspected?
A. Apply a tourniquet above the site
B. Discontinue the IV and apply a warm compress
C. Flush the line with normal saline
D. Elevate the limb and resume infusion
3. A patient receiving IV fluids complains of shortness of breath and has crackles
on auscultation. What complication is most likely?
A. Phlebitis
B. Infiltration
C. Fluid overload
D. Air embolism
,4. Which of the following best describes extravasation?
A. Leakage of a vesicant solution into surrounding tissue
B. Accidental arterial puncture
C. Leakage of isotonic solution into the tissue
D. Obstruction of the IV catheter
5. What is the most serious risk associated with an air embolism?
A. Pain at the insertion site
B. Cardiac arrest
C. Hematoma
D. Infection
6. When troubleshooting a sluggish IV flow rate, the nurse should first:
A. Increase the drip rate
B. Replace the catheter immediately
C. Check for kinks in the tubing or catheter position
D. Administer a bolus flush
7. A hematoma at the IV site is usually caused by:
A. Using a small gauge catheter
B. Poor venipuncture technique or vein trauma
C. A kinked IV line
D. Air entering the line
8. Which of the following is a key prevention strategy for catheter-related
bloodstream infections (CRBSIs)?
, A. Using tourniquets above the IV site
B. Strict aseptic technique during insertion and maintenance
C. Elevating the IV site
D. Using a butterfly needle for long-term therapy
9. Signs of an occluded IV catheter include:
A. Fever and chills
B. Inability to flush or aspirate blood
C. Swelling at the site
D. Presence of a hematoma
10. The presence of red streaking and a hard, cord-like vein along the IV site
most likely indicates:
A. Infiltration
B. Phlebitis
C. Occlusion
D. Hematoma
11. Which condition is a potential result of prolonged use of the same IV site?
A. Air embolism
B. Phlebitis
C. Extravasation
D. Infiltration
12. Which patient is at the highest risk for IV infiltration?
A. Young adult with intact veins
B. Middle-aged patient receiving antibiotics
C. Elderly patient with fragile veins
D. Patient with a central line
