172 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2025
An experienced nurse is reviewing with a new nurse about discontinuing an IV. The
new nurse needs more education when he states which of the following? - ANSWER"
apply pressure over the IV site, then pull the catheter out"
An LPN is working on a medical/surgical floor of a small town hospital. The shift has just
started, it is now 7:30 AM. Several patients need an IV inserted. Which patient will the
LPN insert an IV first? - ANSWERA 46-year-old postop patient. Who has
hyperlipidemia. Hypertension and is complaining of severe chest pain
A 40-year-old patient was in a car accident three days ago. The patient is NPO. The
patient is to receive a unit of blood today for A hemoglobin of 6.8. Which task would be
appropriate for the RN to delegate to an LPN? - ANSWERStart the IV with and 18
gauge needle in the right forearm
A patient is receiving an IV of LR at 50 mL/hours. The patient has also received 2 IVPBs
today: 100 mL and 75 mL. The patient is NPO. The patient had a urine output per urinal
of 200 mL. Then an indwelling catheter was inserted and the catheter was emptied at
the end of the shift, 700 mL were obtained. The patient had to JP drains. JP drain A was
emptied twice: 50 mL and 75 mL. JP drain B was emptied three times: 50 mL, 45 mL,
50 mL. The patient had two diarrhea stools that measured 65 mL and 100 mL. The
patient was also diaphoretic today (unable to measure). The LPN has an order to call
the physician at the end of the shift and give an update. This facility is on 12 hour shifts.
What will the LPN report/recommend to the physician? - ANSWERThis patient needs
more IV fluids
Which complication will the LPN immediately remove the IV catheter? - ANSWERThe IV
site is red and warm
A patient has an IV with albumin 25% infusing. Which symptom, related to this infusion
would most concerned the nurse? - ANSWERLungs now have crackles in the bases
A nurse is presenting an in-service to her unit about blood transfusion reactions. The
nurse states which of the following signs and symptoms represent a probable acute
hemolytic transfusion reaction? - ANSWERFever, tachycardia, chest pain, back pain,
low blood pressure
A nurse is teaching a student nurse about hypotonic solutions. The nurse will include
which statement in the teaching? - ANSWER" The blood pressure will usually
decreased when given this type of fluid"
, Which statement made by the student nurse indicates a need for further teaching about
solutions with IV dextrose? - ANSWER" administering an IV with dextrose gives the
patient carbohydrates and lipids"
A patient has a sodium level of 120. The nurse will do which of the following actions? -
ANSWERPlace seizure pads on the patient side rails
The nurse is caring for a patient with a 1000 mL bag of 5% dextrose in 0.9% sodium
chloride (D5/NS) ordered to run at 100 mL/hour. The IV bag was hung at 4 PM. At 6 PM
the IV bag has only 200 mL remaining. The patient reports a pounding headache,
dyspnea, and has increased pulse rate. The nurse is orientating a new LPN and
teaching her what to do in this situation. The new LPN needs more instruction when she
makes which statement? - ANSWER" go find the RN and ask her/him what to do"
Which statement is true regarding insertion of a peripheral IV? - ANSWERThe insertion
site should be scrubbed with chlorhexidine and alcohol combo (Chloaprep) For 30
seconds prior to IV insertion an allowed to air dry.
When observing a new nurse performing phlebotomy for a lab test on a patient, which
action indicates a need for further education? - ANSWERThe nurse labels the tubes at
the nurses station
An RN is teaching an LPN about albumin transfusions. Which statement by the LPN
indicates further teaching is needed? - ANSWER" when transfusing albumin there is a
high risk of transmitting hepatitis"
A 25-year-old patient with diabetes mellitus is in the ER with blood sugar of 550 and key
tones in the urine. No cause of nausea at this time. The ABG result is: pH: 7.30, PCO2:
29, HCO3: 19, PO2: 95. The potassium level is 5.8. The nurse would question the
physician about which order? - ANSWERApply a nonrebreather mask at 15 L/minute
oxygen
A patient has Vancomycin in fusing. When assessing the site you notice that the IV site
is cool, pale and swollen. What action will the LPN take first? - ANSWERStop the IV
solution
Which statement made by the patient about they are peripheral nerve catheter care
would indicate a need for further teaching? - ANSWER" if my pain level increases I
should just squeeze the 'ball' of pain medicine"
A patient has an IV of 1000mL D5/NS Infusing at 100 mL/hour. The LPN is teaching a
student nurse about the solution. Which statement indicates the student nurse needs
more teaching? - ANSWERThe solution can cause cells to swell
COMPLETE SOLUTIONS 2025
An experienced nurse is reviewing with a new nurse about discontinuing an IV. The
new nurse needs more education when he states which of the following? - ANSWER"
apply pressure over the IV site, then pull the catheter out"
An LPN is working on a medical/surgical floor of a small town hospital. The shift has just
started, it is now 7:30 AM. Several patients need an IV inserted. Which patient will the
LPN insert an IV first? - ANSWERA 46-year-old postop patient. Who has
hyperlipidemia. Hypertension and is complaining of severe chest pain
A 40-year-old patient was in a car accident three days ago. The patient is NPO. The
patient is to receive a unit of blood today for A hemoglobin of 6.8. Which task would be
appropriate for the RN to delegate to an LPN? - ANSWERStart the IV with and 18
gauge needle in the right forearm
A patient is receiving an IV of LR at 50 mL/hours. The patient has also received 2 IVPBs
today: 100 mL and 75 mL. The patient is NPO. The patient had a urine output per urinal
of 200 mL. Then an indwelling catheter was inserted and the catheter was emptied at
the end of the shift, 700 mL were obtained. The patient had to JP drains. JP drain A was
emptied twice: 50 mL and 75 mL. JP drain B was emptied three times: 50 mL, 45 mL,
50 mL. The patient had two diarrhea stools that measured 65 mL and 100 mL. The
patient was also diaphoretic today (unable to measure). The LPN has an order to call
the physician at the end of the shift and give an update. This facility is on 12 hour shifts.
What will the LPN report/recommend to the physician? - ANSWERThis patient needs
more IV fluids
Which complication will the LPN immediately remove the IV catheter? - ANSWERThe IV
site is red and warm
A patient has an IV with albumin 25% infusing. Which symptom, related to this infusion
would most concerned the nurse? - ANSWERLungs now have crackles in the bases
A nurse is presenting an in-service to her unit about blood transfusion reactions. The
nurse states which of the following signs and symptoms represent a probable acute
hemolytic transfusion reaction? - ANSWERFever, tachycardia, chest pain, back pain,
low blood pressure
A nurse is teaching a student nurse about hypotonic solutions. The nurse will include
which statement in the teaching? - ANSWER" The blood pressure will usually
decreased when given this type of fluid"
, Which statement made by the student nurse indicates a need for further teaching about
solutions with IV dextrose? - ANSWER" administering an IV with dextrose gives the
patient carbohydrates and lipids"
A patient has a sodium level of 120. The nurse will do which of the following actions? -
ANSWERPlace seizure pads on the patient side rails
The nurse is caring for a patient with a 1000 mL bag of 5% dextrose in 0.9% sodium
chloride (D5/NS) ordered to run at 100 mL/hour. The IV bag was hung at 4 PM. At 6 PM
the IV bag has only 200 mL remaining. The patient reports a pounding headache,
dyspnea, and has increased pulse rate. The nurse is orientating a new LPN and
teaching her what to do in this situation. The new LPN needs more instruction when she
makes which statement? - ANSWER" go find the RN and ask her/him what to do"
Which statement is true regarding insertion of a peripheral IV? - ANSWERThe insertion
site should be scrubbed with chlorhexidine and alcohol combo (Chloaprep) For 30
seconds prior to IV insertion an allowed to air dry.
When observing a new nurse performing phlebotomy for a lab test on a patient, which
action indicates a need for further education? - ANSWERThe nurse labels the tubes at
the nurses station
An RN is teaching an LPN about albumin transfusions. Which statement by the LPN
indicates further teaching is needed? - ANSWER" when transfusing albumin there is a
high risk of transmitting hepatitis"
A 25-year-old patient with diabetes mellitus is in the ER with blood sugar of 550 and key
tones in the urine. No cause of nausea at this time. The ABG result is: pH: 7.30, PCO2:
29, HCO3: 19, PO2: 95. The potassium level is 5.8. The nurse would question the
physician about which order? - ANSWERApply a nonrebreather mask at 15 L/minute
oxygen
A patient has Vancomycin in fusing. When assessing the site you notice that the IV site
is cool, pale and swollen. What action will the LPN take first? - ANSWERStop the IV
solution
Which statement made by the patient about they are peripheral nerve catheter care
would indicate a need for further teaching? - ANSWER" if my pain level increases I
should just squeeze the 'ball' of pain medicine"
A patient has an IV of 1000mL D5/NS Infusing at 100 mL/hour. The LPN is teaching a
student nurse about the solution. Which statement indicates the student nurse needs
more teaching? - ANSWERThe solution can cause cells to swell
