IV CERTIFICATION EXAM QUESTIONS AND ANSWERS | IV
CERTIFICATION EXAM STUDY GUIDE & PRACTICE TEST 2026/2027
____________ solution should be administered in larger veins. Why? - Correct answer ✔✔
Hypertonic, increased flow rate
What is the blood flow rate in the cephalic and basilic veins? - Correct answer ✔✔ 45-95
What is the blood flow rate in the subclavian vein? - Correct answer ✔✔ 150-300
What is the blood flow rate in the superior vena cava? - Correct answer ✔✔ 2000
What are some veins you should avoid for venipuncture due to higher risk of nerve injury? (3) -
Correct answer ✔✔ Cephalic vein, antecubital fossa, palm side of wrist
What are the pros (1) and cons (3) of using the metacarpal veins? - Correct answer ✔✔ Easy to
see, hard to access in infants/lots of SC fat/loss of skin turgor in older adults
What are the pros (1) and cons (1) of using the basilic veins? - Correct answer ✔✔ Easy to
palpate, moves easily
What is the 16 step venipuncture method? - Correct answer ✔✔ Check the order, hand hygiene,
prepare equipment, assess patient, select vein, pain management, catheter selection, gloving,
site prep, vein entry, catheter stabilization and dressing, label, dispose equipment, patient
education, rate calculations, documentation
What should the order for and IV include? (8) - Correct answer ✔✔ Date and time, infusate,
route, dose, VTIB, rate, duration, signature
, What are some advantages of midline catheters? (2) - Correct answer ✔✔ Longer dwell time,
improved hemodilution
PIVs are used for __ or fewer days of infusion. Midline catheter infusions last for up to __ days. -
Correct answer ✔✔ 5, 14
When do you do hand hygiene when initiating an IV? (6) - Correct answer ✔✔ Before and after
palpating catheter insertion sites, inserting catheter, replacing catheter, accessing catheter,
repairing catheter, dressing catheter
What are some examples of patient identifiers? (3) - Correct answer ✔✔ Name, ID number,
birth date
What is site selection based on? (6) - Correct answer ✔✔ Patient's condition, age, diagnosis,
vascular condition, history, type and duration of therapy
In today's practice, is the hand or forearm initially accessed? Why? (4) - Correct answer ✔✔
Forearm, increase dwell time, decrease pain, promote self-care, prevent accidental removal
What are advantages to forearm placement? (5) - Correct answer ✔✔ Larger veins (better
hemodilution), less irritation, less movement, ease of stabilization, less interference with ADLs
When subsequent PIV placement is required, placement should always be ___________ the
previously placed PIV. - Correct answer ✔✔ Above
Where are some areas to avoid during IV initiation? (6) - Correct answer ✔✔ Lower extremities
(embolism, phlebitis), compromised veins, areas of flexion, cephalic vein above thumb, ventral
surface of wrist (pain, nerve damage), extremity with cellulitis/fistula/lymph node
dissection/side of stroke
CERTIFICATION EXAM STUDY GUIDE & PRACTICE TEST 2026/2027
____________ solution should be administered in larger veins. Why? - Correct answer ✔✔
Hypertonic, increased flow rate
What is the blood flow rate in the cephalic and basilic veins? - Correct answer ✔✔ 45-95
What is the blood flow rate in the subclavian vein? - Correct answer ✔✔ 150-300
What is the blood flow rate in the superior vena cava? - Correct answer ✔✔ 2000
What are some veins you should avoid for venipuncture due to higher risk of nerve injury? (3) -
Correct answer ✔✔ Cephalic vein, antecubital fossa, palm side of wrist
What are the pros (1) and cons (3) of using the metacarpal veins? - Correct answer ✔✔ Easy to
see, hard to access in infants/lots of SC fat/loss of skin turgor in older adults
What are the pros (1) and cons (1) of using the basilic veins? - Correct answer ✔✔ Easy to
palpate, moves easily
What is the 16 step venipuncture method? - Correct answer ✔✔ Check the order, hand hygiene,
prepare equipment, assess patient, select vein, pain management, catheter selection, gloving,
site prep, vein entry, catheter stabilization and dressing, label, dispose equipment, patient
education, rate calculations, documentation
What should the order for and IV include? (8) - Correct answer ✔✔ Date and time, infusate,
route, dose, VTIB, rate, duration, signature
, What are some advantages of midline catheters? (2) - Correct answer ✔✔ Longer dwell time,
improved hemodilution
PIVs are used for __ or fewer days of infusion. Midline catheter infusions last for up to __ days. -
Correct answer ✔✔ 5, 14
When do you do hand hygiene when initiating an IV? (6) - Correct answer ✔✔ Before and after
palpating catheter insertion sites, inserting catheter, replacing catheter, accessing catheter,
repairing catheter, dressing catheter
What are some examples of patient identifiers? (3) - Correct answer ✔✔ Name, ID number,
birth date
What is site selection based on? (6) - Correct answer ✔✔ Patient's condition, age, diagnosis,
vascular condition, history, type and duration of therapy
In today's practice, is the hand or forearm initially accessed? Why? (4) - Correct answer ✔✔
Forearm, increase dwell time, decrease pain, promote self-care, prevent accidental removal
What are advantages to forearm placement? (5) - Correct answer ✔✔ Larger veins (better
hemodilution), less irritation, less movement, ease of stabilization, less interference with ADLs
When subsequent PIV placement is required, placement should always be ___________ the
previously placed PIV. - Correct answer ✔✔ Above
Where are some areas to avoid during IV initiation? (6) - Correct answer ✔✔ Lower extremities
(embolism, phlebitis), compromised veins, areas of flexion, cephalic vein above thumb, ventral
surface of wrist (pain, nerve damage), extremity with cellulitis/fistula/lymph node
dissection/side of stroke
