NUR 172 final Exam Questions with Correct Answers Latest Update 2025
An experienced nurse is reviewing with a new nurse about discontinuing an IV. The new nurse needs
more education when he makes which statement? - Answers "Inflammation of the vein is not a concern
after an IV is removed."
An LPN is working on a medical/surgical floor of a small town hospital. The shift has just started, it is now
0730. Several patients need an IV inserted. Which patient will the LPN insert an IV first? - Answers A 19
year-old patient with severe diarea, a BUN of 50, pulse of 10 and he is lethargic.
A 20 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 7.9. Which task would be appropriate for the RN to delegate to
a LPN? - Answers A Start the IV with an 18 gauge needle in the right forearm.
Which problem/complication will the LPN immediately remove the IV catheter? - Answers Inflammation
of the vein
A patient is receiving an IV of LR at 50 ml/hr. The patient has also received two IVPBs today: 100ml and
75ml. The patient is NPO. The pt. had a urine output per urinal of 200ml. Then an indwelling catheter
was inserted and the catheter was emptied at the end of the shift, 700 ml was obtained. The patient had
two J-P drains. J-P drain A was emptied twice: 50 ml and 75 ml.
J-P drain B was emptied three times: 50ml, 45ml, 50ml. The patient had two diarrhea stools that
measured 65ml and 100ml.
The patient was also diaphoretic today (unable to measure). The LP 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? - Answers This patient needs more IV fluid.
A patient has an IV with Albumin 25% infusing. What will the LP's care of this patient include? - Answers
Monitor for crackles and hypertension.
A nurse is presenting an in-service to her unit about blood transfusion reactions. The nurse states which
of the following sign and symptoms represents a probable acute hemolytic reaction - Answers "Fever,
tachycardia, chest pain, back pain, low BP."
A nurse is teaching a student nurse about hypotonic solutions. The nurse will include which statement in
the teaching? - Answers the blood pressure will usually decrease when giving this type of fluid
Which statement made by the student nurse indicates a need for further teaching about solutions with
IV Dextrose? - Answers " 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? - Answers Place
seizure pads on the patient's 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 100ml/hr. The IV bag was hung at 4pm. At 6pm the IV bag has only 200 ml remaining.
The patient reports a pounding headache, dyspnea, and has an increased pulse rate. The nurse is
orienting a new LP and teaches her what to do in this situation. The new LPN needs more instruction
when she makes which statement? - Answers "First, go find the RN and ask her/him what to do."
Which statement is true regarding insertion of a peripheral IV? - Answers The Insertion site should be
scrubbed with chlorhexidine and alcohol combo (Chloraprep) for 30 seconds prior to IV Insertion and
allowed to air dry
When observing a new nurse performing phlebotomy for a lab test on a patient, which action indicates a
that the nurse needs to review this procedure? - Answers The nurse labels the tubes at the nurse's
station.
An RN is teaching an LP about albumin transfusions. Which statement by the LP indicates further
teaching is needed? - Answers When transfusing albumin there is a high risk of transmitting hepatts."
A 25 year old patient with type 1 diabetes mellitus is in the ER with blood sugar of 550 and ketones in
the urine. No c/o 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? - Answers Apply a
non-re-breather oxygen mask at 15 liters/min
A patient has Vancomycin infusing. When assessing the site you notice that the IV site is cool, pale and
swollen. What action will the LPN take first? - Answers Stop the IV solution.
Which statement made by the patient about their peripheral nerve catheter care would indicate a need
for further teaching? - Answers " 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 100ml/hr. The LPN is teaching a student nurse about
this solution. Which statement indicates the student nurse needs more teaching? - Answers This
solution can cause cells to swell.
Which action taken by the LP is correct according to the Ohio Board of Nursing? - Answers The nurse
places an 18g, 2 inch over-the-needle catheter into the hand of an 18 year old male
A nurse is explaining to a student nurse IV insertion. The student is re-stating what he has learned.
Which statement indicates the nurse needs to reteach some information? - Answers The tourniquet
must be removed after the IV is flushed.
A LP is explaining to a student nurse who may direct his care as an LP and gave the student a list. The
LPN will include which of the following on his list? Select all that apply. - Answers A RN who was recently
hired and passed her NCLEX one week ago.
An oral surgeon.
An experienced nurse is reviewing with a new nurse about discontinuing an IV. The new nurse needs
more education when he makes which statement? - Answers "Inflammation of the vein is not a concern
after an IV is removed."
An LPN is working on a medical/surgical floor of a small town hospital. The shift has just started, it is now
0730. Several patients need an IV inserted. Which patient will the LPN insert an IV first? - Answers A 19
year-old patient with severe diarea, a BUN of 50, pulse of 10 and he is lethargic.
A 20 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 7.9. Which task would be appropriate for the RN to delegate to
a LPN? - Answers A Start the IV with an 18 gauge needle in the right forearm.
Which problem/complication will the LPN immediately remove the IV catheter? - Answers Inflammation
of the vein
A patient is receiving an IV of LR at 50 ml/hr. The patient has also received two IVPBs today: 100ml and
75ml. The patient is NPO. The pt. had a urine output per urinal of 200ml. Then an indwelling catheter
was inserted and the catheter was emptied at the end of the shift, 700 ml was obtained. The patient had
two J-P drains. J-P drain A was emptied twice: 50 ml and 75 ml.
J-P drain B was emptied three times: 50ml, 45ml, 50ml. The patient had two diarrhea stools that
measured 65ml and 100ml.
The patient was also diaphoretic today (unable to measure). The LP 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? - Answers This patient needs more IV fluid.
A patient has an IV with Albumin 25% infusing. What will the LP's care of this patient include? - Answers
Monitor for crackles and hypertension.
A nurse is presenting an in-service to her unit about blood transfusion reactions. The nurse states which
of the following sign and symptoms represents a probable acute hemolytic reaction - Answers "Fever,
tachycardia, chest pain, back pain, low BP."
A nurse is teaching a student nurse about hypotonic solutions. The nurse will include which statement in
the teaching? - Answers the blood pressure will usually decrease when giving this type of fluid
Which statement made by the student nurse indicates a need for further teaching about solutions with
IV Dextrose? - Answers " 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? - Answers Place
seizure pads on the patient's 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 100ml/hr. The IV bag was hung at 4pm. At 6pm the IV bag has only 200 ml remaining.
The patient reports a pounding headache, dyspnea, and has an increased pulse rate. The nurse is
orienting a new LP and teaches her what to do in this situation. The new LPN needs more instruction
when she makes which statement? - Answers "First, go find the RN and ask her/him what to do."
Which statement is true regarding insertion of a peripheral IV? - Answers The Insertion site should be
scrubbed with chlorhexidine and alcohol combo (Chloraprep) for 30 seconds prior to IV Insertion and
allowed to air dry
When observing a new nurse performing phlebotomy for a lab test on a patient, which action indicates a
that the nurse needs to review this procedure? - Answers The nurse labels the tubes at the nurse's
station.
An RN is teaching an LP about albumin transfusions. Which statement by the LP indicates further
teaching is needed? - Answers When transfusing albumin there is a high risk of transmitting hepatts."
A 25 year old patient with type 1 diabetes mellitus is in the ER with blood sugar of 550 and ketones in
the urine. No c/o 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? - Answers Apply a
non-re-breather oxygen mask at 15 liters/min
A patient has Vancomycin infusing. When assessing the site you notice that the IV site is cool, pale and
swollen. What action will the LPN take first? - Answers Stop the IV solution.
Which statement made by the patient about their peripheral nerve catheter care would indicate a need
for further teaching? - Answers " 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 100ml/hr. The LPN is teaching a student nurse about
this solution. Which statement indicates the student nurse needs more teaching? - Answers This
solution can cause cells to swell.
Which action taken by the LP is correct according to the Ohio Board of Nursing? - Answers The nurse
places an 18g, 2 inch over-the-needle catheter into the hand of an 18 year old male
A nurse is explaining to a student nurse IV insertion. The student is re-stating what he has learned.
Which statement indicates the nurse needs to reteach some information? - Answers The tourniquet
must be removed after the IV is flushed.
A LP is explaining to a student nurse who may direct his care as an LP and gave the student a list. The
LPN will include which of the following on his list? Select all that apply. - Answers A RN who was recently
hired and passed her NCLEX one week ago.
An oral surgeon.
