NUR 172 EXAM 1 QUESTIONS
AND CORRECT ANSWERS
GRADED A+ 2025\2026 EXAM
Always be concerned with the decreased urine output (less than 75 mL
within 3 hours)
Normal output is 30 mL per hour
What do you document about an IV?
IV site, the IV size, description of the site, call light in reach, how
patient responded and fluid infused
You have a patient who received a bolus of 500 mL/hr and now they
are short of breath, what would your nursing intervention be?
Raise the head of the bed, notify the physician
Which labs would be the most concerning, that you would report right
away?
BUN of 40
Potassium of 4.9
Creatinine of 4.1
You have an IV of NS going at 50 mL/hr for 8 hours and the patient
drank several glasses of water during the shift, the patient only received
100 mL of the IV fluid, what would you do?
Report I's and O's to the doctor
,What replacement fluid would you give to a patient who has come into
the hospital for
burns?
Lactated Ringers
What patient would you give IV fluids to?
- DKA = regular insulin (LPNs cannot administer)
- Vomiting and Diarrhea
- NPO **ALWAYS PRIORITY**
You have a patient who has lung disease receiving NS at 150 mL/hr and
they are short of breath with a pulse oximeter of 90%, what would you
do?
Slow down IV to KVO (keep veins open)
0.45% of NS going 100 mL/hr, the alarm is ringing because the bag is
empty and the patient's pulse is 110, respiratory rate of 22 and the blood
pressure is 80/40, and the O2 sat is 95. What would you do?
DO NOT ADMINISTER ANY MORE HYPOTONIC SOLUTION,
RECOMMEND HYPERTONIC
What does isotonic solutions do to the body?
It will not cause fluid shift when infused
A 17 year old comes into the ER needing an IV started, what would we
do?
LPN’s cannot do anything IV wise for a patient younger than 18,
contact the RN
A 19 year old patient needs gentamicin, what would you do?
You can administer to patient
, You are working with an RN, and she is teaching you about IV insertion,
what are you allowed to do?
The LPN can place IV catheter in the forearm, antecubital space
and hand. NOT THE BICEP.
Can LPN's hang the 2nd, 3rd, 4th bag of NS with multivitamins?
yes
Can LPNs hang NS for adults?
yes they can
Can LPNs hang the second bag of IV antibiotic, not the first?
No, you can hang the first bag of antibiotics for the adult
Can LPNs hang IV antibiotics of vancomycin for an adult?
yes LPNs can
0.9% NaCl needs to infuse over 7 hours, you have 100 mL, the drop
factor is 15 drops per minute, what would you set the pump at? (if it's a
pump always mL/hr)
100/7 = 14 mL/hr
1.5 liters of NS, infused over 14 hours, the drop factor is 20 drops/mL,
what is the mL per hour?
1500/14 = 107 mL/hr
1,000 mL of NS to infuse over 12 hours and the drop factor is 20
drops/mL, what is the mL per hour?
83 mL/hr
What patient would NOT receive a hypotonic solution?
- A patient with a blood pressure of 150/80
- A patient with a blood pressure of 148/90
AND CORRECT ANSWERS
GRADED A+ 2025\2026 EXAM
Always be concerned with the decreased urine output (less than 75 mL
within 3 hours)
Normal output is 30 mL per hour
What do you document about an IV?
IV site, the IV size, description of the site, call light in reach, how
patient responded and fluid infused
You have a patient who received a bolus of 500 mL/hr and now they
are short of breath, what would your nursing intervention be?
Raise the head of the bed, notify the physician
Which labs would be the most concerning, that you would report right
away?
BUN of 40
Potassium of 4.9
Creatinine of 4.1
You have an IV of NS going at 50 mL/hr for 8 hours and the patient
drank several glasses of water during the shift, the patient only received
100 mL of the IV fluid, what would you do?
Report I's and O's to the doctor
,What replacement fluid would you give to a patient who has come into
the hospital for
burns?
Lactated Ringers
What patient would you give IV fluids to?
- DKA = regular insulin (LPNs cannot administer)
- Vomiting and Diarrhea
- NPO **ALWAYS PRIORITY**
You have a patient who has lung disease receiving NS at 150 mL/hr and
they are short of breath with a pulse oximeter of 90%, what would you
do?
Slow down IV to KVO (keep veins open)
0.45% of NS going 100 mL/hr, the alarm is ringing because the bag is
empty and the patient's pulse is 110, respiratory rate of 22 and the blood
pressure is 80/40, and the O2 sat is 95. What would you do?
DO NOT ADMINISTER ANY MORE HYPOTONIC SOLUTION,
RECOMMEND HYPERTONIC
What does isotonic solutions do to the body?
It will not cause fluid shift when infused
A 17 year old comes into the ER needing an IV started, what would we
do?
LPN’s cannot do anything IV wise for a patient younger than 18,
contact the RN
A 19 year old patient needs gentamicin, what would you do?
You can administer to patient
, You are working with an RN, and she is teaching you about IV insertion,
what are you allowed to do?
The LPN can place IV catheter in the forearm, antecubital space
and hand. NOT THE BICEP.
Can LPN's hang the 2nd, 3rd, 4th bag of NS with multivitamins?
yes
Can LPNs hang NS for adults?
yes they can
Can LPNs hang the second bag of IV antibiotic, not the first?
No, you can hang the first bag of antibiotics for the adult
Can LPNs hang IV antibiotics of vancomycin for an adult?
yes LPNs can
0.9% NaCl needs to infuse over 7 hours, you have 100 mL, the drop
factor is 15 drops per minute, what would you set the pump at? (if it's a
pump always mL/hr)
100/7 = 14 mL/hr
1.5 liters of NS, infused over 14 hours, the drop factor is 20 drops/mL,
what is the mL per hour?
1500/14 = 107 mL/hr
1,000 mL of NS to infuse over 12 hours and the drop factor is 20
drops/mL, what is the mL per hour?
83 mL/hr
What patient would NOT receive a hypotonic solution?
- A patient with a blood pressure of 150/80
- A patient with a blood pressure of 148/90
