,Hondros NUR 172 Exam 2 | Intravenous Therapy for the
Practical Nurse (2026) Q&A
1. According to Ohio Board of Nursing Rule 4723-4-02, which action is within the LPN
scope of practice for a 21-year-old patient?
A) Initiating a blood transfusion
B) Initiating a maintenance infusion of 0.9% sodium chloride
C) Programming a patient-controlled analgesia pump
D) Discontinuing a central venous catheter
Correct Answer: Initiating a maintenance infusion of 0.9% sodium chloride
Rationale: Ohio law permits LPNs to initiate and maintain isotonic solutions such as
0.9% sodium chloride for patients 18 and older. Blood transfusions, PCA pump
programming, and central line removal are explicitly prohibited for LPNs under the rule.
2. An LPN is assigned to a 16-year-old patient requiring an IV piggyback antibiotic. What is
the most appropriate action?
A) Initiate the IVPB since antibiotics are within the LPN scope
B) Recognize this is outside the LPN scope and inform the RN
C) Start a peripheral IV and wait for the RN to hang the antibiotic
D) Delegate the task to unlicensed assistive personnel
Correct Answer: Recognize this is outside the LPN scope and inform the RN
,Rationale: LPNs may administer IVPB antibiotics only for patients 18 years or older.
Since this patient is 16, the task falls outside the LPN scope and must be performed by the
RN.
3. An LPN is preparing to hang the second bag of D5W with electrolytes for a 55-year-old
patient. Which action is correct regarding the LPN scope of practice?
A) Hang the second bag, as LPNs can hang subsequent bags of vitamins and electrolytes
after the RN initiates the first bag
B) Wait for the RN to verify the order before hanging any fluids with electrolytes
C) Only hang the bag if the patient has a peripheral line, not a central line
D) Hang the bag but document that the RN initiated the first bag
Correct Answer: Hang the second bag, as LPNs can hang subsequent bags of vitamins
and electrolytes after the RN initiates the first bag
Rationale: Ohio law permits LPNs to administer solutions containing vitamins or
electrolytes after an RN initiates the first infusion of that solution. This delegation
recognizes the LPN's role in ongoing maintenance therapy.
4. An LPN is caring for a patient with a PICC line. Which action is within the LPN scope of
practice?
A) Inserting the PICC line at the bedside
B) Stopping the infusion and assessing the site if a complication is suspected
C) Verifying the placement of the PICC line via X-ray before first use
D) Removing the PICC line after one year of use
, Correct Answer: Stopping the infusion and assessing the site if a complication is
suspected
Rationale: LPNs are permitted to stop any infusion, including those from PICC lines, if a
complication is suspected. Insertion, verification, and removal of PICC lines require
specialized training or an RN/provider order.
5. Which statement accurately reflects the LPN's role in blood product administration?
A) The LPN can stop the infusion and monitor for signs and symptoms of a reaction
B) The LPN can initiate the blood transfusion after verifying compatibility
C) The LPN can mix the blood with Lactated Ringer's solution to dilute it
D) The LPN can administer the blood if it has been hanging for 6 hours
Correct Answer: The LPN can stop the infusion and monitor for signs and symptoms of a
reaction
Rationale: LPNs cannot initiate blood transfusions but are permitted to stop an infusion
of blood or blood components and monitor the patient for reactions.
6. Which intravenous solution is classified as isotonic?
A) 0.45% sodium chloride
B) 3% sodium chloride
C) 0.9% sodium chloride
D) 0.33% sodium chloride
Correct Answer: 0.9% sodium chloride
Practical Nurse (2026) Q&A
1. According to Ohio Board of Nursing Rule 4723-4-02, which action is within the LPN
scope of practice for a 21-year-old patient?
A) Initiating a blood transfusion
B) Initiating a maintenance infusion of 0.9% sodium chloride
C) Programming a patient-controlled analgesia pump
D) Discontinuing a central venous catheter
Correct Answer: Initiating a maintenance infusion of 0.9% sodium chloride
Rationale: Ohio law permits LPNs to initiate and maintain isotonic solutions such as
0.9% sodium chloride for patients 18 and older. Blood transfusions, PCA pump
programming, and central line removal are explicitly prohibited for LPNs under the rule.
2. An LPN is assigned to a 16-year-old patient requiring an IV piggyback antibiotic. What is
the most appropriate action?
A) Initiate the IVPB since antibiotics are within the LPN scope
B) Recognize this is outside the LPN scope and inform the RN
C) Start a peripheral IV and wait for the RN to hang the antibiotic
D) Delegate the task to unlicensed assistive personnel
Correct Answer: Recognize this is outside the LPN scope and inform the RN
,Rationale: LPNs may administer IVPB antibiotics only for patients 18 years or older.
Since this patient is 16, the task falls outside the LPN scope and must be performed by the
RN.
3. An LPN is preparing to hang the second bag of D5W with electrolytes for a 55-year-old
patient. Which action is correct regarding the LPN scope of practice?
A) Hang the second bag, as LPNs can hang subsequent bags of vitamins and electrolytes
after the RN initiates the first bag
B) Wait for the RN to verify the order before hanging any fluids with electrolytes
C) Only hang the bag if the patient has a peripheral line, not a central line
D) Hang the bag but document that the RN initiated the first bag
Correct Answer: Hang the second bag, as LPNs can hang subsequent bags of vitamins
and electrolytes after the RN initiates the first bag
Rationale: Ohio law permits LPNs to administer solutions containing vitamins or
electrolytes after an RN initiates the first infusion of that solution. This delegation
recognizes the LPN's role in ongoing maintenance therapy.
4. An LPN is caring for a patient with a PICC line. Which action is within the LPN scope of
practice?
A) Inserting the PICC line at the bedside
B) Stopping the infusion and assessing the site if a complication is suspected
C) Verifying the placement of the PICC line via X-ray before first use
D) Removing the PICC line after one year of use
, Correct Answer: Stopping the infusion and assessing the site if a complication is
suspected
Rationale: LPNs are permitted to stop any infusion, including those from PICC lines, if a
complication is suspected. Insertion, verification, and removal of PICC lines require
specialized training or an RN/provider order.
5. Which statement accurately reflects the LPN's role in blood product administration?
A) The LPN can stop the infusion and monitor for signs and symptoms of a reaction
B) The LPN can initiate the blood transfusion after verifying compatibility
C) The LPN can mix the blood with Lactated Ringer's solution to dilute it
D) The LPN can administer the blood if it has been hanging for 6 hours
Correct Answer: The LPN can stop the infusion and monitor for signs and symptoms of a
reaction
Rationale: LPNs cannot initiate blood transfusions but are permitted to stop an infusion
of blood or blood components and monitor the patient for reactions.
6. Which intravenous solution is classified as isotonic?
A) 0.45% sodium chloride
B) 3% sodium chloride
C) 0.9% sodium chloride
D) 0.33% sodium chloride
Correct Answer: 0.9% sodium chloride
