NUR 172 FINAL EXAM QUESTIONS WITH 100% ACCURATE
ANSWERS.
1) An experienced nurse is reviewing with a new nurse about discontinuing an IV. The
t t t t t t t t t t t t t t
new nurse needs more education when he states which of the following? -- Answer
t t t t t t t t t t t t t t
✔✔ Apply pressure over the IV site, then pull the catheter out."
t t t t t t t t t t t
- pressure should not applied until catheter is removed. t t t t t t t
2) An LPN is working on a medical/surgical floor of a small town hospital. The shift has
t t t t t t t t t t t t t t t t
just started, it is now 0730. Several patients need an IV inserted. Which patient will
t t t t t t t t t t t t t t t
the LPN insert an IV first? -- Answer ✔✔ A 46 year old post-op pt. who is has
t t t t t t t t t t t t t t t t t t
hyperlipidemia, hypertension and is complaining of severe chest pain. t t t t t t t t
- ABC ( Airway, Breathing, Circulation) t t t t
- Chest pain trumps everything t t t
3) A 40 year old patient was in a car accident three days ago. The patient is NPO. The
t t t t t t t t t t t t t t t t t t
patient is to receive a unit of blood today for a hemoglobin of 6.8. Which task would
t t t t t t t t t t t t t t t t t
be appropriate for the RN to delegate to a LPN? -- Answer ✔✔ Start the IV with an
t t t t t t t t t t t t t t t t t t
18 gauge needle in the right forearm.
t t t t t t
4) Which complication will the LPN immediately remove the IV catheter? -- Answer ✔✔
t t t t t t t t t t t t
The IV site is red and warm.
t t t t t t t
- Signs of phlebitis t t
5) A patient is receiving an IV of LR at 50 ml/hr. The patient has also received two IVPBs
t t t t t t t t t t t t t t t t t t
today: 100ml and 75ml. The patient is NPO. The pt. had a urine output per urinal of
t t t t t t t t t t t t t t t t t
200ml. Then an indwelling catheter was inserted and the catheter was emptied at the
t t t t t t t t t t t t t t
end of the shift, 700 ml was obtained. The patient had two J-P drains. J-P drain A was
t t t t t t t t t t t t t t t t t t
emptied twice: 50 ml and 75 ml. J-P drain B was emptied three times: 50ml, 45ml,
t t t t t t t t t t t t t t t t
50ml. The patient had two diarrhea stools that measured 65ml and 100ml. The
t t t t t t t t t t t t t
patient was also diaphoretic today (unable to measure). The LPN has an order to call
t t t t t t t t t t t t t t t
, the physician at the end of the shift and give an update. This facility is on 12 hour shifts.
t t t t t t t t t t t t t t t t t t
What will the LPN report? -- Answer ✔✔ This patient needs more IV fluid.
t t t t t t t t t t t t t t
- More output than input means more iv fluids. t t t t t t t
6) A patient has an IV with Albumin 25% infusing. Which symptom, related to this
t t t t t t t t t t t t t t
infusion would most concern the nurse? -- Answer ✔✔ Lungs now have crackles in
t t t t t t t t t t t t t t
the bases. t
- hypertonic solution , watch for fluid overload, listen to lungs, pulmonary t t t t t t t t t t t
edema, HTN t
7) A nurse is presenting an in-service to her unit about blood transfusion reactions. The
t t t t t t t t t t t t t t
nurse states which of the following signs/symptoms represent a probable acute
t t t t t t t t t t t
hemolytic transfusion reaction? -- Answer ✔✔ "Fever, tachycardia, chest pain, back
t t t t t t t t t t t
pain, low BP." t t
8) A nurse is teaching a student nurse about hypotonic solutions. The nurse will include
t t t t t t t t t t t t t t
which statement in the teaching? -- Answer ✔✔ "The blood pressure will usually
t t t t t t t t t t t t t
decrease when giving this type of fluid." t t t t t t
9) Which statement made by the student nurse indicates a need for further teaching
t t t t t t t t t t t t t
about solutions with IV Dextrose? -- Answer ✔✔ "Administering an IV with dextrose
t t t t t t t t t t t t t
gives the patient carbohydrates and lipids."
t t t t t
10) A patient has a sodium level of 120. The nurse will do which of the following actions? -
t t t t t t t t t t t t t t t t t
- Answer ✔✔ Place seizure pads on the patient's side-rails.
t t t t t t t t t
11) The patient reports a pounding headache, dyspnea, and has an increased pulse rate.
t t t t t t t t t t t t t
The nurse is orienting a new LPN and teaches her what to do in this situation. The
t t t t t t t t t t t t t t t t t
new LPN needs more instruction when she makes which statement? -- Answer ✔✔
t t t t t t t t t t t t t
"Go find the RN and ask her/him what to do."
t t t t t t t t t
- Slow down infusion rate t t t
12) Which statement is true regarding insertion of a peripheral IV? -- Answer ✔✔ The
t t t t t t t t t t t t t t
insertion site should be scrubbed with chlorhexidine and alcohol combo
t t t t t t t t t t
(Chloraprep) for 30 seconds prior to IV insertion and allowed to air dry. t t t t t t t t t t t t
ANSWERS.
1) An experienced nurse is reviewing with a new nurse about discontinuing an IV. The
t t t t t t t t t t t t t t
new nurse needs more education when he states which of the following? -- Answer
t t t t t t t t t t t t t t
✔✔ Apply pressure over the IV site, then pull the catheter out."
t t t t t t t t t t t
- pressure should not applied until catheter is removed. t t t t t t t
2) An LPN is working on a medical/surgical floor of a small town hospital. The shift has
t t t t t t t t t t t t t t t t
just started, it is now 0730. Several patients need an IV inserted. Which patient will
t t t t t t t t t t t t t t t
the LPN insert an IV first? -- Answer ✔✔ A 46 year old post-op pt. who is has
t t t t t t t t t t t t t t t t t t
hyperlipidemia, hypertension and is complaining of severe chest pain. t t t t t t t t
- ABC ( Airway, Breathing, Circulation) t t t t
- Chest pain trumps everything t t t
3) A 40 year old patient was in a car accident three days ago. The patient is NPO. The
t t t t t t t t t t t t t t t t t t
patient is to receive a unit of blood today for a hemoglobin of 6.8. Which task would
t t t t t t t t t t t t t t t t t
be appropriate for the RN to delegate to a LPN? -- Answer ✔✔ Start the IV with an
t t t t t t t t t t t t t t t t t t
18 gauge needle in the right forearm.
t t t t t t
4) Which complication will the LPN immediately remove the IV catheter? -- Answer ✔✔
t t t t t t t t t t t t
The IV site is red and warm.
t t t t t t t
- Signs of phlebitis t t
5) A patient is receiving an IV of LR at 50 ml/hr. The patient has also received two IVPBs
t t t t t t t t t t t t t t t t t t
today: 100ml and 75ml. The patient is NPO. The pt. had a urine output per urinal of
t t t t t t t t t t t t t t t t t
200ml. Then an indwelling catheter was inserted and the catheter was emptied at the
t t t t t t t t t t t t t t
end of the shift, 700 ml was obtained. The patient had two J-P drains. J-P drain A was
t t t t t t t t t t t t t t t t t t
emptied twice: 50 ml and 75 ml. J-P drain B was emptied three times: 50ml, 45ml,
t t t t t t t t t t t t t t t t
50ml. The patient had two diarrhea stools that measured 65ml and 100ml. The
t t t t t t t t t t t t t
patient was also diaphoretic today (unable to measure). The LPN has an order to call
t t t t t t t t t t t t t t t
, the physician at the end of the shift and give an update. This facility is on 12 hour shifts.
t t t t t t t t t t t t t t t t t t
What will the LPN report? -- Answer ✔✔ This patient needs more IV fluid.
t t t t t t t t t t t t t t
- More output than input means more iv fluids. t t t t t t t
6) A patient has an IV with Albumin 25% infusing. Which symptom, related to this
t t t t t t t t t t t t t t
infusion would most concern the nurse? -- Answer ✔✔ Lungs now have crackles in
t t t t t t t t t t t t t t
the bases. t
- hypertonic solution , watch for fluid overload, listen to lungs, pulmonary t t t t t t t t t t t
edema, HTN t
7) A nurse is presenting an in-service to her unit about blood transfusion reactions. The
t t t t t t t t t t t t t t
nurse states which of the following signs/symptoms represent a probable acute
t t t t t t t t t t t
hemolytic transfusion reaction? -- Answer ✔✔ "Fever, tachycardia, chest pain, back
t t t t t t t t t t t
pain, low BP." t t
8) A nurse is teaching a student nurse about hypotonic solutions. The nurse will include
t t t t t t t t t t t t t t
which statement in the teaching? -- Answer ✔✔ "The blood pressure will usually
t t t t t t t t t t t t t
decrease when giving this type of fluid." t t t t t t
9) Which statement made by the student nurse indicates a need for further teaching
t t t t t t t t t t t t t
about solutions with IV Dextrose? -- Answer ✔✔ "Administering an IV with dextrose
t t t t t t t t t t t t t
gives the patient carbohydrates and lipids."
t t t t t
10) A patient has a sodium level of 120. The nurse will do which of the following actions? -
t t t t t t t t t t t t t t t t t
- Answer ✔✔ Place seizure pads on the patient's side-rails.
t t t t t t t t t
11) The patient reports a pounding headache, dyspnea, and has an increased pulse rate.
t t t t t t t t t t t t t
The nurse is orienting a new LPN and teaches her what to do in this situation. The
t t t t t t t t t t t t t t t t t
new LPN needs more instruction when she makes which statement? -- Answer ✔✔
t t t t t t t t t t t t t
"Go find the RN and ask her/him what to do."
t t t t t t t t t
- Slow down infusion rate t t t
12) Which statement is true regarding insertion of a peripheral IV? -- Answer ✔✔ The
t t t t t t t t t t t t t t
insertion site should be scrubbed with chlorhexidine and alcohol combo
t t t t t t t t t t
(Chloraprep) for 30 seconds prior to IV insertion and allowed to air dry. t t t t t t t t t t t t
