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    Exam Review

    1. Why is IV therapy preferred for delivering chemotherapy drugs?
      A)
      It reduces the cost of cancer treatment.
      B)
      It allows patients to avoid all side effects of chemotherapy.
      C)
      It ensures rapid distribution of the drug throughout the body.
      D)
      It is the only method available for administering chemotherapy.
    2. How does IV therapy benefit patients in critical care settings?
      A)
      By eliminating the need for continuous monitoring.
      B)
      By reducing the risk of drug interactions.
      C)
      By providing a non-invasive way to administer medications.
      D)
      By allowing for precise control over drug dosage and timing.
    3. A nurse is assisting with supervising a newly licensed nurse replace a short-peripheral IV device for a client. Which of the following actions by the new nurse indicates an understanding of the procedure?
      A)
      Leaves small air bubbles in the new infusion tubing.
      B)
      Wears clean gloves during the new IV insertion.
      C)
      Inserts the new device distal to the old IV site.
      D)
      Shaves the hair on the client's skin before inserting the new IV.
    4. When initiating an IV line for a patient with dehydration, which of the following is the most important step to ensure patency of the vein?
      A)
      Ensure the chosen vein is free of valves and bifurcations.
      B)
      Select a vein in the patient’s dominant arm.
      C)
      Prepare the site with alcohol swabs only.
      D)
      Choose a large-gauge needle.
    Page 1 of 13

    Exam Review

    1. A nurse is reinforcing teaching with a client who is at risk for osteoporosis. Which of the following instructions should the nurse include?
      A)
      Increase intake of caffeinated beverages.
      B)
      Limit calcium intake to 600 mg per dose.
      C)
      Perform weight-bearing exercises 2 times per week.
      D)
      Take 400 IU of vitamin D per day.
    2. What is the key benefit of IV therapy for patients suffering from severe dehydration?
      A)
      It eliminates the need for dietary modifications.
      B)
      It is less invasive than oral rehydration solutions.
      C)
      It provides direct and immediate replenishment of fluids and electrolytes.
      D)
      It allows for gradual rehydration over several days.
    3. A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?
      A)
      Place the client on continuous cardiac monitoring.
      B)
      Plan to administer sodium bicarbonate to the client.
      C)
      Obtain a prescription for insulin for the client.
      D)
      Have the client breathe into a paper bag.
    4. Which of the following tasks is within the LVN's scope of practice under the Texas BON rules, assuming proper training and competency?
      A)
      Inserting and managing peripheral IV lines.
      B)
      Initiating blood transfusions.
      C)
      Administering chemotherapy.
      D)
      Central line placement.
    Page 2 of 13

    Exam Review

    1. Which of the following veins is most commonly used for initiating peripheral IV therapy in adults?
      A)
      Jugular vein.
      B)
      Femoral vein.
      C)
      Cephalic vein.
      D)
      Basilic vein.
    2. A nurse is collecting data on a client who is receiving a unit of PRBCs. Which of the following findings is a manifestation of an acute hemolytic transfusion reaction?
      A)
      Hives.
      B)
      Flank pain.
      C)
      Distended neck veins.
      D)
      Wheezing.
    3. A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?
      A)
      Hypercalcemia.
      B)
      Hypokalemia.
      C)
      Hyperglycemia.
      D)
      Hypovolemia.
    4. During an IV insertion, the patient experiences immediate swelling at the site. What is the nurse’s best course of action?
      A)
      Continue the infusion to ensure vein patency.
      B)
      Apply a pressure dressing to the site.
      C)
      Elevate the limb and increase the flow rate.
      D)
      Stop the IV infusion and assess the site.
    Page 3 of 13

    Exam Review

    1. What is the best method to assess for infiltration of an IV site?
      A)
      Observe the IV fluid drip rate.
      B)
      Measure the patient’s blood pressure.
      C)
      Palpate for a cool, blanched area around the site.
      D)
      Check for redness around the IV site.
    2. A nurse is assisting in the care of a client who has diabetic ketoacidosis and hypoxia. Which of the following actions should the nurse take first?
      A)
      Obtain a prescription to administer insulin.
      B)
      Obtain a prescription to administer intravenous fluids.
      C)
      Obtain a prescription for supplemental oxygen.
      D)
      Obtain a prescription to check the client's glucose level.
    3. A nurse is caring for an older adult client. The client has an increased risk for dehydration due to which of the following physiological changes that can occur with aging?
      A)
      Increase in percentage of body water.
      B)
      Decrease in systolic blood pressure.
      C)
      Decrease in kidney function.
      D)
      Increase in saliva production.
    4. In what scenario is IV therapy most beneficial?
      A)
      When treating minor skin infections.
      B)
      When a patient is unable to ingest medications orally due to nausea.
      C)
      For administering long-term antibiotic therapy in stable patients.
      D)
      When a patient has a mild headache.
    Page 4 of 13

    Exam Review

    1. A nurse is planning to assist with the care of a client who is to receive a unit of PRBCs. Which of the following actions should the nurse plan to take?
      A)
      Assist with administering the transfusion over 1 hr.
      B)
      Ensure 2 nurses check the label on the unit of blood.
      C)
      Check the client's vital signs every 30 min after starting the transfusion.
      D)
      Flush the transfusion tubing with 5% dextrose in water.
    2. A patient complains of pain and swelling at the IV site. What is the first action the nurse should take?
      A)
      Apply a warm compress to the site.
      B)
      Increase the IV flow rate.
      C)
      Elevate the limb above heart level.
      D)
      Stop the IV infusion immediately.
    3. A nurse is collecting data on a client who has circulatory overload. Which of the following findings should the nurse expect?
      A)
      Hypotension.
      B)
      Tachycardia.
      C)
      Diaphoresis.
      D)
      Weight loss.
    4. What is an advantage of IV therapy for delivering nutrition?
      A)
      It requires no monitoring by healthcare providers.
      B)
      It is less invasive than enteral feeding.
      C)
      It is suitable for patients with minor dietary restrictions.
      D)
      It allows for complete nutritional support when oral intake is not possible.
    Page 5 of 13

    Exam Review

    1. A nurse is collecting data on a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?
      A)
      Muscle weakness
      B)
      Hyperactive bowel sounds
      C)
      Cerebral edema
      D)
      Hypertension
    2. What is the primary advantage of using IV therapy for administering medications in a hospital setting?
      A)
      It minimizes the risk of infection compared to other routes.
      B)
      It allows for slower absorption of medications.
      C)
      It ensures immediate availability of the medication in the bloodstream.
      D)
      It is the most cost-effective method of drug administration.
    3. A nurse has completed the planning step of the nursing process for a client who has an acid-base imbalance. Which of the following steps should the nurse take next?
      A)
      Evaluation
      B)
      Re-collection of data
      C)
      Data Collection
      D)
      Implementation
      E)
      ________________________________________
    4. A nurse is collecting data on a client who is receiving a unit of PRBCs. Which of the following findings is a manifestation of an allergic transfusion reaction?
      A)
      Distended neck veins
      B)
      Elevated blood pressure
      C)
      Flank pain
      D)
      Wheezing
    Page 6 of 13