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    Exam Review

    1. Which action is outside LVN scope unless explicitly allowed by facility policy and competency validation?
      A)
      Monitor client response to IV medications
      B)
      Stop an infusion for a suspected adverse reaction
      C)
      Hang a secondary IV medication (piggyback) as ordered
      D)
      Independently administer IV push medications
    2. Which IV catheter gauge is most commonly used for routine IV therapy in adults?
      A)
      18-20 gauge
      B)
      14-16 gauge
      C)
      25 gauge
      D)
      22-24 gauge
    3. A common early sign of IV site infection is:
      A)
      Redness and tenderness at the site
      B)
      Fever and chills
      C)
      Hypotension
      D)
      Pulmonary crackles
    4. Which finding during IV medication administration requires the most immediate intervention?
      A)
      IV pump alarm sounds
      B)
      Infusion is slow
      C)
      Client reports burning pain during infusion
      D)
      Slight redness at the site
    Page 1 of 10

    Exam Review

    1. Which action is within the LVN scope related to IV therapy in Texas (per facility policy and training)?
      A)
      Administer IV push medications independently
      B)
      Prescribe IV fluids
      C)
      Initiate and monitor peripheral IV therapy
      D)
      Insert a central venous catheter
    2. A client receiving an IV medication reports dizziness and nausea. What should the LVN do first?
      A)
      Reassure the client this is expected
      B)
      Administer an antiemetic
      C)
      Document findings
      D)
      Slow the infusion and assess vital signs
    3. The purpose of a saline lock (intermittent IV device) is to:
      A)
      Maintain IV access without continuous infusion
      B)
      Increase medication absorption
      C)
      Provide continuous IV fluids
      D)
      Prevent phlebitis
    4. What is the primary reason IV tubing must be primed before connection?
      A)
      To ensure sterility
      B)
      To improve flow rate
      C)
      To remove air from the tubing
      D)
      To warm the fluid
    Page 2 of 10

    Exam Review

    1. Accurate IV documentation should include:
      A)
      Catheter gauge, site, solution, and client response
      B)
      The provider's name only
      C)
      Only the start time of the infusion
      D)
      The client's diagnosis only
    2. A nurse is collecting data from a client who has an intravenous (IV) catheter in her left forearm. The nurse should identify that which of the following findings indicates the client has phlebitis?
      A)
      The client has cyanosis of the nail beds and pain along the vein.
      B)
      The client's skin is cool to the touch around the insertion site.
      C)
      Purulent drainage is noted at the catheter insertion site.
      D)
      The vein is hard and the skin around the insertion site is red.
    3. When administering IV medications, the LVN should always:
      A)
      Administer as rapidly as tolerated
      B)
      Use the largest vein possible
      C)
      Confirm medication compatibility with IV fluids
      D)
      Avoid flushing between medications
    4. Which statement by the LVN indicates correct practice when an IV medication label differs from the MAR?
      A)
      Administer it anyway because the order was placed yesterday
      B)
      Change the MAR to match the label
      C)
      Hold the medication and clarify the discrepancy before administration
      D)
      Ask the client which dose they usually take
    Page 3 of 10

    Exam Review

    1. A client develops hives and wheezing during an IV medication infusion. The LVN should first:
      A)
      Continue the infusion and reassess in 10 minutes
      B)
      Document and leave the room to notify the provider later
      C)
      Stop the infusion and initiate facility emergency response per policy
      D)
      Flush the line forcefully
    2. During IV medication administration, which assessment is most important to perform repeatedly?
      A)
      Room temperature
      B)
      IV site and client response
      C)
      Client's meal preference
      D)
      Client's favorite beverage
    3. Which site should be avoided for routine peripheral IV insertion when possible?
      A)
      Areas of flexion
      B)
      Upper extremity veins
      C)
      A stable, palpable vein
      D)
      Non-dominant forearm
    4. A client receiving IV fluids develops redness, warmth, and pain at the insertion site. The LVN should suspect:
      A)
      Infiltration
      B)
      Phlebitis
      C)
      Extravasation
      D)
      Fluid volume overload
    Page 4 of 10

    Exam Review

    1. A client has IV infiltration. What is the priority action?
      A)
      Apply a warm compress
      B)
      Slow the infusion rate
      C)
      Elevate the extremity after stopping the IV
      D)
      Discontinue the IV
    2. The primary purpose of using an IV infusion pump is to:
      A)
      Increase client comfort
      B)
      Reduce the risk of infection
      C)
      Eliminate the need for calculations
      D)
      Control the rate and volume of infusion
    3. A nurse is inserting an intravenous catheter for a client which results in a blood spill on her gloved hand. The client has no documented bloodstream infection. Which of the following actions should the nurse take?
      A)
      Prepare an incident report.
      B)
      Ask the client to undergo a blood test.
      C)
      Wash the gloved hands and then throw the gloves away.
      D)
      Carefully remove the gloves and follow with hand hygiene.
    4. A client receiving IV fluids suddenly develops dyspnea and crackles. The LVN should suspect:
      A)
      Air embolism
      B)
      Phlebitis
      C)
      Fluid volume overload
      D)
      Infiltration
    Page 5 of 10

    Exam Review

    1. Before administering an IV medication, the LVN's priority action is to:
      A)
      Prime the IV tubing
      B)
      Verify the medication order and client identity
      C)
      Flush the IV catheter
      D)
      Assess lung sounds
    2. Before starting a secondary (piggyback) IV antibiotic, the LVN should first:
      A)
      Disconnect the primary IV tubing
      B)
      Verify compatibility and ensure primary line is patent
      C)
      Open the roller clamp fully to start the antibiotic quickly
      D)
      Lower the primary IV bag below the pump
    3. When flushing a peripheral IV catheter, the LVN should:
      A)
      Flush only after medication administration
      B)
      Flush rapidly to clear the line
      C)
      Use force if resistance is met
      D)
      Stop if resistance or pain occurs
    4. The LVN notes swelling and coolness at the IV site with slowed infusion. This finding is most consistent with:
      A)
      Infiltration
      B)
      Thrombosis
      C)
      Infection
      D)
      Phlebitis
    Page 6 of 10