Exam Review
- The purpose of a saline lock (intermittent IV device) is to:A)Maintain IV access without continuous infusionB)Provide continuous IV fluidsC)Increase medication absorptionD)Prevent phlebitis
- A client receiving IV fluids develops redness, warmth, and pain at the insertion site. The LVN should suspect:A)Fluid volume overloadB)InfiltrationC)ExtravasationD)Phlebitis
- When discontinuing a peripheral IV catheter, the LVN should:A)Massage the site vigorouslyB)Apply pressure until bleeding stopsC)Remove catheter quickly and leave site uncoveredD)Apply heat immediately
- 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.
Exam Review
- Which assessment finding indicates a possible adverse IV medication reaction?A)Rash, itching or shortness of breathB)Client reports coolness at IV site.C)Blood return in the catheterD)Mild discomfort at insertion
- Which site should be avoided for routine peripheral IV insertion when possible?A)Non-dominant forearmB)Areas of flexionC)Upper extremity veinsD)A stable, palpable vein
- A client has IV infiltration. What is the priority action?A)Discontinue the IVB)Slow the infusion rateC)Elevate the extremity after stopping the IVD)Apply a warm compress
- Which statement by the LVN indicates correct practice when an IV medication label differs from the MAR?A)Ask the client which dose they usually takeB)Administer it anyway because the order was placed yesterdayC)Change the MAR to match the labelD)Hold the medication and clarify the discrepancy before administration
Exam Review
- A client receiving IV fluids suddenly develops dyspnea and crackles. The LVN should suspect:A)PhlebitisB)Fluid volume overloadC)Air embolismD)Infiltration
- The primary purpose of using an IV infusion pump is to:A)Eliminate the need for calculationsB)Control the rate and volume of infusionC)Increase client comfortD)Reduce the risk of infection
- Which finding during IV medication administration requires the most immediate intervention?A)Slight redness at the siteB)IV pump alarm soundsC)Infusion is slowD)Client reports burning pain during infusion
- Which action is within the LVN scope related to IV therapy in Texas (per facility policy and training)?A)Initiate and monitor peripheral IV therapyB)Administer IV push medications independentlyC)Prescribe IV fluidsD)Insert a central venous catheter
Exam Review
- What is the primary reason IV tubing must be primed before connection?A)To remove air from the tubingB)To warm the fluidC)To ensure sterilityD)To improve flow rate
- Which IV medication safety practice is most effective in preventing harm?A)Allow clients to adjust the pump for comfortB)Skip site assessments if the client is asymptomaticC)Administer medications only during low censusD)Use infusion pumps for IV medications when indicated
- During IV medication administration, which assessment is most important to perform repeatedly?A)Client's meal preferenceB)Room temperatureC)IV site and client responseD)Client's favorite beverage
- 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)Carefully remove the gloves and follow with hand hygiene.B)Prepare an incident report.C)Ask the client to undergo a blood test.D)Wash the gloved hands and then throw the gloves away.
Exam Review
- A common early sign of IV site infection is:A)Pulmonary cracklesB)Fever and chillsC)Redness and tenderness at the siteD)Hypotension
- The purpose of flushing an IV line before and after IV medication administration is to:A)Prevent medication incompatibility and ensure deliveryB)Improve venous circulationC)Reduce client discomfortD)Increase medication absorption
- When administering IV medications, the LVN should always:A)Use the largest vein possibleB)Administer as rapidly as toleratedC)Confirm medication compatibility with IV fluidsD)Avoid flushing between medications
- The LVN notes swelling and coolness at the IV site with slowed infusion. This finding is most consistent with:A)InfectionB)InfiltrationC)PhlebitisD)Thrombosis
Exam Review
- When flushing a peripheral IV catheter, the LVN shouldA)Use force if resistance is metB)Stop if resistance or pain occursC)Flush rapidly to clear the lineD)Flush only after medication administration
- A client develops hives and wheezing during an IV medication infusion. The LVN should first:A)Continue the infusion and reassess in 10 minutesB)Stop the infusion and initiate facility emergency response per policyC)Document and leave the room to notify the provider laterD)Flush the line forcefully
- A client receiving an IV medication reports dizziness and nausea. What should the LVN do first?A)Document findingsB)Reassure the client this is expectedC)Administer an antiemeticD)Stop the infusion and assess vital signs
- A nurse is preparing to administer intravenous fluids via an infusion pump to a client. Which of the following actions should the nurse take to prevent an electrical hazard? (Select All that Apply.)A)Run additional cord under carpeting.B)Ensure the plug has three prongs.C)Unplug the cord by grasping the plug.D)Avoid rolling equipment over extension cords.E)Plug in the pump close to sink.