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    Exam Review

    1. The purpose of a saline lock (intermittent IV device) is to:
      A)Maintain IV access without continuous infusion
      B)Provide continuous IV fluids
      C)Increase medication absorption
      D)Prevent phlebitis
    2. A client receiving IV fluids develops redness, warmth, and pain at the insertion site. The LVN should suspect:
      A)Fluid volume overload
      B)Infiltration
      C)Extravasation
      D)Phlebitis
    3. When discontinuing a peripheral IV catheter, the LVN should:
      A)Massage the site vigorously
      B)Apply pressure until bleeding stops
      C)Remove catheter quickly and leave site uncovered
      D)Apply heat immediately
    4. 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.
    Page 1 of 5

    Exam Review

    1. Which assessment finding indicates a possible adverse IV medication reaction?
      A)Rash, itching or shortness of breath
      B)Client reports coolness at IV site.
      C)Blood return in the catheter
      D)Mild discomfort at insertion
    2. Which site should be avoided for routine peripheral IV insertion when possible?
      A)Non-dominant forearm
      B)Areas of flexion
      C)Upper extremity veins
      D)A stable, palpable vein
    3. A client has IV infiltration. What is the priority action?
      A)Discontinue the IV
      B)Slow the infusion rate
      C)Elevate the extremity after stopping the IV
      D)Apply a warm compress
    4. 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 take
      B)Administer it anyway because the order was placed yesterday
      C)Change the MAR to match the label
      D)Hold the medication and clarify the discrepancy before administration
    Page 2 of 5

    Exam Review

    1. A client receiving IV fluids suddenly develops dyspnea and crackles. The LVN should suspect:
      A)Phlebitis
      B)Fluid volume overload
      C)Air embolism
      D)Infiltration
    2. The primary purpose of using an IV infusion pump is to:
      A)Eliminate the need for calculations
      B)Control the rate and volume of infusion
      C)Increase client comfort
      D)Reduce the risk of infection
    3. Which finding during IV medication administration requires the most immediate intervention?
      A)Slight redness at the site
      B)IV pump alarm sounds
      C)Infusion is slow
      D)Client reports burning pain during infusion
    4. Which action is within the LVN scope related to IV therapy in Texas (per facility policy and training)?
      A)Initiate and monitor peripheral IV therapy
      B)Administer IV push medications independently
      C)Prescribe IV fluids
      D)Insert a central venous catheter
    Page 3 of 5

    Exam Review

    1. What is the primary reason IV tubing must be primed before connection?
      A)To remove air from the tubing
      B)To warm the fluid
      C)To ensure sterility
      D)To improve flow rate
    2. Which IV medication safety practice is most effective in preventing harm?
      A)Allow clients to adjust the pump for comfort
      B)Skip site assessments if the client is asymptomatic
      C)Administer medications only during low census
      D)Use infusion pumps for IV medications when indicated
    3. During IV medication administration, which assessment is most important to perform repeatedly?
      A)Client's meal preference
      B)Room temperature
      C)IV site and client response
      D)Client's favorite beverage
    4. 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.
    Page 4 of 5

    Exam Review

    1. A common early sign of IV site infection is:
      A)Pulmonary crackles
      B)Fever and chills
      C)Redness and tenderness at the site
      D)Hypotension
    2. The purpose of flushing an IV line before and after IV medication administration is to:
      A)Prevent medication incompatibility and ensure delivery
      B)Improve venous circulation
      C)Reduce client discomfort
      D)Increase medication absorption
    3. When administering IV medications, the LVN should always:
      A)Use the largest vein possible
      B)Administer as rapidly as tolerated
      C)Confirm medication compatibility with IV fluids
      D)Avoid flushing between medications
    4. The LVN notes swelling and coolness at the IV site with slowed infusion. This finding is most consistent with:
      A)Infection
      B)Infiltration
      C)Phlebitis
      D)Thrombosis
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