10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
These 10 free IVT questions are organized by exam domain, so you can see how each part of the Intravenous Therapy Certification blueprint is tested. Reveal the answer and explanation under each question.
"I do not want the red-cell transfusion, but I do want the antibiotic and IV fluid," says an adult with decision-making capacity. The nonurgent transfusion has not started. The nurse confirms understanding of the consequences and informs the responsible clinician. While the transfusion plan is reconsidered, the nurse should:
Correct answer: D - Continue accepted treatments and document refusal of the red-cell transfusion.
Total calcium is 8.0 mg/dL in an adult receiving IV therapy; the laboratory interval is 8.5-10.2 mg/dL. Albumin is also low, and the patient has no new muscle spasms or other symptoms. Which additional result would most directly clarify the calcium status?
Correct answer: D - Ionized calcium concentration
A multi-dose medication vial from a shared preparation area is brought to one patient's bedside for an IV dose. The vial remains within its permitted use period, and its sterility is not in doubt. Under CDC injection-safety recommendations, what restriction applies to the remaining medication?
Correct answer: B - Reserve the remaining doses for that patient only.
An LPN is authorized and competent to administer central parenteral nutrition. The patient has a functioning PICC with its tip confirmed in the lower superior vena cava and a dedicated lumen. A colleague recommends postponing the infusion until a chest-inserted catheter is placed. How should the nurse respond?
Correct answer: A - Use the dedicated PICC lumen at the prescribed rate.
At a scheduled bag change, an adult is receiving heparin 1,400 units/hour from a bag containing 25,000 units in a final volume of 250 mL. Pharmacy supplies the next bag as 25,000 units in a final volume of 500 mL; the prescribed dose is unchanged. Which pump setting preserves that dose?
Correct answer: C - 28 mL/hour
A 20-kg child is due to receive an IV antibiotic prescribed at 300 mg every 8 hours. For this infection, the verified pediatric range is 30-60 mg/kg/day. All other pre-administration checks are satisfactory. Which dose assessment is correct?
Correct answer: C - Administer; the prescription supplies 45 mg/kg/day.
A group B, RhD-negative adult requires a routine plasma transfusion. Group B plasma is unavailable, and no special ABO-substitution protocol is in use. Which alternative meets the usual compatibility requirements for plasma?
Correct answer: A - Group AB, RhD-positive plasma
A 12-day-old infant requires calcium-containing parenteral nutrition. When ceftriaxone is prescribed, a colleague proposes administering it through a separate IV. Which assessment of that proposal is accurate?
Correct answer: B - Ceftriaxone remains contraindicated because this neonate requires IV calcium.
At a forearm IV infusing 0.9% sodium chloride, the nurse finds warmth and tenderness along the vein, a linear area of redness, and a palpable venous cord. There is no visible leakage. These findings most strongly support:
Correct answer: C - Phlebitis
Minutes after an IV antibiotic begins, an adult develops generalized hives, wheezing, and a blood pressure of 76/40 mm Hg. The antibiotic is stopped, emergency help is summoned, and airway and oxygen support are underway. A standing anaphylaxis protocol authorizes treatment. Which medication action takes priority?
Correct answer: A - Give intramuscular epinephrine under the emergency protocol.
The full bank has 1,020 more IVT questions with explanations.
Continue in the free practice test →
View plans