INCC CRNI Certified Registered Nurse Infusion

According to the Infusion Therapy Standards of Practice, what is the maximum recommended dwell time for a peripheral IV catheter in an adult patient without complications?

• A48 hours
• B72 hours
• C96 hours
• DUntil clinically indicated

A nurse is preparing to insert a peripheral IV catheter. Which action demonstrates proper aseptic technique?

• AUsing clean technique with gloves only
• BUsing sterile gloves, mask, and skin antisepsis with >0.5% chlorhexidine in alcohol
• CWearing clean gloves and performing a 15-second alcohol swab
• DNo special preparation needed for peripheral IVs

What is the primary purpose of performing a vessel health and preservation (VHP) assessment prior to vascular access device selection?

• ATo meet documentation requirements
• BTo identify the least expensive option
• CTo select the appropriate device based on patient needs, vessel condition, and prescribed…
• DTo determine insurance coverage

A patient receiving home infusion therapy reports fever of 101.2°F and chills. The nurse suspects a central line-associated bloodstream infection (CLABSI). What is the priority nursing action?

• ACall the physician and continue the infusion
• BStop the infusion immediately, assess the patient, obtain blood cultures, and notify the…
• CChange the dressing and document the findings
• DIncrease the infusion rate to flush the line

Which of the following is an example of a passive safety-engineered sharp device?

• AA needle with a push-button activated shield
• BA needle with a spring-loaded mechanism that covers the needle after withdrawal
• CA blunted-tip needle used for accessing vials
• DA standard hypodermic needle with a separate safety cap

During a PICC insertion using modified Seldinger technique, resistance is met when attempting to advance the guidewire. What is the most appropriate action?

• AForce the wire gently to overcome the resistance
• BRemove the wire and attempt advancement with the introducer needle in a different position
• CApply more pressure on the insertion site
• DFlush the area with sterile saline

Which antiseptic solution is recommended for skin preparation prior to peripheral IV insertion in a 2-month-old infant?

• A>0.5% chlorhexidine in alcohol
• B70% isopropyl alcohol
• CPovidone-iodine followed by alcohol
• DHydrogen peroxide

A patient is receiving continuous heparin infusion through a peripheral IV. Which finding requires immediate nursing intervention?

• AInfusion rate of 1 mL/hour
• BBlood return present in the extension tubing
• CPain, erythema, and swelling at the insertion site
• DTransparent dressing intact

What is the recommended frequency for changing transparent semipermeable membrane (TSM) dressings on a central venous catheter?

• AEvery 24 hours
• BEvery 48 hours
• CEvery 5-7 days or sooner if integrity is compromised
• DOnly when the dressing becomes visibly soiled

Informed consent for vascular access device insertion includes which essential elements?

• AOnly the patient's signature on the consent form
• BExplanation of the procedure, risks, benefits, alternatives, and opportunity for questions
• CA verbal agreement between nurse and patient
• DConsent obtained only from family members

Which patient factor would be considered a relative contraindication for PICC placement?

• APatient requiring antibiotics for 3 days
• BUpper extremity deep vein thrombosis on the side of intended placement
• CPatient with normal INR and platelet count
• DPatient requiring frequent blood draws

When administering vesicant chemotherapy through a peripheral IV, where should the nurse assess for signs of extravasation?

• AOnly at the catheter insertion site
• BAt the insertion site and along the vein pathway
• COnly distal to the insertion site
• DOnly proximal to the insertion site

Which solution is recommended for flushing a PICC line after blood specimen collection?

• ASterile water
• B0.9% sodium chloride in a 10 mL or larger syringe
• CHeparin 100 units/mL only
• DDextrose 5% in water

The nurse is preparing to administer a blood transfusion. Which tubing and filter is appropriate?

• AStandard IV tubing without a filter
• BTubing with a 170-260 micron filter designed for blood administration
• CTubing with a 0.22-micron in-line filter
• DMicrodrip tubing with a 60 gtt/mL drop factor

A patient with a tunneled central venous catheter reports chest pain and shortness of breath during infusion. The nurse notes swelling of the neck and face. What complication is suspected?

• ACatheter malposition
• BSuperior vena cava syndrome or thrombosis
• CNormal reaction to infusion therapy
• DAllergic reaction to the catheter material

What is the maximum osmolarity recommended for solutions administered through a peripheral IV catheter?

• A300 mOsm/L
• B600 mOsm/L
• C900 mOsm/L
• D1200 mOsm/L

Which is the preferred vein location for peripheral IV insertion in an adult?

• AAntecubital fossa
• BLower extremities
• CMetacarpal, cephalic, or basilic veins of the forearm
• DExternal jugular vein

During a risk assessment using the Infusion Nurses Society phlebitis scale, a patient's IV site shows erythema and pain at the site with a palpable venous cord. What is the phlebitis grade?

• AGrade 0
• BGrade 1
• CGrade 2
• DGrade 3

A patient receiving chemotherapy develops an infiltrated peripheral IV site with blanching and complaints of burning pain. Which statement indicates the nurse needs further education about extravasation management?

• A"I will stop the infusion immediately and aspirate any residual drug from the line."
• B"I will leave the catheter in place and attempt to aspirate any drug from the tissue."
• C"I will apply heat to the area to promote vasodilation."
• D"I will notify the physician and document the extravasation."

Which documentation is required following central line insertion?

• APatient name and date only
• BConsent form only
• CInsertion date/time, site, catheter type and size, number of attempts, patient tolerance,…
• DPhysician signature only

What is the recommended technique for verifying PICC tip placement after insertion?

• AAuscultation of the chest
• BChest x-ray or ECG tip location
• CVisual inspection of the insertion site
• DChecking for blood return only

A patient's implanted port will not flush. Which intervention should the nurse attempt first?

• AForcefully flush with a 3 mL syringe
• BHave the patient change position, cough, or take deep breaths while attempting to flush
• CImmediately declot the catheter with alteplase
• DRemove the non-coring needle and reaccess