ORMC PCU EXAM SCRIPT 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ Sepsis Protocol. Answer: FSBG q2hr x4
BBG >180 start Endotool
Fluid Challenge (v/s q15min) (v/s 1hr x4hr)
Blood Cultures before abx
Monotherapy Abx
1st Abx must be given within 3hr of Dx
If inital lactate >2 repeat abg
◉ Monotherapy Abx. Answer: Merrem, Rocephin, Cefepime,
Levaquin, Unasyn, Zosyn, Teflarom, (NOT VANC)
◉ Dial-a-flow. Answer: Must have IV that free flows via gravity
Provider order not required
◉ Dial-a-flow assembly. Answer: Unhook IV from patient and attach
dial-a-flow
Prime with Rx from IV bag
Attach to patient and adjust rate to match rate on pump
Observe drip chamber to ensure flow
,◉ Dial-a-flow Removal. Answer: IVF/Meds to be placed on pump
once MRI is completed
Discard Dial-a-flow
◉ Steripath Do's. Answer: Use steripath if venipuncture is
performed or IV initiated
Document use of steripath
Must label steripath w/patient label and send to lab w/BC bottles.
◉ Steripath Do Not's. Answer: Arterial Lines
Central Lines
Do not draw cultures from existing lines
If unable to draw BC Provider must be notified
◉ Steripath Existing line. Answer: Must have provider order and
providers name must be documented
◉ Triple Lumen Central Line. Answer: Tunneled Central Venous Cath
Usually located in Subclavian, Internal Jugular, Femoral Vein
◉ Triple Lumen Proximal port. Answer: Blood Sampling
, Medications
Blood admin
◉ Triple lumen Medial Port. Answer: TPN
Medication
◉ Triple Lumen Distal Port. Answer: CVP Monitoring
Blood Admin
High-volume/ Viscous Fluids
Colloids
Medications
◉ PICC Line. Answer: Peripherally inserted
Single or Multi-lumen
Tip sits near the entry of the heart
◉ PICC v TCVC. Answer: Rather than terminating from the arm, the
tcvc has an entry made via the neck, leg, subclavian, or back
◉ Trialysis Cath. Answer: Non-tunneled
3 lines, 2 lumens large in diameter for RRT
Center lumen able to use like central access
WITH ANSWERS GRADED A+
◉ Sepsis Protocol. Answer: FSBG q2hr x4
BBG >180 start Endotool
Fluid Challenge (v/s q15min) (v/s 1hr x4hr)
Blood Cultures before abx
Monotherapy Abx
1st Abx must be given within 3hr of Dx
If inital lactate >2 repeat abg
◉ Monotherapy Abx. Answer: Merrem, Rocephin, Cefepime,
Levaquin, Unasyn, Zosyn, Teflarom, (NOT VANC)
◉ Dial-a-flow. Answer: Must have IV that free flows via gravity
Provider order not required
◉ Dial-a-flow assembly. Answer: Unhook IV from patient and attach
dial-a-flow
Prime with Rx from IV bag
Attach to patient and adjust rate to match rate on pump
Observe drip chamber to ensure flow
,◉ Dial-a-flow Removal. Answer: IVF/Meds to be placed on pump
once MRI is completed
Discard Dial-a-flow
◉ Steripath Do's. Answer: Use steripath if venipuncture is
performed or IV initiated
Document use of steripath
Must label steripath w/patient label and send to lab w/BC bottles.
◉ Steripath Do Not's. Answer: Arterial Lines
Central Lines
Do not draw cultures from existing lines
If unable to draw BC Provider must be notified
◉ Steripath Existing line. Answer: Must have provider order and
providers name must be documented
◉ Triple Lumen Central Line. Answer: Tunneled Central Venous Cath
Usually located in Subclavian, Internal Jugular, Femoral Vein
◉ Triple Lumen Proximal port. Answer: Blood Sampling
, Medications
Blood admin
◉ Triple lumen Medial Port. Answer: TPN
Medication
◉ Triple Lumen Distal Port. Answer: CVP Monitoring
Blood Admin
High-volume/ Viscous Fluids
Colloids
Medications
◉ PICC Line. Answer: Peripherally inserted
Single or Multi-lumen
Tip sits near the entry of the heart
◉ PICC v TCVC. Answer: Rather than terminating from the arm, the
tcvc has an entry made via the neck, leg, subclavian, or back
◉ Trialysis Cath. Answer: Non-tunneled
3 lines, 2 lumens large in diameter for RRT
Center lumen able to use like central access
