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CNSC PREP- PN QUESTIONS WITH CORRECT ANSWERS

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CNSC PREP- PN QUESTIONS WITH CORRECT ANSWERS

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According to the Centers for Disease Control and Prevention (CDC), which of the
following is true regarding peripherally inserted central catheter (PICC) line care?
1: Scheduled replacement is recommended to prevent catheter-related blood stream
infections (CRBSIs)
2: Remove the PICC line immediately if fever develops
3: Guidewire exchange should be used when the PICC is a suspected source of
infection
4: Remove the PICC line only if it is suspected or known to be the source of infection


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4: Remove the PICC line only if it is suspected or known to be the source of
infection




Which of the following is a disadvantage of a peripherally-inserted central catheter
(PICC)?
1: Limited self care ability

,2: High risk of pneumothorax
3: Requires repeated skin puncture
4: Only available with single lumen


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1: Limited self care ability




A patient in the ICU is receiving concurrent infusions of lipid injectable emulsion (ILE)
and propofol. These concurrent infusions could potentially cause
1: hyperglycemia.
2: hypertriglyceridemia.
3: azotemia.
4: hypernatremia.


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2: hypertriglyceridemia.

Propofol: The vehicle for administering this drug is 10% IV lipid emulsion.




Which component of parenteral nutrition (PN) is most likely to impact anticoagulation
in a patient receiving warfarin?
1: Standard amino acids and electrolytes
2: Dextrose and trace elements
3: Lipid injectable emulsion (ILE) and vitamins
4: Branched-chain amino acids and electrolytes


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3: Lipid injectable emulsion (ILE) and vitamins

, - Parenteral multivitamin products are available with or without vitamin K.
ILE are also a source of vitamin K, though the amount is variable.




When initiating a PN regimen that contains regular insulin, how often should capillary
blood glucose levels be monitored?
1: Every 6 hours
2: Every 8 hours
3: Every 12 hours
4: Every 24 hours


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1: Every 6 hours


- Once glucose concentrations are stable, the frequency of measuring
capillary blood glucose concentrations can often be decreased.




What is considered to be the most serious complication of significant
hyperphosphatemia?
1: Osteoporosis and fractures
2: Soft tissue and vascular complications
3: Hypoventilation
4: Hypercalcemia


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2: Soft tissue and vascular complication

- The most serious complication of hyperphosphatemia is soft tissue and
vascular calcifications. Calcification occurs when the serum calcium level
multiplied by the serum phosphorus level exceeds 55 mg per deciliter.
Additional consequences of hyperphosphatemia are secondary
hyperparathyroidism, renal osteodystrophy, and hypocalcemia.

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