CRNI ADVANCE FINAL EXAM QNS & ANS 2026/2027 | GRADED A+
A nurse checking an IV fluid order questions its accuracy. What does the nurse do first? - ANSWER
Contacts the health care provider who ordered it
(The nurse is responsible for accuracy and has the duty to verify the order with the health care
provider that ordered it.)
A client is to receive an IV solution of 5% dextrose and half-normal saline at 125 mL/hr. Which system
provides the safest method for the nurse to accurately administer this solution? - ANSWER Infusion
pump
(Infusion pumps are used for drugs or fluids under pressure. They accurately measure the volume of
fluid being infused.)
A client who used to work as a nurse asks, "Why is the hospital using a 'fancy new IV' without a
needle? That seems expensive." How does the nurse respond? - ANSWER "They minimize health care
workers' exposures to contaminated needles."
(Needleless IVs were designed to protect health care personnel from exposure to contaminated
needles.)
A nurse is documenting peripheral venous catheter insertion for a client. What does the nurse
include in the note? - ANSWER Client's response to the insertion
Date and time inserted
Type and size of device
Type of dressing applied
Vein that was used for insertion
(The client's ability to adapt to interventions, such as IV insertion, should be noted when the
intervention is performed.
The date and time of the insertion are important data. IV sites need to be routinely monitored and
changed at prescribed intervals. This policy (on IV changing) is provided at all health care facilities.
It is important to note the device used (often the brand name is given) as well as all specifics, such as
needle or cannula length, gauge, and material (Teflon).
It is necessary to describe the dressing applied.
The vein that was used should be noted.)
, A nurse is teaching a hospitalized client who is being discharged about how to care for a peripherally
inserted central catheter (PICC) line. Which client statement indicates a need for further education? -
ANSWER "I can continue my 20-mile running schedule as I have for the past 10 years."
(Excessive physical activity can dislodge the PICC and should be avoided.)
A nurse is admitting clients to the same-day surgery unit. Which insertion site for routine peripheral
venous catheters does the nurse choose most often? - ANSWER Cephalic vein of the forearm
(For same-day surgery, the cephalic or basilic vein allows insertion of a larger IV catheter while
allowing movement of the arm without impairing intravenous flow.)
A client admitted to the intensive care unit (ICU) is expected to remain for 3 weeks. The nurse has
orders to start an IV. Which vascular access device does the nurse choose for this client? - ANSWER
Midline catheter
(Midline catheters are used for therapies lasting from 1 to 4 weeks.)
A 22-year-old client is seen in the emergency department (ED) with acute right lower quadrant
abdominal pain, nausea, and rebound tenderness. It appears that surgery is imminent. What gauge
catheter does the ED nurse choose when starting this client's intravenous (IV) solution? - ANSWER 18
(An 18-gauge catheter is the size of choice for clients who will undergo surgery. If they need to
receive fluids rapidly, or if they need to receive more viscous fluids (such as blood or blood products),
a lumen of this size would accommodate those needs.)
A client who is receiving intravenous antibiotic treatments every 6 hours has an intermittent IV set
that was opened and begun 20 hours ago. What action does the nurse take? - ANSWER Changes the
set in about 4 hours
(Because both ends of the set are being manipulated with each dose, standards of practice dictate
that the set should be changed every 24 hours.)
A client is seen in the emergency department (ED) with pain, redness, and warmth of the right lower
arm. The client was in the ED last week after an accident at work. On the day of the injury, the client
was in the ED for 12 hours receiving IV fluids. On close examination, the nurse notes the presence of
a palpable cord 1 inch in length and streak formation. How does the nurse classify this client's
phlebitis? - ANSWER Grade 3
(Grade 3 indicates pain at the access site with erythema and/or edema and streak formation with a
palpable cord.)
A nurse who is starting the shift finds a client with an IV that is leaking all over the bed linens. What
does the nurse do initially? - ANSWER Assesses the insertion site
A nurse checking an IV fluid order questions its accuracy. What does the nurse do first? - ANSWER
Contacts the health care provider who ordered it
(The nurse is responsible for accuracy and has the duty to verify the order with the health care
provider that ordered it.)
A client is to receive an IV solution of 5% dextrose and half-normal saline at 125 mL/hr. Which system
provides the safest method for the nurse to accurately administer this solution? - ANSWER Infusion
pump
(Infusion pumps are used for drugs or fluids under pressure. They accurately measure the volume of
fluid being infused.)
A client who used to work as a nurse asks, "Why is the hospital using a 'fancy new IV' without a
needle? That seems expensive." How does the nurse respond? - ANSWER "They minimize health care
workers' exposures to contaminated needles."
(Needleless IVs were designed to protect health care personnel from exposure to contaminated
needles.)
A nurse is documenting peripheral venous catheter insertion for a client. What does the nurse
include in the note? - ANSWER Client's response to the insertion
Date and time inserted
Type and size of device
Type of dressing applied
Vein that was used for insertion
(The client's ability to adapt to interventions, such as IV insertion, should be noted when the
intervention is performed.
The date and time of the insertion are important data. IV sites need to be routinely monitored and
changed at prescribed intervals. This policy (on IV changing) is provided at all health care facilities.
It is important to note the device used (often the brand name is given) as well as all specifics, such as
needle or cannula length, gauge, and material (Teflon).
It is necessary to describe the dressing applied.
The vein that was used should be noted.)
, A nurse is teaching a hospitalized client who is being discharged about how to care for a peripherally
inserted central catheter (PICC) line. Which client statement indicates a need for further education? -
ANSWER "I can continue my 20-mile running schedule as I have for the past 10 years."
(Excessive physical activity can dislodge the PICC and should be avoided.)
A nurse is admitting clients to the same-day surgery unit. Which insertion site for routine peripheral
venous catheters does the nurse choose most often? - ANSWER Cephalic vein of the forearm
(For same-day surgery, the cephalic or basilic vein allows insertion of a larger IV catheter while
allowing movement of the arm without impairing intravenous flow.)
A client admitted to the intensive care unit (ICU) is expected to remain for 3 weeks. The nurse has
orders to start an IV. Which vascular access device does the nurse choose for this client? - ANSWER
Midline catheter
(Midline catheters are used for therapies lasting from 1 to 4 weeks.)
A 22-year-old client is seen in the emergency department (ED) with acute right lower quadrant
abdominal pain, nausea, and rebound tenderness. It appears that surgery is imminent. What gauge
catheter does the ED nurse choose when starting this client's intravenous (IV) solution? - ANSWER 18
(An 18-gauge catheter is the size of choice for clients who will undergo surgery. If they need to
receive fluids rapidly, or if they need to receive more viscous fluids (such as blood or blood products),
a lumen of this size would accommodate those needs.)
A client who is receiving intravenous antibiotic treatments every 6 hours has an intermittent IV set
that was opened and begun 20 hours ago. What action does the nurse take? - ANSWER Changes the
set in about 4 hours
(Because both ends of the set are being manipulated with each dose, standards of practice dictate
that the set should be changed every 24 hours.)
A client is seen in the emergency department (ED) with pain, redness, and warmth of the right lower
arm. The client was in the ED last week after an accident at work. On the day of the injury, the client
was in the ED for 12 hours receiving IV fluids. On close examination, the nurse notes the presence of
a palpable cord 1 inch in length and streak formation. How does the nurse classify this client's
phlebitis? - ANSWER Grade 3
(Grade 3 indicates pain at the access site with erythema and/or edema and streak formation with a
palpable cord.)
A nurse who is starting the shift finds a client with an IV that is leaking all over the bed linens. What
does the nurse do initially? - ANSWER Assesses the insertion site
