ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC REASONING
NURS 5355 FINAL EXAM 2025-2026 FALL-
SPRING PREP QUESTIONS AND ANSWERS
GRADED A+ (UTA)
How much fluid can be removed during a Thorocentesis? What is a complication if
more than 1500ml is removed?
-1500 ml, re-expansion pulmonary edema
Would you give antibiotics after a plural effusion?
-no
What is a possible complication when placing a chest tube on the right side?
-liver laceration
M4: What are the Indications for a CVC?
1. Hemodialysis
2. Emergency resuscitation
,ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC REASONING
3. Pulmonary artery catheterization
4. Monitoring CVP
5. Delivery of caustic or critical medications
6. Nutritional support
7. Long-term vascular access
M4: what are the contraindications for CVC?
1. Infection of the area overlying the target vein
2. Thrombosis of the target vein
Coagulopathy (Platelet, APTT, Fibrinogen level, PT/INR-not an absolute
contraindication)
M4: What are the anatomical landmarks for right IJ placement?
Internal jugular vein can be found at the apex of the sternal and clavicular heads of
the sternocleidomastoid (SCM) muscle and lateral to the carotid artery
,ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC REASONING
M4: When numbing up the site for CVC placement, where does the needle enter
the skin?
The needle will enter the apex of the sternal and clavicular heads and aim towards
the ipsilateral nipple.
M4: Where should the CVC tip be placed?
Place the tip of the catheter at junction of the SVC and RA
M4: What are the sizes for CVC?
-7fr 15-20cm triple lumen most used
-11.5fr 20cm double lumen large bore for dialysis
-4 or 5fr for small adults or children
M4: What are the reasons you would want to place the patient in Trendelenburg's
prior to placing a CVC?
-Minimize the risk for air embolism
-Engorge the vein
M4: What are the benefits to using a US to guide placement of CVC?
, ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC REASONING
1. Identify aberrations in the anatomy
2. Facilitate rapid placement of the CL
3. Avoid placement in the carotid artery
M4: Why do you want to due a CXR post CVC placement?
Obtain a chest Xray before using to verify that there is no Pneumothorax or
Hemothorax
M4: What are the complications of placing a CVC?
1. arrhythmia
2. puncture of the adjacent artery
3. Pneumo or hemothorax
4. Bleeding at the site
5. Infection
M4: What do you do if there is an arrythmia when placing a CVC when advancing
the wire or after the catheter is placed?
This means the wire is in the heart. Pull back the wire if necessary, until the
arrythmia stops. Post procedure obtain an Xray.
NURS 5355 FINAL EXAM 2025-2026 FALL-
SPRING PREP QUESTIONS AND ANSWERS
GRADED A+ (UTA)
How much fluid can be removed during a Thorocentesis? What is a complication if
more than 1500ml is removed?
-1500 ml, re-expansion pulmonary edema
Would you give antibiotics after a plural effusion?
-no
What is a possible complication when placing a chest tube on the right side?
-liver laceration
M4: What are the Indications for a CVC?
1. Hemodialysis
2. Emergency resuscitation
,ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC REASONING
3. Pulmonary artery catheterization
4. Monitoring CVP
5. Delivery of caustic or critical medications
6. Nutritional support
7. Long-term vascular access
M4: what are the contraindications for CVC?
1. Infection of the area overlying the target vein
2. Thrombosis of the target vein
Coagulopathy (Platelet, APTT, Fibrinogen level, PT/INR-not an absolute
contraindication)
M4: What are the anatomical landmarks for right IJ placement?
Internal jugular vein can be found at the apex of the sternal and clavicular heads of
the sternocleidomastoid (SCM) muscle and lateral to the carotid artery
,ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC REASONING
M4: When numbing up the site for CVC placement, where does the needle enter
the skin?
The needle will enter the apex of the sternal and clavicular heads and aim towards
the ipsilateral nipple.
M4: Where should the CVC tip be placed?
Place the tip of the catheter at junction of the SVC and RA
M4: What are the sizes for CVC?
-7fr 15-20cm triple lumen most used
-11.5fr 20cm double lumen large bore for dialysis
-4 or 5fr for small adults or children
M4: What are the reasons you would want to place the patient in Trendelenburg's
prior to placing a CVC?
-Minimize the risk for air embolism
-Engorge the vein
M4: What are the benefits to using a US to guide placement of CVC?
, ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC REASONING
1. Identify aberrations in the anatomy
2. Facilitate rapid placement of the CL
3. Avoid placement in the carotid artery
M4: Why do you want to due a CXR post CVC placement?
Obtain a chest Xray before using to verify that there is no Pneumothorax or
Hemothorax
M4: What are the complications of placing a CVC?
1. arrhythmia
2. puncture of the adjacent artery
3. Pneumo or hemothorax
4. Bleeding at the site
5. Infection
M4: What do you do if there is an arrythmia when placing a CVC when advancing
the wire or after the catheter is placed?
This means the wire is in the heart. Pull back the wire if necessary, until the
arrythmia stops. Post procedure obtain an Xray.
