NRSG 3323 EXAM 2 COMPREHENSIVE
EXAMINATION TEST 2026 FULL QUESTIONS
AND CORRECT ANSWERS
◉Venipuncture procedure. Answer: - Comfortable position
- Dilate vein
- Pump fist with hand lower than heart
- Stroke downward
- Friction from cleansing
- Cleanse with chlorhexadine & allow to dry
- Stabilize vein
- Bevel up
◉PIVC nursing actions. Answer: - Monitor q1h or q4h at minimum
- Dressing integrity
- I&O's
- Clinical need for IV catheter is assessed daily
◉Change PIVC location every. Answer: 72-96 hours
,◉Remove PIVC when. Answer: No longer clinically indicated:
- discontinuation of infusion therapy
- not used for 24+ hours
- no longer included in plan of care
- presence of unresolved complication (e.g., phlebitis, infiltration,
Extravasation)
- systemic complication (e.g., infection)
◉Phlebitis (complication). Answer: - Inflammation of the vein due to
mechanical trauma from needle or catheter or chemical trauma from
a solution
◉Phlebitis scale. Answer: 0 = no symptoms
1 = erythema/warmth, possible pain
2 = erythema/warmth, edema, pain
3 = same as 2 with streak formation, palpable venous cord
4 = same as 3 with palpable venous cord >1", purulent drainage
◉Phlebitis treatment. Answer: - Remove catheter & restart access
away from phlebitis site
- warm compresses
- Document phlebitis and treatment
, - Monitor site for healing, infection, drainage
◉Infiltration (complication). Answer: leakage of non-vesicant
solution into extravascular tissue
◉Infiltration scale. Answer: 0 = no symptoms
1 = edema <1", cool to touch, pale
2 = edema 1-6", cool to touch, pale
3 = gross edema >6", cool, pale, pain, possible numbness
4 = same as 3 with pitting edema, tight skin, leaking, bruised, mod-
severe pain
-> and vesicant/blood product infiltration = grade 4
◉Infiltration treatment. Answer: - Stop the infusion, remove
catheter & restart elsewhere
- warm compress for HYPOtonic solution
- cool compress for ISO- or HYPERtonic solution
- elevate extremity
- document infiltration and treatment
◉Extravasation (complication). Answer: Leakage of vesicant into
surrounding tissue
EXAMINATION TEST 2026 FULL QUESTIONS
AND CORRECT ANSWERS
◉Venipuncture procedure. Answer: - Comfortable position
- Dilate vein
- Pump fist with hand lower than heart
- Stroke downward
- Friction from cleansing
- Cleanse with chlorhexadine & allow to dry
- Stabilize vein
- Bevel up
◉PIVC nursing actions. Answer: - Monitor q1h or q4h at minimum
- Dressing integrity
- I&O's
- Clinical need for IV catheter is assessed daily
◉Change PIVC location every. Answer: 72-96 hours
,◉Remove PIVC when. Answer: No longer clinically indicated:
- discontinuation of infusion therapy
- not used for 24+ hours
- no longer included in plan of care
- presence of unresolved complication (e.g., phlebitis, infiltration,
Extravasation)
- systemic complication (e.g., infection)
◉Phlebitis (complication). Answer: - Inflammation of the vein due to
mechanical trauma from needle or catheter or chemical trauma from
a solution
◉Phlebitis scale. Answer: 0 = no symptoms
1 = erythema/warmth, possible pain
2 = erythema/warmth, edema, pain
3 = same as 2 with streak formation, palpable venous cord
4 = same as 3 with palpable venous cord >1", purulent drainage
◉Phlebitis treatment. Answer: - Remove catheter & restart access
away from phlebitis site
- warm compresses
- Document phlebitis and treatment
, - Monitor site for healing, infection, drainage
◉Infiltration (complication). Answer: leakage of non-vesicant
solution into extravascular tissue
◉Infiltration scale. Answer: 0 = no symptoms
1 = edema <1", cool to touch, pale
2 = edema 1-6", cool to touch, pale
3 = gross edema >6", cool, pale, pain, possible numbness
4 = same as 3 with pitting edema, tight skin, leaking, bruised, mod-
severe pain
-> and vesicant/blood product infiltration = grade 4
◉Infiltration treatment. Answer: - Stop the infusion, remove
catheter & restart elsewhere
- warm compress for HYPOtonic solution
- cool compress for ISO- or HYPERtonic solution
- elevate extremity
- document infiltration and treatment
◉Extravasation (complication). Answer: Leakage of vesicant into
surrounding tissue
