Nurs 2873 Lab quiz | UPDATED Questions with 100%
Verified Answers
Q1: 1. A patient with a right upper extremity CVC reports pain,
swelling, and tenderness of the extremity. No fluids are
infusing through the catheter. The nurse knows that these signs
and symptoms may indicate which CVC-associated
complication?
A: Thrombophlebitis
Q2: 2. Which action should the nurse take when changing a CVC
dressing on a diaphoretic patient?
A: D. Place an occlusive gauze dressing over the catheter exit site.
Q3: 3. Proper care of CVCs includes which nursing action?
A: B. Replacing the dressing when it is damp, loose, or soiled
Q4: 4. A patient has redness, drainage, and pain at the CVC exit
site as well as a fever. Which nursing intervention is the most
appropriate?
A: B. Notify the practitioner and discuss further interventions to confirm CLABSI.
Q5: 5. How often should a gauze dressing be changed on a CVC
exit site?
A: every 2 days
Q6: 6. A nurse is educating a patient with a new CVC. Which
teaching point should the nurse emphasize?
A: do not disrupt the dressing on the CVCD. The patient's exit site has erythema with pain.
Q7: 7. In a patient with a PICC, phlebitis should be suspected if
which condition is present?
A: D. The patient's exit site has erythema with pain.
*Signs of phlebitis, include pain , erythema, edema, ,streak formation, and a palpable
venous cord
Q8: 8. Which procedure should be used to cleanse the catheter
exit site of a patient who is allergic to chlorhexidine?
A: C. Use swabs to apply a povidone-iodine solution in a circular motion, moving outward
from the exit site in concentric circles.
, Q9: 9. A CVC exit site dressing is moist, but it is not due to get
changed for another 3 days. Which is the appropriate action?
A: C. Change the dressing immediately.
Q10: 10. When removing the old dressing from a patient's CVC site,
the nurse should include which step?
A: remove the catheter stabilization device
Q11: 1. Which action would the nurse perform first when preparing
to apply sterile gloves?
A: C. Assess the glove packaging for wetness or tears.
Q12: 2. When are sterile nonlatex gloves recommended for a sterile
procedure?
A: A. When there is a possible sensitivity issue
Q13: 3. What is the most important step the nurse can take to
minimize the risk of tearing a sterile glove when applying it to
the hands?
A: selecting the proper glove size
Q14: 4. After applying sterile gloves, the patient states she is
uncomfortable and would like to move to her left side. What is
the best way for the nurse to keep the gloves sterile while
waiting for nursing assistive personnel (NAP) to position the
patient for a sterile dressing change?
A: A. Interlocking the fingers and keeping the hands above waist level
Q15: 5. Which protocol does not vary among institutions?
A: C. Use of sterile gloves for sterile procedures
Q16: 1. Which statement might the nurse make to nursing assistive
personnel (NAP) when caring for a patient with a dressed
central venous access device (CVAD) site?
A: C. "Let me know immediately if the patient's dressing becomes damp."
Q17: 2. Which action would the nurse take to minimize the patient's
risk for infection when changing the dressing on a CVAD?
A: A. Use sterile technique throughout the process.
Q18: 3. How can the nurse minimize the risk of dislodging the
catheter when removing a dressing?
Verified Answers
Q1: 1. A patient with a right upper extremity CVC reports pain,
swelling, and tenderness of the extremity. No fluids are
infusing through the catheter. The nurse knows that these signs
and symptoms may indicate which CVC-associated
complication?
A: Thrombophlebitis
Q2: 2. Which action should the nurse take when changing a CVC
dressing on a diaphoretic patient?
A: D. Place an occlusive gauze dressing over the catheter exit site.
Q3: 3. Proper care of CVCs includes which nursing action?
A: B. Replacing the dressing when it is damp, loose, or soiled
Q4: 4. A patient has redness, drainage, and pain at the CVC exit
site as well as a fever. Which nursing intervention is the most
appropriate?
A: B. Notify the practitioner and discuss further interventions to confirm CLABSI.
Q5: 5. How often should a gauze dressing be changed on a CVC
exit site?
A: every 2 days
Q6: 6. A nurse is educating a patient with a new CVC. Which
teaching point should the nurse emphasize?
A: do not disrupt the dressing on the CVCD. The patient's exit site has erythema with pain.
Q7: 7. In a patient with a PICC, phlebitis should be suspected if
which condition is present?
A: D. The patient's exit site has erythema with pain.
*Signs of phlebitis, include pain , erythema, edema, ,streak formation, and a palpable
venous cord
Q8: 8. Which procedure should be used to cleanse the catheter
exit site of a patient who is allergic to chlorhexidine?
A: C. Use swabs to apply a povidone-iodine solution in a circular motion, moving outward
from the exit site in concentric circles.
, Q9: 9. A CVC exit site dressing is moist, but it is not due to get
changed for another 3 days. Which is the appropriate action?
A: C. Change the dressing immediately.
Q10: 10. When removing the old dressing from a patient's CVC site,
the nurse should include which step?
A: remove the catheter stabilization device
Q11: 1. Which action would the nurse perform first when preparing
to apply sterile gloves?
A: C. Assess the glove packaging for wetness or tears.
Q12: 2. When are sterile nonlatex gloves recommended for a sterile
procedure?
A: A. When there is a possible sensitivity issue
Q13: 3. What is the most important step the nurse can take to
minimize the risk of tearing a sterile glove when applying it to
the hands?
A: selecting the proper glove size
Q14: 4. After applying sterile gloves, the patient states she is
uncomfortable and would like to move to her left side. What is
the best way for the nurse to keep the gloves sterile while
waiting for nursing assistive personnel (NAP) to position the
patient for a sterile dressing change?
A: A. Interlocking the fingers and keeping the hands above waist level
Q15: 5. Which protocol does not vary among institutions?
A: C. Use of sterile gloves for sterile procedures
Q16: 1. Which statement might the nurse make to nursing assistive
personnel (NAP) when caring for a patient with a dressed
central venous access device (CVAD) site?
A: C. "Let me know immediately if the patient's dressing becomes damp."
Q17: 2. Which action would the nurse take to minimize the patient's
risk for infection when changing the dressing on a CVAD?
A: A. Use sterile technique throughout the process.
Q18: 3. How can the nurse minimize the risk of dislodging the
catheter when removing a dressing?
