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NSE 221 W3 EXAM REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
What is the primary purpose of a Central Line? ......ANSWER......To
administer medications that may damage smaller veins and to allow for
long-term medication or fluid therapy.
What are the three main insertion sites for a Central Line?
......ANSWER......Internal Jugular, Subclavian, and Femoral veins.
Why is the Femoral vein generally avoided in adults for Central Line
insertion? ......ANSWER......Due to a higher risk of infection.
What are some general uses of a Central Line? ......ANSWER......Long-
term medication or fluid therapy, drawing blood, hemodynamic
monitoring, and transvenous pacing.
What are irritating fluids that may require a Central Line?
......ANSWER......High osmolarity fluids and vesicants that can cause
tissue damage if leaked.
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What is Central Venous Pressure (CVP) monitoring? ......ANSWER......A
method to measure the pressure of blood returning to the right side of
the heart, indicating preload or volume status.
What is a Peripherally Inserted Central Catheter (PICC)?
......ANSWER......A long tube inserted into a vein in the arm and
threaded to the heart, used for up to 6 months.
What are the pros and cons of a Non-Tunneled CVAD?
......ANSWER......Pros: Quick insertion during emergencies. Cons: Higher
risk of infection and catheter dislodgment.
What is the purpose of tunneling in a Tunneled CVAD?
......ANSWER......To create a barrier to bacteria and anchor the catheter
in place.
What is an Implanted Venous Access Device (IVAD)? ......ANSWER......A
small reservoir surgically implanted under the skin, accessed with a
non-coring needle.
What is the standard configuration of a Triple Lumen CVAD?
......ANSWER......Distal Lumen (for blood draws), Medial Lumen (for
medications), Proximal Lumen (for fluids).
What is required before using a Central Line?
......ANSWER......Placement confirmation via fluoroscopy or chest X-ray.
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What are the preferred methods for securing a Central Line?
......ANSWER......Sutures or sutureless adhesive devices, with sutureless
being preferred to reduce infection risk.
What is CLABSI? ......ANSWER......Central Line-Associated Bloodstream
Infection, a serious hospital-acquired infection.
What is included in the Prevention Bundle for CLABSI?
......ANSWER......Hand hygiene, maximal barrier precautions,
chlorhexidine skin antiseptic, optimal site selection, daily review, and
scrubbing the hub.
What are common complications of CVADs? ......ANSWER......Occlusion,
infection, and catheter dislodgment.
What should you do if a CVAD is occluded? ......ANSWER......Reposition
the client, use thrombolytics if ordered, and never force a flush.
What is the duration of a Non-Tunneled CVAD? ......ANSWER......Short
term, typically days to weeks.
What is a key advantage of an Implanted Venous Access Device?
......ANSWER......It has the least impact on body image and allows for
swimming or showering when not accessed.
NSE 221 W3 EXAM REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
What is the primary purpose of a Central Line? ......ANSWER......To
administer medications that may damage smaller veins and to allow for
long-term medication or fluid therapy.
What are the three main insertion sites for a Central Line?
......ANSWER......Internal Jugular, Subclavian, and Femoral veins.
Why is the Femoral vein generally avoided in adults for Central Line
insertion? ......ANSWER......Due to a higher risk of infection.
What are some general uses of a Central Line? ......ANSWER......Long-
term medication or fluid therapy, drawing blood, hemodynamic
monitoring, and transvenous pacing.
What are irritating fluids that may require a Central Line?
......ANSWER......High osmolarity fluids and vesicants that can cause
tissue damage if leaked.
,2|Page
What is Central Venous Pressure (CVP) monitoring? ......ANSWER......A
method to measure the pressure of blood returning to the right side of
the heart, indicating preload or volume status.
What is a Peripherally Inserted Central Catheter (PICC)?
......ANSWER......A long tube inserted into a vein in the arm and
threaded to the heart, used for up to 6 months.
What are the pros and cons of a Non-Tunneled CVAD?
......ANSWER......Pros: Quick insertion during emergencies. Cons: Higher
risk of infection and catheter dislodgment.
What is the purpose of tunneling in a Tunneled CVAD?
......ANSWER......To create a barrier to bacteria and anchor the catheter
in place.
What is an Implanted Venous Access Device (IVAD)? ......ANSWER......A
small reservoir surgically implanted under the skin, accessed with a
non-coring needle.
What is the standard configuration of a Triple Lumen CVAD?
......ANSWER......Distal Lumen (for blood draws), Medial Lumen (for
medications), Proximal Lumen (for fluids).
What is required before using a Central Line?
......ANSWER......Placement confirmation via fluoroscopy or chest X-ray.
, 3|Page
What are the preferred methods for securing a Central Line?
......ANSWER......Sutures or sutureless adhesive devices, with sutureless
being preferred to reduce infection risk.
What is CLABSI? ......ANSWER......Central Line-Associated Bloodstream
Infection, a serious hospital-acquired infection.
What is included in the Prevention Bundle for CLABSI?
......ANSWER......Hand hygiene, maximal barrier precautions,
chlorhexidine skin antiseptic, optimal site selection, daily review, and
scrubbing the hub.
What are common complications of CVADs? ......ANSWER......Occlusion,
infection, and catheter dislodgment.
What should you do if a CVAD is occluded? ......ANSWER......Reposition
the client, use thrombolytics if ordered, and never force a flush.
What is the duration of a Non-Tunneled CVAD? ......ANSWER......Short
term, typically days to weeks.
What is a key advantage of an Implanted Venous Access Device?
......ANSWER......It has the least impact on body image and allows for
swimming or showering when not accessed.
