NURS 611 EXAM 1 MASTER SET
QUESTIONS & CORRECT ANSWERS
100% CORRECT
access standards of care - correct answer ✔✔location
gauge size
# of attempts
chlorhexidine
bacteriostatic dressings/caps
scrub hub
site check
environment
flushing
blood return
purpose of IV therapy - correct answer ✔✔hydration
nutrition
med administration
choosing vascular access - correct answer ✔✔based on medications needed to be administeres,
length of stay/care w/ goal of minimizing # of accesses, attempts, and risk for adverse reaction
continuous IV site check - correct answer ✔✔performed every hour
,intermittent IV site check - correct answer ✔✔performed Q8H and/or prior to med
administration
tubing standards of care - correct answer ✔✔never leave tubing uncapped
change continuous tubing Q96H
change TPN tubing Q24H
change blood product tubing every unit
peripheral IV - correct answer ✔✔short term catheter inserted into any vein that is not in the
chest or abdomen
function: non irritating and non vesicant meds
dwell time: therapy > 5 days
peripheral IV sites - correct answer ✔✔cephalic, basilic, saphenous, external jugular,
antecubital, dorsal venous, scalp
care of peripheral line - correct answer ✔✔assess, flush for patency, maintain dressing, removal
catheter sizes and flow rates - correct answer ✔✔
midline catheters - correct answer ✔✔"long peripheral line"// sterile
location: terminates in area of axillae
meds: blood draw
dwell time: up to 4 weeks
midline catheter sites - correct answer ✔✔basilic and cephalic veins
,midline catheter uses - correct answer ✔✔blood draw
PPN
pts with difficult IV access
central line (CVAD) - correct answer ✔✔tip terminates in the SVC
long dwell times
types of central lines - correct answer ✔✔PICC
non-tunneled CVC
tunneled CVC
implanted port
central line flushing - correct answer ✔✔some (open ended catheters) require heparin flushes
to prevent clogging with fibrin; while some (valved catheters) do not
PICC line - correct answer ✔✔peripherally inserted central catheter
location: tip terminates in the SVS
dwell time: 6mos-1yr
PICC line uses - correct answer ✔✔vesicant therapy
meds with pH <5 or >9
long term fluid therapy (>4 weeks)
parenteral nutrition glucose ?10%
PICC line indications - correct answer ✔✔infection
endocarditis
, hyperemesis
osteomyeltits
ancer
pancreatitis
bowel obstruction
nutritional support
PICC line care - correct answer ✔✔verify placement
pink band
dressing changes q7days
flushing with 10
risks
systemic bacteremia - correct answer ✔✔pt w/ this infection must have - bcxs for 48hrs before
a picc can be placed
lumens - correct answer ✔✔each provides independent access to venous circulation to allow
incompatible drugs or fluids to be infused simultaneously
infusion valve - correct answer ✔✔opens with minimal pressure and automatically closes after
infusion
aspiration valve - correct answer ✔✔opens for sampling and automatically closes to resist
pressure fluctuations that may cause reflux
closed valve - correct answer ✔✔remains closed during normal increases in CVP to prevent
reflux
QUESTIONS & CORRECT ANSWERS
100% CORRECT
access standards of care - correct answer ✔✔location
gauge size
# of attempts
chlorhexidine
bacteriostatic dressings/caps
scrub hub
site check
environment
flushing
blood return
purpose of IV therapy - correct answer ✔✔hydration
nutrition
med administration
choosing vascular access - correct answer ✔✔based on medications needed to be administeres,
length of stay/care w/ goal of minimizing # of accesses, attempts, and risk for adverse reaction
continuous IV site check - correct answer ✔✔performed every hour
,intermittent IV site check - correct answer ✔✔performed Q8H and/or prior to med
administration
tubing standards of care - correct answer ✔✔never leave tubing uncapped
change continuous tubing Q96H
change TPN tubing Q24H
change blood product tubing every unit
peripheral IV - correct answer ✔✔short term catheter inserted into any vein that is not in the
chest or abdomen
function: non irritating and non vesicant meds
dwell time: therapy > 5 days
peripheral IV sites - correct answer ✔✔cephalic, basilic, saphenous, external jugular,
antecubital, dorsal venous, scalp
care of peripheral line - correct answer ✔✔assess, flush for patency, maintain dressing, removal
catheter sizes and flow rates - correct answer ✔✔
midline catheters - correct answer ✔✔"long peripheral line"// sterile
location: terminates in area of axillae
meds: blood draw
dwell time: up to 4 weeks
midline catheter sites - correct answer ✔✔basilic and cephalic veins
,midline catheter uses - correct answer ✔✔blood draw
PPN
pts with difficult IV access
central line (CVAD) - correct answer ✔✔tip terminates in the SVC
long dwell times
types of central lines - correct answer ✔✔PICC
non-tunneled CVC
tunneled CVC
implanted port
central line flushing - correct answer ✔✔some (open ended catheters) require heparin flushes
to prevent clogging with fibrin; while some (valved catheters) do not
PICC line - correct answer ✔✔peripherally inserted central catheter
location: tip terminates in the SVS
dwell time: 6mos-1yr
PICC line uses - correct answer ✔✔vesicant therapy
meds with pH <5 or >9
long term fluid therapy (>4 weeks)
parenteral nutrition glucose ?10%
PICC line indications - correct answer ✔✔infection
endocarditis
, hyperemesis
osteomyeltits
ancer
pancreatitis
bowel obstruction
nutritional support
PICC line care - correct answer ✔✔verify placement
pink band
dressing changes q7days
flushing with 10
risks
systemic bacteremia - correct answer ✔✔pt w/ this infection must have - bcxs for 48hrs before
a picc can be placed
lumens - correct answer ✔✔each provides independent access to venous circulation to allow
incompatible drugs or fluids to be infused simultaneously
infusion valve - correct answer ✔✔opens with minimal pressure and automatically closes after
infusion
aspiration valve - correct answer ✔✔opens for sampling and automatically closes to resist
pressure fluctuations that may cause reflux
closed valve - correct answer ✔✔remains closed during normal increases in CVP to prevent
reflux
