CRNI Infusion Therapy Documentation and Standards Practice Test 1 — Questions and Answers
Question 1: Which organization publishes the Infusion Therapy Standards of Practice that serves as the primary clinical reference for infusion nursing?
- American Nurses Association (ANA)
- Infusion Nurses Society (INS) (Correct answer)
- The Joint Commission (TJC)
- Centers for Disease Control and Prevention (CDC)
Correct answer: Infusion Nurses Society (INS)
The Infusion Nurses Society (INS) publishes the Infusion Therapy Standards of Practice, which is the authoritative reference for evidence-based infusion therapy practice. Updated regularly, these standards cover all aspects of infusion nursing including vascular access, administration, patient safety, and documentation requirements.
Question 2: What information must be documented when inserting a peripheral IV catheter?
- Patient name and date only
- Date, time, catheter gauge and length, insertion site, number of attempts, patient response, and nurse's initials (Correct answer)
- Only the catheter gauge
- Only documentation that the IV was started
Correct answer: Date, time, catheter gauge and length, insertion site, number of attempts, patient response, and nurse's initials
Complete documentation of peripheral IV insertion includes the date and time, catheter type, gauge and length, insertion site (including laterality and specific vein), number of attempts, skin prep method, patient's tolerance and response, securing method, and the inserting nurse's identification. This comprehensive record supports continuity of care and legal protection.
Question 3: According to INS standards, what constitutes informed consent for infusion therapy?
- Patient signing any hospital form
- Patient receiving information about the therapy's purpose, risks, benefits, alternatives, and the right to refuse before agreeing to treatment (Correct answer)
- Verbal agreement only
- Family member consent without patient involvement
Correct answer: Patient receiving information about the therapy's purpose, risks, benefits, alternatives, and the right to refuse before agreeing to treatment
Informed consent requires that the patient receive and understand information about the proposed therapy's purpose, potential risks and complications, expected benefits, available alternatives, and their right to refuse treatment. The patient must have the opportunity to ask questions and provide voluntary consent. This should be documented in the medical record.
Question 4: Which standard requires documentation of the central venous catheter tip position before first use?
- State nursing practice acts only
- INS Standards of Practice and The Joint Commission requirements both mandate tip position verification and documentation (Correct answer)
- No standard requires this
- Only Medicare regulations
Correct answer: INS Standards of Practice and The Joint Commission requirements both mandate tip position verification and documentation
Both INS Standards of Practice and The Joint Commission require documentation of central venous catheter tip position verification (typically by chest X-ray) before the catheter is used for infusion. The documented tip position should be at the cavoatrial junction or lower third of the SVC. Using a CVC without confirmed tip position puts the patient at risk.
Question 5: What documentation is required when a patient experiences an adverse reaction during infusion therapy?
- A brief note that a reaction occurred
- Detailed documentation including the time of onset, signs and symptoms, infusion details, interventions taken, patient response, and provider notification (Correct answer)
- Only the medication name
- Documentation is optional for adverse reactions
Correct answer: Detailed documentation including the time of onset, signs and symptoms, infusion details, interventions taken, patient response, and provider notification
Adverse reaction documentation must include the exact time of onset, detailed description of signs and symptoms, vital signs, the medication or solution involved (including lot number for blood products), all interventions taken with times, the patient's response to interventions, all providers notified and orders received, and follow-up assessments.
Question 6: According to the CDC guidelines for prevention of intravascular catheter-related infections, which bundle elements must be documented for central line insertion?
- Catheter brand only
- Hand hygiene, maximal sterile barrier precautions, chlorhexidine skin antisepsis, optimal site selection, and daily review of line necessity (Correct answer)
- Date of insertion only
- The physician's name only
Correct answer: Hand hygiene, maximal sterile barrier precautions, chlorhexidine skin antisepsis, optimal site selection, and daily review of line necessity
The CDC's central line bundle requires documentation of all five elements: hand hygiene performance, use of maximal sterile barriers (cap, mask, gown, gloves, full body drape), chlorhexidine skin antisepsis, optimal catheter site selection, and daily review of line necessity. Compliance with each element must be documented to ensure bundle adherence and enable quality measurement.
CRNI Infusion Therapy Documentation and Standards Practice Test 1
Which organization publishes the Infusion Therapy Standards of Practice that serves as the primary clinical reference for infusion nursing?