CRNI Patient Assessment and Monitoring Practice Test

Question 1

What is the primary purpose of performing a comprehensive patient assessment before initiating infusion therapy?

Accepted Answer

To establish baseline data, identify risk factors, and select the most appropriate vascular access and therapy plan

Answer

To complete documentation requirements

Answer

To determine the patient's insurance coverage

Answer

To assign the patient to a room

Question 2

Which laboratory value is most critical to assess before initiating potassium chloride infusion?

Accepted Answer

Serum potassium level and renal function

Answer

Complete blood count

Answer

Serum glucose

Answer

Prothrombin time

Question 3

A nurse is assessing a peripheral IV site using the INS infiltration scale. Grade 3 infiltration is characterized by which findings?

Accepted Answer

Skin blanched, cool to touch, edema 1-6 inches, possible numbness

Answer

No symptoms

Answer

Gross edema greater than 6 inches, deep pitting edema, circulatory impairment

Answer

Slight edema, cool skin, blanching

Question 4

What assessment findings indicate a positive Allen's test before arterial line placement?

Accepted Answer

The hand flushes pink within 5-7 seconds after releasing the ulnar artery, indicating adequate collateral circulation

Answer

The hand remains pale after releasing the ulnar artery

Answer

The fingers become cyanotic

Answer

No color change in the hand

Question 5

Which vital sign change is the earliest indicator of a systemic transfusion reaction?

Accepted Answer

Temperature increase of 1°C or more above baseline

Answer

Decreased blood pressure

Answer

Decreased respiratory rate

Answer

Bradycardia

Question 6

A nurse is monitoring a patient receiving total parenteral nutrition. Which laboratory panel should be monitored at least twice weekly?

Accepted Answer

Basic metabolic panel including glucose, electrolytes, BUN, and creatinine

Answer

Coagulation studies

Answer

Thyroid function tests

Answer

Urinalysis