CRNI Pediatric Infusion Therapy Practice Test

Question 1

What is the primary reason pediatric patients are at higher risk for fluid overload during infusion therapy?

Accepted Answer

Smaller total blood volume relative to adults

Answer

Lower body surface area

Answer

Higher metabolic rate

Answer

Increased renal clearance

Question 2

When calculating maintenance IV fluid rates for a pediatric patient using the Holliday-Segar method, what is the rate for the first 10 kg of body weight?

Accepted Answer

100 mL/kg/day

Answer

50 mL/kg/day

Answer

20 mL/kg/day

Answer

150 mL/kg/day

Question 3

Which vascular access device is most appropriate for short-term peripheral infusion therapy in a neonate?

Accepted Answer

24-gauge peripheral IV catheter

Answer

Tunneled central venous catheter

Answer

Implanted port

Answer

18-gauge midline catheter

Question 4

What is the recommended maximum volume for a single IV push medication in a neonate?

Accepted Answer

1 mL

Answer

5 mL

Answer

10 mL

Answer

3 mL

Question 5

A nurse is preparing to start an IV on a 2-year-old child. Which site is generally preferred for peripheral IV access in this age group?

Accepted Answer

Dorsum of the hand

Answer

Antecubital fossa

Answer

Scalp vein

Answer

External jugular

Question 6

Which complication is unique to neonatal umbilical vein catheter (UVC) use?

Accepted Answer

Hepatic necrosis from malposition

Answer

Air embolism

Answer

Phlebitis

Answer

Catheter occlusion