CRNI Patient Assessment and Monitoring Practice Test Flashcards
7 cards from real CRNI practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 CRNI Patient Assessment and Monitoring Practice Test flashcards as text
During a peripheral IV assessment using the Visual Infusion Phlebitis (VIP) scale, a score of 3 is noted. What action should the infusion nurse take?
Answer: Restart the IV at a different site and document findings
A VIP score of 3 indicates medium-stage phlebitis with pain, erythema, and streaking, requiring catheter removal and resiting.
Which assessment finding in a patient with a subclavian central line should prompt the nurse to immediately suspect catheter malposition?
Answer: Hearing a gurgling sound during infusion and arm swelling
Gurgling sounds during infusion and arm swelling suggest the catheter tip may be malpositioned into an ipsilateral vessel rather than the superior vena cava.
A patient on continuous heparin infusion has an aPTT of 200 seconds (therapeutic range 60–100 seconds). In addition to stopping the infusion, what assessment finding is most critical to monitor?
Answer: Signs of active bleeding including neurological status changes
Supratherapeutic aPTT places the patient at risk for life-threatening hemorrhage, including intracranial bleeding detectable through neurological status changes.
When assessing a patient for catheter-associated bloodstream infection (CLABSI), which symptom alone is sufficient to initiate a blood culture draw from the central line?
Answer: New fever (≥38°C) with no other identified source in a patient with a central line
An unexplained fever in a patient with a central venous catheter is a primary indication for blood culture collection to rule out CLABSI.
A pediatric patient receiving IV therapy develops tachycardia, increased respiratory rate, and periorbital edema. Which complication of IV therapy does this presentation most suggest?
Answer: Fluid overload
Tachycardia, increased respiratory rate, and periorbital edema are hallmark signs of fluid overload, especially in pediatric patients with less fluid reserve.
A nurse is assessing catheter tip position after a PICC insertion. The chest X-ray report states the tip is in the 'mid-SVC.' What is the nurse's appropriate response?
Answer: Document and continue monitoring; mid-SVC is an acceptable position
The mid to lower SVC at the cavoatrial junction is the ideal and acceptable PICC tip position for infusing all therapy types.
Which laboratory value trend in a patient receiving prolonged IV antibiotics warrants assessment for nephrotoxicity?
Answer: Rising serum creatinine and BUN
Rising serum creatinine and BUN indicate declining glomerular filtration and are the primary markers of antibiotic-induced nephrotoxicity.