Principles of Practice 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 Principles of Practice flashcards as text
A patient's IV infusion rate is ordered at 125 mL/hr. The nurse notices the infusion has been running at 150 mL/hr for the past 2 hours. What is the FIRST nursing action?
Answer: Assess the patient for signs of fluid overload, then correct the rate
Patient safety requires assessing for harm before correcting the rate and documenting the incident.
Which principle BEST describes the infusion nurse's responsibility when a manufacturer's device instructions conflict with facility policy?
Answer: Escalate to risk management and suspend use until clarified
Conflicts between manufacturer instructions and facility policy must be escalated to risk management to ensure patient safety and legal compliance.
A patient refuses to allow the nurse to change their PICC dressing that is due for a routine change. The site appears clean with no signs of infection. What should the nurse do?
Answer: Document the refusal, educate the patient on risks, and respect their decision
Competent patients have the right to refuse treatment; the nurse must document the refusal and provide education about risks.
According to INS standards, how frequently should short peripheral IV catheters be assessed in adults?
Answer: Every 4 hours or with each patient interaction
INS standards recommend assessment of short peripheral IV catheters every 4 hours or with each patient interaction to detect complications early.
Which action BEST demonstrates evidence-based practice in infusion nursing?
Answer: Consulting current INS standards and peer-reviewed literature when updating protocols
Evidence-based practice requires integrating current best evidence from peer-reviewed literature and professional standards into clinical decision-making.
A home infusion nurse discovers that a patient has been reusing single-use supplies to save money. What is the PRIORITY nursing intervention?
Answer: Educate the patient on infection risks and explore financial assistance options
The priority is patient safety through education about risks, while also addressing the underlying financial barrier through available assistance programs.
Which statement BEST reflects the scope of practice for a Certified Registered Nurse Infusion (CRNI)?
Answer: CRNI practice is defined by certification, state nurse practice acts, and facility policies
Scope of practice for a CRNI is governed by the intersection of specialty certification, state nurse practice acts, and individual employer policies.