CRNI Infection Prevention and Control 2

Question 1

What is the recommended frequency for assessing peripheral IV sites for signs of complications?

Accepted Answer

Every 1-2 hours for critically ill patients and at least every 4 hours for general patients

Answer

Once per shift

Answer

Only when the patient reports discomfort

Answer

Every 8 hours during routine rounds

Question 2

Which practice is MOST important for preventing catheter-related infections during infusion therapy?

Accepted Answer

Maintaining a closed infusion system and minimizing line disconnections

Answer

Using antibiotic prophylaxis during IV therapy

Answer

Changing IV tubing every 12 hours

Answer

This question is not relevant to infusion therapy

Question 3

What is the evidence-based practice for preventing bloodstream infections associated with midline catheters?

Accepted Answer

Aseptic technique with CHG skin prep, similar to PICC insertion standards

Answer

The same aseptic insertion technique used for peripheral IVs is sufficient

Answer

Modified Seldinger technique with maximum sterile barriers

Answer

No specific guidelines exist for midline infection prevention

Question 4

Which environmental factor is MOST critical for safe IV admixture preparation?

Accepted Answer

ISO Class 5 air quality environment with proper aseptic technique

Answer

Room temperature between 20-25 degrees C

Answer

Good natural lighting

Answer

Negative pressure room ventilation

Question 5

What is the recommended practice for flushing central venous catheters to maintain patency and prevent infection?

Accepted Answer

Pulsatile flush with preservative-free 0.9% NaCl using push-pause technique

Answer

Continuous heparin infusion at 1 unit/mL

Answer

Flush only when the catheter appears occluded

Answer

Daily flush with 10 mL of bacteriostatic water

Question 6

Which surveillance measure is MOST useful for tracking infusion-related infections in a healthcare facility?

Accepted Answer

CLABSI rate per 1,000 central line days using NHSN definitions

Answer

Monthly staff hand hygiene audits only

Answer

Tracking the total number of infections per year

Answer

Patient satisfaction surveys regarding IV care