CRNI Principles of Practice 2

Question 1

According to the INS Standards of Practice, what is the primary goal of infusion therapy?

Accepted Answer

Providing safe, evidence-based infusion therapy that promotes positive patient outcomes

Answer

Maximizing hospital revenue through IV services

Answer

Reducing the length of hospital stay

Answer

Minimizing the number of venipunctures

Question 2

What is the CRNI's responsibility regarding informed consent for vascular access device placement?

Accepted Answer

Ensure the patient understands the risks, benefits, and alternatives before central vascular access device placement

Answer

Obtain written consent for all IV insertions including peripheral lines

Answer

Informed consent is only the physician's responsibility

Answer

Verbal consent is sufficient for all vascular access procedures

Question 3

Which documentation element is MOST important after vascular access device insertion?

Accepted Answer

Comprehensive insertion documentation including device type, gauge, length, insertion site, number of attempts, complications, tip location verification, and patient tolerance

Answer

Time of insertion only

Answer

Patient's vital signs before and after

Answer

Consent form signature time

Question 4

What ethical principle guides the CRNI when a patient refuses recommended infusion therapy?

Accepted Answer

Autonomy - respect the patient's right to make informed decisions about their care

Answer

Beneficence - override the patient's wishes for their benefit

Answer

Justice - treat all patients equally regardless of preferences

Answer

Non-maleficence - withhold treatment to avoid potential harm

Question 5

What is the scope of practice for a CRNI regarding vascular access device insertion?

Accepted Answer

CRNIs can insert peripheral, midline, and PICC lines as defined by state nurse practice acts and institutional policy

Answer

CRNIs can only insert peripheral IVs

Answer

CRNIs can insert all vascular access devices including surgically implanted ports

Answer

CRNI certification automatically grants insertion privileges

Question 6

How should the CRNI apply quality improvement principles to infusion therapy practice?

Accepted Answer

Participate in data collection, outcome monitoring, practice evaluation, and implementation of evidence-based practice changes

Answer

Quality improvement is the responsibility of the quality department, not bedside nurses

Answer

Only focus on reducing costs associated with IV supplies

Answer

Report complications only when they result in patient harm