CRNI Principles of Practice Questions and Answers

Question 1

A certified registered nurse infusion (CRNI) is preparing to insert a peripheral intravenous catheter for a scheduled antibiotic infusion.
The patient, who is alert and oriented, states, "I've had bad experiences before, and I don't want the IV." Which of the following is the most appropriate initial action for the nurse to take?

Accepted Answer

Document the patient's refusal in the medical record and notify the prescribing provider.

Answer

Explain the risks of not receiving the antibiotic and proceed with the insertion.

Answer

Ask a family member to convince the patient to accept the treatment.

Answer

Request a different nurse to attempt the insertion, as the patient may be more comfortable with someone else.

Question 2

Which of the following is the primary purpose of performing antiseptic skin preparation with an approved agent before inserting a vascular access device?

Accepted Answer

To reduce the number of microorganisms on the skin and minimize the risk of infection.

Answer

To anesthetize the insertion site.

Answer

To visualize the vein more clearly.

Answer

To promote vasodilation for easier cannulation.

Question 3

An infusion therapy team is implementing a quality improvement (QI) program to reduce the incidence of phlebitis. Which activity is most essential to this program?

Accepted Answer

Collecting and analyzing data on phlebitis rates, causative factors, and outcomes.

Answer

Surveying nurses about their satisfaction with current IV start kits.

Answer

Implementing a new brand of intravenous catheter without initial data.

Answer

Requiring all nurses to attend a one-time in-service on phlebitis.

Question 4

A patient experiences a severe hypotensive reaction immediately after the CRNI initiates an infusion of a new antibiotic. After stopping the infusion and stabilizing the patient, the nurse discovers that the wrong medication was hung. According to the principles of professional practice, what is the nurse's priority action?

Accepted Answer

Complete an incident report and notify the nurse manager and physician.

Answer

Ask a colleague to witness the disposal of the incorrect medication.

Answer

Document the patient's vital signs in the electronic health record.

Answer

Contact the pharmacy to determine the antidote for the medication.

Question 5

When selecting a site for peripheral intravenous catheter insertion in an adult patient, which of the following veins is generally the best initial choice?

Accepted Answer

The cephalic vein in the forearm.

Answer

A vein on the palmar side of the wrist.

Answer

The basilic vein in the upper arm.

Answer

A superficial vein in the foot.

Question 6

A CRNI is providing discharge education to a patient with a newly placed peripherally inserted central catheter (PICC). Which of the following is the most critical information to include in the teaching plan?

Accepted Answer

The signs and symptoms of complications that require immediate notification of a healthcare provider.

Answer

A list of activities that are restricted, such as swimming.

Answer

Instructions on how to measure their own blood pressure.

Answer

The schedule for the home health nurse's flushing and dressing change visits.