CRNI CRNI Patient Assessment and Monitoring Practice Test 5

Question 1

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?

Accepted Answer

Restart the IV at a different site and document findings

Answer

A VIP score of 3 indicates medium-stage phlebitis with pain, erythema, and streaking, requiring catheter removal and resiting.

Question 2

Which assessment finding in a patient with a subclavian central line should prompt the nurse to immediately suspect catheter malposition?

Accepted Answer

Hearing a gurgling sound during infusion and arm swelling

Answer

Gurgling sounds during infusion and arm swelling suggest the catheter tip may be malpositioned into an ipsilateral vessel rather than the superior vena cava.

Question 3

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?

Accepted Answer

Signs of active bleeding including neurological status changes

Answer

Supratherapeutic aPTT places the patient at risk for life-threatening hemorrhage, including intracranial bleeding detectable through neurological status changes.

Question 4

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?

Accepted Answer

New fever (≥38°C) with no other identified source in a patient with a central line

Answer

An unexplained fever in a patient with a central venous catheter is a primary indication for blood culture collection to rule out CLABSI.

Question 5

A pediatric patient receiving IV therapy develops tachycardia, increased respiratory rate, and periorbital edema. Which complication of IV therapy does this presentation most suggest?

Accepted Answer

Fluid overload

Answer

Tachycardia, increased respiratory rate, and periorbital edema are hallmark signs of fluid overload, especially in pediatric patients with less fluid reserve.

CRNI Exam Practice Test

CRNI Exam Practice Test

CRNI CRNI Patient Assessment and Monitoring Practice Test 5