CRNI CRNI Pediatric Infusion Therapy Practice Test 5

Question 1

Which site is generally preferred for peripheral IV insertion in an infant under 6 months of age when upper extremity veins are inaccessible?

Accepted Answer

Scalp vein

Answer

Scalp veins are commonly used in infants under 6 months because they are superficial, accessible, and allow the infant's hands to remain free.

Question 2

A 10-year-old receiving total parenteral nutrition (TPN) via a central line develops sudden onset of chest pain and dyspnea. The nurse should first suspect which complication?

Accepted Answer

Air embolism

Answer

Sudden chest pain and dyspnea during central line infusion are classic signs of air embolism, a life-threatening complication requiring immediate intervention.

Question 3

When using a needleless connector on a pediatric central venous catheter, which technique best reduces the risk of intraluminal contamination?

Accepted Answer

Scrubbing the hub with 70% alcohol for at least 15 seconds before each access

Answer

Scrubbing the needleless connector hub with 70% alcohol for a minimum of 15 seconds ("scrub the hub") is the evidence-based practice to reduce intraluminal contamination.

Question 4

A 3-year-old with sickle cell disease is receiving a simple red blood cell transfusion. After 50 mL, the child develops fever, chills, and back pain. Which transfusion reaction is most likely?

Accepted Answer

Acute hemolytic transfusion reaction

Answer

Fever, chills, and back pain occurring shortly after transfusion onset in sickle cell disease are classic signs of acute hemolytic transfusion reaction due to ABO incompatibility.

Question 5

Which method is recommended to confirm correct nasogastric tube placement before administering medications or feedings in a pediatric patient?

Accepted Answer

pH testing of aspirate (pH ≤ 5.5) confirmed by X-ray on initial placement

Answer

pH testing of gastric aspirate combined with radiographic confirmation on initial placement is the most reliable method; auscultation alone is not considered reliable.

CRNI Exam Practice Test

CRNI Exam Practice Test

CRNI CRNI Pediatric Infusion Therapy Practice Test 5