CRNI Principles of Practice 4

Question 1

A patient's IV infusion rate is ordered at 125 mL/hr. The nurse notices the infusion has been running at 150 mL/hr for the past 2 hours. What is the FIRST nursing action?

Accepted Answer

Assess the patient for signs of fluid overload, then correct the rate

Answer

Patient safety requires assessing for harm before correcting the rate and documenting the incident.

Question 2

Which principle BEST describes the infusion nurse's responsibility when a manufacturer's device instructions conflict with facility policy?

Accepted Answer

Escalate to risk management and suspend use until clarified

Answer

Conflicts between manufacturer instructions and facility policy must be escalated to risk management to ensure patient safety and legal compliance.

Question 3

A patient refuses to allow the nurse to change their PICC dressing that is due for a routine change. The site appears clean with no signs of infection. What should the nurse do?

Accepted Answer

Document the refusal, educate the patient on risks, and respect their decision

Answer

Competent patients have the right to refuse treatment; the nurse must document the refusal and provide education about risks.

Question 4

According to INS standards, how frequently should short peripheral IV catheters be assessed in adults?

Accepted Answer

Every 4 hours or with each patient interaction

Answer

INS standards recommend assessment of short peripheral IV catheters every 4 hours or with each patient interaction to detect complications early.

Question 5

Which action BEST demonstrates evidence-based practice in infusion nursing?

Accepted Answer

Consulting current INS standards and peer-reviewed literature when updating protocols

Answer

Evidence-based practice requires integrating current best evidence from peer-reviewed literature and professional standards into clinical decision-making.

CRNI Exam Practice Test

CRNI Exam Practice Test

CRNI Principles of Practice 4