CRNI Infusion Therapy Documentation and Standards Practice Test

Question 1

Which organization publishes the Infusion Therapy Standards of Practice that serves as the primary clinical reference for infusion nursing?

Accepted Answer

Infusion Nurses Society (INS)

Answer

The Infusion Nurses Society (INS) publishes the Infusion Therapy Standards of Practice, which is the authoritative reference for evidence-based infusion therapy practice. Updated regularly, these standards cover all aspects of infusion nursing including vascular access, administration, patient safety, and documentation requirements.

Question 2

What information must be documented when inserting a peripheral IV catheter?

Accepted Answer

Date, time, catheter gauge and length, insertion site, number of attempts, patient response, and nurse's initials

Answer

Complete documentation of peripheral IV insertion includes the date and time, catheter type, gauge and length, insertion site (including laterality and specific vein), number of attempts, skin prep method, patient's tolerance and response, securing method, and the inserting nurse's identification. This comprehensive record supports continuity of care and legal protection.

Question 3

According to INS standards, what constitutes informed consent for infusion therapy?

Accepted Answer

Patient receiving information about the therapy's purpose, risks, benefits, alternatives, and the right to refuse before agreeing to treatment

Answer

Informed consent requires that the patient receive and understand information about the proposed therapy's purpose, potential risks and complications, expected benefits, available alternatives, and their right to refuse treatment. The patient must have the opportunity to ask questions and provide voluntary consent. This should be documented in the medical record.

Question 4

Which standard requires documentation of the central venous catheter tip position before first use?

Accepted Answer

INS Standards of Practice and The Joint Commission requirements both mandate tip position verification and documentation

Answer

Both INS Standards of Practice and The Joint Commission require documentation of central venous catheter tip position verification (typically by chest X-ray) before the catheter is used for infusion. The documented tip position should be at the cavoatrial junction or lower third of the SVC. Using a CVC without confirmed tip position puts the patient at risk.

Question 5

What documentation is required when a patient experiences an adverse reaction during infusion therapy?

Accepted Answer

Detailed documentation including the time of onset, signs and symptoms, infusion details, interventions taken, patient response, and provider notification

Answer

Adverse reaction documentation must include the exact time of onset, detailed description of signs and symptoms, vital signs, the medication or solution involved (including lot number for blood products), all interventions taken with times, the patient's response to interventions, all providers notified and orders received, and follow-up assessments.

CRNI Exam Practice Test

CRNI Exam Practice Test

CRNI Infusion Therapy Documentation and Standards Practice Test