PICC Infection Prevention & Complication Management 3

Question 1

A PICC nurse is selecting insertion site for a patient requiring long-term IV access. Which vein is preferred to minimize infection risk while maintaining patient comfort?

Accepted Answer

Basilic vein

Answer

The basilic vein is the preferred site for PICC insertion as it is the largest antecubital vein, has the straightest path to central circulation, and is associated with fewer complications.

Question 2

Which type of PICC dressing change schedule is recommended for a CHG-impregnated sponge dressing?

Accepted Answer

Every 7 days or when soiled/loose

Answer

CHG-impregnated sponge dressings should be changed every 7 days or sooner if the dressing becomes soiled, loosened, or compromised.

Question 3

A patient with a PICC suddenly develops dyspnea, chest pain, and a drop in oxygen saturation during an infusion. The most immediate concern should be which complication?

Accepted Answer

Air embolism

Answer

Sudden dyspnea, chest pain, and desaturation during IV infusion are classic signs of air embolism, a life-threatening emergency requiring immediate intervention.

Question 4

When an air embolism is suspected in a patient with a PICC, which positioning intervention is immediately indicated?

Accepted Answer

Left lateral decubitus (Durant's maneuver) with Trendelenburg

Answer

Durant's maneuver — left lateral decubitus with Trendelenburg positioning — traps air in the right ventricle apex, preventing pulmonary artery obstruction.

Question 5

Which bundle element is NOT part of the standardized CLABSI prevention bundle for PICC lines?

Accepted Answer

Routine prophylactic antibiotic administration prior to insertion

Answer

Routine prophylactic antibiotics before PICC insertion are not recommended and are not part of the CLABSI bundle; such practice promotes antimicrobial resistance.

(PICC) Peripherally Inserted Central Catheter Certified Nurse Practice Test

(PICC) Peripherally Inserted Central Catheter Certified Nurse Practice Test

PICC Infection Prevention & Complication Management 3