Question 1

Which of the following central venous access devices requires a pulsating action for irrigation?

Accepted Answer

A) Percutaneous catheter. 
B) Catheter with Groshong valve. 
C) Subcutaneous port. 
D) PICC. 
A) Percutaneous catheter. 
B) Catheter with Groshong valve. 
C) Subcutaneous port. 
D) PICC. D

Question 2

The priority method for site preparation for central catheters is

Accepted Answer

A) An alcohol prep pad;cleanse from inner aspects outward to the periphery. 
B) A 2% chlorhexidine gluconate skin prep applicator. 
C) A 10% povidone-iodine prep pad. 
D) Tincture of iodine soaked 2" × 2" gauze pads. 
A) An alcohol prep pad;cleanse from inner aspects outward to the periphery. 
B) A 2% chlorhexidine gluconate skin prep applicator. 
C) A 10% povidone-iodine prep pad. 
D) Tincture of iodine soaked 2" × 2" gauze pads. B

Question 3

A special precaution in caring for the client with a PICC is__________  .

Accepted Answer

No blood pressure measurement in affected arm.

Question 4

The purpose of applying a BIOPATCH dressing around a catheter is:

Accepted Answer

The patch absorbs up to 8 time

Question 5

A central catheter dressing change requires all of the following safety factors except

Accepted Answer

A) The insertion site is cleansed with acetone to clean the site of dried blood. 
B) The IV site is cleaned from the insertion site to the periphery. 
C) Masks are worn by both client and nurse. 
D) The tubing is changed while having client hold his or her breath and bear down. 
A) The insertion site is cleansed with acetone to clean the site of dried blood. 
B) The IV site is cleaned from the insertion site to the periphery. 
C) Masks are worn by both client and nurse. 
D) The tubing is changed while having client hold his or her breath and bear down.

Question 6

Place the steps of irrigating a CV catheter with Groshong valve in sequence from 1 to 4.
A)Clean catheter connector,using 2% chlorhexidine gluconate.__________ 
B)Remove injection cap by twisting and pulling cap in counterclockwise movement.__________ 
C)Maintain positive pressure on plunger of syringe.__________ 
D)Inject 5 mL of normal saline into the catheter lumen.__________

Accepted Answer

The answer of Place the steps of irrigating a CV...

Question 7

The major advantage of the peripherally inserted central catheter (PICC)is

Accepted Answer

A) Nurse can insert via venipuncture. 
B) No flushing is required to maintain. 
C) Less risk of infections. 
D) Subcutaneous implantation. 
A) Nurse can insert via venipuncture. 
B) No flushing is required to maintain. 
C) Less risk of infections. 
D) Subcutaneous implantation.

Question 8

The term "central venous pressure" is defined as

Accepted Answer

A) Pressure of the circulating blood. 
B) Pressure of blood returning to the left atrium. 
C) Pressure of the blood in the pulmonary vein. 
D) Pressure of blood returning to the right atrium. 
A) Pressure of the circulating blood. 
B) Pressure of blood returning to the left atrium. 
C) Pressure of the blood in the pulmonary vein. 
D) Pressure of blood returning to the right atrium.

Question 9

The Huber needle can remain in place for __________________ days when frequent IV drugs are being infused through the infusion port.

Accepted Answer

The answer of The Huber needle can remain in place...

Question 10

Opening a central vascular catheter to room air places the client at risk for

Accepted Answer

A) Hemorrhage. 
B) Air embolism. 
C) Infection. 
D) Catheter clotting. 
A) Hemorrhage. 
B) Air embolism. 
C) Infection. 
D) Catheter clotting.

Question 11

The major difference in maintaining the CV catheter with Groshong valve is__________

Accepted Answer

Only saline is used

Question 12

What action will you take to prevent aspiration of blood into the catheter lumen to decrease the risk of catheter occlusion?

Accepted Answer

Maintain positive pressure whe

Question 13

The major advantage of a subcutaneous port is

Accepted Answer

A) No flushing is required. 
B) Less risk of infection. 
C) Painless accessibility. 
D) Nurse can insert. 
A) No flushing is required. 
B) Less risk of infection. 
C) Painless accessibility. 
D) Nurse can insert.

Question 14

What is the correct procedure for identifying the zero point before taking a CVP reading?

Accepted Answer

A) Mark the point at the midaxillary area at fourth intercostal space. 
B) Mark the point laterally 8 cm down from the anterior chest. 
C) Feel for the point of maximum impulse (PMI)of the heart,and mark this point. 
D) Mark the midsternal point laterally,one-third of the way between the anterior to the posterior chest. 
A) Mark the point at the midaxillary area at fourth intercostal space. 
B) Mark the point laterally 8 cm down from the anterior chest. 
C) Feel for the point of maximum impulse (PMI)of the heart,and mark this point. 
D) Mark the midsternal point laterally,one-third of the way between the anterior to the posterior chest.

Question 15

Provide rationale for the use of the CLC2000™ Positive Pressure Device

Accepted Answer

The CLC2000™ creates a positiv

Question 16

Occlusion of a central vascular access device places the client at risk for

Accepted Answer

A) Stroke. 
B) Drug extravasation. 
C) Air embolism. 
D) Pulmonary embolism. 
A) Stroke. 
B) Drug extravasation. 
C) Air embolism. 
D) Pulmonary embolism.

Question 17

When you are assessing the central vascular subcutaneous infusion port,you place your thumb and forefinger on the port.The rationale for this action is to
.

Accepted Answer

The answer of When you are assessing the central vascular...

Question 18

The Groshong CV catheter with Groshong valve should be irrigated using

Accepted Answer

A) A slow injection rate. 
B) A tuberculin syringe for increased pressure. 
C) A stop-start. 
D) Heparinized solution in a 3 mL syringe. 
A) A slow injection rate. 
B) A tuberculin syringe for increased pressure. 
C) A stop-start. 
D) Heparinized solution in a 3 mL syringe.

Question 19

Which one of the following statements is not true regarding a midline catheter?

Accepted Answer

A) The catheter is inserted at least 10 inches into a proximal vein in the arm. 
B) The catheter is termed a tunneled catheter. 
C) The site needs to be changed every 3 to 4 days. 
D) X-ray for placement is not necessary,as it does not enter the superior vena cava. 
A) The catheter is inserted at least 10 inches into a proximal vein in the arm. 
B) The catheter is termed a tunneled catheter. 
C) The site needs to be changed every 3 to 4 days. 
D) X-ray for placement is not necessary,as it does not enter the superior vena cava.

Question 20

Briefly state the cleansing procedure before accessing a subcutaneous central venous Medi-Port.

Accepted Answer

Use 2 %chlorhexidine swab,start at cente

Exam 29: Central Vascular Access

Which of the following central venous access devices requires a pulsating action for irrigation?

The priority method for site preparation for central catheters is

A special precaution in caring for the client with a PICC is__________ .

The purpose of applying a BIOPATCH dressing around a catheter is:

A central catheter dressing change requires all of the following safety factors except

The major advantage of the peripherally inserted central catheter (PICC)is

The term "central venous pressure" is defined as

The Huber needle can remain in place for __________________ days when frequent IV drugs are being infused through the infusion port.

Opening a central vascular catheter to room air places the client at risk for

The major difference in maintaining the CV catheter with Groshong valve is__________

What action will you take to prevent aspiration of blood into the catheter lumen to decrease the risk of catheter occlusion?

The major advantage of a subcutaneous port is

What is the correct procedure for identifying the zero point before taking a CVP reading?

Provide rationale for the use of the CLC2000™ Positive Pressure Device

Occlusion of a central vascular access device places the client at risk for

When you are assessing the central vascular subcutaneous infusion port,you place your thumb and forefinger on the port.The rationale for this action is to .

The Groshong CV catheter with Groshong valve should be irrigated using

Which one of the following statements is not true regarding a midline catheter?

Briefly state the cleansing procedure before accessing a subcutaneous central venous Medi-Port.

Professional Nursing

Nursing Process and Critical Thinking

Managing Client Care: Documentation and Delegation

Communication and Nurse-Client Relationship

Admission, Transfer, and Discharge

Client Education and Discharge Planning

Safe Client Environment and Restraints

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Personal Hygiene

Vital Signs

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Body Mechanics and Positioning

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