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Which veins are used during central line placement?
- A. Brachial vein
- B. Cephalic vein
- C. Jugular vein
- D. Femoral vein
- E. Subclavian vein
- F. Basilic vein
Correct Answer: C,D,E
Rationale: Central lines are placed in larger veins like the jugular, femoral, or subclavian veins for central venous access.
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Which of the following strengths of heparin could you use for flushing a PRN lock?
- A. 1,000 units/mL
- B. 10 units/mL
- C. 5,000 units/mL
- D. 10,000 units/mL
- E. 100 units/mL
Correct Answer: B,E
Rationale: Heparin for flushing PRN locks is typically 10 or 100 units/mL to prevent clotting without causing systemic anticoagulation.
If an IV order says to infuse 1,000 mL of fluid at the rate of 125 mL/hr, how many hours will it take to complete the infusion?
- A. 8 hours
- B. 6 hours
- C. 12 hours
- D. 10 hours
- E. 125 hours
Correct Answer: A
Rationale: 1,000 mL ÷ 125 mL/hr = 8 hours.
Which veins are used during PICC placement?
- A. Basilic vein
- B. Jugular vein
- C. Carotid vein
- D. Brachial vein
- E. Cephalic vein
Correct Answer: A,D,E
Rationale: PICC lines are placed in peripheral veins like the basilic, brachial, or cephalic veins, advancing to the superior vena cava.
What are the signs and symptoms of phlebitis?
- A. Site cool to touch
- B. Edema at the site
- C. Erythema at the site
- D. Blanching or pallor of skin around site
- E. Vein feels like a hard cord when palpated
- F. Solution leakage at site
Correct Answer: B,C,E
Rationale: Phlebitis is characterized by inflammation, causing edema, erythema, and a hard, cord-like vein at the site.
The difference(s) between a primary IV administration set and a secondary IVPB administration set include(s) which of the following?
- A. The secondary IVPB administration set is used for administering IV push medication.
- B. The primary IV administration set always has a drop factor of 60.
- C. The primary IV administration set is longer than the secondary IVPB administration set.
- D. The secondary IVPB administration set has a drip chamber for visualizing the drip rate, while the primary administration set does not.
- E. There is no difference except the drop factor.
Correct Answer: C
Rationale: The primary IV administration set is longer, designed for continuous infusion, while the secondary IVPB set is shorter for intermittent infusions. Both have drip chambers, and drop factors vary.