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WorksheetsCentral Venous Access Device Quiz
Total questions: 23
Worksheet time: 12mins
What is the primary purpose of a Central Venous Access Device (CVAD)?
Short-term emergency fluid replacement
Long-term therapy and incompatible fluids
Blood pressure monitoring
Pain medication only
Which pH range requires a central line?
5–9
6–8
Less than 5 or greater than 9
Only alkaline medications
Which CVAD is placed in the upper arm and typically lasts 6–8 weeks?
Tunneled catheter
Implanted port
PICC line
Femoral line
How is PICC line placement confirmed?
Chest x-ray only
ECG color-wave confirmation
Blood pressure changes
Patient symptoms
Which CVAD is surgically implanted, hidden under the skin, and can remain for years?
PICC
Non-tunneled catheter
Implanted port
Midline
What needle must be used to access an implanted port?
Butterfly needle
Angiocath
Huber needle
Spinal needle
How often must a port access needle be changed?
Every 24 hours
Every 72 hours
Every 5 days
Every 7 days
Which solution MUST be administered through a dedicated central line?
Normal saline
D5W
Total Parenteral Nutrition (TPN)
Cefazolin
Which statement about TPN is correct?
It can be stopped abruptly
Tubing is changed every 72 hours
It requires a filter and tubing change every 24 hours
It is used to promote weight gain
If TPN runs out and pharmacy has not delivered a new bag, what should the nurse do?
Stop the infusion
Hang normal saline
Hang dextrose
Call rapid response
Which IV device cannot be used for TPN or vesicant medications?
PICC
Tunneled catheter
Implanted port
Midline
What is the maximum dwell time for a midline catheter?
7 days
14 days
29 days
Indefinite
Which syringe size is recommended for flushing CVADs?
3 mL
5 mL
10 mL or larger
Any size is acceptable
What is the nurse’s FIRST action if there is no blood return from a CVAD?
Administer medication anyway
Remove the catheter
Reposition the patient
Flush forcefully
Which complication can occur if a CVAD is left unclamped?
Infiltration
Air embolism
Phlebitis
Occlusion
What position should the nurse place a patient in if an air embolism is suspected?
Supine
Fowler’s
Trendelenburg
Prone
How often should transparent CVAD dressings be changed if clean and dry?
Every 24 hours
Every 3 days
Every 5 days
Every 7 days
Which assessment helps prevent CLABSI?
Daily line assessment
Only flushing PRN
Avoiding dressing changes
Using smaller syringes
Which patients are NOT good candidates for PICC or midline placement?
Clients with chronic disease
Clients with kidney impairment
Clients receiving antibiotics
Pediatric clients
What must ALWAYS be done after medication administration through a CVAD?
Change the dressing
Flush with 10 mL
Remove the line
Clamp and leave
Which CVAD is most suitable for long-term chemotherapy administration?
Implanted port
PICC line
Non-tunneled catheter
Midline catheter
What is the recommended action if a CVAD dressing becomes wet or soiled?
Leave it until the next scheduled change
Replace the dressing immediately
Apply tape over the wet area
Notify the physician before changing
Which complication is most associated with improper flushing technique of a CVAD?
Phlebitis
Hemorrhage
Infection
Occlusion
