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WorksheetsTPN and CVADs Quiz
Total questions: 20
Worksheet time: 10mins
What type of solution is TPN?
Isotonic
Hypotonic
Hypertonic
Colloid
TPN must be administered through which type of line?
Peripheral IV
Midline
Central line
Butterfly needle
Why must TPN be on a dedicated line?
It infuses too slowly
It is incompatible with other fluids
It causes pain
It clots easily
How often must TPN tubing be changed?
Every 12 hours
Every 24 hours
Every 48 hours
Every 72 hours
What additional equipment is REQUIRED when infusing TPN?
Blood warmer
Pressure bag
Filter
Extension tubing
Which assessment is MOST important for a patient receiving TPN?
Lung sounds
Pain level
Blood glucose
Capillary refill
Why should TPN NEVER be stopped abruptly?
Risk of fluid overload
Risk of hypoglycemia
Risk of hypertension
Risk of infection
If TPN runs out and pharmacy has not delivered a new bag, the nurse should:
Stop the infusion
Hang normal saline
Hang dextrose
Notify the provider only
Which finding should the nurse report immediately for a patient on TPN?
Stable weight
Normal glucose
Elevated temperature
Clear dressing
The goal of TPN therapy is to:
Promote rapid weight gain
Replace GI function permanently
Maintain nutrition while resting the GI tract
Increase fluid volume
Which medication pH requires a central line?
pH 6–8
pH 5–9
Less than 5 or greater than 9
Neutral only
Which CVAD is placed in the upper arm and lasts 6–8 weeks?
Tunneled catheter
Implanted port
PICC line
Femoral line
Which CVAD can remain in place for years?
PICC
Midline
Implanted port
Non-tunneled catheter
What needle is REQUIRED to access an implanted port?
Butterfly needle
Angiocath
Huber needle
Insulin needle
How often should a clean, dry CVAD dressing be changed?
Every 24 hours
Every 3 days
Every 5 days
Every 7 days
Which CVAD cannot be used for TPN or vesicants?
PICC
Tunneled catheter
Implanted port
Midline
What syringe size should ALWAYS be used for flushing CVADs?
3 mL
5 mL
10 mL or larger
Any size
Which complication can occur if a central line is left unclamped?
Infiltration
Air embolism
Phlebitis
Extravasation
If no blood return is obtained from a CVAD, what is the FIRST nursing action?
Remove the catheter
Administer medication anyway
Reposition the patient
Flush forcefully
Which action helps prevent CLABSI?
Using small syringes
Scrubbing the hub
Leaving dressings longer
Avoiding daily assessment
