NURS 611
NURS 611 Exam 1 Study Questions
and Answers 100% Verified 2026
purpose of IV therapy
hydration
nutrition
med administration
choosing vascular access
based on medications needed to be administeres, length of stay/care w/ goal of
minimizing # of accesses, attempts, and risk for adverse reaction
access standards of care
location
gauge size
# of attempts
chlorhexidine
bacteriostatic dressings/caps
scrub hub
site check
environment
flushing
blood return
continuous IV site check
performed every hour
intermittent IV site check
performed Q8H and/or prior to med administration
tubing standards of care
never leave tubing uncapped
change continuous tubing Q96H
NURS 611
,NURS 611
change TPN tubing Q24H
change blood product tubing every unit
peripheral IV
short term catheter inserted into any vein that is not in the chest or abdomen
function: non irritating and non vesicant meds
dwell time: therapy > 5 days
peripheral IV sites
cephalic, basilic, saphenous, external jugular, antecubital, dorsal venous, scalp
care of peripheral line
assess, flush for patency, maintain dressing, removal
catheter sizes and flow rates
midline catheters
"long peripheral line"// sterile
location: terminates in area of axillae
meds: blood draw
dwell time: up to 4 weeks
midline catheter sites
basilic and cephalic veins
midline catheter uses
blood draw
PPN
pts with difficult IV access
central line (CVAD)
tip terminates in the SVC
long dwell times
NURS 611
,NURS 611
types of central lines
PICC
non-tunneled CVC
tunneled CVC
implanted port
central line flushing
some (open ended catheters) require heparin flushes to prevent clogging with fibrin;
while some (valved catheters) do not
PICC line
peripherally inserted central catheter
location: tip terminates in the SVS
dwell time: 6mos-1yr
PICC line uses
vesicant therapy
meds with pH <5 or >9
long term fluid therapy (>4 weeks)
parenteral nutrition glucose ?10%
PICC line indications
infection
endocarditis
hyperemesis
osteomyeltits
ancer
pancreatitis
bowel obstruction
nutritional support
PICC line care
verify placement
pink band
NURS 611
, NURS 611
dressing changes q7days
flushing with 10
risks
systemic bacteremia
pt w/ this infection must have - bcxs for 48hrs before a picc can be placed
lumens
each provides independent access to venous circulation to allow incompatible drugs or
fluids to be infused simultaneously
infusion valve
opens with minimal pressure and automatically closes after infusion
aspiration valve
opens for sampling and automatically closes to resist pressure fluctuations that may
cause reflux
closed valve
remains closed during normal increases in CVP to prevent reflux
valved catheters
no need for heparin flush since valve is closed when not being used so fibrin is less
likely to clog line; requires 10mL NS flush per day or before and after use instead
three way valve
a valve with three ports (one inlet and two outlets) used to divert flow direction and
allows for blood draw
non-tunneled catheter
catheter put directly into the subclavian of internal jugular vein
short term use only d/t high infection rate
tunneled catheter
longer catheter, which is channelled under the skin from the point of insertion in the
vein to an exit site; specialized cuff attached to line; lower infection rate
NURS 611
NURS 611 Exam 1 Study Questions
and Answers 100% Verified 2026
purpose of IV therapy
hydration
nutrition
med administration
choosing vascular access
based on medications needed to be administeres, length of stay/care w/ goal of
minimizing # of accesses, attempts, and risk for adverse reaction
access standards of care
location
gauge size
# of attempts
chlorhexidine
bacteriostatic dressings/caps
scrub hub
site check
environment
flushing
blood return
continuous IV site check
performed every hour
intermittent IV site check
performed Q8H and/or prior to med administration
tubing standards of care
never leave tubing uncapped
change continuous tubing Q96H
NURS 611
,NURS 611
change TPN tubing Q24H
change blood product tubing every unit
peripheral IV
short term catheter inserted into any vein that is not in the chest or abdomen
function: non irritating and non vesicant meds
dwell time: therapy > 5 days
peripheral IV sites
cephalic, basilic, saphenous, external jugular, antecubital, dorsal venous, scalp
care of peripheral line
assess, flush for patency, maintain dressing, removal
catheter sizes and flow rates
midline catheters
"long peripheral line"// sterile
location: terminates in area of axillae
meds: blood draw
dwell time: up to 4 weeks
midline catheter sites
basilic and cephalic veins
midline catheter uses
blood draw
PPN
pts with difficult IV access
central line (CVAD)
tip terminates in the SVC
long dwell times
NURS 611
,NURS 611
types of central lines
PICC
non-tunneled CVC
tunneled CVC
implanted port
central line flushing
some (open ended catheters) require heparin flushes to prevent clogging with fibrin;
while some (valved catheters) do not
PICC line
peripherally inserted central catheter
location: tip terminates in the SVS
dwell time: 6mos-1yr
PICC line uses
vesicant therapy
meds with pH <5 or >9
long term fluid therapy (>4 weeks)
parenteral nutrition glucose ?10%
PICC line indications
infection
endocarditis
hyperemesis
osteomyeltits
ancer
pancreatitis
bowel obstruction
nutritional support
PICC line care
verify placement
pink band
NURS 611
, NURS 611
dressing changes q7days
flushing with 10
risks
systemic bacteremia
pt w/ this infection must have - bcxs for 48hrs before a picc can be placed
lumens
each provides independent access to venous circulation to allow incompatible drugs or
fluids to be infused simultaneously
infusion valve
opens with minimal pressure and automatically closes after infusion
aspiration valve
opens for sampling and automatically closes to resist pressure fluctuations that may
cause reflux
closed valve
remains closed during normal increases in CVP to prevent reflux
valved catheters
no need for heparin flush since valve is closed when not being used so fibrin is less
likely to clog line; requires 10mL NS flush per day or before and after use instead
three way valve
a valve with three ports (one inlet and two outlets) used to divert flow direction and
allows for blood draw
non-tunneled catheter
catheter put directly into the subclavian of internal jugular vein
short term use only d/t high infection rate
tunneled catheter
longer catheter, which is channelled under the skin from the point of insertion in the
vein to an exit site; specialized cuff attached to line; lower infection rate
NURS 611
