Self-Assessment Questions

Question 1

PICC lines are suitable for which of the following?

	a. Long term vascular access for blood sampling
	b. Chemotherapy
	c. Long term antibiotic administration
	d. TPN
	e. All of the above

Question 2

All of the following are contraindications to PICC line insertion in a limb EXCEPT:

	a. Phlebitis
	b. Trauma
	c. Tattoo
	d. Ipsilateral radical mastectomy
	e. Thrombosis

Question 3

The risk of infection increases with increasing catheter lumen number

True False

Question 4

When flushing an adult PICC line, the minimum volume of the syringe must be:

Question 5

When blood sampling from an adult with a central line, a waste volume of ____ must be drawn pre-sample, with a _____ post-sample flush.

Question 6

When removing the catheter

	a. Quickly remove with a strong, firm pull
	b. Slowly withdraw while the patient slowly inhales
	c. Apply very strong manual pressure over the removal site
	d. Slowly withdraw while the patient performs the Valsalva manoeuvre

Question 7

Following removal of a central venous catheter or sheath, apply manual pressure directly over the site for a minimum of:

Question 8

Observe the removed catheter for all EXCEPT:

Question 9

If the catheter appears infected, do all of the following EXCEPT:

	a. Swab discharge and send for culture and sensitivity
	b. Send catheter tip for culture and sensitivity
	c. Notify IVR
	d. Leave the site open to air to assist drainage

Question 10

To prevent air emboli when removing the catheter:

	a. Place the patient in a prone position prior to removal
	b. Have the patient inhale through the mouth during removal
	c. Cover the site with an occlusive dressing following removal
	d. Administer oxygen prior to removal