Question 1

Correctly identify the image below

Accepted Answer

PICC Line

Answer

Arterial Line

Answer

PIV

Answer

Triple Lumen Catheter

Question 2

You are getting ready to complete a supine to seated edge of bed transfer with a patient with a Foley catheter and PIV. Which of the following should you consider when setting up the room?

Accepted Answer

Move the IV pole and clip the drainage bag to the side of the bed the patient would like to transfer to and manage the lines for them during the transfer to ensure they do not get tangled or snagged.

Answer

Remove the drainage bag from the side of the bed and have the patient hold it against their chest while they complete their transfer, so it does not get tangled in their legs and move the IV pole to whichever side of the bed the patient is transferring to.

Answer

Disconnect the patient’s PIV line for the transfer and clip the drainage bag on the side of the bed the patient would like to transfer to. Once the transfer is completed reconnect the patient’s PIV line.

Answer

Ensure the patient has an adequate amount of line in the PIV to reach to the side of the bed you are transferring to.

Question 3

When working with a patient, they ask what the purpose of tubing sticking out of a wound in their leg is. What is the name of this piece of equipment & which of the following is the best response?

Accepted Answer

Wound vac and the purpose of the tubing and machine is to assist the body with draining excessive fluid and debris from the wound to promote healing.

Answer

Femoral arterial line and the purpose of the tube is to assist the body with draining excessive fluid and restore the wound with blood to promote healing.

Answer

Jackson-Pratt Drain (JP drain) and the purpose of the tubing is to assist with body with draining excessive fluid and debris from the wound to promote healing.

Answer

Wound vac and the purpose is to reduce inflammation and pain in the legs and promote healing.

Question 4

You are working on ADL retraining with a patient who has recently received a PEG tube placement. They ask if they can get in the shower because really want to feel the water run all over their body and wash the stickiness off around their PEG tube site because its irritating. Which of the following is the best response the OTP should use with this patient?

Accepted Answer

I understand the stickiness around the PEG tube placement is likely irritating, but it is important that the site does not get wet, I have some adhesive remover pads that can help get it off, let’s try those. Then, if you up for it we can do a sponge bath at the sink to get cleaned up.

Answer

Showering sounds like a great idea! Give me a second and I will go grab some extra towels and wash clothes so we can get started.

Answer

I don’t think that showering is a very good idea since you recently had that PEG tube put in. Getting in the shower can cause infection and is against protocol. Would you like to brush your teeth instead?

Answer

Bathing was not in my plan for your treatment session today. Is there anything else you’d like to do?

Question 5

You have been asked to evaluate a patient with an arterial line placed in the femoral artery. Which of the following is precautions should you take?

Accepted Answer

Complete a bed level evaluation as the patient’s only precaution is to defer mobility because hip flexion can cause artery occlusion.

Answer

Complete the evaluation and assess the patient’s balance while seated EOB to determine their next level of care.

Answer

None of these choices are correct

Answer

Defer the evaluation to a later date as the patient is not medically stable.

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