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INCC CRNI Cheat Sheet

Practice this exam

Principles of Practice

  • 29% of exam
  • Assessment Infection Prevention Phlebotomy Professional Practice Patient Safety

Access Devices

  • 33% of exam
  • Equipment Peripheral Access Central Access Maintenance Complications

Infusion Therapies

  • 38% of exam
  • Fluid Balance Parenteral Nutrition Blood Products Drug Therapies Adverse Reactions

Quick Facts

  • Credential Certified Registered Nurse Infusion
  • Owner INCC
  • Format Four-option multiple choice
  • Administered 140 items
  • Scored 120 items
  • Pretest 20 unscored items
  • Testing time 2.5 hours
  • Result Pass/fail + category raws
  • Passing score Scaled score 70
  • Eligibility RN plus 1,600 hours

Three Domains PR

  • Practice, devices, therapies: all three matter
  • 29 percent 33 percent 38 percent

Pretest vs Scored Items PR

Pretest

  • 20 items
  • Future use

Scored

  • 120 items
  • Pass/fail result
  • Unscored practice vs score

Blueprint Picker PR

  • Need assessment review → Principles ( Patient and history )
  • Need infection review → Principles ( Prevention and control )
  • Need phlebotomy review → Principles ( Sampling and therapeutic )
  • Need equipment review → Access Devices ( Sets and technology )
  • Need device types → Access Devices ( Peripheral and central )
  • Need device complications → Access Devices ( Infiltration and occlusion )
  • Need fluid review → Infusion Therapies ( Balance and electrolytes )
  • Need nutrition review → Infusion Therapies ( PN complications )
  • Need drug review → Infusion Therapies ( Therapy categories )

Practice Foundations PR

  • Assessment Evaluate clinical condition
  • History review Identify therapy factors
  • Body positioning Insertion and removal
  • Standard precautions Reduce exposure risk
  • Chain of infection Break transmission links
  • Bloodstream infection Recognize prevention factors
  • Phlebotomy Sampling and therapeutic

Professional Practice PR

  • Informed consent Support informed decision
  • Patient education Teach safe participation
  • Documentation Record care accurately
  • Scope of practice Follow authorized role
  • Evidence-based practice Apply current evidence
  • Performance improvement Improve care systems
  • Collaboration Coordinate care team

Care Cycle AC

  • Assess, select, protect, monitor, document
  • Patient first Device safety Clear record

Peripheral vs Central Access AC

Peripheral

  • Short, long, midline
  • Peripheral device category

Central

  • PICC, CVC, port
  • Central device category
  • Peripheral route vs central route

Infusion Technology AC

  • Solution container Holds infusion solution
  • Administration set Delivers prescribed therapy
  • Filter Specified therapy component
  • Add-on device Extends infusion system
  • Administration device Electronic or non-electronic
  • Vein locator Aid vessel assessment
  • Tip locator Navigation support tool

PICC vs Implanted Port AC

PICC

  • Peripherally inserted
  • Central catheter

Implanted port

  • Under-skin reservoir
  • Central device
  • External catheter vs implanted system

Access Types AC

  • Short peripheral Peripheral access device
  • Long peripheral Peripheral access device
  • Midline Peripheral access device
  • PICC Peripherally inserted central catheter
  • Non-tunneled CVC Central access device
  • Tunneled CVC Central access device
  • Implanted port Implanted central device

Infiltration vs Extravasation AC

Infiltration

  • Nonvesicant leakage
  • Tissue involvement

Extravasation

  • Vesicant leakage
  • Tissue injury risk
  • Nonvesicant vs vesicant

Device Care AC

  • Subcutaneous access Nonvascular infusion route
  • Intraosseous access Osseous infusion route
  • Securement Stabilize access device
  • Maintenance Perform ongoing device care
  • Site assessment Monitor access condition
  • Infiltration Nonvesicant tissue leakage
  • Extravasation Vesicant tissue leakage

Device Risk + Populations AC

  • Catheter occlusion Impaired device flow
  • Older adult Special population
  • Renal condition Special population
  • Pediatrics Special population
  • Immunocompromised Special population
  • Oncology Special population
  • Bariatrics Special population

Therapy Scan IN

  • Fluids, drugs, blood, nutrition, safety
  • Monitor response Know complications Escalate promptly

Occlusion vs Adverse Reaction IN

Occlusion

  • Device-flow problem
  • Access complication

Adverse reaction

  • Therapy response
  • Infusion complication
  • Device issue vs therapy issue

Clinical Safety Scan IN

  • Before therapy → Assess patient ( Condition and history )
  • Selecting access → Review therapy needs ( Follow local policy )
  • Device is present → Assess site ( Maintenance and securement )
  • Infection concern → Use prevention protocol ( Escalate findings )
  • Flow concern → Assess occlusion ( Do not force )
  • Tissue leakage concern → Identify complication ( Follow agent protocol )
  • Reaction concern → Monitor and escalate ( Follow emergency protocol )
  • Care completed → Document accurately ( Support continuity )
  • Practice question uncertain → Return to outline ( Check primary domain )

Drug Therapy Areas IN

  • Pain management Infusion therapy area
  • Cardiovascular Infusion therapy area
  • Antineoplastic Infusion therapy area
  • Biologics Immunologic therapy area
  • Anti-infectives Infusion therapy area
  • Blood products Infusion therapy area
  • Hazardous drugs Exposure and waste

Maintenance vs Replacement Fluid IN

Maintenance

  • Ongoing support
  • Routine needs

Replacement

  • Correct loss
  • Deficit needs
  • Sustain vs replace

Fluids + Nutrition IN

  • Body composition Fluid-balance foundation
  • Fluid deficit Volume imbalance
  • Fluid excess Volume imbalance
  • Electrolyte disorder Balance complication
  • Maintenance fluid Ongoing fluid support
  • Replacement fluid Correct fluid loss
  • Parenteral nutrition Nutritional infusion therapy

Therapy Safety IN

  • Rate-related event Infusion-rate complication
  • Adverse reaction Undesired therapy response
  • PN infection Parenteral nutrition complication
  • PN metabolic event Parenteral nutrition complication
  • PN mechanical event Parenteral nutrition complication
  • Monitoring Detect change promptly
  • Escalation Follow clinical protocol

Common Traps

120 scored ≠ 140 administered

  • 120 determine result ≠ 20 are pretest

Pretest ≠ optional

  • Appear in exam ≠ Cannot identify them

Practice ≠ access devices

  • Assessment and safety ≠ Equipment and devices

Device issue ≠ therapy reaction

  • Assess access problem ≠ Assess infusion response

Exam outline ≠ local protocol

  • Study tested topics ≠ Follow workplace procedures

Reference list ≠ guarantee

  • INCC validates items ≠ Preparation still individualized

Last Minute

  • 1. Prioritize Infusion Therapies: 38 percent
  • 2. Review Access Devices: 33 percent
  • 3. Review Principles: 29 percent
  • 4. Know 140 versus 120 items
  • 5. Expect 20 unscored pretest items
  • 6. Practice four-option question decisions
  • 7. Map weak topics to outline
  • 8. Separate device and therapy complications
  • 9. Use local protocols clinically
  • 10. Allow 2.5 hours testing time

INCC CRNI Certified Registered Nurse Infusion

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