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SELF/Central Venous Line Insertion/Central Venous Line Procedure

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▼Created by the West African College of Surgeons for the Surgical Education Learners Forum.Please see the Terms of Use and do not edit without permission.
Instructions

Work through each question carefully to choose the best answer, and submit the quiz to view your results. After completing the quiz, read through the answer explanations to review the reasoning behind both correct and incorrect options.

1

Which statement best describes the correct preparation of the femoral catheter before insertion?

The lumens should be flushed only after the line is secured with sutures
Heparinized flush should be prepared after catheter placement to avoid contamination
Each lumen should be flushed with heparinized saline to remove air and confirm patency
The catheter should be kept dry until the guidewire is inserted

2

A patient with traumatic injuries has multiple failed peripheral IV attempts and is hypotensive. Which catheter choice is most appropriate for femoral central access?

Single-lumen catheter for medication infusion
Double-lumen catheter for monitoring
Dialysis catheter for long-term access
Large-bore triple-lumen catheter for rapid resuscitation

3

During aspiration after femoral vein puncture, the operator observes bright red, pulsatile blood spurting into the syringe. What does this finding most likely indicate?

Successful guidewire placement
Accidental femoral arterial puncture
Entry into a collapsed vein
Correct femoral venous entry

4

Before insertion, a clinician opens the central line kit and places the scalpel, suture, and forceps on the assistant’s side. What is the issue here?

The femoral site should be avoided when multiple assistants are present
The guidewire should be inserted before the field is prepared
Instruments are not positioned for efficient and sterile access during the procedure
The local anesthetic should be drawn up before the kit is opened

5

After catheter insertion, the operator can aspirate blood easily from all lumens but notices slight resistance when flushing one port. What is the most appropriate next step?

Reassess the lumen, attempt gentle aspiration, and confirm position before using
Use the line normally since aspiration was successful
Remove the entire catheter immediately
Force the flush gently until it clears


Page data
Keywords surgery, health
SDG SDG03 Good health and well-being
Authors Ian-laurel, SELF Tiger Team
License CC-BY-SA-4.0
Organizations WACS, SELF
Language English (en)
Related 0 subpages, 0 pages link here
Redirects WACS Training Modules/Central Venous Line Insertion/Central Venous Line Procedure
Views 3 page views (analytics)
Created November 11, 2025 by KatKor
Last edit March 9, 2026 by Ian-laurel
Cite as KatKor (2025–2026). "SELF/Central Venous Line Insertion/Central Venous Line Procedure". Appropedia. Retrieved June 4, 2026.
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