168 | JAVA | Vol 16 No 3 | 2011

1. PICC Zone Insertion Method (ZIM) utilizes:a. Musculoskeletal, skin, and vessel characteristicsb. Musculoskeletal, nerve, and vessel characteristicsc. Musculoskeletal, blood and vessel characteristics

2. Which is NOT a consequence of thrombosis:a. CRBSIb. PTSc. PES

3. ZIM is a clinical procedure designed to use:a. Power injectable PICC’sb. Ultrasoundc. A securement device

4. What increases microbial colonization?a. Body hairb. Adipose tissuec. Patient age

5. According to a study mentioned in this article use of the cephalic vein had a _____rate of thrombosis.

a. 10%b. 14%c. 57%

6. Poiseuille’s Law accounts for:a. Velocity of vessel bloodb. Endothelial Traumac. Changes in blood coaguability

7. The most predictive measure of thrombosis is:a. Patient co-morbiditiesb. Previous thrombosis eventc. Size of vessels

8. ZIM divides the _______ upper arm into three main color zones.

a. Medialb. Proximalc. Lateral

9. When performing ZIM the ideal target area for PICC insertion is the:

a. lower half of the green zoneb. middle of the green zonec. upper half of the green zone

10. When performing ZIM scan the arm with ultrasound starting in the:

a. Middle of the upper armb. Lower portion of the upper armc. Upper portion of the upper arm

Continuing Education QuestionsFall 2011 JAVA

PICC Zone Insertion Method (ZIM ™): A systematic Approach to Determine the Ideal Insertion Site for PICCs in the Upper Arm

1. a.❑ b.❑ c.❑

2. a.❑ b.❑ c.❑

3. a.❑ b.❑ c.❑

4. a.❑ b.❑ c.❑

5. a.❑ b.❑ c.❑

6. a.❑ b.❑ c.❑

7. a.❑ b.❑ c.❑

8. a.❑ b.❑ c.❑

9. a.❑ b.❑ c.❑

10. a.❑ b.❑ c.❑