If you're a moniker client (that is, you're using a moniker to get an interface pointer to an object), you typically don't need to know the class of the moniker you're using; you simply call methods using an IMoniker interface pointer.
If you're a moniker provider (that is, you're handing out monikers that identify your objects to make them accessible to moniker clients), you must use item monikers if the objects you're identifying are contained within another object and can be individually identified using a string. You'll also need to use another type of moniker (for example, file monikers) to identify the container object.
To use item monikers, you must use the CreateItemMoniker function to create the monikers. To allow your objects to be loaded when an item moniker is bound, the container of your objects must implement the IOleItemContainer interface.
The most common example of moniker providers are COM applications that support linking. If your COM application supports linking to objects smaller than a file-based documents, you need to use item monikers. For a server application that allows linking to a selection within a document, you use the item monikers to identify those objects. For a container application that allows linking to embedded objects, you use the item monikers to identify the embedded objects.