VA BC CERTIFICATION ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● Measurement of the INTERNAL diameter of the catheter
Answer: Guage scale
●● PIV days for projected use
Answer: 6 days
●● PIV contraindicated osmolarity
Answer: Greater than 900 mOsm/L
●● What veins are NOT recommended for general use
Answer: Metacarpals
●● What percent of catheter length should dwell in the vein
Answer: Greater than 50%
●● Maximum age of infant to use scalp vein
Answer: 18 months old
, ●● Off label use for a midline
Answer: Trimming a PICC for midline placement
●● Optimal insertion site for a midline in adults
Answer: Middle 1/3 of the upper arm. A minimum of 2 inches above the
AC
●● Why shouldn't a non-tunneled PICC be placed in a paralyzed arm.
Answer: Increased risk of catheter-related thrombosis due to
compromised circulation
●● What position should a patient be placed while placing a CVAD
Answer: Slight Trendelenburg to avoid the risk of air emboli
●● Correct catheter tip location when inserted in IJ, subclavian or
axillary
Answer: Distal lower third of the superior vena cava (SVC) or the Cavo-
atrial junction (CAJ)
●● Preferred vein for non-tunneled line in very young children
Answer: Jugular vein (to avoid pneumothorax)
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● Measurement of the INTERNAL diameter of the catheter
Answer: Guage scale
●● PIV days for projected use
Answer: 6 days
●● PIV contraindicated osmolarity
Answer: Greater than 900 mOsm/L
●● What veins are NOT recommended for general use
Answer: Metacarpals
●● What percent of catheter length should dwell in the vein
Answer: Greater than 50%
●● Maximum age of infant to use scalp vein
Answer: 18 months old
, ●● Off label use for a midline
Answer: Trimming a PICC for midline placement
●● Optimal insertion site for a midline in adults
Answer: Middle 1/3 of the upper arm. A minimum of 2 inches above the
AC
●● Why shouldn't a non-tunneled PICC be placed in a paralyzed arm.
Answer: Increased risk of catheter-related thrombosis due to
compromised circulation
●● What position should a patient be placed while placing a CVAD
Answer: Slight Trendelenburg to avoid the risk of air emboli
●● Correct catheter tip location when inserted in IJ, subclavian or
axillary
Answer: Distal lower third of the superior vena cava (SVC) or the Cavo-
atrial junction (CAJ)
●● Preferred vein for non-tunneled line in very young children
Answer: Jugular vein (to avoid pneumothorax)