VA BC CERTIFICATION COMPREHENSIVE
EXAM FULL QUESTIONS AND SOLUTIONS
VERIFIED REVIEW MATERIAL
●● Checking patency of a fragile PICC/CVC
Answer: Avoid catheter rupture (Small barrel = high pressure). Always
use a 10 mL barrel syringe (lowest internal pressure).
●● Infusing tiny volumes to an infant
Answer: Use a micro-bore extension set + syringe pump (minimizes
dead space volume).
●● High-flow rapid fluid resuscitation
Answer: Minimize friction resistance with a short length, wide diameter
catheter (e.g., 14G or 16G PIV in the forearm).
●● Vesicant Management & Extravasation Dynamics
Answer: Core evidence-based practices related to vesicant management
and extravasation.
●● Normal Saline / Non-vesicant leaking into tissue
Answer: Non-vesicant escape - Infiltration.
, ●● Vanc, Dilantin, Chemotherapy, or Vasopressors leaking into tissue
Answer: Vesicant destruction - Extravasation.
●● Fluid properties: pH < 5 or > 9
Answer: Mandates Central Access (Cannot infuse via Midline/PIV
short-term).
●● Osmolarity > 900 mOsm/L
Answer: Indicates high chemical injury risk.
●● Phlebitis Categorization
Answer: Core evidence-based practices related to phlebitis
categorization.
●● Physical friction against the endothelium
Answer: Mechanical Phlebitis.
●● Erythema/pain develops during insertion or within 24 hours
Answer: Indicates catheter is too thick for the vein.
●● Chemical burn from the fluid properties
Answer: Chemical Phlebitis (Discontinue and move up the chain for
better hemodilution).
EXAM FULL QUESTIONS AND SOLUTIONS
VERIFIED REVIEW MATERIAL
●● Checking patency of a fragile PICC/CVC
Answer: Avoid catheter rupture (Small barrel = high pressure). Always
use a 10 mL barrel syringe (lowest internal pressure).
●● Infusing tiny volumes to an infant
Answer: Use a micro-bore extension set + syringe pump (minimizes
dead space volume).
●● High-flow rapid fluid resuscitation
Answer: Minimize friction resistance with a short length, wide diameter
catheter (e.g., 14G or 16G PIV in the forearm).
●● Vesicant Management & Extravasation Dynamics
Answer: Core evidence-based practices related to vesicant management
and extravasation.
●● Normal Saline / Non-vesicant leaking into tissue
Answer: Non-vesicant escape - Infiltration.
, ●● Vanc, Dilantin, Chemotherapy, or Vasopressors leaking into tissue
Answer: Vesicant destruction - Extravasation.
●● Fluid properties: pH < 5 or > 9
Answer: Mandates Central Access (Cannot infuse via Midline/PIV
short-term).
●● Osmolarity > 900 mOsm/L
Answer: Indicates high chemical injury risk.
●● Phlebitis Categorization
Answer: Core evidence-based practices related to phlebitis
categorization.
●● Physical friction against the endothelium
Answer: Mechanical Phlebitis.
●● Erythema/pain develops during insertion or within 24 hours
Answer: Indicates catheter is too thick for the vein.
●● Chemical burn from the fluid properties
Answer: Chemical Phlebitis (Discontinue and move up the chain for
better hemodilution).
