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Vascular access certification Exam Questions
With 100% Verified Answers
Device Selection based on - answer✔-Patient's choice ex: L or R , Seat belt/brastrap
-Ability of care giver
-Patient's age - no VAD lower extremities of crawler/toddler, no IVAD d/t fear of needle
-Obesity - place on cephalic - moisture/dislodgement
-Pt's hx : circulatory problems like congenital heart disease, reynauds, fx, paralysis, amputation
and AVF, CKD III, pacemaker, AICD, IVF filter, lymph node removal
- treatment plan : vesicant? dialysis? duration?
Contraindication with AICD/Pacemaker - answer✔Contralateral preferred. Ipsilateral should be
avoided for <6months device for risk of dislodgement
Contraindication with IVF filter - answer✔Wire can get trapped
Contraindication with lymph node removal/sentinal node biopsy - answer✔Place contralateral to
avoid risk of lymphedema
Why no IVAD for peds - answer✔Fear of non coring needle. TCVAD preferred
IVAD - answer✔must be palpable to enable non coring needle placement
, ©BRAINBARTER 2024/2025
ESRD - answer✔all VAD's should be discussed with nephrologist for clearance
PIV - answer✔only for 5-9 ph and <600 osM/L
PICC - answer✔can be used for urgent chemo or acute need or as bridges for any continuous
infusion
TCVAD - answer✔Treatment of blood CA, leukemia, marrow transplant, peds
Power injectable - answer✔>300Psi for MRI /CT with contrast
TPN - answer✔dedicate lumen, any CVAD ok, TCVAD for peds
Need for CVAD - answer✔- for rapid hemodilution (2L per minute in SVC)
- for concentrated infusions like saline
-for vesicants
-for high volume infusions
-SVO2 or CVP readings
- blood products
-Chemo infusions
-TPN
-infusions out of 5-7 ph or >600 osm/L
-dialysis (tunneled dialysis CVAD)
Vascular access certification Exam Questions
With 100% Verified Answers
Device Selection based on - answer✔-Patient's choice ex: L or R , Seat belt/brastrap
-Ability of care giver
-Patient's age - no VAD lower extremities of crawler/toddler, no IVAD d/t fear of needle
-Obesity - place on cephalic - moisture/dislodgement
-Pt's hx : circulatory problems like congenital heart disease, reynauds, fx, paralysis, amputation
and AVF, CKD III, pacemaker, AICD, IVF filter, lymph node removal
- treatment plan : vesicant? dialysis? duration?
Contraindication with AICD/Pacemaker - answer✔Contralateral preferred. Ipsilateral should be
avoided for <6months device for risk of dislodgement
Contraindication with IVF filter - answer✔Wire can get trapped
Contraindication with lymph node removal/sentinal node biopsy - answer✔Place contralateral to
avoid risk of lymphedema
Why no IVAD for peds - answer✔Fear of non coring needle. TCVAD preferred
IVAD - answer✔must be palpable to enable non coring needle placement
, ©BRAINBARTER 2024/2025
ESRD - answer✔all VAD's should be discussed with nephrologist for clearance
PIV - answer✔only for 5-9 ph and <600 osM/L
PICC - answer✔can be used for urgent chemo or acute need or as bridges for any continuous
infusion
TCVAD - answer✔Treatment of blood CA, leukemia, marrow transplant, peds
Power injectable - answer✔>300Psi for MRI /CT with contrast
TPN - answer✔dedicate lumen, any CVAD ok, TCVAD for peds
Need for CVAD - answer✔- for rapid hemodilution (2L per minute in SVC)
- for concentrated infusions like saline
-for vesicants
-for high volume infusions
-SVO2 or CVP readings
- blood products
-Chemo infusions
-TPN
-infusions out of 5-7 ph or >600 osm/L
-dialysis (tunneled dialysis CVAD)
