VA-BC Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
What vessel is the easiest to access for emergency, short term access? - CORRECT
ANSWER EJ
Vessels for short PIV - CORRECT ANSWER Metacarpal, cephalic, basilic, accessory
veins in forearm
Site selection for port - CORRECT ANSWER Peripheral: basilic, cephalic
Central: subclavian, jugular, femoral
What is the name for the non-coring needle for a port? - CORRECT ANSWER Huber
needle
How many hours does it take for the site of a central line to be healed? - CORRECT
ANSWER 2 hours
Pediatric PIV sites - CORRECT ANSWER metacarpal, cephalic, basilic, scalp (under
18mo) , saphenous
Optimal tip location for Midline catheter - CORRECT ANSWER One inch below the
axillary area
Difference between infiltration and extravasation - CORRECT
ANSWER Extravasation is infiltration just with a vesicant or large volume of solution
into the tissue
Site for PA catheters - CORRECT ANSWER Right subclavian or IJ
When should an arterial line be changed? - CORRECT ANSWER Only as needed
,Indications and contraindications for aquapheresis - CORRECT ANSWER I: Diuretic
resistant CHF
C: No accessible basilic vein in upper arm
Amount of flush for a catheter - CORRECT ANSWER 2x the length of the catheter
Tip placement for dialysis cath - CORRECT ANSWER Upper right atrium
Site and device selection for CKD 3 or higher? - CORRECT ANSWER PIV in dorsal
veins of dominant hand
Safe Medical Device Act of 1990 was passed by who? - CORRECT ANSWER FDA
What size needle do you need for blood? - CORRECT ANSWER 18-24G
Site selection for dialysis or apheresis catheters - CORRECT ANSWER Jugular,
subclavian, femoral
Outermost layer of vessel & what it's made of - CORRECT ANSWER Tunica
Adventitia
Connective tissue
Middle layer of vessel and what it's made of - CORRECT ANSWER Tunica Medica
Smooth muscle
Inner most layer of vessel and what it's made of - CORRECT ANSWER Tunica Intima
Single layer of endothelial cells
, Layer of artery/vein that if damaged can form a thrombus - CORRECT
ANSWER Tunica Intima
Vessel wall layer that contains nerve fibers for vasoconstriction or dilation - CORRECT
ANSWER Tunica Media
Vessel layer that vasoconstricts with pain and anxiety - CORRECT ANSWER Tunica
Media
Contraindications for PA catheters - CORRECT ANSWER Mitral stenosis, right heart
mass, tricuspid or pulmonary mechanical valves
Evidence based practice that's based on randomized control trials (rct) - CORRECT
ANSWER Level A
EBP with consensus viewpoint or expert opinion that obtains a majority agreement from
clinical experts - CORRECT ANSWER Level C
Why are implanted VADS used less frequently with peds? - CORRECT ANSWER Fear
of the needle stick, increased risk of dislodgement
Tip location for aquapheresis - CORRECT ANSWER 1-2cm below axilla
Veins that form axillary vein - CORRECT ANSWER Basilic and brachial
Where does the subclavian vein run? - CORRECT ANSWER Outer border of 1st rib to
the medial border of the anterior scalene muscle
Other name of brachiocephalic vein - CORRECT ANSWER Innominate
AND CORRECT ANSWERS
What vessel is the easiest to access for emergency, short term access? - CORRECT
ANSWER EJ
Vessels for short PIV - CORRECT ANSWER Metacarpal, cephalic, basilic, accessory
veins in forearm
Site selection for port - CORRECT ANSWER Peripheral: basilic, cephalic
Central: subclavian, jugular, femoral
What is the name for the non-coring needle for a port? - CORRECT ANSWER Huber
needle
How many hours does it take for the site of a central line to be healed? - CORRECT
ANSWER 2 hours
Pediatric PIV sites - CORRECT ANSWER metacarpal, cephalic, basilic, scalp (under
18mo) , saphenous
Optimal tip location for Midline catheter - CORRECT ANSWER One inch below the
axillary area
Difference between infiltration and extravasation - CORRECT
ANSWER Extravasation is infiltration just with a vesicant or large volume of solution
into the tissue
Site for PA catheters - CORRECT ANSWER Right subclavian or IJ
When should an arterial line be changed? - CORRECT ANSWER Only as needed
,Indications and contraindications for aquapheresis - CORRECT ANSWER I: Diuretic
resistant CHF
C: No accessible basilic vein in upper arm
Amount of flush for a catheter - CORRECT ANSWER 2x the length of the catheter
Tip placement for dialysis cath - CORRECT ANSWER Upper right atrium
Site and device selection for CKD 3 or higher? - CORRECT ANSWER PIV in dorsal
veins of dominant hand
Safe Medical Device Act of 1990 was passed by who? - CORRECT ANSWER FDA
What size needle do you need for blood? - CORRECT ANSWER 18-24G
Site selection for dialysis or apheresis catheters - CORRECT ANSWER Jugular,
subclavian, femoral
Outermost layer of vessel & what it's made of - CORRECT ANSWER Tunica
Adventitia
Connective tissue
Middle layer of vessel and what it's made of - CORRECT ANSWER Tunica Medica
Smooth muscle
Inner most layer of vessel and what it's made of - CORRECT ANSWER Tunica Intima
Single layer of endothelial cells
, Layer of artery/vein that if damaged can form a thrombus - CORRECT
ANSWER Tunica Intima
Vessel wall layer that contains nerve fibers for vasoconstriction or dilation - CORRECT
ANSWER Tunica Media
Vessel layer that vasoconstricts with pain and anxiety - CORRECT ANSWER Tunica
Media
Contraindications for PA catheters - CORRECT ANSWER Mitral stenosis, right heart
mass, tricuspid or pulmonary mechanical valves
Evidence based practice that's based on randomized control trials (rct) - CORRECT
ANSWER Level A
EBP with consensus viewpoint or expert opinion that obtains a majority agreement from
clinical experts - CORRECT ANSWER Level C
Why are implanted VADS used less frequently with peds? - CORRECT ANSWER Fear
of the needle stick, increased risk of dislodgement
Tip location for aquapheresis - CORRECT ANSWER 1-2cm below axilla
Veins that form axillary vein - CORRECT ANSWER Basilic and brachial
Where does the subclavian vein run? - CORRECT ANSWER Outer border of 1st rib to
the medial border of the anterior scalene muscle
Other name of brachiocephalic vein - CORRECT ANSWER Innominate
