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CVAD EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026/2027

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CVAD EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026/2027 Long-term IV therapy Through which veins are PICCs inserted? - Answers Basilic, cephalic, or brachial veins Where does a PICC catheter terminate? - Answers Superior vena cava (SVC) Tunneled CVAD: - Answers A catheter tunneled under the skin to reduce infection Inserted by radiology Long-term use only (months - years) Why do tunneled CVADs have lower infection risk? - Answers Natural skin barrier protects the site What are common tunneled CVAD brand names? - Answers Groshong, Broviac, Hickman Implanted Ports: - Answers A surgically implanted device with a self-sealing septum Lowest CLABSI risk Most expensive Requires heparin flush What needle is used to access a port? - Answers Huber needle → can tolerate up to 2,000 needle punctures Why are ports beneficial for active patients? - Answers They are not visible when not accessed Midline CVAD: - Answers Inserted in arm vein NOT a central line Does NOT end in SVC Can't administer TPN + vesicant medications What confirmation is required before first CVAD use? - Answers Chest X-ray confirming tip placement in SVC What must a nurse do before giving meds via CVAD? - Answers Aspirate blood to confirm placement What is the distal port on a lumen used for? - Answers Largest lumen → blood transfusions + CVP monitoring

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CVAD EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026/2027

What is a Central Venous Access Device (CVAD)? - Answers A vascular access device whose tip
terminates in the superior vena cava

What are the two main reasons a CVAD is needed? - Answers Difficult IV access requiring long-
term therapy

Medications that require large blood volume dilution or irritation

Why do some medications require central access? - Answers They can damage peripheral veins
and cause tissue necrosis

What monitoring benefit does a CVAD provide? - Answers Allows internal pressure monitoring
such as CVP

What is the most common CVAD complication? - Answers CLABSI → Central line-associated
bloodstream infection

CRBSI → Catheter-related bloodstream infection

Why are CLABSIs dangerous? - Answers They lead to sepsis, which increases mortality and
kidney damage

What factors increase CVAD infection risk? - Answers Prolonged hospitalization

Femoral/ internal jugular placement

TPN

Excessive manipulation

How does TPN increase infection risk? - Answers High glucose content promotes bacterial
growth

Which CVAD site has the highest infection risk? - Answers Femoral site

What insertion locations have higher infection risk? - Answers ICU or emergency department

What type of CVAD has higher infection rates due to design? - Answers Multilumen catheters

How does prolonged dwell time affect CVADs? - Answers Increases infection risk

What is an air embolism? - Answers Air entering the bloodstream from tubing or syringe

What insertion complication can cause a pneumothorax? - Answers Accidental arterial puncture

What causes catheter occlusion? - Answers Improper flushing or catheter damage

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