VA-BC, Vascular Access Board Certification Exam with Questions and Answers

VA-BC, Vascular Access Board Certification Exam with Questions and Answers A patient is prescribed doxorubicin for chemotherapy. Based on medication properties, which vascular access device is most appropriate for safe administration? a. Short peripheral catheter in the hand b. Midline catheter c. Implanted venous access port d. Intraosseous access Correct Answer c Rationale Doxorubicin is a vesicant with high risk of tissue necrosis if extravasation occurs. Vesicants require reliable central venous access with high blood flow to rapidly dilute the drug. An implanted venous port is appropriate for intermittent vesicant chemotherapy and long-term treatment. A patient requires total parenteral nutrition (TPN) with an osmolarity of 1400 mOsm/L. What is the most appropriate vascular access choice? a. Midline catheter b. Short peripheral catheter c. Intraosseous line d. Central venous catheter Correct Answer d Rationale Solutions with osmolarity greater than 900 mOsm/L are not safe for peripheral administration due to risk of phlebitis and vein damage. TPN at 1400 mOsm/L requires central venous access to allow rapid hemodilution.