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VA-BC
VA-BC Certification Study Material
Exam Questions with Correct Verified
Solutions 100% Guaranteed Pass
If inserted through the femoral vein, what the optimal tip location for
a non-tunnelled and PICC catheters? - ANS ✓Inferior vena cava (IVC)
above the level of the diaphragm
Why is the femoral vein is commonly used in paediatric critical care
units for non-tunnelled catheter placement? - ANS ✓Due to ease of
insertion in young patients
Why may the jugular vein be the preferred point of insertion in very
young children for non-tunnelled catheters? - ANS ✓To avoid a
pneumothorax
What are the indications for placement of a PICC line? - ANS ✓-Patients
who require central venous access when the duration of the infusions are
unknown
-Infusion of irritating medications
-Infusion of vesicant agents
VA-BC Certification Study Material
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What are the contraindications of PICC line placement? - ANS ✓-
Placement into an arm with fracture, trauma, infection, amputations, or
compromised circulation
-Placement into an arm paralyzed as a result of a CVA may increase
the risk of catheter-related thrombosis due to compromised
circulation 4
-Chronic kidney disease patients
What vessels are selected for PICC line placement? - ANS ✓Basilic,
brachial or cephalic vein in the upper arm
What barrier precautions are required for PICC placement? - ANS
✓Maximum sterile
What areas of tip location should be avoided in PICC line placement? -
ANS ✓Avoid catheter tip locations in the upper SVC or midclavicular areas
What Alternative veins for PICC lines may be selected in pediatric
pts.? - ANS ✓Scalp veins, popliteal veins
In pediatric patients, what, if added ,may decrease catheter occlusion?
- ANS ✓Heparin (confirm infusatn compatibility)
What are the indications for tunneled catheters? - ANS ✓-Infusions that
are projected to continue for months or years
-Apheresis
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VA-BC
What are the contraindications for tunneled catheter placement? -
ANS ✓-Presence of a bloodstream infection
-Severe coagulopathy
-Cellulitis (affecting intended insertion site)
which vessels are selected for tunneled catheters? - ANS ✓a. Subclavian
veins
b. Jugular veins
c. Femoral veins
Where might tunneled catheter exits sites be located? - ANS ✓The
chest, upper back, top of thigh, or lower torso
What attached to the catheter, will be positioned in the tissue track to
secure the catheter? - ANS ✓A stabilizing Dacron cuff
After a tunneled catheter placement, how long until the exit site
heals? - ANS ✓Two to three weeks.
When (upon physician approval) may a tunneled catheter be
maintained without a dressing? - ANS ✓Once the cuff has developed
tissue attachment and the exit site is healed,
VA-BC Certification Study Material
VA-BC
VA-BC Certification Study Material
Exam Questions with Correct Verified
Solutions 100% Guaranteed Pass
If inserted through the femoral vein, what the optimal tip location for
a non-tunnelled and PICC catheters? - ANS ✓Inferior vena cava (IVC)
above the level of the diaphragm
Why is the femoral vein is commonly used in paediatric critical care
units for non-tunnelled catheter placement? - ANS ✓Due to ease of
insertion in young patients
Why may the jugular vein be the preferred point of insertion in very
young children for non-tunnelled catheters? - ANS ✓To avoid a
pneumothorax
What are the indications for placement of a PICC line? - ANS ✓-Patients
who require central venous access when the duration of the infusions are
unknown
-Infusion of irritating medications
-Infusion of vesicant agents
VA-BC Certification Study Material
, 2
VA-BC
What are the contraindications of PICC line placement? - ANS ✓-
Placement into an arm with fracture, trauma, infection, amputations, or
compromised circulation
-Placement into an arm paralyzed as a result of a CVA may increase
the risk of catheter-related thrombosis due to compromised
circulation 4
-Chronic kidney disease patients
What vessels are selected for PICC line placement? - ANS ✓Basilic,
brachial or cephalic vein in the upper arm
What barrier precautions are required for PICC placement? - ANS
✓Maximum sterile
What areas of tip location should be avoided in PICC line placement? -
ANS ✓Avoid catheter tip locations in the upper SVC or midclavicular areas
What Alternative veins for PICC lines may be selected in pediatric
pts.? - ANS ✓Scalp veins, popliteal veins
In pediatric patients, what, if added ,may decrease catheter occlusion?
- ANS ✓Heparin (confirm infusatn compatibility)
What are the indications for tunneled catheters? - ANS ✓-Infusions that
are projected to continue for months or years
-Apheresis
VA-BC Certification Study Material
, 3
VA-BC
What are the contraindications for tunneled catheter placement? -
ANS ✓-Presence of a bloodstream infection
-Severe coagulopathy
-Cellulitis (affecting intended insertion site)
which vessels are selected for tunneled catheters? - ANS ✓a. Subclavian
veins
b. Jugular veins
c. Femoral veins
Where might tunneled catheter exits sites be located? - ANS ✓The
chest, upper back, top of thigh, or lower torso
What attached to the catheter, will be positioned in the tissue track to
secure the catheter? - ANS ✓A stabilizing Dacron cuff
After a tunneled catheter placement, how long until the exit site
heals? - ANS ✓Two to three weeks.
When (upon physician approval) may a tunneled catheter be
maintained without a dressing? - ANS ✓Once the cuff has developed
tissue attachment and the exit site is healed,
VA-BC Certification Study Material
