AVA CERTIFICATION EXAM QUESTIONS
AND ANSWERS: VASCULAR ACCESS
DEVICE PLACEMENT
Avoid PICC insertion in presence of
pacemaker or automatic intracardiac defibrillator (AICD) on what side and for how long? - Answer-On
the ipsilateral side for at least 6 months.
Are there studies demonstrating increased risk of dislodgment or entangled leads with pacemakers? -
Answer-There is no evidence to contraindicate PICC insertion on the ipsilateral side of a permanent
pacemaker or defibrillator.
It is recommended to place a CVAD when at all possible on what side of a pacemaker or defibrillator? -
Answer-CVAD placement is recommended on the contralateral side of a cardiac device like a pacemaker
or defibrillator.
CVAD insertion in the presence of an IVC filter can do what? - Answer-Wires can inadvertently get
trapped in an IVC filter with insertion of a CVAD.
with CVAD insertion.
Peripheral Intravascular device indications are? - Answer-1. Indicated for patients with adequate venous
availability for indicated infusion therapy.
, 2. Non-vesicants and non-irritants
3. PH 5-9
4. Solutions with an osmolality less than 600
mOsm/L.
Power-injectable catheters are made of - Answer-poyurethane
Power-injectable catheters are engineered to withstand how much pressure? - Answer-a power
injection of greater than 300 pounds per square inch, PSI
Power-injectable catheters used for injection of what? - Answer-power injection of IV contrast during a
computerized tomography (CT) or magnetic resonance imaging (MRI) scan.
PICC's with antimicrobial properties may benefit patient with? - Answer-septicemia or neutropenia
Tunneled CVAD is used with patients with acute leukemia and other blood cancers going through? -
Answer-bone marrow transplant
With chemotherapy a CVAD is required for - Answer-1. Long term greater than 3 months treatment.
2. complex multi-agent protocols
3. vesicant infusions greater than one hour in
duration
4. continuous chemotherapy infusions 24 to 96
hours in duration.
Because of long duration of treatment most adult patients have what type of device rather than a PICC?
- Answer-Implanted port
AND ANSWERS: VASCULAR ACCESS
DEVICE PLACEMENT
Avoid PICC insertion in presence of
pacemaker or automatic intracardiac defibrillator (AICD) on what side and for how long? - Answer-On
the ipsilateral side for at least 6 months.
Are there studies demonstrating increased risk of dislodgment or entangled leads with pacemakers? -
Answer-There is no evidence to contraindicate PICC insertion on the ipsilateral side of a permanent
pacemaker or defibrillator.
It is recommended to place a CVAD when at all possible on what side of a pacemaker or defibrillator? -
Answer-CVAD placement is recommended on the contralateral side of a cardiac device like a pacemaker
or defibrillator.
CVAD insertion in the presence of an IVC filter can do what? - Answer-Wires can inadvertently get
trapped in an IVC filter with insertion of a CVAD.
with CVAD insertion.
Peripheral Intravascular device indications are? - Answer-1. Indicated for patients with adequate venous
availability for indicated infusion therapy.
, 2. Non-vesicants and non-irritants
3. PH 5-9
4. Solutions with an osmolality less than 600
mOsm/L.
Power-injectable catheters are made of - Answer-poyurethane
Power-injectable catheters are engineered to withstand how much pressure? - Answer-a power
injection of greater than 300 pounds per square inch, PSI
Power-injectable catheters used for injection of what? - Answer-power injection of IV contrast during a
computerized tomography (CT) or magnetic resonance imaging (MRI) scan.
PICC's with antimicrobial properties may benefit patient with? - Answer-septicemia or neutropenia
Tunneled CVAD is used with patients with acute leukemia and other blood cancers going through? -
Answer-bone marrow transplant
With chemotherapy a CVAD is required for - Answer-1. Long term greater than 3 months treatment.
2. complex multi-agent protocols
3. vesicant infusions greater than one hour in
duration
4. continuous chemotherapy infusions 24 to 96
hours in duration.
Because of long duration of treatment most adult patients have what type of device rather than a PICC?
- Answer-Implanted port
