AVA CERTIFICATION EXAM: VASCULAR
ACCESS DEVICES UPDATED ACTUAL
Exam Questions and CORRECT Answers
In the presence of a newly placed automatic intracardiac defibrillator or pacemaker - CORRECT
ANSWER - Avoid PICC insertion on ipsilateral side for six months
CVAD insertion in the presents of an IVC filter - CORRECT ANSWER - Can
Inadvertently trap wires in the filter
PIV is indicated for adequate venous availability for indicated therapy. This includes -
CORRECT ANSWER - Non-vesicants and non- irritants with a pH 5 to 9 and osmolality
<600 mOSm/L
PICCS can be utilized for - CORRECT ANSWER - Chemotherapy, TPN, IV solutions and
medication, blood products, plasmapheresis, hemodialysis, diagnosing, frequent blood sampling.
Power Injectable devices are made of polyurethane and withstand high pressure of >300 pounds
per square inch to be used during - CORRECT ANSWER - CT or MRI scan
Tunneled CVAD may be indicated for infants and toddlers receiving - CORRECT
ANSWER - TPN
Axillary lymph node dissection including sentinel node biopsy, requires special considerations
with vascular access placements - CORRECT ANSWER - Use contralateral arm for PIV
or PICC placement.
In morbid obesity the most appropriate vein selection may be - CORRECT ANSWER -
The cephalic vein.
, Ultrasound appearance of a target vein that changes in size from large to small and back again as
you move up the arm - CORRECT ANSWER - May represent venous dilatation from a
distal stenosis or occlusion
How does one measure for PICC placement? - CORRECT ANSWER - Position arm at 90
degree angle.
Measure from planned insertion site to the right
Clavicular head,
Then down to the third intracoastal space.
Land-marked measuring techniques have
reported failure and complications as high as - CORRECT ANSWER - 30 percent and 18.8
percent respectively
Catheter-related infections most often result from - CORRECT ANSWER --
contamination of the central venous catheter
-contamination of the insertion site
-break in sterile technique during insertion
Maximum sterile barrier protection may reduce the incidence of - CORRECT ANSWER -
Catheter contamination and CLABSI
Chlorhexidine with alcohol is superior to - CORRECT ANSWER - Povidone/iodine or
isopropyl alcohol
How should Chlorhexidine be applied? - CORRECT ANSWER - Friction on clean skin for
30
seconds, then allow to dry completely.
ACCESS DEVICES UPDATED ACTUAL
Exam Questions and CORRECT Answers
In the presence of a newly placed automatic intracardiac defibrillator or pacemaker - CORRECT
ANSWER - Avoid PICC insertion on ipsilateral side for six months
CVAD insertion in the presents of an IVC filter - CORRECT ANSWER - Can
Inadvertently trap wires in the filter
PIV is indicated for adequate venous availability for indicated therapy. This includes -
CORRECT ANSWER - Non-vesicants and non- irritants with a pH 5 to 9 and osmolality
<600 mOSm/L
PICCS can be utilized for - CORRECT ANSWER - Chemotherapy, TPN, IV solutions and
medication, blood products, plasmapheresis, hemodialysis, diagnosing, frequent blood sampling.
Power Injectable devices are made of polyurethane and withstand high pressure of >300 pounds
per square inch to be used during - CORRECT ANSWER - CT or MRI scan
Tunneled CVAD may be indicated for infants and toddlers receiving - CORRECT
ANSWER - TPN
Axillary lymph node dissection including sentinel node biopsy, requires special considerations
with vascular access placements - CORRECT ANSWER - Use contralateral arm for PIV
or PICC placement.
In morbid obesity the most appropriate vein selection may be - CORRECT ANSWER -
The cephalic vein.
, Ultrasound appearance of a target vein that changes in size from large to small and back again as
you move up the arm - CORRECT ANSWER - May represent venous dilatation from a
distal stenosis or occlusion
How does one measure for PICC placement? - CORRECT ANSWER - Position arm at 90
degree angle.
Measure from planned insertion site to the right
Clavicular head,
Then down to the third intracoastal space.
Land-marked measuring techniques have
reported failure and complications as high as - CORRECT ANSWER - 30 percent and 18.8
percent respectively
Catheter-related infections most often result from - CORRECT ANSWER --
contamination of the central venous catheter
-contamination of the insertion site
-break in sterile technique during insertion
Maximum sterile barrier protection may reduce the incidence of - CORRECT ANSWER -
Catheter contamination and CLABSI
Chlorhexidine with alcohol is superior to - CORRECT ANSWER - Povidone/iodine or
isopropyl alcohol
How should Chlorhexidine be applied? - CORRECT ANSWER - Friction on clean skin for
30
seconds, then allow to dry completely.
