VABC UPDATED ACTUAL Exam
Questions and CORRECT Answers
What size syringe to use for flushing a central line - CORRECT ANSWER - 10ml syringe
or larger barrel size - to minimize pressure on a catheter while checking for blood return and
initial flush. After patency has been verified, the use of a smaller syringe size is acceptable
How often to change a securing device - CORRECT ANSWER - With dressing change
every 7 days unless saturated
How often do you change transparent dressings - CORRECT ANSWER - Every 7 days
unless saturated
How often do you change gauze dressings - CORRECT ANSWER - Every 2 days
How often do you change needless connectors - CORRECT ANSWER - With every
dressing changes or with IV tubing if continuously connected by no more often than 96 hours
Causes of cardiac arrythmia during central line placement - CORRECT ANSWER -
Catheter or wire annoying cardiac conduction. May occur post insertion due to migration of
catheter
Prevention (list) of cardiac arrythmia during central line placement - CORRECT
ANSWER - -Ensure optimal tip position using tip location technology or CXR
-Careful measurement and documentation of external anatomical landmarks
-Adequate stabilization and proper dressing management
-Daily assessment of VAD and pt condition regularly comparing current external cath length to
time of insertion
-Consider left sided insertion with pts with cardiac conditions or post MI
,Symptoms of cardiac arrythmia during central line placement - CORRECT ANSWER -
palpitations, irregular heart rhythm, PVCs, VTach
Treatment for cardiac arrythmia during central line placement - CORRECT ANSWER - -If
cath is tunneled or implanted -> refer to IR
-Evaluate pt status and consider retracting the cath
Developmental stage for 0-18 months (infancy) - CORRECT ANSWER - Trust vs mistrust
Developmental stage for 18 months - 3 years (early childhood) - CORRECT ANSWER -
Autonomy vs shame and doubt
Developmental stage for 3- 5 years (preschool) - CORRECT ANSWER - initiative vs guilt
Developmental stage for 6 - 12 years (school age) - CORRECT ANSWER - Industry vs
inferiority
Developmental stage for 13 - 18 years (adolescence) - CORRECT ANSWER - Identity vs
role confusion
What is the developmental stage for:
Age related behaviors: separation anxiety, fear of strangers, communication by crying, object
permanence
Emotional support: support parents and encourage presence, provide calm environment not in
child's bed, limit # of providers
Procedural support: Child life specialist, oral sucrose, pacifier, comfort item, topical anesthetics,
cold and vibration, comfort positioning - CORRECT ANSWER - 0 - 18 months (infancy) -
Trust vs mistrust
, What is the developmental stage for:
Age related behaviors: separation anxiety, loss of control, egocentric
Emotional Support: support parents and encourage presence, calm environment not in patients'
room or bed, limit instructions using non-threatening words, limit # of providers
Procedural support: Child life specialist, pacifier if still using, comfort item, topical anesthetics,
cold and vibration, comfort positioning, distraction - CORRECT ANSWER - 18 months -
3 years (early childhood) - Autonomoy vs shame and doubt
What is the developmental stage for:
Age related behaviors: bodily injury/mutilation, loss of control, fear of the unknown, the dark
and being left alone, follows directions but has short attention span
Emotional Support: Support parents and encourage presence, provide calm environment not in
child's bed or room, offer 2 choices when possible and let child decide, simple instructions using
non-threatening words
Procedural support: Child life specialist, comfort item, topical anesthetics, cold and vibration,
comfort positioning, distraction (light, bubbles, music, books), praise often for cooperation, limit
# of providers - CORRECT ANSWER - 3 - 5 years (precshool): Initiative vs guilt
What is the developmental stage for:
Age related behaviors: Bodily injury and mutilation, loss of control, not being able to live up to
expectations of important others, death, capable of following directions and can be involved in
treatment
Questions and CORRECT Answers
What size syringe to use for flushing a central line - CORRECT ANSWER - 10ml syringe
or larger barrel size - to minimize pressure on a catheter while checking for blood return and
initial flush. After patency has been verified, the use of a smaller syringe size is acceptable
How often to change a securing device - CORRECT ANSWER - With dressing change
every 7 days unless saturated
How often do you change transparent dressings - CORRECT ANSWER - Every 7 days
unless saturated
How often do you change gauze dressings - CORRECT ANSWER - Every 2 days
How often do you change needless connectors - CORRECT ANSWER - With every
dressing changes or with IV tubing if continuously connected by no more often than 96 hours
Causes of cardiac arrythmia during central line placement - CORRECT ANSWER -
Catheter or wire annoying cardiac conduction. May occur post insertion due to migration of
catheter
Prevention (list) of cardiac arrythmia during central line placement - CORRECT
ANSWER - -Ensure optimal tip position using tip location technology or CXR
-Careful measurement and documentation of external anatomical landmarks
-Adequate stabilization and proper dressing management
-Daily assessment of VAD and pt condition regularly comparing current external cath length to
time of insertion
-Consider left sided insertion with pts with cardiac conditions or post MI
,Symptoms of cardiac arrythmia during central line placement - CORRECT ANSWER -
palpitations, irregular heart rhythm, PVCs, VTach
Treatment for cardiac arrythmia during central line placement - CORRECT ANSWER - -If
cath is tunneled or implanted -> refer to IR
-Evaluate pt status and consider retracting the cath
Developmental stage for 0-18 months (infancy) - CORRECT ANSWER - Trust vs mistrust
Developmental stage for 18 months - 3 years (early childhood) - CORRECT ANSWER -
Autonomy vs shame and doubt
Developmental stage for 3- 5 years (preschool) - CORRECT ANSWER - initiative vs guilt
Developmental stage for 6 - 12 years (school age) - CORRECT ANSWER - Industry vs
inferiority
Developmental stage for 13 - 18 years (adolescence) - CORRECT ANSWER - Identity vs
role confusion
What is the developmental stage for:
Age related behaviors: separation anxiety, fear of strangers, communication by crying, object
permanence
Emotional support: support parents and encourage presence, provide calm environment not in
child's bed, limit # of providers
Procedural support: Child life specialist, oral sucrose, pacifier, comfort item, topical anesthetics,
cold and vibration, comfort positioning - CORRECT ANSWER - 0 - 18 months (infancy) -
Trust vs mistrust
, What is the developmental stage for:
Age related behaviors: separation anxiety, loss of control, egocentric
Emotional Support: support parents and encourage presence, calm environment not in patients'
room or bed, limit instructions using non-threatening words, limit # of providers
Procedural support: Child life specialist, pacifier if still using, comfort item, topical anesthetics,
cold and vibration, comfort positioning, distraction - CORRECT ANSWER - 18 months -
3 years (early childhood) - Autonomoy vs shame and doubt
What is the developmental stage for:
Age related behaviors: bodily injury/mutilation, loss of control, fear of the unknown, the dark
and being left alone, follows directions but has short attention span
Emotional Support: Support parents and encourage presence, provide calm environment not in
child's bed or room, offer 2 choices when possible and let child decide, simple instructions using
non-threatening words
Procedural support: Child life specialist, comfort item, topical anesthetics, cold and vibration,
comfort positioning, distraction (light, bubbles, music, books), praise often for cooperation, limit
# of providers - CORRECT ANSWER - 3 - 5 years (precshool): Initiative vs guilt
What is the developmental stage for:
Age related behaviors: Bodily injury and mutilation, loss of control, not being able to live up to
expectations of important others, death, capable of following directions and can be involved in
treatment
