VA-BC CERTIFICATION TEST PAPER 2026
COMPLETE STUDY MATERIAL WITH
CORRECT ANSWERS GRADED A+
⩥ Patient needs one dose of vanco what would you recommend?
How do you determine IO position placement? Answer: Midline
across abdomen
⩥ If patient states NO IV what do you?
What body position do you do for PICC removal?
What arm position for PICC removal?
When should dressing be changed? Answer: Recommend IV
upward
arm below
2 days with gauze, 7 days without gauze
⩥ The left SVC dumps into what?
When should the arterial line set up be changed?
How often do you change arterial lines? Answer: coronary sinus
96 hrs
as needed
,⩥ Best way to keep the pulmonary artery catheter free of infection?
How often do you change IV setups?
What does the Swan (Pulmonary artery catheter) measures? Answer: put
in sleeve
96 Hrs
CO (cardiac output)
⩥ CDC guideline for max barrier include what?
Should you cut a PICC with a distal valve?
What is optimal placement for a MIDLINE? Answer: Sterile gloves, cap,
gown, full body sterile drape.
NO
1 inch below axilla
⩥ Which line has the less incidence of infection?
What values are considered for chronic kidney?
What should you use for a HD cath? Answer: PORT
GFR under 60 and creatinine above 2
Large bore double lumen
⩥ How long should you flush for?
,How long can the umbilical cord be used?
Why is vein selection harder in babies? Answer: 2 times the length of
catheter
14 days
less options
⩥ Which part of the vessel has the most smooth muscle?
Abian family wants everything done even though patients outcome is
death what do you do? Answer: media
respect there cultural beliefs on death.
⩥ What should you consider for Device Selection in adults?
What are the pediatric considerations? Answer: Patient assessment like:
preference, lifestyle, willingness to preform maintenance, history,
complications, review of variables to determine correct VAD, high risk
factors, advantages and disadvantages.
limited selection, fewer veins, VAD's preserve vessels, caregiver
education, avoid scalp vad's in infants rolling, avoid lower extremity
Vad's for crawling patients.
⩥ What are the Indications for short peripheral catheters? Answer:
infusion for 6 days or less.
non-irritating and non-vesicant medications and solutions.
, ⩥ What are the contraindications for short peripheral catheters? Answer:
Placement into arm with fracture,trauma, infection, or compromised
circulation.
Veins in the arm on the side of a mastectomy, breast surgery, lymph node
dissection, av fistula or graft.
⩥ What are the preferred vessels for Short peripheral catheters? Answer:
metacarpal, cephalic, basilic, accessory veins in arm.
⩥ What are the insertion procedures for short peripheral catheters?
Answer: follow guidelines, aseptic technique, 2 attempts per provider,
limit of 2 providers, smallest gauge possible to deliver therapy.
⩥ What are pediatric considerations for short peripheral catheters?
Answer: Metacarpal, cephalic, basic, scalp and saphenous veins may be
used. Use imaging devices to minimize iv attempts and secure with
approved devices.
⩥ What are the indications for MIDLINE catheters? Answer: infusion
for 6 days to 4 weeks.
Non-irritating and Non-vesicant medications or solutions.
⩥ What are the contraindications for a MIDLINE? Answer: Placement
in arm with fracture, trauma, infection, AV fistula, or compromised
circulation. Chronic kidney disease patients.
COMPLETE STUDY MATERIAL WITH
CORRECT ANSWERS GRADED A+
⩥ Patient needs one dose of vanco what would you recommend?
How do you determine IO position placement? Answer: Midline
across abdomen
⩥ If patient states NO IV what do you?
What body position do you do for PICC removal?
What arm position for PICC removal?
When should dressing be changed? Answer: Recommend IV
upward
arm below
2 days with gauze, 7 days without gauze
⩥ The left SVC dumps into what?
When should the arterial line set up be changed?
How often do you change arterial lines? Answer: coronary sinus
96 hrs
as needed
,⩥ Best way to keep the pulmonary artery catheter free of infection?
How often do you change IV setups?
What does the Swan (Pulmonary artery catheter) measures? Answer: put
in sleeve
96 Hrs
CO (cardiac output)
⩥ CDC guideline for max barrier include what?
Should you cut a PICC with a distal valve?
What is optimal placement for a MIDLINE? Answer: Sterile gloves, cap,
gown, full body sterile drape.
NO
1 inch below axilla
⩥ Which line has the less incidence of infection?
What values are considered for chronic kidney?
What should you use for a HD cath? Answer: PORT
GFR under 60 and creatinine above 2
Large bore double lumen
⩥ How long should you flush for?
,How long can the umbilical cord be used?
Why is vein selection harder in babies? Answer: 2 times the length of
catheter
14 days
less options
⩥ Which part of the vessel has the most smooth muscle?
Abian family wants everything done even though patients outcome is
death what do you do? Answer: media
respect there cultural beliefs on death.
⩥ What should you consider for Device Selection in adults?
What are the pediatric considerations? Answer: Patient assessment like:
preference, lifestyle, willingness to preform maintenance, history,
complications, review of variables to determine correct VAD, high risk
factors, advantages and disadvantages.
limited selection, fewer veins, VAD's preserve vessels, caregiver
education, avoid scalp vad's in infants rolling, avoid lower extremity
Vad's for crawling patients.
⩥ What are the Indications for short peripheral catheters? Answer:
infusion for 6 days or less.
non-irritating and non-vesicant medications and solutions.
, ⩥ What are the contraindications for short peripheral catheters? Answer:
Placement into arm with fracture,trauma, infection, or compromised
circulation.
Veins in the arm on the side of a mastectomy, breast surgery, lymph node
dissection, av fistula or graft.
⩥ What are the preferred vessels for Short peripheral catheters? Answer:
metacarpal, cephalic, basilic, accessory veins in arm.
⩥ What are the insertion procedures for short peripheral catheters?
Answer: follow guidelines, aseptic technique, 2 attempts per provider,
limit of 2 providers, smallest gauge possible to deliver therapy.
⩥ What are pediatric considerations for short peripheral catheters?
Answer: Metacarpal, cephalic, basic, scalp and saphenous veins may be
used. Use imaging devices to minimize iv attempts and secure with
approved devices.
⩥ What are the indications for MIDLINE catheters? Answer: infusion
for 6 days to 4 weeks.
Non-irritating and Non-vesicant medications or solutions.
⩥ What are the contraindications for a MIDLINE? Answer: Placement
in arm with fracture, trauma, infection, AV fistula, or compromised
circulation. Chronic kidney disease patients.
