VA-BC Certification Test | Study Guide & Practice
Exam COMPLETE QUESTIONS AND DETAILED CORRECT
CORRECT CORRECT CORRECT CORRECT ANSWER
{ALREADY GRADED A+} BRAND NEW VERSION
List indications for Vascular Access: - CORRECT ANSWER1. Total parenteral nutrition (TPN)
2. Partial parenteral nutrition
3. I.V. fluids and medications
4. Blood and blood components
5. Chemotherapeutic agents
6. Cardiac monitoring
7. Plasmapheresis
8. Aquapherisis
9. Hemodialysis
a. Diagnostic testing
b. Frequent blood sampling
,What is the French Scale? - CORRECT ANSWERMeasurement of the outside size (diameter) of a catheter
What is the range of Central venous catheter French sizes? - CORRECT ANSWER1.2fr for Neonates up to
15fr for dialysis catheters
As the French size increases, what does the diameter of the catheter do? - CORRECT ANSWERIt increases
What is the gauge scale? - CORRECT ANSWERMeasurement of the outside size(diameter) of a catheter
As the gauge number gets larger, what happens to the catheter size? - CORRECT ANSWERIt gets smaller.
What is the gauge range of IV catheters? - CORRECT ANSWER24ga to 12 ga
Why are all I.V. devices manufactured in the USA are required to be radiopaque? - CORRECT ANSWERTo
facilitate location of catheter emboli in the event of shearing or fracture
From what two materials are IV catheters made? - CORRECT ANSWERSilicone and Polyurethane
Which catheter material can be affected by alcohol? - CORRECT ANSWERPolyurethane
What are the indications for short peripheral catheters? - CORRECT ANSWER-Infusions projected for 6
days or less
-Non-irritating medications and solutions
-Non-vesicant medications and solutions
What are contraindications for short peripheral catheters? - CORRECT ANSWER-Placement into an arm
with fracture, trauma, infection, or compromised circulation
-Veins in the arm on the same side of a mastectomy, breast surgery or lymph node dissection
-Veins in the arm with an A/V fistula or graft
,What veins are used for short peripheral catheters? - CORRECT ANSWERMetacarpal, cephalic, basilic and
accessory veins of the arms
How many short peripheral catheter insertion attempts per healthcare provider are allowed? - CORRECT
ANSWER2
What additional veins in pediatrics may be used for non-irritating/non-vesicant infusions? - CORRECT
ANSWERMetacarpal, cephalic or basilic, scalp veins if <18mo
What are the indications for a midline catheter? - CORRECT ANSWER-Infusions projected for 6 days- 4
weeks
-Non-irritating medications and solutions
-Non-vesicant medications and solutions
What are contraindications for a midline? - CORRECT ANSWER-Arms with: A/V fistula, infection, fracture,
trauma, or compromised circulation
-Chronic Kidney Disease
What are the sites and vessel selection for midline catheters? - CORRECT ANSWERBasilic or cephalic vein
in the antecubital fossa or lower part of the upper arm
What product should be used for a midline placement? - CORRECT ANSWERA product that is specifically
designed and labeled as a peripheral midline catheter
What barrier precautions should be considered for midline placement? - CORRECT ANSWERMaximun
sterile barrer
Why should a PICC device NOT be used for midline placement? - CORRECT ANSWERUsing a PICC device
for midline placement will risk confusion related to the type of access device a patient has; places the
catheter tip outside the SVC, which is contrary to the manufacturers' DFU related to the intention of the
product and risks potential liability for the nurse.
What is optimal tip location for a midline catheter? - CORRECT ANSWEROne inch below the axillary area
, For midline placement, what alternative veins can be considered in pediatric patients? - CORRECT
ANSWERScalp veins
Popliteal veins
Saphenous veins
What are the indications for non-tunneled catheters? - CORRECT ANSWERShort term central vein access
Emergency central vein access
What are the contraindications for non-tunneled catheters? - CORRECT ANSWERNeck or chest sites may
be excluded for patients with tracheostomies, radical neck dissection, and cervical fracture instability, or
unstable airway
Inability to position patient, insert or stabilize catheter
Avoid insertion on same side as a PICC that passes through the subclavian vein
What are the potential vessels for non-tunneled catheters? - CORRECT ANSWERA. Jugular veins, external
and/or internal
B. Subclavian veins
C. Femoral veins (least preferred)
In patients at greater risk for catheter associated bloodstream infections (CABSI) what typed of PICC or
non-tunneled catheters should be considered? - CORRECT ANSWERAnti-microbial catheters
What type of barrier precautions are required for non-tunneled catheter placement? - CORRECT
ANSWERMaximun sterile
How should a patient be positioned for non-tunneled catheter placement? - CORRECT ANSWERslight
Trendelenburg position
Exam COMPLETE QUESTIONS AND DETAILED CORRECT
CORRECT CORRECT CORRECT CORRECT ANSWER
{ALREADY GRADED A+} BRAND NEW VERSION
List indications for Vascular Access: - CORRECT ANSWER1. Total parenteral nutrition (TPN)
2. Partial parenteral nutrition
3. I.V. fluids and medications
4. Blood and blood components
5. Chemotherapeutic agents
6. Cardiac monitoring
7. Plasmapheresis
8. Aquapherisis
9. Hemodialysis
a. Diagnostic testing
b. Frequent blood sampling
,What is the French Scale? - CORRECT ANSWERMeasurement of the outside size (diameter) of a catheter
What is the range of Central venous catheter French sizes? - CORRECT ANSWER1.2fr for Neonates up to
15fr for dialysis catheters
As the French size increases, what does the diameter of the catheter do? - CORRECT ANSWERIt increases
What is the gauge scale? - CORRECT ANSWERMeasurement of the outside size(diameter) of a catheter
As the gauge number gets larger, what happens to the catheter size? - CORRECT ANSWERIt gets smaller.
What is the gauge range of IV catheters? - CORRECT ANSWER24ga to 12 ga
Why are all I.V. devices manufactured in the USA are required to be radiopaque? - CORRECT ANSWERTo
facilitate location of catheter emboli in the event of shearing or fracture
From what two materials are IV catheters made? - CORRECT ANSWERSilicone and Polyurethane
Which catheter material can be affected by alcohol? - CORRECT ANSWERPolyurethane
What are the indications for short peripheral catheters? - CORRECT ANSWER-Infusions projected for 6
days or less
-Non-irritating medications and solutions
-Non-vesicant medications and solutions
What are contraindications for short peripheral catheters? - CORRECT ANSWER-Placement into an arm
with fracture, trauma, infection, or compromised circulation
-Veins in the arm on the same side of a mastectomy, breast surgery or lymph node dissection
-Veins in the arm with an A/V fistula or graft
,What veins are used for short peripheral catheters? - CORRECT ANSWERMetacarpal, cephalic, basilic and
accessory veins of the arms
How many short peripheral catheter insertion attempts per healthcare provider are allowed? - CORRECT
ANSWER2
What additional veins in pediatrics may be used for non-irritating/non-vesicant infusions? - CORRECT
ANSWERMetacarpal, cephalic or basilic, scalp veins if <18mo
What are the indications for a midline catheter? - CORRECT ANSWER-Infusions projected for 6 days- 4
weeks
-Non-irritating medications and solutions
-Non-vesicant medications and solutions
What are contraindications for a midline? - CORRECT ANSWER-Arms with: A/V fistula, infection, fracture,
trauma, or compromised circulation
-Chronic Kidney Disease
What are the sites and vessel selection for midline catheters? - CORRECT ANSWERBasilic or cephalic vein
in the antecubital fossa or lower part of the upper arm
What product should be used for a midline placement? - CORRECT ANSWERA product that is specifically
designed and labeled as a peripheral midline catheter
What barrier precautions should be considered for midline placement? - CORRECT ANSWERMaximun
sterile barrer
Why should a PICC device NOT be used for midline placement? - CORRECT ANSWERUsing a PICC device
for midline placement will risk confusion related to the type of access device a patient has; places the
catheter tip outside the SVC, which is contrary to the manufacturers' DFU related to the intention of the
product and risks potential liability for the nurse.
What is optimal tip location for a midline catheter? - CORRECT ANSWEROne inch below the axillary area
, For midline placement, what alternative veins can be considered in pediatric patients? - CORRECT
ANSWERScalp veins
Popliteal veins
Saphenous veins
What are the indications for non-tunneled catheters? - CORRECT ANSWERShort term central vein access
Emergency central vein access
What are the contraindications for non-tunneled catheters? - CORRECT ANSWERNeck or chest sites may
be excluded for patients with tracheostomies, radical neck dissection, and cervical fracture instability, or
unstable airway
Inability to position patient, insert or stabilize catheter
Avoid insertion on same side as a PICC that passes through the subclavian vein
What are the potential vessels for non-tunneled catheters? - CORRECT ANSWERA. Jugular veins, external
and/or internal
B. Subclavian veins
C. Femoral veins (least preferred)
In patients at greater risk for catheter associated bloodstream infections (CABSI) what typed of PICC or
non-tunneled catheters should be considered? - CORRECT ANSWERAnti-microbial catheters
What type of barrier precautions are required for non-tunneled catheter placement? - CORRECT
ANSWERMaximun sterile
How should a patient be positioned for non-tunneled catheter placement? - CORRECT ANSWERslight
Trendelenburg position
