VA-BC Exam Questions With Correct
Answers
When considering vascular access in the pediatric patient what are 9 things to
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consider - CORRECT ANSWER✔✔-1.age 2. Size 3. Sites 4. Reason for therapy 5.
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Duration of therapy 6. Activity and mobility 7. Cognitive abilities 8.)gross and fine
| | | | | | | | | | | | |
motor 9 body image
| | |
French scale - CORRECT ANSWER✔✔-Measurements of the outside of the
| | | | | | | | | |
catheter the larger the French the larger the catheter
| | | | | | | |
Cvc cath sizes - CORRECT ANSWER✔✔-Range from 1.2fr neonates to 15fr dialysis
| | | | | | | | | | | |
cath
Gauge - CORRECT ANSWER✔✔-Internal diameter of catheter. Iv caths Range from
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27g to 12 g
| | | |
Radiopaque - CORRECT ANSWER✔✔-All devices manufactured in the USA are
| | | | | | | | | |
required to be. To visualize tip
| | | | |
Catheter material - CORRECT ANSWER✔✔-1.)Silicone-softer more flexible higher
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in and outer diameter ratio
| | | |
2.)Polyurethane-higher tensile strength but some can be degradeded by alcohol | | | | | | | | |
,peripheral catheters - CORRECT ANSWER✔✔-Use for non irritant non vesicant
| | | | | | | | | |
infusions lasting less than 6 days
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6 PIV contraindications - CORRECT ANSWER✔✔-1.)Expect infusion more then 6
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days
2.)osmolarity>900
3.)vesicant
4.)arm c trauma infection or other problems
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5.)not in arm same side as mastectomy c lymph node dissection
| | | | | | | | | |
6.)fistula
Alternate sites for placing a Iv in an infant/toddler - CORRECT ANSWER✔✔-<18
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months the scalp. | | |
Lower extremities before walking and crawling if possible
| | | | | | |
What are Indications for a midline Catheter - CORRECT ANSWER✔✔-1.) infusions
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>6 days.|
2.)non irritating non vesicant medications
| | | | |
3.) Vancouver can be administered up to 6 days
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What are 6 PICC specific considerations - CORRECT ANSWER✔✔-1.) don't place in
| | | | | | | | | | |
a compromised arm (trauma infection ect.)
| | | | | |
2.)don't place on side affected by CVS there is increased risk of clotting 2nd to
| | | | | | | | | | | | | | |
decrease in circulation. | |
3.)lymph node dissection | |
, 4.) no implanted devices
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5.) chronic kidney patients
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6.) prior catheter related dvts
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where is optimal placement for central lines - CORRECT ANSWER✔✔-1.)lower 3rd
| | | | | | | | | |
of the svc or caj
| | | | | |
2.)from the fem inferior vena cava above the level of the diaphragm
| | | | | | | | | | |
3.) in pediatrics tip for fem insertion should be between levels T9 and 11
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In pediatric population what's the vein of choice for central lines - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-Jugular to avoid pneumo | | |
What are indications to tunnel CVCs - CORRECT ANSWER✔✔-1.) infusions months
| | | | | | | | | |
to years
| |
2.)Hemodialysis/aphersis
3.)TPN
4.)chemo/ irritants | |
5.)difficult Iv access pts. | | |
6.)blood and components | |
Tunneled CVADS used more frequently in infants and pedi
| | | | | | | |
Contraindications of a tunneled cvc - CORRECT ANSWER✔✔-1.)blood stream | | | | | | | | |
infection |
2.) severe coagulopathy
| |
Answers
When considering vascular access in the pediatric patient what are 9 things to
| | | | | | | | | | | | |
consider - CORRECT ANSWER✔✔-1.age 2. Size 3. Sites 4. Reason for therapy 5.
| | | | | | | | | | | | |
Duration of therapy 6. Activity and mobility 7. Cognitive abilities 8.)gross and fine
| | | | | | | | | | | | |
motor 9 body image
| | |
French scale - CORRECT ANSWER✔✔-Measurements of the outside of the
| | | | | | | | | |
catheter the larger the French the larger the catheter
| | | | | | | |
Cvc cath sizes - CORRECT ANSWER✔✔-Range from 1.2fr neonates to 15fr dialysis
| | | | | | | | | | | |
cath
Gauge - CORRECT ANSWER✔✔-Internal diameter of catheter. Iv caths Range from
| | | | | | | | | |
27g to 12 g
| | | |
Radiopaque - CORRECT ANSWER✔✔-All devices manufactured in the USA are
| | | | | | | | | |
required to be. To visualize tip
| | | | |
Catheter material - CORRECT ANSWER✔✔-1.)Silicone-softer more flexible higher
| | | | | | | |
in and outer diameter ratio
| | | |
2.)Polyurethane-higher tensile strength but some can be degradeded by alcohol | | | | | | | | |
,peripheral catheters - CORRECT ANSWER✔✔-Use for non irritant non vesicant
| | | | | | | | | |
infusions lasting less than 6 days
| | | | |
6 PIV contraindications - CORRECT ANSWER✔✔-1.)Expect infusion more then 6
| | | | | | | | | |
days
2.)osmolarity>900
3.)vesicant
4.)arm c trauma infection or other problems
| | | | | | |
5.)not in arm same side as mastectomy c lymph node dissection
| | | | | | | | | |
6.)fistula
Alternate sites for placing a Iv in an infant/toddler - CORRECT ANSWER✔✔-<18
| | | | | | | | | | | |
months the scalp. | | |
Lower extremities before walking and crawling if possible
| | | | | | |
What are Indications for a midline Catheter - CORRECT ANSWER✔✔-1.) infusions
| | | | | | | | | | |
>6 days.|
2.)non irritating non vesicant medications
| | | | |
3.) Vancouver can be administered up to 6 days
| | | | | | | |
What are 6 PICC specific considerations - CORRECT ANSWER✔✔-1.) don't place in
| | | | | | | | | | |
a compromised arm (trauma infection ect.)
| | | | | |
2.)don't place on side affected by CVS there is increased risk of clotting 2nd to
| | | | | | | | | | | | | | |
decrease in circulation. | |
3.)lymph node dissection | |
, 4.) no implanted devices
| | |
5.) chronic kidney patients
| | |
6.) prior catheter related dvts
| | | |
where is optimal placement for central lines - CORRECT ANSWER✔✔-1.)lower 3rd
| | | | | | | | | |
of the svc or caj
| | | | | |
2.)from the fem inferior vena cava above the level of the diaphragm
| | | | | | | | | | |
3.) in pediatrics tip for fem insertion should be between levels T9 and 11
| | | | | | | | | | | | |
In pediatric population what's the vein of choice for central lines - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-Jugular to avoid pneumo | | |
What are indications to tunnel CVCs - CORRECT ANSWER✔✔-1.) infusions months
| | | | | | | | | |
to years
| |
2.)Hemodialysis/aphersis
3.)TPN
4.)chemo/ irritants | |
5.)difficult Iv access pts. | | |
6.)blood and components | |
Tunneled CVADS used more frequently in infants and pedi
| | | | | | | |
Contraindications of a tunneled cvc - CORRECT ANSWER✔✔-1.)blood stream | | | | | | | | |
infection |
2.) severe coagulopathy
| |
