VA-BC CERTIFICATION EXAMPREP 2026
FULL STUDY QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
⩥ The primary rationale for avoiding cannulation of veins in the palmar
aspect of the wrist is to reduce the risk of...
A. Nerve injury
B. Infection
C. Carpel Tunnel Syndrome
D. Phlebitis. Answer: A. Nerve Injury
⩥ A 59 year old patient is admitted to the intensive care unit with orders
for intravenous (IV) fluids, blood products, vasopressors, and IV
antibiotics. Platelet count is 40,000 per microliter (mcL). Which of the
following would be the vascular access device of choice for this patient?
A. Large bore peripheral catheter in an upper arm vein
B. Midline Catheter placed in an upper arm vein
C. Peripherally inserted central catheter in an upper arm vein
,D. Central venous catheter in an internal jugular vein. Answer: C.
Peripherally inserted central catheter in an upper arm vein
⩥ What test should be performed prior to insertion and at designated
intervals of a radial arterial line?
A. Allen's Test
B. Serum Creatinine Level
C. Complete Blood Count
D. Babinski Reflex. Answer: A. Allen's test
⩥ The least invasive option for a patient requiring short term apheresis
access is:
A. Placement of a 4 French tunneled catheter
B. Surgical creation of an arterial-venous fistula
C. Temporary placement of an arterial-venous graft
, D. Cannulation of antecubital veins with 18G peripheral intravenous
catheter. Answer: D. Cannulation of antecubital veins with 18G
peripheral intravenous catheter
⩥ What set of conditions best indicate the need for central access?
A. Osmolarity greater than 900 mOsm/L, Vesicant infusion greater than
30 minutes, Venous irritant infusion of greater than 6 days
B. Available peripheral IV sites, Osmolarity less than 900 mOsm/L,
vesicant therapy IV push over 5 minutes
C. Undiluted pH of 2.5, Osmolarity of 600 mOsm/L, available
peripheral sites
D. Vesicant therapy of any duration, Osmolarity of 700mOsm/L, limited
peripheral sites. Answer: A. Osmolarity greater than 900 mOsm/L,
Vesicant infusion greater than 30 minutes, Venous irritant infusion of
greater than 6 days
⩥ Which of the following patient assessment parameters may lead a
clinician to consider recommending a tunneled catheter or an implanted
port?
A. Non-irritant solution to infuse less than 7 Days
FULL STUDY QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
⩥ The primary rationale for avoiding cannulation of veins in the palmar
aspect of the wrist is to reduce the risk of...
A. Nerve injury
B. Infection
C. Carpel Tunnel Syndrome
D. Phlebitis. Answer: A. Nerve Injury
⩥ A 59 year old patient is admitted to the intensive care unit with orders
for intravenous (IV) fluids, blood products, vasopressors, and IV
antibiotics. Platelet count is 40,000 per microliter (mcL). Which of the
following would be the vascular access device of choice for this patient?
A. Large bore peripheral catheter in an upper arm vein
B. Midline Catheter placed in an upper arm vein
C. Peripherally inserted central catheter in an upper arm vein
,D. Central venous catheter in an internal jugular vein. Answer: C.
Peripherally inserted central catheter in an upper arm vein
⩥ What test should be performed prior to insertion and at designated
intervals of a radial arterial line?
A. Allen's Test
B. Serum Creatinine Level
C. Complete Blood Count
D. Babinski Reflex. Answer: A. Allen's test
⩥ The least invasive option for a patient requiring short term apheresis
access is:
A. Placement of a 4 French tunneled catheter
B. Surgical creation of an arterial-venous fistula
C. Temporary placement of an arterial-venous graft
, D. Cannulation of antecubital veins with 18G peripheral intravenous
catheter. Answer: D. Cannulation of antecubital veins with 18G
peripheral intravenous catheter
⩥ What set of conditions best indicate the need for central access?
A. Osmolarity greater than 900 mOsm/L, Vesicant infusion greater than
30 minutes, Venous irritant infusion of greater than 6 days
B. Available peripheral IV sites, Osmolarity less than 900 mOsm/L,
vesicant therapy IV push over 5 minutes
C. Undiluted pH of 2.5, Osmolarity of 600 mOsm/L, available
peripheral sites
D. Vesicant therapy of any duration, Osmolarity of 700mOsm/L, limited
peripheral sites. Answer: A. Osmolarity greater than 900 mOsm/L,
Vesicant infusion greater than 30 minutes, Venous irritant infusion of
greater than 6 days
⩥ Which of the following patient assessment parameters may lead a
clinician to consider recommending a tunneled catheter or an implanted
port?
A. Non-irritant solution to infuse less than 7 Days
