VA-BC Test Practice Questions & Correct Answers

VA-BC Test Practice Questions & Correct Answers What vessel is the easiest to access for emergency, short term access? - ANSWER EJ Vessels for short PIV - ANSWER Metacarpal, cephalic, basilic, accessory veins in forearm Site selection for port - ANSWER Peripheral: basilic, cephalic Central: subclavian, jugular, femoral What is the name for the non-coring needle for a port? - ANSWER Huber needle How many hours does it take for the site of a central line to be healed? - ANSWER 2 hours Pediatric PIV sites - ANSWER metacarpal, cephalic, basilic, scalp (under 18mo) , saphenous Optimal tip location for Midline catheter - ANSWER One inch below the axillary area Difference between infiltration and extravasation - ANSWER Extravasation is infiltration just with a vesicant or large volume of solution into the tissue Site for PA catheters - ANSWER Right subclavian or IJ When should an arterial line be changed? - ANSWER Only as needed Indications and contraindications for aquapheresis - ANSWER I: Diuretic resistant CHF C: No accessible basilic vein in upper arm Amount of flush for a catheter - ANSWER 2x the length of the catheter Tip placement for dialysis cath - ANSWER Upper right atrium Site and device selection for CKD 3 or higher? - ANSWER PIV in dorsal veins of dominant hand Safe Medical Device Act of 1990 was passed by who? - ANSWER FDA What size needle do you need for blood? - ANSWER 18-24G Site selection for dialysis or apheresis catheters - ANSWER Jugular, subclavian, femoral Outermost layer of vessel & what it's made of - ANSWER Tunica Adventitia Connective tissue Middle layer of vessel and what it's made of - ANSWER Tunica Medica Smooth muscle Inner most layer of vessel and what it's made of - ANSWER Tunica Intima Single layer of endothelial cells Layer of artery/vein that if damaged can form a thrombus - ANSWER Tunica Intima Vessel wall layer that contains nerve fibers for vasoconstriction or dilation - ANSWER Tunica Media Vessel layer that vasoconstricts with pain and anxiety - ANSWER Tunica Media Contraindications for PA catheters - ANSWER Mitral stenosis, right heart mass, tricuspid or pulmonary mechanical valves Evidence based practice that's based on randomized control trials (rct) - ANSWER Level A EBP with consensus viewpoint or expert opinion that obtains a majority agreement from clinical experts - ANSWER Level C Why are implanted VADS used less frequently with peds? - ANSWER Fear of the needle stick, increased risk of dislodgement Tip location for aquapheresis - ANSWER 1-2cm below axilla Veins that form axillary vein - ANSWER Basilic and brachial Where does the subclavian vein run? - ANSWER Outer border of 1st rib to the medial border of the anterior scalene muscle Other name of brachiocephalic vein - ANSWER Innominate What veins is the brachiocephalic made of - ANSWER IJ and subclavian veins Place on neck best for IJ - ANSWER Low lateral