VA-BC CERTIFICATION / VA-BC EXAMS / VA-BC STUDY GUIDE ACTUAL EXAM 400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+

VA-BC CERTIFICATION / VA-BC EXAMS / VA-BC STUDY

GUIDE 2023-2024 ACTUAL EXAM 400 QUESTIONS AND

CORRECT DETAILED ANSWERS WITH RATIONALES

|ALREADY GRADED A+

What are the contraindications for non-tunneled catheters? - 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? - 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? - ANSWER- Anti-microbial catheters

What type of barrier precautions are required for non-tunneled catheter

placement? - ANSWER- Maximun sterile

How should a patient be positioned for non-tunneled catheter

placement? - ANSWER- slight Trendelenburg position

Why is a patient placed in slight Trendelenburg position for nontunneled catheter placement? - ANSWER- to avoid the possibility of air

emboli during the placement procedure

In non-tunneled catheter or PICC placement., what should always be

avoided when accessing veins? - ANSWER- Blind-stick attempts.

Prior to any infusion of non-tunneled catheters, how should tip location

be confirmed? - ANSWER- ECG technology or radiograph

What must be obtained prior to ANY infusion of a non-tunneled catheter

or a PICC line? - ANSWER- A free flowing blood return

What is the optimal tip location for a non-tunneled and PICC catheters?

- ANSWER- Cavoatrial juncture (CAJ)

If inserted through the femoral vein, what the optimal tip location for a

non-tunneled and PICC catheters? - ANSWER- Inferior vena cava (IVC)

above the level of the diaphragm

Why is the femoral vein is commonly used in pediatric critical care units

for non-tunneled catheter placement? - ANSWER- Due to ease of

insertion in young patients

Why may the jugular vein be the preferred point of insertion in very

young children for non-tunneled catheters? - ANSWER- To avoid a

pneumothorax

What are the indications for placement of a PICC line? - ANSWER- -

Patients who require central venous access when the duration of the

infusions are unknown

-Infusion of irritating medications

-Infusion of vesicant agents

What are the contraindications of PICC line placement? - ANSWER- -

Placement into an arm with fracture, trauma, infection, amputations, or

compromised circulation

-Placement into an arm paralyzed as a result of a CVA may increase the

risk of catheter-related thrombosis due to compromised circulation 4

-Chronic kidney disease patients

What vessels are selected for PICC line placement? - ANSWERBasilic, brachial or cephalic vein in the upper arm

What barrier precautions are required for PICC placement? - ANSWERMaximum sterile

What areas of tip location should be avoided in PICC line placement? -

ANSWER- Avoid catheter tip locations in the upper SVC or

midclavicular areas

What Alternative veins for PICC lines may be selected in pediatric pts.?

- ANSWER- Scalp veins, popliteal veins

In pediatric patients, what, if added ,may decrease catheter occlusion? -

ANSWER- Heparin (confirm infusatn compatibility)

What are the indications for tunneled catheters? - ANSWER- -Infusions

that are projected to continue for months or years

-Apheresis

What are the contraindications for tunneled catheter placement? -

ANSWER- -Presence of a bloodstream infection

-Severe coagulopathy