VA-BC CERTIFICATION /VA-BC EXAMS / VA-BC STUDY
GUIDE 2024 ACTUAL EXAM 400 QUESTIONS AND
CORRECT DETAILED ANSWERS GRADED A+
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 non-tunneled 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 1 / 4
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 2 / 4
-Chronic kidney disease patients What vessels are selected for PICC line placement? - ANSWER>> Basilic, brachial or cephalic vein in the upper arm What barrier precautions are required for PICC placement? - ANSWER>> Maximum 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 3 / 4
-Cellulitis (affecting intended insertion site) which vessels are selected for tunneled catheters? - ANSWER>> a. Subclavian veins
- Jugular veins
- Femoral veins
- / 4
Where might tunneled catheter exits sites be located? - ANSWER>> The chest, upper back, top of thigh, or lower torso What attached to the catheter, will be positioned in the tissue track to secure the catheter? - ANSWER>> A stabilizing Dacron cuff After a tunneled catheter placement, how long until the exit site heals? - ANSWER>> Two to three weeks.When (upon physician approval) may a tunneled catheter be maintained without a dressing? - ANSWER>> Once the cuff has developed tissue attachment and the exit site is healed, In pediatric pts. with tunneled catheters, why do we assess/verify internal catheter tip location as the child grows? - ANSWER>> To maintain internal tip in the SVC What are the indications for an implanted port? - ANSWER>> Infusions that are projected to continue for months to years