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VA-BC Study Guide Practice Questions and Answers 100% Verified
Question 1: 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
Question 2: French scale
CORRECT ANSWER : Measurements of the outside of the
catheter the larger the French the larger the catheter
Question 3: Cvc cath sizes
CORRECT ANSWER : Range from 1.2fr neonates to 15fr
dialysis cath
Question 4: Gauge
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CORRECT ANSWER : Internal diameter of catheter. Iv caths
Range from 27g to 12 g
Question 5: Radiopaque
CORRECT ANSWER : All devices manufactured in the USA
are required to be. To visualize tip
Question 6: 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
Question 7: peripheral catheters
CORRECT ANSWER: Use for non irritant non vesicant
infusions lasting less than 6 days
Question 8: 6 PIV contraindications
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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
Question 9: Alternate sites for placing a Iv in an infant/toddler
CORRECT ANSWER : <18 months the scalp. Lower extremities
before walking and crawling if possible
Question 10: 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
Question 11: 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
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there is increased risk of clotting 2nd to decrease in circulation.
- lymph node dissection 4. no implanted devices 5. chronic
kidney patients 6. prior catheter related dvts
Question 12: 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
Question 13: In pediatric population what's the vein of choice
for central lines
CORRECT ANSWER : Jugular to avoid pneumo
Question 14: 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