VA-BC CERTIFICATION / VA-BC STUDY GUIDE
AND VA-BC EXAMS 2024-2025 NEWEST EXAM
ACTUAL EXAM 400 DETAILED QUESTIONS
AND DETAILED CORRECT ANSWERS WITH
... [Show More]
RATIONALES ALREADY GRADED A+.
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? - ANSWERslight 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.
What are the potential vessels for non-tunneled catheters? - ANSWER- A. 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- Antimicrobial catheters
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? - ANSWERCavoatrial 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 nontunneled 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 [Show Less]