VA-BC Exam Questions With Correct Answers

VA-BC Exam Questions With Correct
Answers

When considering vascular access in the pediatric patient what are 9 things to
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consider - CORRECT ANSWER✔✔-1.age 2. Size 3. Sites 4. Reason for therapy 5.
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Duration of therapy 6. Activity and mobility 7. Cognitive abilities 8.)gross and fine
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motor 9 body image
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French scale - CORRECT ANSWER✔✔-Measurements of the outside of the
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catheter the larger the French the larger the catheter
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Cvc cath sizes - CORRECT ANSWER✔✔-Range from 1.2fr neonates to 15fr dialysis
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cath


Gauge - CORRECT ANSWER✔✔-Internal diameter of catheter. Iv caths Range from
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27g to 12 g
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Radiopaque - CORRECT ANSWER✔✔-All devices manufactured in the USA are
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required to be. To visualize tip
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Catheter material - CORRECT ANSWER✔✔-1.)Silicone-softer more flexible higher
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in and outer diameter ratio
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2.)Polyurethane-higher tensile strength but some can be degradeded by alcohol | | | | | | | | |

,peripheral catheters - CORRECT ANSWER✔✔-Use for non irritant non vesicant
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infusions lasting less than 6 days
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6 PIV contraindications - CORRECT ANSWER✔✔-1.)Expect infusion more then 6
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days
2.)osmolarity>900
3.)vesicant
4.)arm c trauma infection or other problems
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5.)not in arm same side as mastectomy c lymph node dissection
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6.)fistula


Alternate sites for placing a Iv in an infant/toddler - CORRECT ANSWER✔✔-<18
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months the scalp. | | |




Lower extremities before walking and crawling if possible
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What are Indications for a midline Catheter - CORRECT ANSWER✔✔-1.) infusions
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>6 days.|




2.)non irritating non vesicant medications
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3.) Vancouver can be administered up to 6 days
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What are 6 PICC specific considerations - CORRECT ANSWER✔✔-1.) don't place in
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a compromised arm (trauma infection ect.)
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2.)don't place on side affected by CVS there is increased risk of clotting 2nd to
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decrease in circulation. | |




3.)lymph node dissection | |

, 4.) no implanted devices
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5.) chronic kidney patients
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6.) prior catheter related dvts
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where is optimal placement for central lines - CORRECT ANSWER✔✔-1.)lower 3rd
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of the svc or caj
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2.)from the fem inferior vena cava above the level of the diaphragm
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3.) in pediatrics tip for fem insertion should be between levels T9 and 11
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In pediatric population what's the vein of choice for central lines - CORRECT
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ANSWER✔✔-Jugular to avoid pneumo | | |




What are indications to tunnel CVCs - CORRECT ANSWER✔✔-1.) infusions months
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to years
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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
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Contraindications of a tunneled cvc - CORRECT ANSWER✔✔-1.)blood stream | | | | | | | | |


infection |




2.) severe coagulopathy
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