VA-BC CERTIFICATION / VA-BC EXAMS / VA-BC STUDY
GUIDE ACTUAL EXAM 400 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
Education should be provided to the patient and caregiver related to the _____,
_____, and _____. - ANSWER: vascular access device
medication or infusate
potential complications
ISAVE, a guide for patients and families, is an acronym from the AVA that stands
for... - ANSWER: Inform (Swelling, Temperature Changes, Oozing, Pain)
See us check your IV often (Is it working? Is there S.T.O.P.? IS the dressing C/D/I? Is
your IV still needed?)
Ask us to clean our hands
Value your veins
Expect us to follow basic rules
Additional patient considerations - ANSWER: Cognitive impairment
Mental illness
Limited language proficiency
Religious objections to medical care
Cultural differences
Vulnerable populations
Psychosocial considerations - ANSWER: Cultural diversity
Types of health beliefs (scientific/biomedical, holistic, magic-spiritual)
Strategies to promote patient engagement include: - ANSWER: Encouraging and
facilitating communication/participation
Keeping the patient informed through bedside change of shift reports
Engaging in discharge planning throughout stay
Increasing knowledge, skills, abilities
_____ is a patient educational process involving shared decision-making - ANSWER:
Informed consent
Selection of the most appropriate vascular _____ occurs as a collaborative process
among the interprofessional team, the patient, and the patient's caregivers. -
ANSWER: device (NOT just location)
Recommendations for facilitating the _____ process include:
- Provide educational materials and forms at an educational level between 4 and 6th
grade
- Use a medical interpreter for non-English speaking patients
, - Use appropriate resources for those with visual or hearing deficits
- Allow adequate time for questions/answers
- Use most appropriate method (verbal, written handouts, video/online sources)
- Validate understanding by using teach-back
- Collaborate with the provider - ANSWER: Informed consent
For CVAD patency assessment, use a _____ or larger syringe to flush - ANSWER: 10
mL
Securement devices should be changed at least every _____ days, and when non-
adherent, wet, loose, or visibly soiled. - ANSWER: 7
Arrhythmias during central line placement are caused by - ANSWER: catheter or wire
annoying cardiac conduction
Arrhythmias can occur during insertion or post-insertion due to... - ANSWER:
migration of catheter
Prevention of _____:
- Ensure optimal tip location via technology or chest radiology
- Careful measurement and documentation of external anatomic landmarks
- Adequate stabilization and proper dressing mgmt
- Daily assessment of line/pt condition, always comparing current external length to
that at the time of insertion
- Consider left sided insertion (more length to insert wire before reaching sensitive
areas of the heart) in pt's who have arrhythmias/cardiac conditions/post-MI -
ANSWER: arrhythmias
Age 0-18 months (infancy) is which developmental stage? - ANSWER: Trust vs
Mistrust
Principles of _____ _____ for pediatric patients:
- Support parents
- Encourage presence if beneficial
- Provide a calm environment preferably not in child's bed/room
- Limit # of providers to minimum needed for success
- 3 yrs+ Simple instructions using non-threatening words, praise for cooperation,
offer 2+ choices when possible (i.e. Mom's lap or bed?)
- 13 to 18 yrs prepare ahead of time with accurate information, provide and guard
privacy, answer questions honestly and explain consequences of
decisions/procedures - ANSWER: emotional support
Procedural support or sedation for ages 0-18 months - ANSWER: Child Life Specialist
Oral sucrose
Pacifier
Comfort item
Topical anesthetics
GUIDE ACTUAL EXAM 400 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
Education should be provided to the patient and caregiver related to the _____,
_____, and _____. - ANSWER: vascular access device
medication or infusate
potential complications
ISAVE, a guide for patients and families, is an acronym from the AVA that stands
for... - ANSWER: Inform (Swelling, Temperature Changes, Oozing, Pain)
See us check your IV often (Is it working? Is there S.T.O.P.? IS the dressing C/D/I? Is
your IV still needed?)
Ask us to clean our hands
Value your veins
Expect us to follow basic rules
Additional patient considerations - ANSWER: Cognitive impairment
Mental illness
Limited language proficiency
Religious objections to medical care
Cultural differences
Vulnerable populations
Psychosocial considerations - ANSWER: Cultural diversity
Types of health beliefs (scientific/biomedical, holistic, magic-spiritual)
Strategies to promote patient engagement include: - ANSWER: Encouraging and
facilitating communication/participation
Keeping the patient informed through bedside change of shift reports
Engaging in discharge planning throughout stay
Increasing knowledge, skills, abilities
_____ is a patient educational process involving shared decision-making - ANSWER:
Informed consent
Selection of the most appropriate vascular _____ occurs as a collaborative process
among the interprofessional team, the patient, and the patient's caregivers. -
ANSWER: device (NOT just location)
Recommendations for facilitating the _____ process include:
- Provide educational materials and forms at an educational level between 4 and 6th
grade
- Use a medical interpreter for non-English speaking patients
, - Use appropriate resources for those with visual or hearing deficits
- Allow adequate time for questions/answers
- Use most appropriate method (verbal, written handouts, video/online sources)
- Validate understanding by using teach-back
- Collaborate with the provider - ANSWER: Informed consent
For CVAD patency assessment, use a _____ or larger syringe to flush - ANSWER: 10
mL
Securement devices should be changed at least every _____ days, and when non-
adherent, wet, loose, or visibly soiled. - ANSWER: 7
Arrhythmias during central line placement are caused by - ANSWER: catheter or wire
annoying cardiac conduction
Arrhythmias can occur during insertion or post-insertion due to... - ANSWER:
migration of catheter
Prevention of _____:
- Ensure optimal tip location via technology or chest radiology
- Careful measurement and documentation of external anatomic landmarks
- Adequate stabilization and proper dressing mgmt
- Daily assessment of line/pt condition, always comparing current external length to
that at the time of insertion
- Consider left sided insertion (more length to insert wire before reaching sensitive
areas of the heart) in pt's who have arrhythmias/cardiac conditions/post-MI -
ANSWER: arrhythmias
Age 0-18 months (infancy) is which developmental stage? - ANSWER: Trust vs
Mistrust
Principles of _____ _____ for pediatric patients:
- Support parents
- Encourage presence if beneficial
- Provide a calm environment preferably not in child's bed/room
- Limit # of providers to minimum needed for success
- 3 yrs+ Simple instructions using non-threatening words, praise for cooperation,
offer 2+ choices when possible (i.e. Mom's lap or bed?)
- 13 to 18 yrs prepare ahead of time with accurate information, provide and guard
privacy, answer questions honestly and explain consequences of
decisions/procedures - ANSWER: emotional support
Procedural support or sedation for ages 0-18 months - ANSWER: Child Life Specialist
Oral sucrose
Pacifier
Comfort item
Topical anesthetics
