VA-BC Certification Test – VERIFIED PRACTICE
QUESTIONS WITH DETAILED ANSWERS ||
VASCULAR ACCESS BOARD CERTIFIED EXAM
PREP – 2025
What vessel is the easiest to access for emergency, short term access?
- ANSWER EJ
Vessels for short PIV
- ANSWER Metacarpal, cephalic, basilic, accessory veins in forearm
Site selection for port
–ANSWER Peripheral: basilic, cephalic
Central: subclavian, jugular, femoral
What is the name for the non-coring needle for a port?
- ANSWER Huber needle
How many hours does it take for the site of a central line to be healed?
- ANSWER 2 hours
Pediatric PIV sites
- ANSWER metacarpal, cephalic, basilic, scalp (under 18mo) , saphenous
Optimal tip location for Midline catheter
,- ANSWER One inch below the axillary area
Difference between infiltration and extravasation
- ANSWER Extravasation is infiltration just with a vesicant or large volume of solution
into the tissue
Site for PA catheters
- ANSWER Right subclavian or IJ
When should an arterial line be changed?
- ANSWER Only as needed
Indications and contraindications for aquapheresis
- ANSWER I: Diuretic resistant CHF
C: No accessible basilic vein in upper arm
Amount of flush for a catheter
- ANSWER 2x the length of the catheter
Tip placement for dialysis cath
- ANSWER Upper right atrium
Site and device selection for CKD 3 or higher?
- ANSWER PIV in dorsal veins of dominant hand
Safe Medical Device Act of 1990 was passed by who? - ANSWER FDA
,What size needle do you need for blood? - ANSWER 18-24G
Site selection for dialysis or apheresis catheters - ANSWER Jugular, subclavian, femoral
Outermost layer of vessel & what it's made of - ANSWER Tunica Adventitia
Connective tissue
Middle layer of vessel and what it's made of - ANSWER Tunica Medica
Smooth muscle
Inner most layer of vessel and what it's made of - ANSWER Tunica Intima
Single layer of endothelial cells
Layer of artery/vein that if damaged can form a thrombus - ANSWER Tunica Intima
Vessel wall layer that contains nerve fibers for vasoconstriction or dilation - ANSWER
Tunica Media
Vessel layer that vasoconstricts with pain and anxiety - ANSWER Tunica Media
Contraindications for PA catheters - ANSWER Mitral stenosis, right heart mass,
tricuspid or pulmonary mechanical valves
Evidence based practice that's based on randomized control trials (rct) - ANSWER
Level A
, EBP with consensus viewpoint or expert opinion that obtains a majority agreement from
clinical experts - ANSWER Level C
Why are implanted VADS used less frequently with peds? - ANSWER Fear of the needle
stick, increased risk of dislodgement
Tip location for aquapheresis - ANSWER 1-2cm below axilla
Veins that form axillary vein - ANSWER Basilic and brachial
Where does the subclavian vein run? - ANSWER Outer border of 1st rib to the medial
border of the anterior scalene muscle
Other name of brachiocephalic vein - ANSWER Innominate
What veins is the brachiocephalic made of - ANSWER IJ and subclavian veins
Place on neck best for IJ - ANSWER Low lateral
CHG - ANSWER Effective against G+ and G-. 48hrs of residual activity. Don't use in
peds <2mo
Basilics path up the arm - ANSWER ulnar medial side, across AC, medial side of upper
arm, joins brachial veins to become axillary vein
Vein that runs along lateral border of biceps muscle and pectoral border of the deltoid
muscle - ANSWER cephalic
QUESTIONS WITH DETAILED ANSWERS ||
VASCULAR ACCESS BOARD CERTIFIED EXAM
PREP – 2025
What vessel is the easiest to access for emergency, short term access?
- ANSWER EJ
Vessels for short PIV
- ANSWER Metacarpal, cephalic, basilic, accessory veins in forearm
Site selection for port
–ANSWER Peripheral: basilic, cephalic
Central: subclavian, jugular, femoral
What is the name for the non-coring needle for a port?
- ANSWER Huber needle
How many hours does it take for the site of a central line to be healed?
- ANSWER 2 hours
Pediatric PIV sites
- ANSWER metacarpal, cephalic, basilic, scalp (under 18mo) , saphenous
Optimal tip location for Midline catheter
,- ANSWER One inch below the axillary area
Difference between infiltration and extravasation
- ANSWER Extravasation is infiltration just with a vesicant or large volume of solution
into the tissue
Site for PA catheters
- ANSWER Right subclavian or IJ
When should an arterial line be changed?
- ANSWER Only as needed
Indications and contraindications for aquapheresis
- ANSWER I: Diuretic resistant CHF
C: No accessible basilic vein in upper arm
Amount of flush for a catheter
- ANSWER 2x the length of the catheter
Tip placement for dialysis cath
- ANSWER Upper right atrium
Site and device selection for CKD 3 or higher?
- ANSWER PIV in dorsal veins of dominant hand
Safe Medical Device Act of 1990 was passed by who? - ANSWER FDA
,What size needle do you need for blood? - ANSWER 18-24G
Site selection for dialysis or apheresis catheters - ANSWER Jugular, subclavian, femoral
Outermost layer of vessel & what it's made of - ANSWER Tunica Adventitia
Connective tissue
Middle layer of vessel and what it's made of - ANSWER Tunica Medica
Smooth muscle
Inner most layer of vessel and what it's made of - ANSWER Tunica Intima
Single layer of endothelial cells
Layer of artery/vein that if damaged can form a thrombus - ANSWER Tunica Intima
Vessel wall layer that contains nerve fibers for vasoconstriction or dilation - ANSWER
Tunica Media
Vessel layer that vasoconstricts with pain and anxiety - ANSWER Tunica Media
Contraindications for PA catheters - ANSWER Mitral stenosis, right heart mass,
tricuspid or pulmonary mechanical valves
Evidence based practice that's based on randomized control trials (rct) - ANSWER
Level A
, EBP with consensus viewpoint or expert opinion that obtains a majority agreement from
clinical experts - ANSWER Level C
Why are implanted VADS used less frequently with peds? - ANSWER Fear of the needle
stick, increased risk of dislodgement
Tip location for aquapheresis - ANSWER 1-2cm below axilla
Veins that form axillary vein - ANSWER Basilic and brachial
Where does the subclavian vein run? - ANSWER Outer border of 1st rib to the medial
border of the anterior scalene muscle
Other name of brachiocephalic vein - ANSWER Innominate
What veins is the brachiocephalic made of - ANSWER IJ and subclavian veins
Place on neck best for IJ - ANSWER Low lateral
CHG - ANSWER Effective against G+ and G-. 48hrs of residual activity. Don't use in
peds <2mo
Basilics path up the arm - ANSWER ulnar medial side, across AC, medial side of upper
arm, joins brachial veins to become axillary vein
Vein that runs along lateral border of biceps muscle and pectoral border of the deltoid
muscle - ANSWER cephalic
