VA-BC CERTIFICATION EXAM SCRIPT 2026
QUESTIONS AND DETAILED ANSWERS
ALREADY GRADED A+
⩥ Measurement of the INTERNAL diameter of the catheter. Answer:
Guage scale
⩥ PIV days for projected use. Answer: 6 days
⩥ PIV contraindicated osmolarity. Answer: Greater than 900 mOsm/L
⩥ What veins are NOT recommended for general use. Answer:
Metacarpals
⩥ What percent of catheter length should dwell in the vein. Answer:
Greater than 50%
⩥ Maximum age of infant to use scalp vein. Answer: 18 months old
⩥ Off label use for a midline. Answer: Trimming a PICC for midline
placement
, ⩥ Optimal insertion site for a midline in adults. Answer: Middle 1/3 of
the upper arm. A minimum of 2 inches above the AC
⩥ Why shouldn't a non-tunneled PICC be placed in a paralyzed arm..
Answer: Increased risk of catheter-related thrombosis due to
compromised circulation
⩥ What position should a patient be placed while placing a CVAD.
Answer: Slight Trendelenburg to avoid the risk of air emboli
⩥ Correct catheter tip location when inserted in IJ, subclavian or
axillary. Answer: Distal lower third of the superior vena cava (SVC) or
the Cavo-atrial junction (CAJ)
⩥ Preferred vein for non-tunneled line in very young children. Answer:
Jugular vein (to avoid pneumothorax)
⩥ Contraindications for a tunneled central venous catheter. Answer:
Blood steam infection, severe coagulopathy, cellulitis (affecting intended
insertion site)
⩥ How long will it take a tunneled catheter with a cuff to heal?. Answer:
2-3 weeks
QUESTIONS AND DETAILED ANSWERS
ALREADY GRADED A+
⩥ Measurement of the INTERNAL diameter of the catheter. Answer:
Guage scale
⩥ PIV days for projected use. Answer: 6 days
⩥ PIV contraindicated osmolarity. Answer: Greater than 900 mOsm/L
⩥ What veins are NOT recommended for general use. Answer:
Metacarpals
⩥ What percent of catheter length should dwell in the vein. Answer:
Greater than 50%
⩥ Maximum age of infant to use scalp vein. Answer: 18 months old
⩥ Off label use for a midline. Answer: Trimming a PICC for midline
placement
, ⩥ Optimal insertion site for a midline in adults. Answer: Middle 1/3 of
the upper arm. A minimum of 2 inches above the AC
⩥ Why shouldn't a non-tunneled PICC be placed in a paralyzed arm..
Answer: Increased risk of catheter-related thrombosis due to
compromised circulation
⩥ What position should a patient be placed while placing a CVAD.
Answer: Slight Trendelenburg to avoid the risk of air emboli
⩥ Correct catheter tip location when inserted in IJ, subclavian or
axillary. Answer: Distal lower third of the superior vena cava (SVC) or
the Cavo-atrial junction (CAJ)
⩥ Preferred vein for non-tunneled line in very young children. Answer:
Jugular vein (to avoid pneumothorax)
⩥ Contraindications for a tunneled central venous catheter. Answer:
Blood steam infection, severe coagulopathy, cellulitis (affecting intended
insertion site)
⩥ How long will it take a tunneled catheter with a cuff to heal?. Answer:
2-3 weeks
