V A-BC Certification Study Material Questions with Correct Answers List indications for Vascular Access: Correct Answer 1. Total parenteral nutrition (TPN)
2. Partial parenteral nutrition
3. I.V. fluids and medications
4. Blood and blood components
5. Chemotherapeutic agents
6. Cardiac monitoring
7. Plasmapheresis
8. Aquapherisis
9. Hemodialysis
a. Diagnostic testing
b. Frequent blood sampling
What is the French Scale? Correct Answer Measurement of the outside size (diameter) of a catheter
What is the range of Central venous catheter French sizes? Correct Answer 1.2fr for Neonates up to 15fr for dialysis catheters
As the French size increases, what does the diameter of the catheter do? Correct Answer It increases
What is the gauge scale? Correct Answer Measurement of the outside size(diameter) of
a catheter
As the gauge number gets larger, what happens to the catheter size? Correct Answer It gets smaller.
What is the gauge range of IV catheters? Correct Answer 24ga to 12 ga Why are all I.V. devices manufactured in the USA are required to be radiopaque? Correct Answer To facilitate location of catheter emboli in the event of shearing or fracture
From what two materials are IV catheters made? Correct Answer Silicone and Polyurethane
Which catheter material can be affected by alcohol? Correct Answer Polyurethane
What are the indications for short peripheral catheters? Correct Answer -Infusions projected for 6 days or less
-Non-irritating medications and solutions
-Non-vesicant medications and solutions
What are contraindications for short peripheral catheters? Correct Answer -Placement into an arm with fracture, trauma, infection, or compromised circulation
-Veins in the arm on the same side of a mastectomy, breast surgery or lymph node dissection
-Veins in the arm with an A/V fistula or graft
What veins are used for short peripheral catheters? Correct Answer Metacarpal, cephalic, basilic and accessory veins of the arms
How many short peripheral catheter insertion attempts per healthcare provider are allowed? Correct Answer 2
What additional veins in pediatrics may be used for non-irritating/non-vesicant infusions? Correct Answer Metacarpal, cephalic or basilic, scalp veins if <18mo
What are the indications for a midline catheter? Correct Answer -Infusions projected for 6 days- 4 weeks
-Non-irritating medications and solutions
-Non-vesicant medications and solutions
What are contraindications for a midline? Correct Answer -Arms with: A/V fistula, infection, fracture, trauma, or compromised circulation
-Chronic Kidney Disease
What are the sites and vessel selection for midline catheters? Correct Answer Basilic or cephalic vein in the antecubital fossa or lower part of the upper arm
What product should be used for a midline placement? Correct Answer A product that is
specifically designed and labeled as a peripheral midline catheter
What barrier precautions should be considered for midline placement? Correct Answer Maximun sterile barrer
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