VA-BC CERTIFICATION EXAM 2024|REAL EXAM QUESTIONS
AND COMPREHENSIVE ANSWERS|LATEST UPDATE|EXPERT
VERIFIED FOR GUARANTEED PASS
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
Why should a PICC device NOT be used for midline placement? - CORRECT ANSWER -
Using a PICC device for midline placement will risk confusion related to the type of access
device a patient has; places the catheter tip outside the SVC, which is contrary to the
manufacturers' DFU related to the intention of the product and risks potential liability for the
nurse.
What is optimal tip location for a midline catheter? - CORRECT ANSWER - One inch below the
axillary area
For midline placement, what alternative veins can be considered in pediatric patients? -
CORRECT ANSWER - Scalp veins
Popliteal veins
Saphenous veins
What are the indications for non-tunneled catheters? - CORRECT ANSWER - Short term central
vein access
Emergency central vein access
,What are the contraindications for non-tunneled catheters? - CORRECT ANSWER - Neck or
chest sites may be excluded for patients with tracheostomies, radical neck dissection, and
cervical fracture instability, or unstable airway
Inability to position patient, insert or stabilize catheter
Avoid insertion on same side as a PICC that passes through the subclavian vein
What are the potential vessels for non-tunneled catheters? - CORRECT ANSWER - A. Jugular
veins, external and/or internal
B. Subclavian veins
C. Femoral veins (least preferred)
In patients at greater risk for catheter associated bloodstream infections (CABSI) what typed of
PICC or non-tunneled catheters should be considered? - CORRECT ANSWER - Anti-microbial
catheters
What type of barrier precautions are required for non-tunneled catheter placement? - CORRECT
ANSWER - Maximun sterile
How should a patient be positioned for non-tunneled catheter placement? - CORRECT
ANSWER - slight Trendelenburg position
Why is a patient placed in slight Trendelenburg position for non-tunneled catheter placement? -
CORRECT ANSWER - to avoid the possibility of air emboli during the placement procedure
In non-tunneled catheter or PICC placement., what should always be avoided when accessing
veins? - CORRECT ANSWER - Blind-stick attempts.
Prior to any infusion of non-tunneled catheters, how should tip location be confirmed? -
CORRECT ANSWER - ECG technology or radiograph
What must be obtained prior to ANY infusion of a non-tunneled catheter or a PICC line? -
CORRECT ANSWER - A free flowing blood return
, What is the optimal tip location for a non-tunneled and PICC catheters? - CORRECT ANSWER
- Cavoatrial juncture (CAJ)
If inserted through the femoral vein, what the optimal tip location for a non-tunneled and PICC
catheters? - CORRECT ANSWER - Inferior vena cava (IVC) above the level of the diaphragm
Why is the femoral vein is commonly used in pediatric critical care units for non-tunneled
catheter placement? - CORRECT ANSWER - Due to ease of insertion in young patients
Why may the jugular vein be the preferred point of insertion in very young children for non-
tunneled catheters? - CORRECT ANSWER - To avoid a pneumothorax
What are the indications for placement of a PICC line? - CORRECT ANSWER - -Patients who
require central venous access when the duration of the infusions are unknown
-Infusion of irritating medications
-Infusion of vesicant agents
What are the contraindications of PICC line placement? - CORRECT ANSWER - -Placement
into an arm with fracture, trauma, infection, amputations, or compromised circulation
-Placement into an arm paralyzed as a result of a CVA may increase the risk of catheter-related
thrombosis due to compromised circulation 4
-Chronic kidney disease patients
What vessels are selected for PICC line placement? - CORRECT ANSWER - Basilic, brachial or
cephalic vein in the upper arm
What barrier precautions are required for PICC placement? - CORRECT ANSWER - Maximum
sterile
What areas of tip location should be avoided in PICC line placement? - CORRECT ANSWER -
Avoid catheter tip locations in the upper SVC or midclavicular areas
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