VA-BC Device Selection & Insertion Techniques 2

Question 1

A patient requires 6 weeks of IV antibiotics but has poor peripheral veins. Which device is most appropriate?

Accepted Answer

PICC line

Answer

A PICC line is ideal for 6 weeks of IV therapy, providing reliable central access when peripheral veins are poor.

Question 2

Which gauge needle is preferred for a rapid blood transfusion in an emergency adult patient?

Accepted Answer

18 gauge

Answer

An 18-gauge catheter allows rapid infusion rates needed for emergency transfusions without hemolysis risk.

Question 3

When inserting a PICC, the tip should be confirmed at which anatomical location?

Accepted Answer

Superior vena cava/right atrial junction

Answer

PICC tip placement at the cavoatrial junction (SVC/RA junction) is the standard for central venous catheter placement.

Question 4

A midline catheter is contraindicated in which clinical scenario?

Accepted Answer

Vesicant chemotherapy administration

Answer

Vesicants must be administered through a central venous access device because extravasation from a midline can cause severe tissue damage.

Question 5

During ultrasound-guided PIV insertion, the probe orientation that shows the vein in cross-section is called:

Accepted Answer

Transverse view

Answer

The transverse (short-axis) view displays the vein as a circular cross-section, which is commonly used for initial needle entry visualization.

(VA-BC) Vascular Access Nurse Certification Practice Test