VA-BC Documentation 2

Question 1

When documenting PICC tip placement confirmed by chest X-ray, which anatomical landmark should be recorded as the target location?

Accepted Answer

Superior vena cava/cavoatrial junction

Answer

The ideal PICC tip position is at the superior vena cava/cavoatrial junction, and this must be documented along with the method of confirmation.

Question 2

Which element is MOST critical to document when a patient refuses vascular access education prior to discharge?

Accepted Answer

The patient's stated reason for refusal and that risks of non-compliance were explained

Answer

Documenting the reason for refusal and that risks were communicated creates a legally defensible record and satisfies informed refusal requirements.

Question 3

A nurse draws blood from a central venous catheter and discards the first 5 mL. What must be documented regarding this discard?

Accepted Answer

Amount discarded and that waste was witnessed per policy

Answer

Discard volumes from CVCs must be documented along with witness verification to comply with controlled substance and institutional waste policies.

Question 4

How should multiple failed venipuncture attempts be documented in the medical record?

Accepted Answer

Number of attempts, sites tried, gauge used, and reason for difficulty

Answer

Each attempt should be documented with anatomical site, needle gauge, number of attempts, and contributing factors to ensure continuity and legal protection.

Question 5

When documenting a CVC dressing change, which observation is MOST important to include about the insertion site?

Accepted Answer

Presence or absence of erythema, drainage, tenderness, and catheter securement integrity

Answer

Site assessment findings including signs of infection or complications must be recorded each time a dressing change is performed to track trends and ensure early intervention.

(VA-BC) Vascular Access Nurse Certification Practice Test

(VA-BC) Vascular Access Nurse Certification Practice Test

VA-BC Documentation 2