VA-BC Patient Assessment 3

Question 1

Which assessment finding in a patient with an existing PICC would MOST suggest catheter-associated deep vein thrombosis (DVT)?

Accepted Answer

Swelling, pain, and warmth of the entire arm

Answer

Unilateral arm swelling, pain, and warmth are classic signs of upper extremity DVT associated with catheter presence.

Question 2

When performing a pre-insertion assessment for a central line, the nurse notes a patient's platelet count is 42,000/µL. What is the appropriate next step?

Accepted Answer

Document and notify the provider before proceeding

Answer

Thrombocytopenia below 50,000/µL significantly increases bleeding risk and requires provider notification for risk-benefit evaluation before insertion.

Question 3

A nurse is assessing a patient for peripheral IV insertion and notes the skin over the intended vein is ecchymotic from prior attempts. What does this finding indicate?

Accepted Answer

Avoid that site to reduce the risk of unsuccessful cannulation and patient discomfort

Answer

Ecchymotic skin over a vein indicates trauma to surrounding tissue, making venipuncture more difficult and painful; an alternate site should be selected.

Question 4

During assessment, a patient receiving IV vancomycin through a peripheral IV complains of burning and the nurse observes a red streak along the vein proximal to the insertion site. This finding is consistent with:

Accepted Answer

Chemical phlebitis

Answer

A red streak along the vein with burning pain is characteristic of chemical phlebitis caused by irritating medications such as vancomycin.

Question 5

Which patient factor MOST increases the risk of catheter-related bloodstream infection (CRBSI) and should be documented during assessment?

Accepted Answer

Immunocompromised status (e.g., neutropenia, HIV)

Answer

Immunocompromised patients have impaired defenses against pathogens, significantly elevating their risk for CRBSI.

(VA-BC) Vascular Access Nurse Certification Practice Test

(VA-BC) Vascular Access Nurse Certification Practice Test

VA-BC Patient Assessment 3