VA-BC Patient Assessment 5

Question 1

A nurse is assessing a patient who will receive long-term home IV therapy. Which factor is MOST important to assess when selecting a vascular access device for discharge planning?

Accepted Answer

Patient's and caregiver's ability to manage and maintain the device

Answer

The patient's and caregiver's ability to safely manage the device at home is the primary safety consideration for device selection in home infusion therapy.

Question 2

Which vein characteristic found on ultrasound assessment would MOST indicate suitability for PICC insertion?

Accepted Answer

Vein is compressible, anechoic, and measures at least 4 mm in diameter

Answer

A compressible, anechoic (fluid-filled) vein of at least 4 mm diameter is considered ideal for PICC insertion via ultrasound guidance.

Question 3

A patient's medical history documents prior radiation therapy to the right chest and axilla. How should this information influence vascular access assessment?

Accepted Answer

Avoid the right upper extremity and right-sided central access due to fibrosis and poor healing

Answer

Prior radiation causes tissue fibrosis, vascular damage, and impaired healing, making the radiated area unsuitable for vascular access.

Question 4

During assessment of a pediatric patient requiring IV access, the nurse notes the child is highly anxious and crying. Which action should the nurse prioritize BEFORE attempting IV insertion?

Accepted Answer

Use age-appropriate distraction techniques and allow a parent to be present

Answer

Child life techniques such as distraction and parental presence reduce procedure-related anxiety and improve cooperation and safety during venipuncture.

Question 5

A nurse assesses an elderly patient's veins and notes they are visible but roll when touched and the skin is extremely fragile. Which technique modification is MOST appropriate?

Accepted Answer

Use a smaller gauge needle, anchor the vein with traction, and avoid excessive tourniquet pressure

Answer

In elderly patients, stabilizing rolling veins with traction and using a small gauge with minimal tourniquet pressure reduces vessel trauma and skin tearing.

(VA-BC) Vascular Access Nurse Certification Practice Test

(VA-BC) Vascular Access Nurse Certification Practice Test

VA-BC Patient Assessment 5