VA-BC Patient Evaluation & Care Coordination 4

Question 1

A patient is scheduled for a PICC insertion but reports a previous reaction to latex gloves during a prior procedure. Which pre-insertion action is mandatory?

Accepted Answer

Ensure a latex-free environment and use non-latex supplies for the entire procedure

Answer

A documented latex allergy requires a completely latex-free environment to prevent anaphylaxis; all gloves, equipment, and supplies must be latex-free prior to proceeding.

Question 2

During vascular access team rounding, which patient would be the highest priority for evaluation of vascular access needs?

Accepted Answer

A patient with end-stage renal disease and no current access who requires urgent IV medications

Answer

A patient with ESRD, no access, and urgent IV medication needs represents an immediate safety risk requiring prioritized vascular access evaluation and device placement.

Question 3

A nurse assessing a patient for PICC placement notes the patient is agitated and unable to cooperate with positioning. What is the most appropriate next step?

Accepted Answer

Collaborate with the provider to address agitation before insertion, considering sedation or anxiolytic medication

Answer

Patient cooperation is essential for safe PICC insertion; uncontrolled agitation increases the risk of movement-related complications, and addressing it with appropriate sedation is required before proceeding.

Question 4

Which laboratory value, if abnormal, should be reported to the provider before performing a tunneled CVC insertion?

Accepted Answer

INR of 3.2

Answer

An INR of 3.2 indicates significant coagulopathy that markedly increases bleeding risk during tunneled CVC insertion, requiring provider notification and correction before proceeding.

Question 5

A vascular access nurse is educating a patient about their newly placed implanted port. Which statement by the patient indicates a need for further teaching?

Accepted Answer

'I can go swimming in a pool 48 hours after my port is accessed.'

Answer

Swimming in a pool with an accessed port is contraindicated due to infection risk; the patient should avoid submerging the accessed site until the needle is removed and the site is fully healed.

(VA-BC) Vascular Access Nurse Certification Practice Test

(VA-BC) Vascular Access Nurse Certification Practice Test

VA-BC Patient Evaluation & Care Coordination 4