VA-BC Pediatric Access 2

Question 1

When assessing a neonate for peripheral IV placement, which vein is considered the LAST resort due to risk of tissue necrosis?

Accepted Answer

Femoral vein

Answer

The femoral vein is a last-resort site in neonates because extravasation in this area can cause severe tissue necrosis and limb-threatening complications.

Question 2

A 3-year-old requires a PICC line. The nurse measures from the insertion site to which landmark to estimate catheter tip position?

Accepted Answer

Manubriosternal junction (angle of Louis)

Answer

The manubriosternal junction (angle of Louis) is used as the external landmark to estimate the catheter tip position at the cavoatrial junction in pediatric PICC placement.

Question 3

Which gauge peripheral IV catheter is most appropriate for a stable 6-month-old infant requiring maintenance fluids?

Accepted Answer

24 gauge

Answer

A 24-gauge catheter is the most appropriate size for infants, as it fits the small caliber of infant veins while minimizing trauma.

Question 4

In a pediatric patient, the MOST reliable indicator of IV infiltration is:

Accepted Answer

Swelling, pallor, and coolness at the insertion site

Answer

Swelling, pallor, and coolness are the most reliable clinical signs of infiltration because they reflect fluid accumulation in surrounding tissue.

Question 5

An intraosseous (IO) needle is placed in a 2-year-old during cardiac arrest. Which is the preferred primary site?

Accepted Answer

Proximal tibia

Answer

The proximal tibia is the preferred primary IO site in children because it has a large, flat surface that is easy to palpate and access during resuscitation.

(VA-BC) Vascular Access Nurse Certification Practice Test

(VA-BC) Vascular Access Nurse Certification Practice Test

VA-BC Pediatric Access 2