VA-BC Pediatric Access 5

Question 1

A 5-year-old with sickle cell disease requires frequent IV access. Which vascular access strategy is MOST appropriate for long-term management?

Accepted Answer

Implanted venous port to preserve peripheral veins

Answer

An implanted venous port is preferred for patients with sickle cell disease requiring frequent IV access because it preserves peripheral veins and reduces infection risk with proper care.

Question 2

When performing a dressing change on a pediatric PICC, the nurse notes the exit site has a small amount of dried blood and no redness. The MOST appropriate action is:

Accepted Answer

Cleanse with chlorhexidine gluconate, apply a new dressing, and document

Answer

Dried blood at a PICC exit site without signs of infection is a normal finding; the site should be cleansed with chlorhexidine, redressed, and documented.

Question 3

A 14-year-old athlete is hospitalized and requires IV antibiotics for 6 weeks. Which vascular access device is MOST appropriate?

Accepted Answer

PICC line for outpatient OPAT therapy

Answer

A PICC line is the device of choice for outpatient parenteral antibiotic therapy (OPAT) lasting weeks, allowing the patient to complete treatment at home.

Question 4

In a pediatric patient with a tunneled CVC, the nurse notes the cuff is visible outside the exit site. This finding indicates:

Accepted Answer

Catheter migration that requires provider notification and evaluation

Answer

A visible cuff means the catheter has migrated outward; the provider must be notified because the cuff no longer provides the antibacterial and anchoring barrier it is designed to create.

Question 5

Which strategy is MOST effective in reducing peripherally inserted catheter-associated infections in the neonatal ICU?

Accepted Answer

Implementing a catheter bundle including hand hygiene, maximal sterile barriers, and CHG skin antisepsis

Answer

Evidence-based central line bundles incorporating hand hygiene, maximal sterile barriers, and appropriate skin antisepsis are the most effective strategy to prevent catheter-related infections in the NICU.

(VA-BC) Vascular Access Nurse Certification Practice Test

(VA-BC) Vascular Access Nurse Certification Practice Test

VA-BC Pediatric Access 5