VABC Documentation 2

Question 1

When documenting a PICC insertion, which anatomical landmark must be recorded to confirm tip position?

Accepted Answer

Cavoatrial junction or lower third of superior vena cava

Answer

PICC tip position must be documented as residing at the cavoatrial junction or the lower third of the SVC for safe central venous infusion.

Question 2

Which element is REQUIRED when documenting a failed venipuncture attempt?

Accepted Answer

Site attempted, gauge used, and reason for failure

Answer

Documentation of a failed attempt must include the anatomical site, catheter gauge, and the reason the attempt was unsuccessful.

Question 3

How should an infusion nurse document verbal consent for a peripheral IV insertion when a written consent form is not required?

Accepted Answer

Note in the medical record that verbal consent was obtained

Answer

Verbal consent should be noted in the medical record to demonstrate that the patient was informed and agreed to the procedure.

Question 4

When documenting catheter flushing, which information is MOST essential to include?

Accepted Answer

Type and volume of flush solution and patient response

Answer

Documentation of flushing must capture the flush solution type (e.g., normal saline), volume used, and the patient's response to ensure accountability.

Question 5

A patient's central venous catheter dressing is changed. Which detail is LEAST necessary in the dressing change documentation?

Accepted Answer

Color of the patient's hospital gown

Answer

The patient's gown color has no clinical relevance; site condition, dressing type, and timing are all required elements.

(VABC) Vascular Access Board Certification Practice Test

(VABC) Vascular Access Board Certification Practice Test

VABC Documentation 2