VABC Documentation 5

Question 1

Which of the following best describes the legal significance of vascular access documentation?

Accepted Answer

It serves as the legal record of care provided and can be used in litigation

Answer

The medical record, including vascular access documentation, is a legal document that can be subpoenaed and used as evidence in malpractice proceedings.

Question 2

A tunneled catheter exit site shows erythema and serous drainage. After assessing and treating the site, documentation should include:

Accepted Answer

Objective exit site findings, treatment interventions, provider notification, and patient education provided

Answer

Complete documentation captures objective assessment findings, all interventions, communication with the provider, and any patient education to ensure continuity of care.

Question 3

When documenting tip confirmation for a newly placed PICC, which confirmatory method should be recorded?

Accepted Answer

Chest X-ray or intracavitary ECG reading confirming tip location

Answer

Tip position must be confirmed and documented via chest X-ray or intracavitary ECG before infusion begins to prevent complications from malposition.

Question 4

A clinician documents an infiltration grade using the INS Infiltration Scale. What does a Grade 3 infiltration indicate?

Accepted Answer

Skin blanched, translucent, gross edema >6 inches, and possible pitting

Answer

INS Grade 3 infiltration is characterized by skin that is blanched and translucent, pitting edema greater than 6 inches, and possible gross edema.

Question 5

When documenting a needleless connector change on a central line, which information is MOST clinically relevant to record?

Accepted Answer

Date and time, type of connector used, and catheter lumen accessed

Answer

Recording the date, time, connector type, and which lumen was accessed supports compliance tracking and infection prevention bundle adherence.

(VABC) Vascular Access Board Certification Practice Test

(VABC) Vascular Access Board Certification Practice Test

VABC Documentation 5