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VACC Vascular Access Board Certified (VA-BC)


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Question: 734


In the context of vascular access, "thrombosis" refers to .


  1. Infection at the catheter site

    amage to the vein during insertion atheter dislodgement


    wer: B


    anation: Thrombosis refers to the formation of a blood clot within the eter, which can obstruct blood flow and lead to complications.


    stion: 735


    ording to the INS guidelines, the maximum duration for using a periph atheter without replacement is ________.


    hours hours

    The formation of a blood clot within the catheter

  2. D

  3. C

Ans Expl

cath


Que


Acc eral

IV c


  1. 24

  2. 48

  3. 72 to 96 hours

  4. 1 week Answer: C

Explanation: The INS recommends that peripheral IV catheters can remain in place for 72 to 96 hours, provided there are no complications.


Question: 736


Which of the following devices is specifically designed for use in emergency situations?


unneled catheter eripheral IV catheter traosseous device ICC line


wer: C


anation: Intraosseous devices are primarily used in emergencies when venous access is difficult or impossible, providing rapid access to the ular system.


stion: 737

is the appropriate action if a central venous catheter becomes occlud ttempt to flush the catheter

  • T

  • P

  • In

  • P

  • Ans Expl

    intra vasc


    Que


    What ed?


    1. A

    2. Remove the catheter immediately

    3. Administer thrombolytics

    4. Use a larger syringe for flushing Answer: A


    Question: 738


    The use of a hemostatic dressing post-insertion is primarily to .


    rovide warmth bsorb drainage

    romote clotting and reduce bleeding revent infection


    wer: C


    anation: Hemostatic dressings are designed to promote clotting and mize bleeding at the catheter insertion site.


    stion: 739


    is the significance of tracking catheter dwell times in vascular access agement?


    indicates staffing needs

  • P

  • A

  • P

  • P

  • Ans Expl

    mini


    Que


    What man


    1. It

    2. It helps identify trends in complications

    3. It is unnecessary for patient care

    4. It simplifies documentation processes Answer: B


    Question: 740



    uration of catheter placement

    atient's request to remove the catheter gns of infection or complications atient's favorite activities


    wer: A, C


    anation: The duration of catheter placement and the presence of signs tion or complications are critical factors in determining the need for eter removal.


    stion: 741


    ch of the following is a potential complication of catheter tip malpositi

    Which two factors are essential in the decision-making process for catheter removal?


    1. D

    2. P

    3. Si

    4. P


    Ans


    Expl of

    infec cath


    Que


    Whi on?


    1. Phlebitis

    2. Cardiac arrhythmias

    3. Hematoma

    4. Thrombosis Answer: B

    Explanation: Catheter tip malposition can irritate the heart or major vessels, potentially leading to cardiac arrhythmias.


    Question: 742


    ular access practitioners?


    etworking opportunities creased administrative duties andatory attendance

    imited educational content wer: A

    anation: Professional conferences provide valuable networking rtunities, allowing practitioners to share knowledge and learn from ea


    stion: 743


    nt education regarding catheter care should emphasize which two poi

    Which of the following is a critical aspect of professional conferences for vasc


    1. N

    2. In

    3. M

    4. L

    Ans Expl

    oppo ch

    other.


    Que


    Patie nts?


    1. Signs of infection to monitor

    2. The ability to shower with the catheter

    3. How to secure the catheter

    4. Avoiding all physical activity

    Explanation: Educating patients on signs of infection and how to secure the catheter is crucial for preventing complications and ensuring proper care.


    Question: 744


    does the term "asepsis" refer to in the context of medical procedures


    he presence of pathogens

    he absence of pathogenic microorganisms he use of antibiotics

    he placement of catheters wer: B

    anation: Asepsis refers to the absence of pathogenic microorganisms, h is essential in preventing infections during medical procedures.


    stion: 745


    ch vascular access device is least likely to be associated with infection

    What ?


    1. T

    2. T

    3. T

    4. T

    Ans Expl

    whic


    Que


    Whi risk?


    1. Peripheral IV

    2. Tunneled central catheter

    3. PICC line

    4. Non-tunneled central catheter

    Explanation: Tunneled central catheters have a lower infection risk due to their design, which reduces skin flora exposure compared to other devices.


    Question: 746



    effec


    1. To

    2. To

    3. To

    4. To


    Ans

    When collaborating with a patient’s care team, what is the primary goa tive communication?


    assign blame for complications

    ensure all team members are informed and aligned expedite the discharge process

    prioritize the physician’s directives wer: B

    anation: Effective communication fosters teamwork and ensures that a bers are informed and aligned in patient care.


    stion: 747


    is the recommended dwell time for a peripheral intravenous catheter

    l of


    Expl ll

    mem


    Que


    What in an

    adult patient?


    1. 24 hours

    2. 72-96 hours

    3. 1 week

    4. 2 weeks

    Explanation: The recommended dwell time for a peripheral IV catheter in adults is typically 72-96 hours, depending on the site and condition of the catheter.


    stion: 748


    ch of the following is a sign of potential nerve injury during catheter tion?


    ocalized swelling

    ersistent pain or tingling in the extremities ever

    edness around the insertion site wer: B

    anation: Persistent pain or tingling in the extremities indicates potenti injury during catheter insertion.


    stion: 749

    Que


    Whi inser


    1. L

    2. P

    3. F

    4. R


    Ans


    Expl al

    nerve


    Que


    What is the primary goal of infection control measures during central line insertion?


    1. To minimize costs

    2. To enhance patient comfort

    3. To prevent catheter-related bloodstream infections

    Answer: C


    Explanation: The primary goal is to prevent catheter-related bloodstream infections through strict adherence to aseptic techniques during insertion.



    stion: 750


    is the most appropriate method for confirming the placement of a ce us catheter?


    uscultation of breath sounds hest X-ray

    isual inspection of insertion site hecking for blood return


    wer: B


    anation: A chest X-ray is the gold standard for confirming the correct ement of a central venous catheter to ensure it is not in the lungs.

    Que


    What ntral

    veno


    1. A

    2. C

    3. V

    4. C

    Ans Expl

    plac


    Question: 751


    The "5 Moments of Hand Hygiene" concept highlights the importance of

    .


    1. Wearing gloves

    2. Using hand sanitizers

    3. Specific times for hand hygiene to prevent infection

    4. Relying on non-touch techniques only Answer: C


    stion: 752


    atient with a known allergy to chlorhexidine, which antiseptic should ded for vascular access site preparation?


    ovidone-iodine lcohol

    ydrogen peroxide aline


    wer: A


    anation: Povidone-iodine can cause allergic reactions in patients with e allergies, making it unsuitable for skin preparation.

    Explanation: The "5 Moments of Hand Hygiene" emphasizes critical moments when hand hygiene is necessary to prevent infection.


    Que


    In a p be

    avoi


    1. P

    2. A

    3. H

    4. S

    Ans Expl

    iodin


    Question: 753


    What is the most appropriate way to handle a patient who experiences discomfort during the catheter removal process?


    1. Ignore the discomfort

    2. Explain the procedure and reassure the patient

    3. Rush the removal process

    4. Discontinue the removal immediately Answer: B


    stion: 754


    ch pathogen is commonly associated with infections in patients with anted devices?


    treptococcus pneumoniae nterobacter cloacae aphylococcus epidermidis scherichia coli


    wer: C


    anation: Staphylococcus epidermidis is a coagulase-negative hylococcus that frequently causes infections in patients with implanted ces due to its ability to adhere and form biofilms.

    Explanation: Providing reassurance and explanation helps alleviate patient anxiety and discomfort during the procedure.


    Que


    Whi impl


    1. S

    2. E

    3. St

    4. E

    Ans Expl

    stap devi


    Question: 755


    What is the primary concern when managing a patient with a pulmonary artery catheter?

    1. Insertion site infection

    2. Cardiac arrhythmias

    3. Fluid overload

      anation: Monitoring for cardiac arrhythmias is critical when managin nt with a pulmonary artery catheter due to the risk of complications d eter placement.

      Catheter occlusion Answer: B

    Expl g a

    patie uring

    cath


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