10 exam-style questions with answers and explanations, straight from our 1,036-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The VA-BC exam has 150 questions and runs 2 hours 30 minutes.
These 10 free VA-BC questions are organized by exam domain, so you can see how each part of the Vascular Access-Board Certified blueprint is tested. Reveal the answer and explanation under each question.
A patient is prescribed 4 weeks of parenteral nutrition with a calculated osmolarity of 1,100 mOsm/L. Which vascular access device is most appropriate?
Correct answer: A - A peripherally inserted central catheter (PICC)
To reduce the risk of catheter-related thrombosis, the INS Standards recommend that a catheter occupy no more than what percentage of the vein's internal diameter?
Correct answer: C - 45%
An implanted port must be accessed to begin a chemotherapy infusion. Which type of needle is required to access the port?
Correct answer: D - A non-coring (Huber) needle
A continuous infusion of norepinephrine is ordered for a hypotensive patient. Why is a central vascular access device preferred over a peripheral catheter for this medication?
Correct answer: B - Norepinephrine is a vesicant that can cause tissue necrosis with extravasation
A patient with a history of left-sided mastectomy and axillary lymph node dissection requires peripheral IV access. The nurse should:
Correct answer: A - Use the right upper extremity for venipuncture
Before placement of a central vascular access device, which laboratory values are most important to review to assess bleeding risk?
Correct answer: D - Platelet count and INR
During ultrasound assessment of the upper arm for PICC placement, which finding best identifies a structure as a vein rather than an adjacent artery?
Correct answer: C - It collapses easily with gentle probe pressure
All of the following are components of maximal sterile barrier precautions during central catheter insertion EXCEPT:
Correct answer: D - Clean (non-sterile) gloves
After applying a > 0.5% chlorhexidine-alcohol skin antiseptic before catheter insertion, the clinician should:
Correct answer: A - Let the antiseptic dry completely before puncture
Using the modified Seldinger technique, which step immediately follows successful insertion of the guidewire?
Correct answer: C - Insert the dilator/introducer over the guidewire
The VA-BC exam also covers these domains. Drill them in the full free practice test:
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