Why would you do anything other than use the card to make purchases at merchants who accept VISA?
The OP is right to have concerns. I have had problems in the past with these pre-paid debit cards which have, in some cases, turned into fee bedeviled profit centers for the issuers. For example, there can be a problem with using them for more than one purchase, with the remaining balance becoming inaccesible or just disappearing. Or, fees can eat up the balance or a big hunk of it.