Cardiac Catheterization Lab Nursing Exam Questions and Answers, Exams of Nursing

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Question & Answers 2024

As the circulating nurse, what should you wear to protect yourself from radiation? I got this WRONG- Correct Answers ✅***WRONG**** Lead thyroid collar, cap, eye protection, and humoral shield -Lead thyroid collar, apron, and eye protection

• Non-leaded apron, humoral shield, and surgical mask
• Non-leaded collar, apron, humoral shield, badge, and mask Why is scatter radiation a safety concern? I got WRONG- Correct Answers ✅****WRONG*** It causes leakage radiation from the radiation source or equipment

Question & Answers 2024

• It is the main source of radiation exposure for patients and staff
• It is the primary beam of radiation from the collider to the patient
• It causes leakage from the radiation source or equipment What is the normal range for cardiac output? I got this WRONG- Correct Answers ✅WRONG 5- liters/min
• 4 - 8 L/min

Question & Answers 2024

-6 - 10 L/min -8 - 12 L/min In patients with a right to left shunt, in which chamber would you expect to record the lower oxygen saturation? I got this WRONG- Correct Answers ✅WRONG Right Atrium

• Pulmonary Artery
• Left Ventricle
• Left Atrium

Question & Answers 2024

What procedure helps the interventional cardiologist make accurate measurements of a coronary artery? I got WRONG- Correct Answers ✅WRONG Standard angiography

• Intravascular ultrasound
• Transesophageal echo
• Intracardiac echocardiography Where is the LIMA take-off located? I got WRONG- Correct Answers ✅WRONG AORTA

Question & Answers 2024

• Innominate artery
• Left Subclavian artery -Right Subclavian artery A 65 year old male arrives in the cardiovascular lab. He has a history of CAD in his family, he smokes and he has hyperlipidemia. After the procedure, he wants to know what is the MOST important thing he can do to help reverse his disease process? I got WRONG- Correct Answers ✅WRONG Take medication as prescribed

Question & Answers 2024

• Stop Smoking
• Improve diet
• Practice stress management What orders do you expect from the physician to decrease the risk of contrast induced nephropathy in a patient who has been identified as at risk?- Correct Answers ✅Pre-operative hydration with intravenous normal saline When setting up a pressure monitoring system for an arterial line, what kind of tubing is used to transmit pressure waves from the patient to the transducer?- Correct Answers ✅Non- compliant An occlusion of which coronary artery will decrease blood supply to the SA node?- Correct Answers ✅Right coronary artery

Question & Answers 2024

What radiology practice decreases x-ray exposure to staff?- Correct Answers ✅Observation of ALARA protocol Post PCI, your patient complains of increasing chest pain, nausea, vomiting and hypotension. What would be your FIRST intervention?- Correct Answers ✅Obtain STAT 12 lead EKG A right heart catheterization is on the schedule. What type of condition might this procedure be used to identify?- Correct Answers ✅Pulmonary hypertension Which assessment should be performed to establish baseline hand perfusion in a candidate for radial access?- Correct Answers ✅Allen's test You are caring for a patient who is prepping for PCI. This patient has received 3 sublingual doses of nitroglycerin but continues to have ongoing chest pain. What medication would you expect to be ordered?- Correct Answers ✅IV nitroglycerin During inflation, what helps determine the dilation force of a balloon?- Correct Answers ✅Compliance of the balloon

Question & Answers 2024

Which of the following medications would the nurse MOST LIKELY expect the patient to be prescribed after an acute coronary event?- Correct Answers ✅Aspirin and Brilinta For a patient with an acute myocardial infarction, what lab value is MOST pertinent?- Correct Answers ✅Troponin A perforation occurs during PCI. Which of the following is MOST important to have readily available?- Correct Answers ✅Covered stent, pericardiocentesis tray, ECHO A cardiologist has performed a radial approach to access the coronary arteries. What dod you expect to see on the radiographic image screen as the catheter approaches the coronary arteries?- Correct Answers ✅Catheter traveling through the brachiocephalic artery to the aorta The physician selectively engages the conus branch of the RCA. What change inn the waveform would you anticipate?- Correct Answers ✅A dampened arterial waveform

Question & Answers 2024

What vessel supplies oxygenated blood to the right atrium?- Correct Answers ✅Pulmonary veins In what order would you apply sterile surgical attire?- Correct Answers ✅Apply sterile gown, insert hands inn gloves, hand tie to staff member Why is cardiac index better than cardiac output for the assessment of cardiac function when considering variation between individuals?- Correct Answers ✅Cardiac index takes into account the patient's body surface area Which lab finding is MOST suggestive of increased risk of contrast induced nephropathy?- Correct Answers ✅40 ml/min estimated GFR After successful revascularization of a totally occluded RCA, which of the following complications should the circulating nurse prepare for?- Correct Answers ✅Arrythmias Your STEMI patient tells you they drive to the hospital after experiencing acute onset chest pain. What coaching would you

Question & Answers 2024

give this patient if this occurs in the future?- Correct Answers ✅call 911 You have been tasked with administering moderate sedation to a patient in the cardiac catheterization lab. What tasks are your priority?- Correct Answers ✅Counting respirations, readying suction, observing chest rise and fall Which statement made by the patient after a cardiac stent placement indicates patient education was effective?- Correct Answers ✅I will take Brilinta twice a day with food While performing a PCI, you notice contrast staining the pericardium. The patient experiences chest pain, acute hypotension, and tachycardia. What emergent intervention should you prepare?- Correct Answers ✅Pericardidocentesis During transfer of care post-procedure, what should you do with the receiving nurse to decrease the chance of missing a hematoma or bleeding?- Correct Answers ✅View the sheath insertion site

Question & Answers 2024

How is radiation exposure to staff monitored?- Correct Answers ✅Wearing film badge dosimeters The physician states he wishes to perform a FFR (Fractional Flow Reserve) on a suspect lesion in the RCA. What medication would you anticipate preparing for this procedure?- Correct Answers ✅Adenosine A hematoma is found when handing off patient care to recovery nurse. What IMMEDIATE actions can be taken to ensure that the hematoma does not progress?- Correct Answers ✅Apply pressure to access site Your patient is newly prescribed Brilinta post PCI. What piece of education is MOST important before discharge?- Correct Answers ✅Take Brilinta twice a day and do not miss any doses What does the dicrotic notch represent on the arterial waveform?- Correct Answers ✅Closure of the aortic valve Which medications should be ready for the physician to be given intracoronary when experiencing slow flow

Question & Answers 2024

phenomenon?- Correct Answers ✅Diltiazem (Cardizem), Nipride (sodium nitroprusside), Cardene (Nicardipine) What finding would be MOST concerning post sheath removal?- Correct Answers ✅Hematoma at insertion site In order to calculate Fick cardiac output which of the following saturations do you need?- Correct Answers ✅AO and PA What is the FIRST action you should take if a patient who is receiving moderate sedation has the following vital signs: HR 82, SpO2 93%, RR 18, elevated end tidal CO2 and begins snoring?- Correct Answers ✅Open airway with head tilt/chin lift What intervention do you expect would be ordered for a patient with a blood pressure of 128/83, elevated right atrial, left ventricular, and pulmonary artery pressures, along with SOB, adventitious lung sounds, and SpO2 87%?- Correct Answers ✅Lasix

Question & Answers 2024

What size wires are usually utilized in coronary balloon angioplasty?- Correct Answers ✅0.014 x 180 Which cardiac pressure findings are consistent with aortic stenosis?- Correct Answers ✅LV pressure is greater than the AO pressure A patient has just had a cardiovascular procedure and arrives in the recovery area with a sheath in place in the right groin. Their ACT in the lab was 357. What important patient education should be given prior to sheath removal?- Correct Answers ✅The patient's head must remain on the pillow and the right leg must remain straight What type and amount of IV fluids should a patient receive before cardiac catheterization to reduce the risk of contrast induced nephropathy?- Correct Answers ✅500ml of 0.9 NS You are assessing a patient with left-sided heart failure. What is an early finding for this patient?- Correct Answers ✅Shortness of breath

Question & Answers 2024

In addition to ST elevation, which new ECG finding is suggestive of acute MI?- Correct Answers ✅LBBB Normal QRS length?- Correct Answers ✅0.08 - 0. What post-procedure findings should be IMMEDIATELY communicated to the cardiologist?- Correct Answers ✅Absent pedal pulses with blueish toes After a procedure during which heparin was administered, what finding is suggestive of HIT?- Correct Answers ✅Decrease in platelets by 50% What catheter would BEST engage the right coronary artery?- Correct Answers ✅JR What type of contrast is associated with fewer adverse clinical events?- Correct Answers ✅Low-osmolar contrast

Question & Answers 2024

What PRIMARY reperfusion treatment is preferred for a patient with an acute STEMI who is NOT a candidate for cardiac catheterization?- Correct Answers ✅Fibrinolytic infusion To calibrate the transducer at the level of the phlebostatic axis where would the nurse position the transducer?- Correct Answers ✅The level of the right atrium After PCI, a patient has a radial compression device in place. What should you do if you palpate a diminished pulse, cool fingers and the patient reports numbness in their hand?- Correct Answers ✅Reduce the amount of compression What size is a 6F catheter- Correct Answers ✅2 mm What is the difference between a guiding catheter and a diagnostic catheter?- Correct Answers ✅Guiding catheters have wire braiding Prior to draping the patient for a cardiovascular procedure, how should the skin be prepared for the insertion of a

Question & Answers 2024

catheter?- Correct Answers ✅Cleansed with chlorhexadine prep When putting on a sterile gown, how should you initially grasp it?- Correct Answers ✅Grasp the inside of the neckline and lift it away from the wrapper Which statement made by a patient post coronary stent placement indicates successful understanding of patient education?- Correct Answers ✅I made an appointment for cardiovascular rehab Post PCI your patient is started on Brilinta. What important side effect should you make them aware of?- Correct Answers ✅Shortness of Breath SOB What is the mechanism of action of Aspirin?- Correct Answers ✅Antiplatelet agent When considering cardiac output, what is stroke volume?- Correct Answers ✅The amount of blood ejected into the aorta from the left ventricle during systole