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RCIS CCI FINAL EXAM Questions with 100%
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- The antagonists for morphine, demerol, or fentanyl would be considered
?- ANS naloxone (narcan)
- Which of the following descriptions would best describe cardiac catheteri-
zation ? ANS the insertion and passage of a small plastic cath into one of the arteries tothe heart
- The CCL (cardiac catheterization laboratory) staff needs to be certified in
which of the following ? ANS ACLS PALS BLS
- Of the following, which would be considered a relative contradiction for a patient to havea cardiac catheterization ? ANS renal failure pregnancy acute GI bleed anemia electrolyte imbalance uncooperative pt an uncontrolled condition such as high BP, arrhythmias, or CHF recent CVA of less than 1 month medication intoxication infection/fever anticoagulation
- In the cardiac catheterization suite, which of the following techniques would be used by the healthcare staff ? ANS aseptic
- The actual first cardiac catheterization was performed in which of the fol- lowing years and by whom
- smooth muscle and minor anaphylactoid responses
- cutaneous and mucosal manifestations
- would be considered the complete destruction of all living organisms ? ANS sterilization
- Which of the following infuses the flush solution through the Rotablator atherectomy device ? ANS a pressure bag
- All of the following would be considered a mechanism of restenosis of a post-PCI patient ? ANS intimal thickening elastic recoil vassel remodeling
- The normal systolic blood pressure for an adult would be considered
ANS 90 - 140 mmHg
- For a ventriculopgraphy being performed in the CCL, what would the power injector setting be for a typical adult patient? ANS 30 - 45 ml at 10 - 15 ml/sec
- Sinus bradycardia occurs when the heart paces at the rate of beats/min or less? ANS 60
- Which of the following procedures uses a radiofrequency energy to help destroy aberrant pathways within a person's heart conduction system? ANS RFCA
- what does RFCA stand for ANS radio frequency catheter ablation
- When determining a patient's cardiac index (CI), the patient's cardiac output is 6.1 litersper minute with a BSA (body surface area) of 2.5 meters. Which of the following would be thispatient's correct CI? ANS 2.4 L/mim
- The vessel's healing response to the injury which has been caused by an intervention would be considered? ANS intimal thickening
- when a vessel shrinkage decreases the lumen diameter in the area of a previous intervention it would be considered ANS vessel remodeling
- a function of changes in the atherosclerotic plaque and also the elastic properties of the arterial wall would be considered
- transluminal septal artery ablation in pts with hypertrophic obstructive cardiomy- opathy
- prophylactic use for rotational atherectomy and thrombectomy procedures
- Which of the following would be considered an etiology for interventricular conduction delay (IVCD)? ANS prior cardiac surgeries hyperkalemia cardiac meds such as procainamide BBB (L/R)
- The ventricles of the heart can be prevented from distending during dialy- sis by which of the following conditions? ANS pericardial effusion
- All but which of the following statements would be considered correct about the use of the TLD's (thermoluminescent detectors)? ANS the TLD badgeshould be worn on top of the protective aprons
- During basic life support, what would be the length of time that should be taken to checkthe unresponsive person's pulse? ANS 5 - 10 secs
- The Rotaglide lubricant should not be administered to the patient that has an allergy to which of the following? ANS olive oil eggs
- When performing the thermodilution cardiac output, how much normal saline is typically injected? ANS 5 - 10 ml
(room temp or chilled saline)
- What would be considered the main function of the right ventricle of the heart? ANS to pump the venous blood to the pulm circulation
- Of the following, which would be considered the pulse oximety reading range that would be considered mild hypoxia? ANS 92%
- what is the O2 sat range for mild hypoxia ANS 91 - 94%
- what is the normal O2 sat range ANS 95 - 100%
- moderate hypoxia O2 sat range would be what ANS 86 - 90%
- what O2 sat would show severe hypoxia ANS 85% or less
- If a person's heart is functioning normally, which of the following would be considered correct for where the electrical impulse of the heart originates? ANS - SA node (sinoatrial node)
- this is composed of specialized tissues that are located in the high poste- rior RA wall that is close to the inflow track of the SVC ANS SA node
- If the nurse is assessing an adult patient and finds their respirations are 10, which of the following would be considered correct? ANS too slow
- what is the normal respiratory rate ANS 12 - 20 breaths per min
- The preferred technique for arterial puncture would be considered? ANS singleanterior arterial wall entry
- would be best used to help prevent problems with the pts that have been treated with anticoagulants, thrombolytics, or anti platelet agents ANS singleanterior arterial wall entry
- The total volume setting for a typical power injection device used in the cardiac catheterization laboratory would be considered which of the follow- ing? ANS 20 - 50 ml
- Which of the following Aldrete scores should the conscious sedation patient return to before than can be discharged? ANS 9 - 10
- what are the criteria that the pt has to meet before they can be discharged- ANS 1. aldrete score needs to be 9 - 10
- 2 hrs must laps since the last dose of sedatives
- their vital signs must be returned to baseline
- the pt should be mentally alert and have all their before procedure protective reflexes
- Which of the following should be a contraindication for the patient to be given a contrast medium? ANS allergy to shellfish
- How would a "bolus" be best described? ANS a single large dose of medication
- All but which of the following might influence the myocardial oxygen
demand? ANS height and weight
- the myocardial O2 demand can have the potential to be influenced by ANS HRafterload contractility preload
- What does NIH stand for? ANS neointimal hyperplasia
- is considered the most common cause of restenosis following the placement of coronary stenosis; it describes the migration of smooth muscle cells into the artery walls when there is injury to the vessel; there is a restricted blood flow within the art ANS NIH (neointimal hyperplasia)
- Which wave on an ECG relates to the A wave on the right atrium wave- form? ANS the P wave
- Which of the pacemaker modes indicates the pacemaker works at a con- tinuous set rate? ANS fixed rate
- with a the pacemaker paces when the heart drops below a level that the pacer is set at ANS demand rate
- Secondary radiation could best be described as which of the following? ANS - the lower quality attenuated radiation which occurs when radiation interacts with anobject
- Which of the following would be considered the correct brand name for phenylalkylamine? ANS verapamil
- what are the 3 types of calcium channel blockers ANS benzothiazepinedihydroperidine phenylalkylamine
- what is the generic name for cardizem ANS benzothiazepine
- what is the generic name for cardene ANS dihydroperidine
- what is the generic name for verapamil ANS phenylalkylamine
- During the FFR procedure, once the IC injection has been administered and the flush has beendone, which of the following steps would be done next? ANS press the start mode or record key
- the diagnostic multi-packs typically include what ANS guide wirepigtail JL sheath JR
- Which of the following catheters is typically used for a ventriculography and aortography? ANS side hole pigtail catheter
- Which of the following might ICE (intracardiac echocardiography) be used for? ANS 1. guiding radiofrequency
- ablations
- transeptal punctures
- electrophysiologic procedures
- evaluating aortic aneurysms
- aortic stent graft procedures
- complex pediatric, congenital, and structural heart procedures
- Mechanical pullback with an IVUS (intravascular ultrasound) can be used at what rate? ANS 0.5-1.0 mm per sec
- Of the following, which would be considered the normal stroke volume index? ANS 30 - 65 ml/beat/m
- what would the normal SV be ANS 60 - 130 ml
- Which of the following can cause a blood vessel to spasm? ANS spontaneoushemorrhage needle stick trama
- When making the determination of what size Inoue balloon would be used,
conformability nesting biocompatibility deliverability flaring expansion ratio trackability scaffolding radiopacity radial strength flexibility metal surface area
- Temporary transvenous pacing is better tolerated than some of the other pacing methods, butis associated with a high rate of complications. Which of the following might be consideredone of these complications? ANS local infectionslead dislodgement
- Most percutaneous coronary interventions are performed using a F guiding catheter? ANS 6
- All but which of the following would be checked if a patient on a temporary pacemaker shows on the cardiac monitor that there is a failure to pace due to output? ANS 1. prepare for transcutaneous pacing
- prepare to do CPR if necessary
- prepare to administer chronotropic meds
- increase the output to max (20mA atrial and 25 mA ventricular)
- check the power, battery, and connections
- consider switching to an asynchronous mode in the attempt to prevent oversens- ing
- Which kind of artherectomy would use a high-speed device that is de- signed to pulverize plaque into minute particles? ANS rotational
- Lorazepam (ativan) is metabolized by which of the following? ANS liver
- is metabolized by the liver and is considered to be the most potent benzodiazepine bc it has a slower onset and a longer duration of action than midazolam ANS lorazepam (ativan)
- If a patient is on an intra-aortic balloon pump, which of the following would be considered potential complications? ANS sepsis infection thrombocytopenia renal ischemia vascular complications
stents
- Which of the following medications are typically administered prior to an IVUS (intravascular ultrasound) procedure? heparin (to decrease the risk of thrombosis)
- The active stent coating that elutes a medication into the vessel wall would be considered which of the following? DES
- An ICD (implanted cardioverter defibrillator) uses synchronized shock to terminate which ofthe following? Vfib Vtach
- All but which of the following might be considered a defect of the heart and blood vessels that are associated with the Tetralogy of Fallot? you would notsee an enlarged aorta
- there are 4 defects of the heart and blood vessels with the tetrology of fallot. what are they?
- pulm stenosis
- muscular wall of the RV is thicker than normal
- the AO valves are enlarged and open from both ventricles
- there is a hole in the wall of the heart between the L and R ventricles
- Of the following physicians, which typically performs peripheral diagnostic and interventional procedures? vascular surgeons ANS
ANS
ANS
ANS
ANS
ANS
ANS
radiologists cardiologists
- If a patient has chronic atherosclerotic obstructions, which of the following is often their most common complaint? ANS exercised induced pain in the calf
- Which of the following might be considered a problem that can be asso- ciated with holding manual pressure when removing sheaths? ANS staff fatigue predisposal to carpal tunnel syndrome poor technique application of inconsistent press
- Of the following, which would be considered a way to achieve hemostasis after a percutaneouscatheterization ANS vascular plugs manual compression topical hemostasis accelerators mechanical compression percutaneous vascular suturing
- It can take as long as for the components of the Angio-Seal to be reabsorbed? ANS 90 days (you can restick immediately)
- Common causes of a cardiac catheterization patient developing life-threatening dysrhythmias would include all but which of the following?- ANS spasms
