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RCIS CCI Practice Exam 10 Questions With
Verified Answers
The antagonists for morphine, demerol, or fentanyl would be considered? – ANS: naloxone (narcan) Which of the following descriptions would best describe cardiac catheterization? - ANS: the insertion and passage of a small plastic cath into one of the arteries to the 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 following years and by whom? - ANS: 1929 Dr Forssman (in germany using a urinary cath inserted into his arm) Moderate contrast medium reactions might be considered which of the following? - ANS: heachache vomiting diffuse urticaria facial edema mild bronchospams palpitations abdominal cramps
persistent vomiting Which of the following would be considered one of the three types of reactions from contrast media? - ANS: 1. cardiac and major anaphylactoid responses
- 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- 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. 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 _____ - ANS: elastic recoil
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 posterior 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 - 12-20 breaths per min Which of the following is considered the type of angina that can be caused by a coronary artery spasm? - ANS: prinzmetals angina The preferred technique for arterial puncture would be considered? - ANS: single anterior 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: single anterior 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 following? - ANS: 20- ml Which of the following Aldrete scores should the conscious sedation patient return to before than can be discharged? - ANS: 9- what are the criteria that the pt has to meet before they can be discharged - ANS: 1. aldrete score needs to be 9-
- 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: HR afterload 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 waveform? - ANS: the P wave Which of the pacemaker modes indicates the pacemaker works at a continuous 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 an object The "Cardiac Angiography and Interventions" recommend which of the following treatments for hypotension and shock related to anaphylactic reactions? - ANS: oximetry CVP/swan ganz O2 by mask/intubation large vol of 0.9% NS (3L/hr) epi IV diphenhydramine 50mg-100mg IV hydrocortisone 400mg IV ABGs If the ventricles start to quiver, it would be considered which of the following rhythms? - ANS: Vfib
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: spontaneous hemorrhage needle stick trama When making the determination of what size Inoue balloon would be used, which of the following would be considered correct? - ANS: the pts height what size Inoue balloon would you use for a pt who is <160 cm tall - ANS: 26mm what size Inoue balloon would you use for a pt who is 160-180 cm tall - ANS: 28mm what size Inoue balloon would you use for a pt who is >180 cm tall - ANS: 30mm A contraindication would be best described as which of the following? - ANS: a procedure which should not be performed Which of the following can be accomplished by the clinician with a programmer computer? - ANS: set device detections to set diagnostic parameters to set therapy parameters Postprocedural care of the atherectomy patient should include which of the following interventions? - ANS: monitoring the pts vital signs assessing the pts pedal pulses checking the pts groin insertion site perform a 12 lead EKG check cardiac enzymes Of the following, which would be considered a characteristic of a "stent?" - ANS: shortening 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 infections lead 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 oversensing Which kind of artherectomy would use a high-speed device that is designed 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 hemolysis mechanical complications How much does the typical ICD (implantable cardiovertor defibrillator) weigh? - ANS: 68-90 grams
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 associated 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 ischemia air embolisms accidental electrical shock dissection/abrupt closure thrombus embolism contrast injection electrolyte imbalance irritation from devices in the LV/RV overdose/drug poisoning _______ would be a liquid thrombin which has the potential to seep into the vessel of the patient? - ANS: duetts Which of the following medications have the potential to impact the risks for a cardiac catheterization? - ANS: NSAIDs warfarin furosemide metformin ARBs insulin ACE inhibs sildenafil(viagra)/vardenafil/tadalafil (vasodilators)
