Cardiac Catheterization Review Questions, Exams of Nursing

Download Cardiac Catheterization Review Questions and more Exams Nursing in PDF only on Docsity! CCI RCIS Review questions with correct answers 1. When intervening in the mid/distal right leg from a radial approach, which is the best wire choice? Correct Answer-.035 x 260 2. Which of the following BEST describes a balloon's ability to yield to changes in pressure? Correct Answer-Compliance 3. What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive therapy for PCI? Correct Answer-To remove calcific atherosclerotic plaque 4. A Forgarty balloon is commonly used ______ Correct Answer-for removing clot from vein/artery 5. Select the methods used to treat flow limiting dissections Correct Answer-stent, covered stent, angioplasty 6. When using a rotational atherectomy device in the RCA, what else should you consider using? Correct Answer-Temporary pacing, catheter with side holes, (larger bur or vasodilators) 8. What information is required prior to prepping the patient for the procedure? Correct Answer-patient identifiers, allergies, NPO status, advanced directives 9. Which of the following inotropic agents predominately stimulates beta 1 receptors? Correct Answer-Dopamine 10. What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation? Correct Answer-Increased coronary bloodflow 11. What view exposes an operator standing on the patient's right side to the highest dose of radiation? Correct Answer-LAO Cranial 12. Which actions should be completed when prepping the patient for a transradial cardiac catheterization? Correct Answer-Allan's test, pre-sedation, local anesthetic, ultrasound, draping 13. Cardiac index is calculated by dividing cardiac output in liters per minute by the patient's Correct Answer-BSA 14. The patient has a pulse but is in respiratory arrest. You must give 1 breath every Correct Answer-5-6 seconds. 15. Why is rapid ventricular pacing used for an aortic balloon valvuloplasty procedure? Correct Answer-To slow how much blood is going through aorta 16. Immediate ED general treatment should include Correct Answer-MONA 17. The term "standard precautions" refers to Correct Answer-use of PPE and hand hygiene 18. Which atherectomy catheters shave and sand away plaque? Correct Answer- orbital, directional 19. What type of catheter is used for a thrombectomy? Correct Answer-Extraction 38. Which of the following pacing methods requires the use of external pacing pads? Correct Answer-Transcutaneous pacing 39. Which of the following is associated with elevated pulse pressure? Correct Answer-Regurgitation 40. Which vascular closure device has a suture that is self-tightening? Correct Answer-Angio-Seal 41. What type of angina usually occurs with activity and subsides with rest? Correct Answer-stable 42. While inflating a non-compliant balloon a rapid loss of balloon pressure occurs. Which of the following should be done FIRST? Correct Answer-Aspirate coronary before removing balloon 43. What vascular access sites can MOST COMMONLY be used to perform a right ventricular biopsy? Correct Answer-Right IJ, Right Subclavian, Right brachial 44. What BEST describes the threshold for a temporary pacemaker? Correct Answer-Minimum output that captures 45. What is advantage to using a filter versus a balloon occlusion distal protection device? Correct Answer-Allows continued flow whereas balloon occlusion does not 46. A 1.66 mm diameter sheath is equivalent to what French size? Correct Answer- 5Fr 47. Equalization of aortic and arterial pressures is associated with which procedural device? Correct Answer-CFR 48. Which of the following should be considered for radial artery spasm during sheath removal? Correct Answer-Nitroglycerin 200mcg IA with analgesic meds 49. Which of the following conditions would invalidate FICK cardiac output results? Correct Answer-ASD 50. The cephalic vein is located? Correct Answer-AC portion outside arm 51. Which of the following are Typical findings in patients with hypertrophic cardiomyopathy? Correct Answer-Decreased LV compliance, Normal systolic function 52. Prior to deploying a vascular closer device in the femoral artery, which angiographic view should be used to visualize the femoral artery bifurcation? Correct Answer-Anterior/Posterior 53. What type of imaging is MOST COMMONLY used during PFO closures? Correct Answer-ICE 54. Which of the following temporary pacemaker adjustments would change the unit from the demand mode to the asynchronous mode? Correct Answer- Decreasing sensitivity 55. A ventricular gallop is associated with which heart sound? Correct Answer-S3 56. Activated clotting time is used to assess the effects of which medication? Correct Answer-HEPARIN 57. What lab test is used to validate the effects if protamine sulfate? Correct Answer-ACT 58. The reverse _______ test is used to evaluate radial artery patency following radial artery sheath removal and placement of compression device. Correct Answer-REVERSE ALLENS 59. Which of the following vessel diameters would have the highest restenosis rate? 3.5, 4.5, 2.5 Correct Answer-2.5 60. _______ is used to reduce the cavitation effect and expanding gas bubbles inside the artery during laser atherectomy procedures. Correct Answer-SALINE 61. Which of the following types of devices are used to macerate/breakdown a blood clot? Correct Answer-ANGIOJET, THROMBOLITIC INFUSION 62. Which of the following is a PRIMARY indication for the administration of sodium bicarbonate? Correct Answer-METABOLIC ACIDOSIS 63. The electrical current that determines the number of protons generated by an x- ray tube is called the Correct Answer-KILOVOLTS 64. Which of the following catheters is PRIMARY used for right heart procedures? Correct Answer-BURMIN 82. What type of balloon catheter should be used to treat fibrotic plaque and neo- intimal hyperplasia? Correct Answer-SCORING 83. Where is the wire normalized when performing FFR? Correct Answer- ADVANCED OUTSIDE THE GUIDE CATHETER 84. Which of the following could increase the amount of hold time necessary for femoral artery hemostasis? Correct Answer-AORTIC INSUFFICIENCY 85. Which of the following is a calcium channel blocker? Correct Answer- NIFEDIPINE 86. What INITIAL sign of retroperitoneal bleed may a patient exhibit? Correct Answer-HYPOTENSION, LOWER BACK PX, FALLING HEMATOCRIT 87. When educating a patient about their hemostasis site after either a radial or femoral approach, which of the following points must be made? Correct Answer- KEEP BANDAGE ON FOR 24 HOURS, DO NOT BEND SITE DURING RECOVERY BED REST, DO NOT SUBMERGE IN WATER FOR 48 HOURS, NO HEAVY LIFTING FOR 48 HOURS 88. Excimer lasers are PRIMARILY used to treat which type of lesions? Correct Answer-HEAVILY CALCIFIED, SAPHENOUS VEIN GRAFTS, CTO'S 89. What French size is equal to a 1.5mm rotational atherectomy burr? Correct Answer-4.5 90. ??? Correct Answer- 91. Which of the following is the MOST COMMONLY used drug for sedation during a cardiac catherterization? Morphine, Flexoril, or Midazolam? Correct Answer-MIDAZOLAM 92. Which of the following segments of the ventricle would MOST LIKELY be affected by a significant stenosis of the right coronary artery? Correct Answer- INFERIOR LV WALL 93. Door to balloon time for STEMI' s should occur within _______ minutes. Correct Answer-90 MINUTES 94. What type of valvuloplasty requires Transseptal puncture? Correct Answer- MITRAL