Cardiac Catheterization Review Questions, Exams of Nursing

A comprehensive set of review questions and correct answers related to various aspects of cardiac catheterization procedures. The questions cover a wide range of topics, including wire selection, balloon compliance, rotational atherectomy, thrombectomy, hemodynamic monitoring, ecg interpretation, imaging modalities, vascular access, pacing, and medication management. The detailed explanations provided for each correct answer make this document a valuable resource for healthcare professionals involved in cardiac interventional procedures. It can serve as a study guide, exam preparation tool, or quick reference for students, residents, and practicing clinicians to enhance their knowledge and skills in the field of cardiac catheterization.

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2023/2024

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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
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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)
  7. What information is required prior to prepping the patient for the procedure? Correct Answer-patient identifiers, allergies, NPO status, advanced directives
  8. Which of the following inotropic agents predominately stimulates beta 1 receptors? Correct Answer-Dopamine
  1. What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation? Correct Answer-Increased coronary bloodflow
  2. What view exposes an operator standing on the patient's right side to the highest dose of radiation? Correct Answer-LAO Cranial
  3. 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
  4. Cardiac index is calculated by dividing cardiac output in liters per minute by the patient's Correct Answer-BSA
  5. The patient has a pulse but is in respiratory arrest. You must give 1 breath every Correct Answer-5-6 seconds.
  6. Why is rapid ventricular pacing used for an aortic balloon valvuloplasty procedure? Correct Answer-To slow how much blood is going through aorta
  7. Immediate ED general treatment should include Correct Answer-MONA
  8. The term "standard precautions" refers to Correct Answer-use of PPE and hand hygiene
  9. Which atherectomy catheters shave and sand away plaque? Correct Answer- orbital, directional
  10. What type of catheter is used for a thrombectomy? Correct Answer-Extraction
  1. Which of the following is responsible for producing the S2 heart sound? Correct Answer-Closure of the semilunar valves
  2. Which of the following represents the GREATEST risk during left ventriculography? Correct Answer-Embolism
  3. What is an absolute contraindication for the use of intra-aortic balloon counterpulsation? Correct Answer-Dissection/Aneurysm of Aorta, moderate/severe AI, previous AO stenting
  4. Which medications are used to pre-treat a patient with a history of contrast allergies? Correct Answer-Diphenhydramine, Famotidine, solumedrol
  5. What is a complication associated with mechanical cardiac valves? Correct Answer-Thrombus formation
  6. Which of the listed signs and symptoms may indicate a vasovagal response? Correct Answer-Slowed heart rate, lower blood pressure, nausea
  7. Which of the following can be used to assure good stent apposition during PCI? Correct Answer-IVUS
  8. What is the TIMI grade of a vessel that has complete perfusion? Correct Answer-
  9. What are the possible vascular access sites for a left femoral artery intervention? Correct Answer-LT/RT Radial, RT Femoral, LT/RT Popliteal
  1. Which of the following pacing methods requires the use of external pacing pads? Correct Answer-Transcutaneous pacing
  2. Which of the following is associated with elevated pulse pressure? Correct Answer-Regurgitation
  3. Which vascular closure device has a suture that is self-tightening? Correct Answer-Angio-Seal
  4. What type of angina usually occurs with activity and subsides with rest? Correct Answer-stable
  5. 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
  6. What vascular access sites can MOST COMMONLY be used to perform a right ventricular biopsy? Correct Answer-Right IJ, Right Subclavian, Right brachial
  7. What BEST describes the threshold for a temporary pacemaker? Correct Answer-Minimum output that captures
  8. What is advantage to using a filter versus a balloon occlusion distal protection device? Correct Answer-Allows continued flow whereas balloon occlusion does not
  9. A 1.66 mm diameter sheath is equivalent to what French size? Correct Answer- 5Fr
  1. Activated clotting time is used to assess the effects of which medication? Correct Answer-HEPARIN
  2. What lab test is used to validate the effects if protamine sulfate? Correct Answer-ACT
  3. The reverse _______ test is used to evaluate radial artery patency following radial artery sheath removal and placement of compression device. Correct Answer-REVERSE ALLENS
  4. Which of the following vessel diameters would have the highest restenosis rate? 3.5, 4.5, 2.5 Correct Answer-2.
  5. _______ is used to reduce the cavitation effect and expanding gas bubbles inside the artery during laser atherectomy procedures. Correct Answer-SALINE
  6. Which of the following types of devices are used to macerate/breakdown a blood clot? Correct Answer-ANGIOJET, THROMBOLITIC INFUSION
  7. Which of the following is a PRIMARY indication for the administration of sodium bicarbonate? Correct Answer-METABOLIC ACIDOSIS
  8. The electrical current that determines the number of protons generated by an x- ray tube is called the Correct Answer-KILOVOLTS
  9. Which of the following catheters is PRIMARY used for right heart procedures? Correct Answer-BURMIN
  1. What does contraindication for the use of rotational atherectomy included? Correct Answer-ANGIOGRAPHIC EVIDENCE OF THROMBUS, EXISTING DISSECTION, SAPHENOUS VEIN GRAFT
  2. In peripheral interventions, which equipment is used to steer across a lesion? Correct Answer-Guidewire, microcatheter, torque device, rotational atherectomy
  3. Which of the following is associated with in-stent restenosis? Correct Answer- POOR STENT APPOSITION
  4. What procedural setups should be considered when preparing a patient for a pacemaker/ICD implant? Correct Answer-02 MASK ON PT AT 10L/MIN, GROUNDING PADS ATTACHED, IV IN OPPOSITE OF IMPLANTED DEVICE
  5. What EMERGENCY equipment should be accessible during a cardiac catheterization procedure? Correct Answer-CODE CART, SUCTION SETUP, AIRWAY EQUIPMENT, DEFIBRILATOR FOR TRANSCUTANEOUS PACING
  6. What blood chemistry would be used to determine the amount of contrast used in an angiographic procedure? Correct Answer-CREATININE
  7. A cutting balloon should be left inflated for _______ seconds at nominal pressure to score the lesion. Correct Answer-60-90 SECONDS
  8. What is the MOST COMMON complication while performing an endomyocardial biopsy? Correct Answer-PERFORATION
  1. What type of balloon catheter should be used to treat fibrotic plaque and neo- intimal hyperplasia? Correct Answer-SCORING
  2. Where is the wire normalized when performing FFR? Correct Answer- ADVANCED OUTSIDE THE GUIDE CATHETER
  3. Which of the following could increase the amount of hold time necessary for femoral artery hemostasis? Correct Answer-AORTIC INSUFFICIENCY
  4. Which of the following is a calcium channel blocker? Correct Answer- NIFEDIPINE
  5. What INITIAL sign of retroperitoneal bleed may a patient exhibit? Correct Answer-HYPOTENSION, LOWER BACK PX, FALLING HEMATOCRIT
  6. 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
  7. Excimer lasers are PRIMARILY used to treat which type of lesions? Correct Answer-HEAVILY CALCIFIED, SAPHENOUS VEIN GRAFTS, CTO'S
  8. What French size is equal to a 1.5mm rotational atherectomy burr? Correct Answer-4.
  9. ??? Correct Answer-
  1. Which of the following is the MOST COMMONLY used drug for sedation during a cardiac catherterization? Morphine, Flexoril, or Midazolam? Correct Answer-MIDAZOLAM
  2. 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
  3. Door to balloon time for STEMI' s should occur within _______ minutes. Correct Answer-90 MINUTES
  4. What type of valvuloplasty requires Transseptal puncture? Correct Answer- MITRAL