CCI RCIS Review (2024 Updated) Questions and Answers, Exams of Nursing

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CCI RCIS REVIEW(2024 UPDATED)QUESTIONS

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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
20. One advantage of using a percutaneous left ventricular assist device is that they - CORRECT ANSWER>>provide perfusion regardless of patient's intrinsic rate
21. Given the following hemodynamic data for a patient at rest, what is the mean arterial pressure? Systolic pressure 140mmhg, Diastolic pressure 80mmhg - CORRECT ANSWER>>(80 x

2. • (140 x 1) / 3 = 100mmHg

22. A "Waterhammer Pulse" is caused what valvular disease? - CORRECT ANSWER>>Aortic Regurgitation
23. When transferring a patient to the recovery area or back to their room, what should be the action for the person who achieved hemostasis of the procedure site? - CORRECT ANSWER>>To ensure hemostasis has been maintained after transfer

24. In a standard 12 lead ECG, the anterior wall is represented in leads - CORRECT ANSWER>>V3 and V
25. What imaging modality is used to confirm proper stent apposition? - CORRECT ANSWER>>IVUS
26. When delivering radiation, photons are emitted from the - CORRECT ANSWER>>Cathode
27. In determining cardiac output via the thermal dilution method, saline is injected into the - CORRECT ANSWER>>proximal port of the PA catheter.
28. The device that converts x-ray into visible light is the - CORRECT ANSWER>>Image Intensifier
29. Which of the following is responsible for producing the S2 heart sound? - CORRECT ANSWER>>Closure of the semilunar valves
30. Which of the following represents the GREATEST risk during left ventriculography? - CORRECT ANSWER>>Embolism
31. 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
32. Which medications are used to pre-treat a patient with a history of contrast allergies? - CORRECT ANSWER>>Diphenhydramine, Famotidine, solumedrol
33. What is a complication associated with mechanical cardiac valves? - CORRECT ANSWER>>Thrombus formation
34. Which of the listed signs and symptoms may indicate a vasovagal response? - CORRECT ANSWER>>Slowed heart rate, lower blood pressure, nausea
35. Which of the following can be used to assure good stent apposition during PCI? - CORRECT ANSWER>>IVUS
36. What is the TIMI grade of a vessel that has complete perfusion? - CORRECT ANSWER>>

37. What are the possible vascular access sites for a left femoral artery intervention? - CORRECT ANSWER>>LT/RT Radial, RT Femoral, LT/RT Popliteal
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>>S
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.

• CORRECT ANSWER>>2.

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
65. What does contraindication for the use of rotational atherectomy included? - CORRECT ANSWER>>ANGIOGRAPHIC EVIDENCE OF THROMBUS, EXISTING DISSECTION, SAPHENOUS VEIN GRAFT
66. In peripheral interventions, which equipment is used to steer across a lesion? - CORRECT ANSWER>>Guidewire, microcatheter, torque device, rotational atherectomy
67. Which of the following is associated with in-stent restenosis? - CORRECT ANSWER>>POOR STENT APPOSITION
68. 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
69. What EMERGENCY equipment should be accessible during a cardiac catheterization procedure? - CORRECT ANSWER>>CODE CART, SUCTION SETUP, AIRWAY EQUIPMENT, DEFIBRILATOR FOR TRANSCUTANEOUS PACING
70. What blood chemistry would be used to determine the amount of contrast used in an angiographic procedure? - CORRECT ANSWER>>CREATININE
71. A cutting balloon should be left inflated for _______ seconds at nominal pressure to score the lesion. - CORRECT ANSWER>>60-90 SECONDS
72. What is the MOST COMMON complication while performing an endomyocardial biopsy? - CORRECT ANSWER>>PERFORATION
73. In preparing for a pericardiocentesis, the patient should be at a _______ degree angle. - CORRECT ANSWER>>30- 45
74. Which of the following is a GP IIb/IIIa inhibitor? - CORRECT ANSWER>>ABCIXIMAB

75. What vascular approach should be used to perform a Transseptal left heart catheterization?

• CORRECT ANSWER>>RIGHT FEMORAL VEIN

76. In the AP projection, which of the following structures is the MOST posterior? - CORRECT ANSWER>>LEFT ATRIUM
77. What complications are MOST FEQUENTLY associated with vascular closure device? - CORRECT ANSWER>>INFECTION, THROMBOSIS, ACUTE HEMMORHAGE
78. Which of the following medications inhibits sodium reabsorption causing an increase in urine output? - CORRECT ANSWER>>LASIX
79. The subclavian vein is continuation of the _______ vein. - CORRECT ANSWER>>BRACHIOCEPHALIC
80. What catheter could be used as an alternative for LIMA angiography? - CORRECT ANSWER>>JR
81. Which of the following hemodynamic abnormalities would be observed with mitral stenosis? - CORRECT ANSWER>>LARGE A WAVE IN LEFT ATRIUM
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.
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