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RCIS Exam Study Guide: Interventional Cardiology Questions and Answers, Exams of Nursing

A.T. Still University of Health Sciences (ATSU)Nursing

This study guide prepares for the CCI RCIS exam, focusing on interventional cardiology. It offers multiple-choice questions and answers covering key concepts and clinical scenarios in cardiac catheterization labs. Topics include wire selection, balloon compliance, atherectomy, Fogarty balloon use, dissection treatment, rotational atherectomy, patient preparation, inotropic agents, IABP, cardiac index, emergency treatment, atherectomy catheters, thrombectomy, LVADs, MAP calculation, valvular diseases, patient transfer, ECG interpretation, stent apposition, radiation delivery, heart sounds, LV ventriculography risks, IABP contraindications, contrast allergy pre-treatment, mechanical valve complications, vasovagal response, TIMI grade, vascular access, pacing, and closure devices. Questions assess knowledge of interventional cardiology procedures and equipment.

Typology: Exams

2024/2025

Available from 08/25/2025

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CCI RCIS REVIEW EXAM STUDY GUIDE –

EXPERT VERIFIED ACTUAL QUESTIONS &

ANSWERS FOR GUARANTEED PASS | NEWEST

UPDATE,2025/2026.

- .035 x 260 cm

1. When intervening in the mid/distal right leg from a radial approach,

which is the best wire choice?

- .038 x 150 cm

- .035 x 180 cm

- .038 x 180 cm

- .035 x 260 cm

- compliance

2. Which of the following BEST describes a balloon's ability to yield to

changes in pressure?

- flexibility

- pushability

- trackability

- compliance

- to remove calcific atherosclerotic plaque

3. What is the PRIMARY therapeutic reason for using rotational

atherectomy as an adjunctive therapy for PCI?

Discover Exams of Nursing A.T. Still University of Health Sciences (ATSU)

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CCI RCIS REVIEW EXAM STUDY GUIDE –

EXPERT VERIFIED ACTUAL QUESTIONS &

ANSWERS FOR GUARANTEED PASS | NEWEST

UPDATE,2025/2026.

.035 x 260 cm

When intervening in the mid/distal right leg from a radial approach, which is the best wire choice?

.038 x 150 cm
.035 x 180 cm
.038 x 180 cm
.035 x 260 cm
compliance

Which of the following BEST describes a balloon's ability to yield to changes in pressure?

flexibility
pushability
trackability
compliance
to remove calcific atherosclerotic plaque

What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive therapy for PCI?

to score fibrotic plaque
to remove calcific atherosclerotic plaque
to pulverize plaque using electromagnetic energy
to remove thrombus using the Bernoulli/Venturi effect
pull clot back into a vein

A Forgarty balloon is commonly used to __________-.

dilate a stenotic lesion
push plaque downstream
pull clot back into a vein
measure right heart pressure
stent
angioplasty
covered stent

Select the methods used to treat flow limiting dissections (select three)

stent
angioplasty
atherectomy
covered stent
thrombectomy
retractable coil
vasodilator drug
guide with side holes

dopamine
dobutamine
epinephrine
Increased coronary blood flow

What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation?

increased preload
increased afterload
increased coronary blood flow
increased myocardial oxygen demand
prep right groin
Allen's test performed prior to wrist prep

Which actions should be completed when prepping the patient for a transradial cardiac catheterization? (chose 2 responses)

prep right groin
position wrist in prone position
IV antibiotics given for the procedure
start IV on same arm as radial access
Allen's test performed prior to wrist prep
body surface area

Cardiac index is calculated by dividing cardiac output in liters per minute by

heart rate
stroke volume
body surface area
mean ventricular pressure
5-

The patient has a pulse but is in respiratory arrest. You must give 1 breath every _______ seconds.

2-
3-
4-
5-
to reduce the amount of balloon movement during inflation

Why is rapid ventricular pacing used for an aortic balloon valvuloplasty procedure?

to increase oxygen demand for coronary perfusion
to increase cardiac output during the balloon inflation
to reduce the amount of balloon movement during inflation
to reduce the need for coronary perfusion during the inflation period
aspirin, morphine, nitroglycerin, oxygen

Immediate ED general treatment should include

aspirin, Lasix, nitroglycerin, and oxygen

provide perfusion regardless of patient's intrinsic rate

One advantage of using a percutaneous left ventricular assist device is that they

do not decrease preload
require a small sheath size
eliminate the need to treat ischemic lesions
provide perfusion regardless of patient's intrinsic rate
100

Given the following hemodynamic data for a patient at rest, what is the mean arterial pressure? Systolic pressure 140 mmhg Diastolic pressure 80 mmhg

60
80
100
110
aortic insufficiency

A "Waterhammer Pulse" is caused by what valvular disease?

aortic stenosis
mitral stenosis
aortic insufficiency

mitral regurgitation -go with the patient and physically show the receiving RN the site to discuss any hemostasis details such as vessel, sheath size, and hematoma concerns

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?

thank the patient for having their procedure with your facility and get the room ready for the next patient
Confirm the transporter knows how to hold manual pressure in case the hemostasis site starts to bleed during transport to recovery/ patient room
Discuss the site with the transporter to pass the details forward and remind the patient to keep the affected site still and relaxed during their recovery
go with the patient and physically show the receiving RN the site to discuss any hemostasis details such as vessel, sheath size, and hematoma concerns
anterior

In a standard 12 lead ECG, the _________ wall is represented in leads V and V4.

lateral
inferior
anterior
anteroseptal
IVUS

What imaging modality is used to confirm proper stent apposition?

cathode
image intensifier
tungsten filament
Closure of the semilunar valves

Which of the following is responsible for producing the S2 heart sound?

ventricular filling
ventricular distensibility
closure of the semilunar valves
closure of the atria-ventricular valves
air or thrombus embolism

Which of the following represents the GREATEST risk during left ventriculography?

arrhythmia
hypotension
intramyocardial staining
air or thrombus embolism
aortic regurgutation

What is an absolute contraindication for the use of intra-aortic balloon counterpulsation?

aortic stenosis
mitral stenosis

aortic regurgitation
mitral regurgitation
famotidine (H2 antagonist), diphenhydramine (antihistamine), Solu- Medrol (glucocorticoid)

Which medications are used to pre-treat a patient with a history of contrast allergies?

amrinone, diphenhydramine, epinephrine
famotidine (H2 antagonist), diphenhydramine (antihistamine), Solu- Medrol (glucocorticoid)
cimetidine, Solu-Medrol, sodium bicarbonate
methyl-prednisolone, famotidine, sodium bicarbonate
thrombis formation

What is a complication associated with mechanical cardiac valves?

aneurysm
flail leaflet
chordae rupture
thrombis formation
nausea
bradycardia
hypotension

Which of the listed signs and symptoms may indicate a vasovagal response? (choose 3)

left/right radial artery or left femoral artery
left popliteal or left femoral artery
right popliteal or left/right femoral artery
left/right radial artery, right femoral artery, or left/right popliteal artery
transcutaneous

Which of the following pacing methods requires the use of external pacing pads?

transarterial
transvenous
transcutaneous
transesophageal
aortic insufficiency

Which of the following is associated with elevated pulse pressure?

hyperlipidemia
arterial sclerosis
aortic insufficiency
hypertrophic cardiomyopathy
Angioseal

Which vascular closure device has a suture that is self-tightening?

Mynx
Perclose

Angioseal
Starclose
stable

What type of angina usually occurs with activity and subsides with rest?

stable
unstable
crescendo
prinzmetal
Aspirate the coronary before removing balloon

While inflating a non-compliant balloon a rapid loss of balloon pressure occurs. Which of the following should be done FIRST?

increase inflation pressure to the balloon
decrease inflation pressure to the balloon
inject the coronary before removing ballon
Aspirate the coronary before removing balloon
left femoral vein
right brachial vein
right internal jugular vein

What vascular access sites can MOST COMMONLY be used to perform a right ventricular biopsy? (choose 3)

left femoral vein

- FFR

Equalization of aortic and arterial pressures is associated with which procedural device?

CFR
FFR
OCT
IVUS
analgesia, sedation, 200 mcg NTG IA injection

Which of the following should be considered for radial artery spasm during sheath removal?

IV fluid bolus, analgesia, sedation
analgesia, sedation, 200 mcg NTG IA injection
analgesia, sedation, 1% lidocaine SQ injection
IV fluid bolus, cold compress, 200 mcg NTG IA injection
atrial septal defect

Which of the following conditions would invalidate FICK cardiac output results?

atrial septal defect

aortic regurgitation
pulmonary stenosis
systemic hypertension
in the antecubital area, on the outside of the arm

The cephalic vein is located?

on the anterior surface of the hand
in the antecubital area, on the outside of the arm
in the antecubital area, near the center of the arm
in the antecubital area, on the inner side of the arm -decreased LV compliance; hyperdynamic LV function

Which of the following are TYPICAL findings in patients with hypertrophic cardiomyopathy?

increased LV compliance; decreased EF
decreased LV compliance; normal systolic function
increased LV compliance; decreased systolic function
decreased LV compliance; hyperdynamic LV function
ipsilateral

Prior to deploying a vascular closer device in the femoral artery, which angiographic view should be used to visualize the femoral artery bifurcation?

caudal
ipsilateral

heparin

Activated clotting time is used to assess the effects of which medication?

aspirin
heparin
abciximab
ticagrelor
ACT

What lab test is used to validate the effects of protamine sulfate?

PT
ACT
INR
PTT
Barbeau

The reverse _______ test is used to evaluate radial artery patency following radial artery sheath removal and placement of compression device.

Allen
Addison
Barbeau
Braunwald

2.5 mm

Which of the following vessel diameters would have the highest restenosis rate?

2.5 mm
3.5 mm
4.5 mm
5.5 mm
rapid saline injection

_______ is used to reduce the cavitation effect and expanding gas bubbles inside the artery during laser atherectomy procedures.

intracoronary NTG
rapid saline injection
achieving an ACT >
a distal protection device
Angiojet
Cleaner
Balloon angioplasty

Which of the following types of devices are used to macerate/breakdown a blood clot? (choose 3)

stent
Angiojet
Cleaner
Embolization

RCIS Exam Study Guide: Interventional Cardiology Questions and Answers, Exams of Nursing

Related documents

Partial preview of the text

Download RCIS Exam Study Guide: Interventional Cardiology Questions and Answers and more Exams Nursing in PDF only on Docsity!

CCI RCIS REVIEW EXAM STUDY GUIDE –

EXPERT VERIFIED ACTUAL QUESTIONS &

ANSWERS FOR GUARANTEED PASS | NEWEST

UPDATE,2025/2026.

- FFR