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RCIS CCI Practice Exam 5 |Correct
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the urinary catheter drainage bag should be placed in which of the following positions - ✔✔below the pts bladder equipment that would be needed by the CCL nurse to start an IV access could include which of the following - ✔✔ IV catheter gloves non-latex tourniquet medical tape guaze sharps container sterile pad sterile dressing bag of IV fluids which of the following would be considered a minor/other complication which can occur during a cardiac cath - ✔✔vascular injury which of the following would be considered an infection control technique that considered all blood and body fluids as being contaminated - ✔✔universal precautions helps to decrease the risk of the transmission of microorganisms from both recognized and unrecognized paths - ✔✔standard precautions which of the following would be considered the normal CO - ✔✔ 4 - 8 L/min the blood that is ejected from the LV into the aorta would be considered the persons - ✔✔CO
CO would be be described as which of the following - ✔✔the blood that is ejected from the LV into the aorta during the process of setting up the sterile table, it is L alone for 10 mins. which of the following statements would be considered correct regarding the use of the table for the procedure - ✔✔the sterility of the table cannot be guaranteed the measuring of press in the pts heart would be referred to as which of the following - ✔✔hemodynamics would be considered pictures of the heart that were taken during the cardiac cath - ✔✔angiography all but which of the following would be considered an area that the physician would include in their role as a pt educator - ✔✔cost of the procedure what are the 4 areas which should be included in the physicians role in pt education - ✔✔ 1. info that would be obtained from the procedure
- potential treatment options
- clear reasons for the procedure
- potential risks and complications of the procedure all but which of the following ppl would not be included in the "time-out" process in the CCL - ✔✔physical thereapist of the following, which would be considered basic equipment on the sterile table for the cardiac cath procedure - ✔✔ 1. a bowl of 1 % or 2 % lidocaine
- a needle for cannulating the artery
- a container of 500 ml of saline solution/ 5000 units of hep that has been added to the solution
- a container/bowl for betadine
- sheaths and catheters
- sterile drapes
- sterile swabs or prep sticks
which of the following would a diagnostic cath procedure include - ✔✔both a L and a R heart cath the physician is preparing to make a puncture for a radial art access and sheath introductions. which of the following points of puncture would be considered correct - ✔✔ 1. 0 - 2 .0 cranial to the bony prominence of the distal radius which of the following is responsible for supplying blood to most of the LV artery - ✔✔left anterior descending art the is considered the pro section of the LCA between the aorta and where it branches into the CX, LAD, and intermedia branch - ✔✔L main what is the typical size peripheral IV that is recommended during a cardiac cath - ✔✔18g medial and which of the following would be considered a layer of the blood vessels in the body - ✔✔adventitial of the following which would not be considered a lab value that would indicate coagulation abnormalities - ✔✔bleeding time of more than 20 mins which lab values would indicated coagulation abnormalities - ✔✔ 1. a platelet count of less than 80 .0 00 mm
- a partial thromboplastin time (PTT) that is greater than 1 .2 secs prolonged
- a bleeding time greater than 10 mins prolonged if more that 2 hrs has elapsed following termination of cardiopulmonary bypass if a person is experiencing ventricular fibrillation, all but which of the following statements would be considered correct - ✔✔with Vfib, there is an increase in the persons CO the following statements would be considered correct regarding Vfib - ✔✔ 1. Vfib is a life threatening emergency
- with Vfib, the ventricles quiver instead of contract
- with Vfib, there is a decrease in the persons Co
- with Vfib, defibrillation would be needed immediately to attempt to resolve it when preparing for ventriculography, what would be considered the most important step of the setup for the staff - ✔✔to make certain that all the air and bubbles are cleared from the transparent pressure injection syringe and tubing a high RV EDP might be see with all of the following conditions except - ✔✔kidney failure a high RV EDP would be seen with all of the following conditions - ✔✔cardiac tamponade restrictive myocardial disease endocardial fibrosis pulmonic valve insufficiency constrictive pericarditis the normal HR for a child age 1 - 8 would be considered which of the following - ✔✔ 80 - 100 bpm would be the normal HR for ages 1 - 28 days - ✔✔ 120 - 160 bpm would be the normal HR for an adult - ✔✔ 60 - 100 bpm would be the normal HR for age 1 - 12 months - ✔✔ 100 - 120 according to the society for cardiac angiography and interventions, an acceptable intervention that could be used for urticaria with an anaphylactic reaction in the CCL would be considered which of the following
- ✔✔diphenhydramine 25 - 50 mg IV the human heart is typically the size of which of the following - ✔✔clenched fist where is the heart located - ✔✔behind the sternum and slightly to the L
(then set the current mA output to 2 mA above the dose at which there is consistent capture) the main pumping chamber of the heart would be considered the - ✔✔LV ischemia in the absence of a MI would be characterized by which of the following - ✔✔symmetrical changes in the T wave of the following which should the CCL nurse check if the pts EKG suddenly goes flat - ✔✔check the pt check the press curve on the monitor a high pulmonary art press could be seen with all of the following conditions except - ✔✔constrictive pericarditis high pulmonary art press could be seen in which conditions - ✔✔LV failure mitral valve stenosis pulmonary emboli chronic obstructive pulm disease pulmonary hypertension peripheral PA stenosis the press that is exerted will be the same at the pro end of the cath tubing as the tip of the tubing would be considered which of the following laws (the belief is that the press is exerted on the blood as transmitted through the fluid in a cath and that this press is exerted equally in all directions) - ✔✔pascals law if an endomyocardial biopsy procedure is being performed, all of the following potential complications might be seen - ✔✔conduction abnormalities perforation arrhythmias death access site related complications
which of the following would be considered correct when removing a radial sheath - ✔✔remove the sheaths very slowly while the band is being slowly tightened PAWP stands for which of the following - ✔✔pulmonary arterial wedge press the P wave on the ECG relates to which on the CVP wave forms - ✔✔A wave would be correct for a rapid, regular, atrial contraction that usually occurs at the rate of 250 - 350 bmp - ✔✔atrial flutter the physician orders a pt wo receive reflex 500 mg every 8 hrs. the pharmacy sends reflex 250 mg. how many capsules will the nurse administer to the pt in a 24 hr period - ✔✔ 6 of the following, which statement would be correct regarding radial vs femoral vascular access - ✔✔the radial access is more difficult and requires more skill the femoral access is quicker and easier sneezing or couching during a cardiac cath procedure might be considered which of the following - ✔✔a vasovagal reaction how many ml of normal saline is typically used for injection when the nurse is performing a thermodilution CO - ✔✔ 5 - 10 ml of the following which would be considered the most common cause of restenosis following the placement of coronary stents - ✔✔neointimal hyperplasia describes the migration of smooth muscle cells into the arterys walls when there is an injury to the vessel. this causes a restricted flow within the art - ✔✔neointimal hyperplasia if the arterial pulse classification is a 2 , which of the following would it be considered - ✔✔normal
a guide wire high RV EDP would be seen in which conditions - ✔✔cardiac tamponade pulmonic valve insufficiency restrictive myocardial disease endocardial fibrosis constrictive pericarditis the 2 lengths of guide wires which are used for a PVI procedure would include - ✔✔ 300 cm 145 cm which of the following can be triggered by a foreign body (stent) in a persons blood vessel - ✔✔neointimal hyperplasia if a cardiac pt has an ICD which of the following would be considered the typical shock energy of the device - ✔✔ 0. 1 - 41 J which of the following would be considered the most important step for the staff to take when setting up for a ventriculography - ✔✔to ensure that all the air and air bubbles are cleared from the transparent press injection syringe and tubings of the following which might be considered a potential complication after an ICD - ✔✔infection blood loss hematoma air embolism cardiac tamponade stroke vein thrombosis MI of the 4 main methods of performing temp pacing, which would be considered an ideal choice for treatment of the emergency pt - ✔✔external transcutaneous pacing
works by the delivery of a timed electrical impulse to the chest wall of the pt by the use of pacing electrode patches - ✔✔external transcutaneous pacing of the following which would be considered a common complaint of the pt with chronic atherosclerotic obstructions - ✔✔exercised induced pain in the calf a unique balloon cath for the dilation of the fused mitral valve commissures would be considered - ✔✔Inoue (invented in 1982 ) the rotational atherectomy is considered to have a higher risk for the pt to experience a non-Q wave MI. which i=of the following could be the cause for this - ✔✔small embolic particles the surgical procedure for implantation of a pacemaker includes which of the following - ✔✔making an incision creation of a pocket to accommodate the device which of the approaches that can be used for a pericardiocentesis would decrease the likelihood of coronary and internal thoracic artery location - ✔✔subxiphoid route a atherectomy uses a high-speed rotational device which is designed to pulverize plaque into minute particles - ✔✔rotational of the following which would be considered the correct dosage for the heparin that is administered once the transseptal access has been correctly obtained - ✔✔ 40 U/kg IV if an air embolism is detected during the cardiac cath procedure which of the following would be considered an appropriate intervention - ✔✔fluids start 100 % O2 initiateACLS if needed aspiration of any air if possible
PA
RA RV
PCWP
AO
discharge education for the pt with post sheath removal would include all of the following - ✔✔ 1. watch for increased swelling
- mottling/discoloration
- any discharge
- increased warmth or redness
- numbness or tingling
- dull aching
- limb that is cool to the touch of the following which would be considered a relative contraindication - ✔✔ 1. pregnancy
- electrolyte imbalance
- infection
- fever
- acute GI bleed or anemia
- medication toxicity
- recent cerebrovascular accident
- renal failure
- uncontrolled CHF
- hypertension
- arrhythmias
- uncooperative pt
- unknown uncontrolled bleeding diathesis what bpm is the internal trigger on the IABP typically set at - ✔✔ 80
regarding the defibrillator during a cardiac cath procedure, which of the following would be correct - ✔✔ 1. successful defibrillation is a major determinant for the pts survival
- the defibrillator should be near the pt and turned on prior to the procedure
- the appropriate conductive source should be available for immediate use the initial dose of amiodarone that would be administered during a cardiac cath would be considered which of the following - ✔✔ 150 mg over 10 mins (followed by an infusion rate of 1 mg/min) (or 300 mg rapid IV infusion diluted in 20 - 30 ml of fluid) if the cardiac cath pt is experiencing urticaria, which of the following might be considered part of the potential treatment - ✔✔diphenhydramine 25 - 50 mg IV all of the following might be considered an intervention that would be used if the pt experiences a retroperitoneal bleed during a cardiac cath procedure - ✔✔ 1. vol replacement
- reversal of anticoagulation
- avoid high fem art punctures
- transfusion
- CT scan
- surgical consult during a cardiac cath the pt goes into Vfib. which of the following interventions would be considered correct treatment - ✔✔defibrillate the pt interventions which might potentially help prevent the development of an air embolism with the cardiac cath pt would include - ✔✔careful flushing of all connections make certain that all of the connections are tight very careful back bleeding of the lines the following complications during a cardiac cath could require a vascular surgeon consult - ✔✔a large dissection
