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RCIS CCI Practice Exam | Correct
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The antagonists for morphine, demerol, or fentanyl would be considered? - ✔✔naloxone (narcan) Which of the following descriptions would best describe cardiac catheterization? - ✔✔the insertion and passage of a small plastic cath into one of the arteries to the heart The CCL (cardiac catheterization laboratory) staff needs to be certified in which of the following? - ✔✔ACLS PALS BLS Of the following, which would be considered a relative contradiction for a patient to havea cardiac catheterization? - ✔✔ renal failure pregnancy acute GI bleed anemia electrolyte imbalance uncooperative pt an uncontrolled condition such as high BP, arrhythmias, or CHF recent CVA of less than 1 month medication intoxication infection/fever anticoagulation In the cardiac catheterization suite, which of the following techniques would be used by the healthcare staff? - ✔✔aseptic
The actual first cardiac catheterization was performed in which of the following years and by whom? - ✔✔ 1929 Dr Forssman (in germany using a urinary cath inserted into his arm) Moderate contrast medium reactions might be considered which of the following? - ✔✔heachache vomiting diffuse urticaria facial edema mild bronchospams palpitations abdominal cramps persistent vomiting Which of the following would be considered one of the three types of reactions from contrast media? - ✔✔ 1. cardiac and major anaphylactoid responses
- smooth muscle and minor anaphylactoid responses
- cutaneous and mucosal manifestations would be considered the complete destruction of all living organisms? - ✔✔sterilization Which of the following infuses the flush solution through the Rotablator atherectomy device? - ✔✔a pressure bag All of the following would be considered a mechanism of restenosis of a post-PCI patient? - ✔✔intimal thickening elastic recoil vassel remodeling The normal systolic blood pressure for an adult would be considered? - ✔✔ 90 - 140 mmHg
- a previously demonstrated high degree conduction block
- a pre-existing LBBB with an anticipated right sided heart studies
- transluminal septal artery ablation in pts with hypertrophic obstructive cardiomyopathy
- prophylactic use for rotational atherectomy and thrombectomy procedures Which of the following would be considered an etiology for interventricular conduction delay (IVCD)? - ✔✔prior cardiac surgeries hyperkalemia cardiac meds such as procainamide BBB (L/R) The ventricles of the heart can be prevented from distending during dialysis by which of the following conditions? - ✔✔pericardial effusion All but which of the following statements would be considered correct about the use of the TLD's (thermoluminescent detectors)? - ✔✔the TLD badge should be worn on top of the protective aprons During basic life support, what would be the length of time that should be taken to checkthe unresponsive person's pulse? - ✔✔ 5 - 10 secs The Rotaglide lubricant should not be administered to the patient that has an allergy to which of the following? - ✔✔olive oil eggs When performing the thermodilution cardiac output, how much normal saline is typically injected? - ✔✔ 5 - 10 ml (room temp or chilled saline) What would be considered the main function of the right ventricle of the heart? - ✔✔to pump the venous blood to the pulm circulation Of the following, which would be considered the pulse oximety reading range that would be considered mild hypoxia? - ✔✔ 92 %
what is the O 2 sat range for mild hypoxia - ✔✔ 91 - 94 % what is the normal O2 sat range - ✔✔ 95 - 100 % moderate hypoxia O2 sat range would be what - ✔✔ 86 - 90 % what O 2 sat would show severe hypoxia - ✔✔ 85 % or less If a person's heart is functioning normally, which of the following would be considered correct for where the electrical impulse of the heart originates? - ✔✔SA node (sinoatrial node) this is composed of specialized tissues that are located in the high posterior RA wall that is close to the inflow track of the SVC - ✔✔SA node If the nurse is assessing an adult patient and finds their respirations are 10 , which of the following would be considered correct? - ✔✔too slow what is the normal respiratory rate - ✔✔ 12 - 20 breaths per min Which of the following is considered the type of angina that can be caused by a coronary artery spasm? - ✔✔prinzmetals angina The preferred technique for arterial puncture would be considered? - ✔✔single anterior arterial wall entry would be best used to help prevent problems with the pts that have been treated with anticoagulants, thrombolytics, or anti platelet agents - ✔✔single anterior arterial wall entry The total volume setting for a typical power injection device used in the cardiac catheterization laboratory would be considered which of the following? - ✔✔ 20 - 50 ml
with a the pacemaker paces when the heart drops below a level that the pacer is set at - ✔✔demand rate Secondary radiation could best be described as which of the following? - ✔✔the lower quality attenuated radiation which occurs when radiation interacts with an object The "Cardiac Angiography and Interventions" recommend which of the following treatments for hypotension and shock related to anaphylactic reactions? - ✔✔oximetry CVP/swan ganz O2 by mask/intubation large vol of 0. 9 % NS ( 3 L/hr) epi IV diphenhydramine 50 mg- 100 mg IV hydrocortisone 400 mg IV ABGs If the ventricles start to quiver, it would be considered which of the following rhythms? - ✔✔Vfib Which of the following has the potential to influence contractility? - ✔✔cardiac ischemia preload metabolic abnormalities metabolic acidosis hypercapnia the sympathetic nervous system circulating catecholamines pharmacological agents the heart muscle MI Which of the following would be considered the correct brand name for phenylalkylamine? - ✔✔verapamil
what are the 3 types of calcium channel blockers - ✔✔benzothiazepine dihydroperidine phenylalkylamine what is the generic name for cardizem - ✔✔benzothiazepine what is the generic name for cardene - ✔✔dihydroperidine what is the generic name for verapamil - ✔✔phenylalkylamine During the FFR procedure, once the IC injection has been administered and the flush has beendone, which of the following steps would be done next? - ✔✔press the start mode or record key the diagnostic multi-packs typically include what - ✔✔guide wire pigtail JL 4 sheath JR Which of the following catheters is typically used for a ventriculography and aortography? - ✔✔side hole pigtail catheter Which of the following might ICE (intracardiac echocardiography) be used for? - ✔✔ 1. guiding radiofrequency
- ablations
- transeptal punctures
- electrophysiologic procedures
- evaluating aortic aneurysms
- aortic stent graft procedures
- complex pediatric, congenital, and structural heart procedures
assessing the pts pedal pulses checking the pts groin insertion site perform a 12 lead EKG check cardiac enzymes Of the following, which would be considered a characteristic of a "stent?" - ✔✔shortening conformability nesting biocompatibility deliverability flaring expansion ratio trackability scaffolding radiopacity radial strength flexibility metal surface area Temporary transvenous pacing is better tolerated than some of the other pacing methods, butis associated with a high rate of complications. Which of the following might be consideredone of these complications? - ✔✔local infections lead dislodgement Most percutaneous coronary interventions are performed using a F guiding catheter? - ✔✔ 6 All but which of the following would be checked if a patient on a temporary pacemaker shows on the cardiac monitor that there is a failure to pace due to output? - ✔✔ 1. prepare for transcutaneous pacing
- prepare to do CPR if necessary
- prepare to administer chronotropic meds
- increase the output to max ( 20 mA atrial and 25 mA ventricular)
- check the power, battery, and connections
- consider switching to an asynchronous mode in the attempt to prevent oversensing Which kind of artherectomy would use a high-speed device that is designed to pulverize plaque into minute particles? - ✔✔rotational Lorazepam (ativan) is metabolized by which of the following? - ✔✔liver is metabolized by the liver and is considered to be the most potent benzodiazepine bc it has a slower onset and a longer duration of action than midazolam - ✔✔lorazepam (ativan) If a patient is on an intra-aortic balloon pump, which of the following would be considered potential complications? - ✔✔sepsis infection thrombocytopenia renal ischemia vascular complications hemolysis mechanical complications How much does the typical ICD (implantable cardiovertor defibrillator) weigh? - ✔✔ 68 - 90 grams The R wave on the ECG represents which of the following? - ✔✔ventricular depolarization the Q wave on the EKG represents what - ✔✔septal depolarization the S wave on the EKG represents what - ✔✔depolarization of the parking fibers The test which is used to help monitor the effects of the anti-coagulation that would be used during a cardiac catheterization laboratory procedure would be considered? - ✔✔ACT
Of the following physicians, which typically performs peripheral diagnostic and interventional procedures? - ✔✔vascular surgeons radiologists cardiologists If a patient has chronic atherosclerotic obstructions, which of the following is often their most common complaint? - ✔✔exercised induced pain in the calf Which of the following might be considered a problem that can be associated with holding manual pressure when removing sheaths? - ✔✔staff fatigue predisposal to carpal tunnel syndrome poor technique application of inconsistent press Of the following, which would be considered a way to achieve hemostasis after a percutaneouscatheterization - ✔✔vascular plugs manual compression topical hemostasis accelerators mechanical compression percutaneous vascular suturing It can take as long as for the components of the Angio-Seal to be reabsorbed? - ✔✔ 90 days (you can restick immediately) Common causes of a cardiac catheterization patient developing life-threatening dysrhythmias would include all but which of the following? - ✔✔spasms ischemia air embolisms accidental electrical shock dissection/abrupt closure thrombus embolism contrast injection
electrolyte imbalance irritation from devices in the LV/RV overdose/drug poisoning would be a liquid thrombin which has the potential to seep into the vessel of the patient? - ✔✔duetts Which of the following medications have the potential to impact the risks for a cardiac catheterization? - ✔✔NSAIDs warfarin furosemide metformin ARBs insulin ACE inhibs sildenafil(viagra)/vardenafil/tadalafil (vasodilators)
