Download RCIS Practice questions & answers latest 2023 and more Exams Nursing in PDF only on Docsity!
RCIS Practice questions & answers
latest 2023
What is the formula for calculating CO? - correct answer CO=HR X SV Stroke volume is - correct answer Related to preload Preload is most impacted by - correct answer Increased filling volumes A patient with chronic untreated hypertension would demonstrate - correct answer Increased afterload Vascular resistance/pressure is most influenced by - correct answer Radius of the vessel Formula for BP is - correct answer BP=CO x SVR What component of a pulmonary capillary wedge pressure indicates mitral insufficiency - correct answer V wave An elevated RVEDP is found in which pathology - correct answer RV infarct If the RA waveform is 2x the normal value, where would this be demonstrated in the physical assessment
- correct answer JVD What is the most common cause of pulmonic stenosis - correct answer Congenital The blue proximal port of the swan is located how far from the distal tip of the swan - correct answer 30cm
When performing a thermodilution cardiac output, the operator injects 10cc of saline into the ____ and the temperature change is measured in the _____ - correct answer RA, PA Equalization of RVEDP and LVEDP are found in - correct answer Restrictive Pericarditis Signs of right sided heart failure includes - correct answer JVD The type of ASD, located in the middle 1/3 of the atrial septum is called - correct answer Ostium Secundum What is the Flamm's equation - correct answer 3(SVC) + 1(IVC)/ The formula used to calculate MAP is - correct answer 1(systolic) + 2(diastolic)/ What are the four anomalies associated with Tetralogy of Fallot - correct answer Pulmonic stenosis, over riding aorta, RVH, VSD Which fetal anomaly is characterized by a large VSD over which a large single great vessel arises - correct answer Truncas arteriosus pulsus paradoxus is a sign of - correct answer cardiac tamponade What does RAD stand for - correct answer radiation absorbed dose Which component of the X-ray system converts light rays into images - correct answer image intensifier What is the maximum annual dose of radiation one can receive annually - correct answer 5 rem Lead protection should be at least how many millimeters of lead - correct answer 0.
If a patient is taking NPH insulin, which medication should not be given - correct answer Protamine Which medication is most commonly given to a patient with SVT - correct answer Adenosine If a patient has a creatinine greater than 1.4 contrast volume should be minimized - correct answer True Lidocaine converts from 2GM in 500cc to - correct answer 4 mg in 1 cc Dopamine concentration 1600 mcg/mL in 250 cc yields a concentration of _________________ - correct answer 400 mg in 250 cc The best short acting meditation/anxiety lyric to sedate a patient is - correct answer Versed/Midazolam The drug of choice for treating coronary spasm is - correct answer NTG Amiodarone is used to treat - correct answer atrial and ventricular arrhythmias What medication is used as a preload and afterload reducer - correct answer NTG Diabetic patients have a greater incidence of developing ____ post contrast - correct answer Renal failure Which rhythm is most likely to become lethal - correct answer Mobitz 2 The impella catheter is most closely resembles - correct answer Pigtail When performing an LV angiogram with the LV injector, what is the purpose of setting a "rate of rise" - correct answer It makes for a smoother injection, less catheter whip, limits ecropy
An EKG demonstrates ST elevation in leads II, III, and AVF what type of infarct would you suspect - correct answer inferior wall An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which coronary artery is most likely occluded - correct answer CX How do you test the defibrillator - correct answer Discharge into the defibrillator (dummy load) What happens if you deliver a shock to a patient on the T wave - correct answer You could put them into Vfib In 1st degree heart block, where is the conduction delay - correct answer AV node What is the normal PR interval - correct answer 0.12-0.20 seconds If a patient is attached to the monitor, V tach is the rhythm, the patient had no pulse and is not responding, what should you do - correct answer Unsynchronized cardioversion If a patient is on a monitor in SVT, SBP is 70, the patient is diaphoretic, dusky and SOB what should you do - correct answer Do immediate synchronized cardioversion A common complication of placing a pacing electrode/wire is - correct answer Perforation/Pericardial Effusion/Tamponade A pacing generator that paces in both chambers, senses in the ventricle, and inhibits QRS complexes is a
- correct answer DVI A pacing generator that paces both chambers, senses both chambers, and triggers or inhibits is a - correct answer ddd A pacing generator that paces in the atria, senses in the atria, and inhibits pacing is a - correct answer AAI
The best device for management of an acute thrombus in a vessel is - correct answer Angiojet Which device employs the use of sterile heparinized saline to evacuate thrombus - correct answer Angiojet What are the signs and symptoms of retroperitoneal bleed - correct answer Back or flank pain, drop in blood pressure, tachycardia, drop in Hgb and Hct Calcified lesions are best managed with which device - correct answer Cutting/Scoring Balloon When using a temporary pacer, where is the lead placed - correct answer RV When performing a myocardial biopsy post heart transplant, the biopsy is performed to evaluate - correct answer Potential for rejection of the transplanted heart The drive to breath in a person with no respiratory diseases is - correct answer elevated CO The drive to breathe in a person with COPD is - correct answer Decreased O The greatest risk when performing a myocardial biopsy is - correct answer Perforation of the RV When using the Rotoblador the burr should start rotating? - correct answer Just proximal to the lesion Akinetic means - correct answer no movement at all Dyskinetic means - correct answer Disorganized movement An ABI measures - correct answer the difference between brachial and ankle systemic blood pressure The dorsalis pedal pulse is located - correct answer On the anterior foot
The posterior tibial pulse is located - correct answer near the medial malleolus Inner ankle The site of a myoxma is in the - correct answer LA The best catheter to cross a stenotic aortic valve is - correct answer AL What medications are commonly given when performing a radial procedure - correct answer NTG, Verapamil, Heparin The Allen's test assesses the flow in the - correct answer Blood flow in the radial and ulnar arteries The IABP catheter should be placed - correct answer Above the renal artery and below the left subclavian Which of the following symptoms after the use of a closure device warrants evaluation - correct answer Loss of pulses in the foot If the heart rate slows, what happens to stroke volume? - correct answer increases What happens to myocardial contractile force(dp/dt) when the heart rate slows? - correct answer Increases The Eustachian valve is located - correct answer Between the inferior vena cava and the right atrium The amplatzer septal occluder device is used to - correct answer Close a PFO The percutaneous impella - correct answer Evacuates 2.5 LPM from the LV; delivers it to the ascending aorta, improves CO, increases SV, improves coronary perfusion
An elevated PCWP, orthopnea, increased LVEDP, and decreased O2 sat are signs of ______________________ - correct answer left sided heart failure What is the NYHA classification of a patient on a ventricular assist device - correct answer IV - severe limitation of activity; symptomatic at rest A washer that is visualized on fluoroscopy is placed to mark the ________________________ - correct answer Proximal vein graft An ABI measures the difference between the _____ and _____ pulses and a reading of ____ indicates a flow limiting lesion - correct answer Left brachial and left pedal; 0. Cannulation of the femoral artery should be - correct answer One finger breath below the inguinal fold Choose the correct answers about a pseudo aneurysm (PSA) - correct answer PSA occurs when an arterial puncture does not seal Pulsatile blood tracks into the perivascular space Blood is contained by the perivascular structure Takes on the appearance of a SAC Is the result of the cannulating needle penetrating the anterior and posterior vessel walls Treatment of a PSA includes - correct answer Thrombin injection into the SAC Ultrasound guided compression Surgical management PSA's occur most commonly when the puncture site is the - correct answer SFA External iliac artery Given inadequate compression time A common complication of a rotoblador - correct answer Distal embolization
A person with chronic COPD - correct answer Has increased CO2 and a decreased O Has an increased respiratory rate The drive to breathe is decreased O2 sat Calcified lesions are best managed with which device - correct answer Cutting/Scoring Balloon Rotoblador Accurate timing of the IABP (Choose all that apply) A. decreases preload B. increases preload C. Decreases afterload D. increases afterload E. improves coronary circulation F. Does not affect coronary circulation - correct answer C. Decreases afterload E. improves coronary circulation The patient c/o pain down the leg when attempting to cannulate the RFA - correct answer The attempt was too lateral The cannulating needle needs to be repositioned medially An aortic dissection - correct answer Presents with back pain Presents with back pain not relieved with NTG, Morphine,O Presents with back pain not associated with EKG changes An increased LVEDP (Choose all that apply) A. Increases the LV Preload B. Increases the PCWP C. Increases the LA pressure
The first stent is positioned in the side branch with about 1/3 of its length protruding into the main branch A second stent is positioned in the main branch The side branch stent is deployed first The main branch stent is deployed second crushing the portion of the side branch stent in the main branch Contraindications for closure devices include - correct answer PVD Diabetes Cannulation above the inguinal fold Cannulation in the profunda The incidence of vascular complications increases when the groin stick is how far below the inguinal fold
- correct answer 2-3cm 3-4 cm
4cm The PR interval is 0.26. The conduction delay is not in the - correct answer SA node Bundle of His Purkinje fibers The laser as an interventional technique eliminates plaque by - correct answer vaporizing The impella device evacuates blood from the ______ and delivers it to the ______ - correct answer LV, AO Which of the following are not desired timi flow post procedures? - correct answer Timi 0-no flow Timi 1-faint flow Timi 2-sluggish flow Timi 3-normal flow
Increasing the rate of rise on the power injector results in a - correct answer Decreased catheter whip No change in the amount of contrast needed Decreased chance of injuring the LV arteriosclerosis is the thickening/hardening and loss of elasticity of the walls of the arteries. T/F - correct answer True Atherosclerosis is the build-up of plaque on the arterial wall(string of pearls) - correct answer True A properly timed atrial contraction - correct answer Increases SV Increases CO Symptoms of a retroperitoneal bleed include (Choose all that apply) A. Back pain B. Decreased Hgh and Hct C. Tachycardia D. Increased SV - correct answer A. Back pain B. Decreased Hgh and Hct C. Tachycardia Which of the following increases one's risk of stroke - correct answer AFib A flutter Balloon expandable stents are used in the____ and self expanding stents are used in the _____ - correct answer Coronaries and carotids When heart rate slows(dp/dt) cardiac muscle fiber contraction - correct answer Increases
D. ASD - correct answer A. TR B. RV MI D. ASD pulmonic stenosis - correct answer Is a congenital anomaly Is a narrowing of the pulmonic valve The blue proximal port of the swan - correct answer Is located 30cm from the distal tip of the swan The port used to inject saline for a cardiac output The transducer is zeroed and falls off the table to the floor - correct answer The pressure being read is now reading higher The transducer should be re-zeroed pulsus paradoxus - correct answer Is a sign of tamponade Demonstrates abnormal variation in filling pressures during inspiration Can be seen on the PCW tracing Signs of LV failure include (Choose all that apply) A. Bilateral peripheral edema B. Ascities C. Orthopnea and pulmonary congestion D. Decreased exercise tolerance and a decreased EF - correct answer C. Orthopnea and pulmonary congestion D. Decreased exercise tolerance and a decreased EF Constrictive pericarditis - correct answer Causes equalization of RVEDP and LVEDP Decreases SV Decreased CO
Right heart failure - correct answer Causes JVD Causes bilateral peripheral edema Choose the views that result in a higher dose to the patient A. Lateral B. LAO 60 and 30 cranial C. AP D. RAO 40 - correct answer A. Lateral B. LAO 60 and 30 cranial D. RAO 40 Choose the practices that would minimize a decrease in kidney function post catheterization (Choose all that apply) A. Keeping the patient NPO B. Pre procedure hydration C. Use of low osmolality contrast D. Minimize contrast given to the patient - correct answer B. Pre procedure hydration C. Use of low osmolality contrast D. Minimize contrast given to the patient ReoPro - correct answer Is a platelet inhibitor IIb/IIIa receptor blocker Increases bleeding time Heparin - correct answer Increases bleeding time Is an antithrombin Which of the following are antiplatelets - correct answer ReoPro
