Download Cardiac Catheterization Procedures and Complications and more Exams Nursing in PDF only on Docsity!
CCI RCIS Exam (New 2024 / 2025 Update)
Practice Questions and Verified Answers|
100 % Correct| Grade A
QUESTION
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? Answer: SA node (sinoatrial node)
QUESTION
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 Answer: SA node
QUESTION
If the nurse is assessing an adult patient and finds their respirations are 10, which of the following would be considered correct? Answer: too slow
QUESTION
what is the normal respiratory rate Answer:
12 - 20 breaths per min
QUESTION
Which of the following is considered the type of angina that can be caused by a coronary artery spasm? Answer: prinzmetals angina
QUESTION
The preferred technique for arterial puncture would be considered? Answer: single anterior arterial wall entry
QUESTION
______ would be best used to help prevent problems with the pts that have been treated with anticoagulants, thrombolytics, or anti platelet agents Answer: single anterior arterial wall entry
QUESTION
The total volume setting for a typical power injection device used in the cardiac catheterization laboratory would be considered which of the following? Answer: 20 - 50 ml
QUESTION
height and weight
QUESTION
the myocardial O2 demand can have the potential to be influenced by Answer: HR afterload contractility preload
QUESTION
What does NIH stand for? Answer: neointimal hyperplasia
QUESTION
_____ is considered the most common cause of restenosis following the placement of coronary stenosis; it describes the migration of smooth muscle cells into the artery walls when there is injury to the vessel; there is a restricted blood flow within the art Answer: NIH (neointimal hyperplasia)
QUESTION
Which wave on an ECG relates to the A wave on the right atrium waveform? Answer: the P wave
QUESTION
Which of the pacemaker modes indicates the pacemaker works at a continuous set rate? Answer: fixed rate
QUESTION
with a ____ the pacemaker paces when the heart drops below a level that the pacer is set at Answer: demand rate
QUESTION
Secondary radiation could best be described as which of the following? Answer: the lower quality attenuated radiation which occurs when radiation interacts with an object
QUESTION
The "Cardiac Angiography and Interventions" recommend which of the following treatments for hypotension and shock related to anaphylactic reactions? Answer: oximetry CVP/swan ganz O2 by mask/intubation large vol of 0.9% NS (3L/hr) epi IV diphenhydramine 50mg-100mg IV hydrocortisone 400mg IV ABGs
QUESTION
QUESTION
what does RFCA stand for Answer: radio frequency catheter ablation
QUESTION
When determining a patient's cardiac index (CI), the patient's cardiac output is 6.1 litersper minute with a BSA (body surface area) of 2.5 meters. Which of the following would be thispatient's correct CI? Answer: 2.4 L/mim
QUESTION
The vessel's healing response to the injury which has been caused by an intervention would be considered? Answer: intimal thickening
QUESTION
when a vessel shrinkage decreases the lumen diameter in the area of a previous intervention it would be considered _____ Answer: vessel remodeling
QUESTION
a function of changes in the atherosclerotic plaque and also the elastic properties of the arterial wall would be considered _____ Answer: elastic recoil
QUESTION
Which of the following might be considered a more common adverse effect of heparin? Answer: thrombocytopenia bruising bleeding increased liver enzymes
QUESTION
Indications for a temporary or permanent pacemaker might include all of the following? Answer:
- MI with a trifascicular block
- symptomatic bradycardia
- with a rapid ventricular pacing occurring during an aortic balloon valvuloplasty
- 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
QUESTION
Which of the following would be considered an etiology for interventricular conduction delay (IVCD)? Answer: prior cardiac surgeries hyperkalemia cardiac meds such as procainamide
QUESTION
When performing the thermodilution cardiac output, how much normal saline is typically injected? Answer: 5 - 10 ml (room temp or chilled saline)
QUESTION
What would be considered the main function of the right ventricle of the heart? Answer: to pump the venous blood to the pulm circulation
QUESTION
Of the following, which would be considered the pulse oximety reading range that would be considered mild hypoxia? Answer: 92%
QUESTION
what is the O2 sat range for mild hypoxia Answer: 91 - 94%
QUESTION
what is the normal O2 sat range Answer: 95 - 100%
QUESTION
moderate hypoxia O2 sat range would be what Answer: 86 - 90%
QUESTION
what O2 sat would show severe hypoxia Answer: 85% or less
QUESTION
If the ventricles start to quiver, it would be considered which of the following rhythms? Answer: Vfib
QUESTION
Which of the following has the potential to influence contractility? Answer: cardiac ischemia preload metabolic abnormalities metabolic acidosis hypercapnia the sympathetic nervous system circulating catecholamines pharmacological agents the heart muscle MI
Answer: phenylalkylamine
QUESTION
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? Answer: press the start mode or record key
QUESTION
the diagnostic multi-packs typically include what Answer: guide wire pigtail JL sheath JR
QUESTION
Which of the following catheters is typically used for a ventriculography and aortography? Answer: side hole pigtail catheter
QUESTION
Which of the following might ICE (intracardiac echocardiography) be used for? Answer:
- guiding radiofrequency
- ablations
- transeptal punctures
- electrophysiologic procedures
- evaluating aortic aneurysms
- aortic stent graft procedures
- complex pediatric, congenital, and structural heart procedures
QUESTION
Mechanical pullback with an IVUS (intravascular ultrasound) can be used at what rate? Answer: 0.5-1.0 mm per sec
QUESTION
Of the following, which would be considered the normal stroke volume index? Answer: 30 - 65 ml/beat/m
QUESTION
what would the normal SV be Answer: 60 - 130 ml
QUESTION
Which of the following can cause a blood vessel to spasm? Answer: spontaneous hemorrhage needle stick trama
QUESTION
Which of the following can be accomplished by the clinician with a programmer computer? Answer: set device detections to set diagnostic parameters to set therapy parameters
QUESTION
Postprocedural care of the atherectomy patient should include which of the following interventions? Answer: monitoring the pts vital signs assessing the pts pedal pulses checking the pts groin insertion site perform a 12 lead EKG check cardiac enzymes
QUESTION
Of the following, which would be considered a characteristic of a "stent?" Answer: shortening conformability nesting biocompatibility deliverability flaring expansion ratio trackability scaffolding radiopacity radial strength flexibility metal surface area
QUESTION
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? Answer: local infections lead dislodgement
QUESTION
Most percutaneous coronary interventions are performed using a ____ F guiding catheter? Answer: 6
QUESTION
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? Answer:
- prepare for transcutaneous pacing
- prepare to do CPR if necessary
- prepare to administer chronotropic meds
- increase the output to max (20mA atrial and 25 mA ventricular)
- check the power, battery, and connections
- consider switching to an asynchronous mode in the attempt to prevent oversensing
QUESTION
Which kind of artherectomy would use a high-speed device that is designed to pulverize plaque into minute particles? Answer: rotational
QUESTION
The R wave on the ECG represents which of the following? Answer: ventricular depolarization
QUESTION
the Q wave on the EKG represents what Answer: septal depolarization
QUESTION
the S wave on the EKG represents what Answer: depolarization of the parking fibers
QUESTION
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? Answer: ACT
QUESTION
Signs and symptoms of cardiac tamponade would include? Answer: press plateau
pulsus paradoxus electrical alternans distended neck venis narrowing pulse press decreased arterial press muffled heart sounds sinus tachycardia
QUESTION
The standard of care for the cardiac interventional procedure would be considered __________? Answer: stents
QUESTION
Which of the following medications are typically administered prior to an IVUS (intravascular ultrasound) procedure? Answer: heparin (to decrease the risk of thrombosis)
QUESTION
The active stent coating that elutes a medication into the vessel wall would be considered which of the following? Answer: DES
QUESTION
An ICD (implanted cardioverter defibrillator) uses synchronized shock to terminate which ofthe following? Answer:
