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RCIS CCI Exam Review Questions and Answers (2024/2025), Exams of Nursing

A comprehensive set of review questions and answers for the rcis cci exam, covering a wide range of topics related to cardiac catheterization procedures. The questions are designed to test knowledge of various aspects of the field, including interventional techniques, hemodynamics, equipment, and patient management. A valuable resource for individuals preparing for the rcis cci exam, offering a structured approach to review and reinforce key concepts.

Typology: Exams

2024/2025

Available from 02/26/2025

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RCIS CCI Exam Review Questions and Correct Answers
(2024 / 2025) (Verified Answers)
1. 1. When intervening in the mid/distal right leg from a radial approach,
which is the best wire choice?: .035 x 260
2. 2. Which of the following BEST describes a balloon's ability to yield
to changes in pressure?: Compliance
3. 3. What is the PRIMARY therapeutic reason for using rotational
atherectomy as an adjunctive therapy for PCI?: To remove calcific
atherosclerotic plaque
4. 4. A Forgarty balloon is commonly used : for removing clot
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RCIS CCI Exam Review Questions and Correct Answers

(2024 / 2025) (Verified Answers)

    1. When intervening in the mid/distal right leg from a radial approach, which is the best wire choice?: .035 x 260
    1. Which of the following BEST describes a balloon's ability to yield to changes in pressure?: Compliance
    1. What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive therapy for PCI?: To remove calcific atherosclerotic plaque
    1. A Forgarty balloon is commonly used : for removing clot

from vein/artery

    1. Select the methods used to treat flow limiting dissections: stent, covered stent, angioplasty
    1. When using a rotational atherectomy device in the RCA, what else should you consider using?: Temporary pacing, catheter with side holes, (larger bur or vasodilators)
    1. What information is required prior to prepping the patient for the proce- dure?: patient identifiers, allergies, NPO status, advanced directives
    1. Which of the following inotropic agents predominately stimulates beta 1 receptors?: Dopamine
    1. What is the desired hemodynamic effect of an intra-aortic balloon

valvuloplasty procedure?: To slow how much blood is going through aorta

    1. Immediate ED general treatment should include: MONA
    1. The term "standard precautions" refers to: use of PPE and hand hygiene
    1. Which atherectomy catheters shave and sand away plaque?: orbital, directional
    1. What type of catheter is used for a thrombectomy?: Extraction
    1. One advantage of using a percutaneous left ventricular assist device is that they: provide perfusion regardless of patient's intrinsic rate
    1. Given the following hemodynamic data for a patient at rest, what is the mean arterial pressure? Systolic pressure 140mmhg, Diastolic pressure 80mmhg: (80 x 2) + (140 x 1) / 3 = 100mmHg
    1. A "Waterhammer Pulse" is caused what valvular disease?: Aortic Re- gurgitation
    1. 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?: To ensure hemostasis has been maintained after transfer
    1. In a standard 12 lead ECG, the anterior wall is represented in leads: V3 and V
    1. What is an absolute contraindication for the use of intra-aortic balloon counterpulsation?: Dissection/Aneurysm of Aorta, moderate/severe AI, previous AO stenting
    1. Which medications are used to pre-treat a patient with a history of contrast allergies?: Diphenhydramine, Famotidine, solumedrol 32. 33. What is a complication associated with mechanical cardiac valves?: - Thrombus formation
    1. Which of the listed signs and symptoms may indicate a vasovagal response?: Slowed heart rate, lower blood pressure, nausea
    1. Which of the following can be used to assure good stent apposition during PCI?: IVUS
    1. What is the TIMI grade of a vessel that has complete perfusion?: 3
    1. What are the possible vascular access sites for a left femoral artery intervention?: LT/RT Radial, RT Femoral, LT/RT Popliteal
    1. Which of the following pacing methods requires the use of external pacing pads?: Transcutaneous pacing 38. 39. Which of the following is associated with elevated pulse pressure?: - Regurgitation
    1. What is advantage to using a filter versus a balloon occlusion distal protection device?: Allows continued flow whereas balloon occlusion does not
    1. A 1.66 mm diameter sheath is equivalent to what French size?: 5Fr
    1. Equalization of aortic and arterial pressures is associated with which procedural device?: CFR
    1. Which of the following should be considered for radial artery spasm during sheath removal?: Nitroglycerin 200mcg IA with analgesic meds
    1. Which of the following conditions would invalidate FICK cardiac output results?: ASD
    1. The cephalic vein is located?: AC portion outside arm
    1. Which of the following are Typical findings in patients with hypertrophic cardiomyopathy?: Decreased LV compliance, Normal systolic function 51. 52. Prior to deploying a vascular closer device in the femoral artery, which angiographic view should be used to visualize the femoral artery bifurcation?- : Anterior/Posterior 52. 53. What type of imaging is MOST COMMONLY used during PFO closures?- : ICE
    1. Which of the following temporary pacemaker adjustments would
    1. Which of the following vessel diameters would have the highest restenosis rate? 3.5, 4.5, 2.5: 2.
    1. is used to reduce the cavitation effect and expanding gas bubbles inside the artery during laser atherectomy procedures.: SALINE
    1. Which of the following types of devices are used to macerate/break- down a blood clot?: ANGIOJET, THROMBOLITIC INFUSION
    1. Which of the following is a PRIMARY indication for the administration of sodium bicarbonate?: METABOLIC ACIDOSIS
    1. The electrical current that determines the number of protons generated by an x-ray tube is called the: KILOVOLTS
    1. Which of the following catheters is PRIMARY used for right heart procedures?: BURMIN
    1. What does contraindication for the use of rotational atherectomy included?: ANGIOGRAPHIC EVIDENCE OF THROMBUS, EXISTING DISSEC- TION, SAPHENOUS VEIN GRAFT
    1. In peripheral interventions, which equipment is used to steer across a lesion?: Guidewire, microcatheter, torque device, rotational atherectomy
    1. Which of the following is associated with in-stent restenosis?: POOR STENT APPOSITION
    1. What procedural setups should be considered when preparing a patient for a pacemaker/ICD implant?: 02 MASK ON PT AT 10L/MIN,

degree angle.: 30-

    1. Which of the following is a GP IIb/IIIa inhibitor?: ABCIXIMAB
    1. What vascular approach should be used to perform a Transseptal left heart catheterization?: RIGHT FEMORAL VEIN
    1. In the AP projection, which of the following structures is the MOST posterior?: LEFT ATRIUM
    1. What complications are MOST FEQUENTLY associated with vascular closure device?: INFECTION, THROMBOSIS, ACUTE HEMMORHAGE
    1. Which of the following medications inhibits sodium reabsorption caus- ing an increase in urine output?: LASIX
    1. The subclavian vein is continuation of the vein.: BRACHIO- CEPHALIC 79. 80. What catheter could be used as an alternative for LIMA angiography?- : JR
    1. Which of the following hemodynamic abnormalities would be observed with mitral stenosis?: LARGE A WAVE IN LEFT ATRIUM
    1. What type of balloon catheter should be used to treat fibrotic

BED REST, DO NOT SUBMERGE IN WATER FOR 48 HOURS, NO HEAVY LIFTING

FOR 48 HOURS

87. 88. Excimer lasers are PRIMARILY used to treat which type of lesions?: - HEAVILY CALCIFIED, SAPHENOUS VEIN GRAFTS, CTO'S 88. 89. What French size is equal to a 1.5mm rotational atherectomy burr?: 4.5 89. 90. ???:

    1. Which of the following is the MOST COMMONLY used drug for sedation during a cardiac catherterization? Morphine, Flexoril, or Midazolam?: MIDA- ZOLAM
    1. Which of the following segments of the ventricle would MOST LIKELY be affected by a significant stenosis of the right coronary artery?:

INFERIOR LV WALL

    1. Door to balloon time for STEMI' s should occur within min- utes.: 90 MINUTES
    1. What type of valvuloplasty requires Transseptal puncture?: MITRAL