RCES ACTUAL TEST QUESTIONS WITH
COMPLETE ANSWER KEY
●● LAO Rotates so u can see the heart in this position
Answer: anterior to posterior
●● RAO views
Answer: Atria and ventricles and septum
●● RAO moves in a way that shows us
Answer: septal vs free wall
●● When ablating near the cs ostium, what does a sudden 60 ohm
increase in impedance indicate?
Answer: Ablation Catheter has fallen into the cs
●● Lead fracture results in
Answer: High impedance
●● Lead insulation break results in
Answer: Low impedance
,●● Hypoventilation causes pco2 to
Answer: increase
●● Structure in front of IVC
Answer: Eustachian ridge
●● What could a SIGNIFICANT drop in impedance mean during a
follow up visit of post pacemaker implant?
Answer: Insulation breach
●● A biohazard bag should be disposed of
Answer: Items saturated with blood or body fluids
●● During RF of av nodal slow path, there is loss of retrograde atrial
conduction, what is the appropriate response?
Answer: Stop ablating, goal is met
●● Used needles must be placed in
Answer: Sharps container
●● Primary source of airborne bacteria in procedural area
Answer: Healthcare team / personnel
,●● 12 lead ECG shows atrial rhythm of 200 ms, negative saw tooth
waves in lead II, III, VF. what is the rhythm?
Answer: Negative flutter waves = typical ccw flutter
Positive flutter waves = atypical cw
●● FIRST trouble shooting step if information is not being displayed
from catheter
Answer: Disconnect and reconnect
●● Class I anti-arrhythmics ___ conduction velocity and __ refractory
period
Answer: Decrease conduction and increase refractory period
●● Most common cause of non-cardiac syncope
Answer: Vasovagal
●● How is Wilson Central Terminal WCT average calculated?
Answer: Limb Leads RA, LA, LL
●● When draping a patient for a PM, the tech drapes the area ___ first
Answer: Closest from themselves first
●● In an effective RF burn, impedance should ___ initially then ___
, Answer: Decrease then stabilize
●● MOST important consideration when selecting a site for a peripheral
IV in a patient undergoing a device implant
Answer: Site of implant
●● Post procedure - an arterial line is to be disconnected. The current act
is recorded at 450 secs compared to the previous act at 320 secs, no
heparin was given since then. Next logical step?
Answer: Repeat act
●● Administer Protamine only if there is _____
Answer: Active bleeding
●● Target ACT with heparin for left sided procedures
Answer: 300-400
Too high of an ACT could mean the patient has increased risk of
bleeding
Act is higher for left sided procedures due to stroke risk
●● Target ACT with heparin for right sided procedures
Answer: 250-300
COMPLETE ANSWER KEY
●● LAO Rotates so u can see the heart in this position
Answer: anterior to posterior
●● RAO views
Answer: Atria and ventricles and septum
●● RAO moves in a way that shows us
Answer: septal vs free wall
●● When ablating near the cs ostium, what does a sudden 60 ohm
increase in impedance indicate?
Answer: Ablation Catheter has fallen into the cs
●● Lead fracture results in
Answer: High impedance
●● Lead insulation break results in
Answer: Low impedance
,●● Hypoventilation causes pco2 to
Answer: increase
●● Structure in front of IVC
Answer: Eustachian ridge
●● What could a SIGNIFICANT drop in impedance mean during a
follow up visit of post pacemaker implant?
Answer: Insulation breach
●● A biohazard bag should be disposed of
Answer: Items saturated with blood or body fluids
●● During RF of av nodal slow path, there is loss of retrograde atrial
conduction, what is the appropriate response?
Answer: Stop ablating, goal is met
●● Used needles must be placed in
Answer: Sharps container
●● Primary source of airborne bacteria in procedural area
Answer: Healthcare team / personnel
,●● 12 lead ECG shows atrial rhythm of 200 ms, negative saw tooth
waves in lead II, III, VF. what is the rhythm?
Answer: Negative flutter waves = typical ccw flutter
Positive flutter waves = atypical cw
●● FIRST trouble shooting step if information is not being displayed
from catheter
Answer: Disconnect and reconnect
●● Class I anti-arrhythmics ___ conduction velocity and __ refractory
period
Answer: Decrease conduction and increase refractory period
●● Most common cause of non-cardiac syncope
Answer: Vasovagal
●● How is Wilson Central Terminal WCT average calculated?
Answer: Limb Leads RA, LA, LL
●● When draping a patient for a PM, the tech drapes the area ___ first
Answer: Closest from themselves first
●● In an effective RF burn, impedance should ___ initially then ___
, Answer: Decrease then stabilize
●● MOST important consideration when selecting a site for a peripheral
IV in a patient undergoing a device implant
Answer: Site of implant
●● Post procedure - an arterial line is to be disconnected. The current act
is recorded at 450 secs compared to the previous act at 320 secs, no
heparin was given since then. Next logical step?
Answer: Repeat act
●● Administer Protamine only if there is _____
Answer: Active bleeding
●● Target ACT with heparin for left sided procedures
Answer: 300-400
Too high of an ACT could mean the patient has increased risk of
bleeding
Act is higher for left sided procedures due to stroke risk
●● Target ACT with heparin for right sided procedures
Answer: 250-300
