PROPHECY-RELIAS CARDIAC CATH LAB RN A+ EXAM
WITH QUESTIONS AND ANSWERS 2025-2026.
As the circulating nurse, what should you wear to protect yourself from radiation?
- Correct Answer: - Lead thyroid collar, cap, eye protection, and humoral shield
-Lead thyroid collar, apron, and eye protection
Non-leaded apron, humoral shield, and surgical mask
Non-leaded collar, apron, humoral shield, badge, and mask
Why is scatter radiation a safety concern? - Correct Answer: - It causes leakage radiation from the
radiation source or equipment
It is the main source of radiation exposure for patients and staff
It is the primary beam of radiation from the collider to the patient
It causes leakage from the radiation source or equipment
What is the normal range for cardiac output?
- Correct Answer: - 5-9 liters/min
4 - 8 L/min
-6 - 10 L/min
-8 - 12 L/min
In patients with a right to left shunt, in which chamber would you expect to record the lower
oxygen saturation?
- Correct Answer: - Right Atrium
Pulmonary Artery
Left Ventricle
Left Atrium
What procedure helps the interventional cardiologist make accurate measurements of a coronary
artery? - Correct Answer: - Standard angiography
Intravascular ultrasound
Trans esophageal echo
Intracardiac echocardiography
Where is the LIMA take-off located?
- Correct Answer: - AORTA
Innominate artery
Left Subclavian artery
-Right Subclavian artery
A 65-year-old male arrives in the cardiovascular lab. He has a history of CAD in his family, he
smokes and he has hyperlipidemia. After the procedure, he wants to know what is the MOST
important thing he can do to help reverse his disease process?
- Correct Answer: - Take medication as prescribed
Stop Smoking
Improve diet
Practice stress management
What orders do you expect from the physician to decrease the risk of contrast induced
, nephropathy in a patient who has been identified as at risk? - Correct Answer: -Pre-operative
hydration with intravenous normal saline
When setting up a pressure monitoring system for an arterial line, what kind of tubing is used to
transmit pressure waves from the patient to the transducer? - Correct Answer: -Non- compliant
An occlusion of which coronary artery will decrease blood supply to the SA node? - Correct
Answer: -Right coronary artery
What radiology practice decreases x-ray exposure to staff? - Correct Answer: -Observation of
ALARA protocol
Post PCI, your patient complains of increasing chest pain, nausea, vomiting and hypotension. What
would be your FIRST intervention? - Correct Answer: -Obtain STAT 12 lead EKG
A right heart catheterization is on the schedule. What type of condition might this procedure be
used to identify? - Correct Answer: -Pulmonary hypertension
Which assessment should be performed to establish baseline hand perfusion in a candidate for
radial access? - Correct Answer: -Allen's test
You are caring for a patient who is prepping for PCI. This patient has received 3 sublingual doses of
nitroglycerin but continues to have ongoing chest pain. What medication would you expect to be
ordered? - Correct Answer: -IV nitroglycerin
During inflation, what helps determine the dilation force of a balloon? - Correct Answer: -
Compliance of the balloon
Which of the following medications would the nurse MOST LIKELY expect the patient to be
prescribed after an acute coronary event? - Correct Answer: -Aspirin and Brilinta
For a patient with an acute myocardial infarction, what lab value is MOST pertinent? - Correct
Answer: -Troponin
A perforation occurs during PCI. Which of the following is MOST important to have readily
available? - Correct Answer: -Covered stent, pericardiocentesis tray, ECHO
A cardiologist has performed a radical approach to access the coronary arteries. What dod you
expect to see on the radiographic image screen as the catheter approaches the coronary arteries?
- Correct Answer: -Catheter traveling through the brachiocephalic artery to the aorta
The physician selectively engages the conus branch of the RCA. What change in the waveform
would you anticipate? - Correct Answer: -A dampened arterial waveform
What vessel supplies oxygenated blood to the right atrium? - Correct Answer: -Pulmonary veins
In what order would you apply sterile surgical attire? - Correct Answer: -Apply sterile gown,
insert hands inn gloves, hand tie to staff member
Why is cardiac index better than cardiac output for the assessment of cardiac function when
considering variation between individuals? - Correct Answer: -Cardiac index takes into account
WITH QUESTIONS AND ANSWERS 2025-2026.
As the circulating nurse, what should you wear to protect yourself from radiation?
- Correct Answer: - Lead thyroid collar, cap, eye protection, and humoral shield
-Lead thyroid collar, apron, and eye protection
Non-leaded apron, humoral shield, and surgical mask
Non-leaded collar, apron, humoral shield, badge, and mask
Why is scatter radiation a safety concern? - Correct Answer: - It causes leakage radiation from the
radiation source or equipment
It is the main source of radiation exposure for patients and staff
It is the primary beam of radiation from the collider to the patient
It causes leakage from the radiation source or equipment
What is the normal range for cardiac output?
- Correct Answer: - 5-9 liters/min
4 - 8 L/min
-6 - 10 L/min
-8 - 12 L/min
In patients with a right to left shunt, in which chamber would you expect to record the lower
oxygen saturation?
- Correct Answer: - Right Atrium
Pulmonary Artery
Left Ventricle
Left Atrium
What procedure helps the interventional cardiologist make accurate measurements of a coronary
artery? - Correct Answer: - Standard angiography
Intravascular ultrasound
Trans esophageal echo
Intracardiac echocardiography
Where is the LIMA take-off located?
- Correct Answer: - AORTA
Innominate artery
Left Subclavian artery
-Right Subclavian artery
A 65-year-old male arrives in the cardiovascular lab. He has a history of CAD in his family, he
smokes and he has hyperlipidemia. After the procedure, he wants to know what is the MOST
important thing he can do to help reverse his disease process?
- Correct Answer: - Take medication as prescribed
Stop Smoking
Improve diet
Practice stress management
What orders do you expect from the physician to decrease the risk of contrast induced
, nephropathy in a patient who has been identified as at risk? - Correct Answer: -Pre-operative
hydration with intravenous normal saline
When setting up a pressure monitoring system for an arterial line, what kind of tubing is used to
transmit pressure waves from the patient to the transducer? - Correct Answer: -Non- compliant
An occlusion of which coronary artery will decrease blood supply to the SA node? - Correct
Answer: -Right coronary artery
What radiology practice decreases x-ray exposure to staff? - Correct Answer: -Observation of
ALARA protocol
Post PCI, your patient complains of increasing chest pain, nausea, vomiting and hypotension. What
would be your FIRST intervention? - Correct Answer: -Obtain STAT 12 lead EKG
A right heart catheterization is on the schedule. What type of condition might this procedure be
used to identify? - Correct Answer: -Pulmonary hypertension
Which assessment should be performed to establish baseline hand perfusion in a candidate for
radial access? - Correct Answer: -Allen's test
You are caring for a patient who is prepping for PCI. This patient has received 3 sublingual doses of
nitroglycerin but continues to have ongoing chest pain. What medication would you expect to be
ordered? - Correct Answer: -IV nitroglycerin
During inflation, what helps determine the dilation force of a balloon? - Correct Answer: -
Compliance of the balloon
Which of the following medications would the nurse MOST LIKELY expect the patient to be
prescribed after an acute coronary event? - Correct Answer: -Aspirin and Brilinta
For a patient with an acute myocardial infarction, what lab value is MOST pertinent? - Correct
Answer: -Troponin
A perforation occurs during PCI. Which of the following is MOST important to have readily
available? - Correct Answer: -Covered stent, pericardiocentesis tray, ECHO
A cardiologist has performed a radical approach to access the coronary arteries. What dod you
expect to see on the radiographic image screen as the catheter approaches the coronary arteries?
- Correct Answer: -Catheter traveling through the brachiocephalic artery to the aorta
The physician selectively engages the conus branch of the RCA. What change in the waveform
would you anticipate? - Correct Answer: -A dampened arterial waveform
What vessel supplies oxygenated blood to the right atrium? - Correct Answer: -Pulmonary veins
In what order would you apply sterile surgical attire? - Correct Answer: -Apply sterile gown,
insert hands inn gloves, hand tie to staff member
Why is cardiac index better than cardiac output for the assessment of cardiac function when
considering variation between individuals? - Correct Answer: -Cardiac index takes into account
