IBHRE Electro -physiology Procedures Study Guide 2025-
2026| Clinical Scenarios, Safety, and Best Practices
a foley retention cath is positioned in the ____ and the ballon inflated with ______ -
ANSWER-urinary bladder, saline or other fluid
a lack of demonstrated care of skill which is unreasonable or imprudent from a medical
professional is termed - ANSWER-negligence
a legal obligation that holds each individual responsible for his or her own actions is
termed - ANSWER-liability
a major complication of pericardiocentesis is the needle puncturing the heart, and its
vessels. the least likely and least dangerous complication is the needle puncture of the -
ANSWER-LV
a major safety guideline to a person transferring a premedicated patient from a bed onto
a gurney is - ANSWER-get adequate assistance
a patient has a history of chronic AF, anterior MI, renal dialysis, and CHF. what is the
most likely complication to watch for when ablating with an irrigated cath on long case?
- ANSWER-hypervolemia
a patient has just finished having a right and left heart cath from the right leg. both
arterial and venous sheaths remain in the groin. the safest method to establish
hemostasis for both vessels is to first pull the _____ sheath and apply pressure to that
site for _____ and then pull the other sheath and hold pressure on _______ -
ANSWER-arterial, 15 min, the vein for 10 min
a patient in acute pulmonary edema should be positioned in a - ANSWER-sitting up
fowler's position
a patient is noncompliant in taking their medications for systemic hypertension. they
should be taught that a common complication of uncontrolled hypertension is -
ANSWER-cerebral hemorrhage
a patient is told that he has a poor prognosis but says they believe there is a mistake.
the patient is most likely in which grief stage - ANSWER-denial
a patient with a prosthetic mitral valve needs a right heart EPS. he takes coumadin daily
and has had no clotting problems - ANSWER-discontinue coumadin 48 hours pre cath
until INR < 1.8
a patient with AF is scheduled for PVI. he is NPH-insulin dependent. what specific
precaution should be taken - ANSWER-premedicate the patient with atropine and
epinephrine
, a pt is being noncompliant in taking his meds for systemic hypertension. he should be
taught that a common complication of uncontrolled hypertension is - ANSWER-cerebral
hemorrhage
according the joint commission what is the minimum number of patient identifiers that
should be checked before you proceed with a case? - ANSWER-2 patient identifiers are
required for
according to the joint commission a precath "time out" should do all the folloing except -
ANSWER-include the major team members on the case + confirm that the correct
premedication has been administered
acute femoral arterial occlusion following cath may be treated with all the following
except - ANSWER-stents
acute femoral arterial occlusion following cath presents with of all the following clinical
signs except
a. leg pain
b. leg paralysis
c. warm sweaty leg
d. pulseless leg
e. leg numbness
f. pale or mottled leg - ANSWER-c. warm sweaty leg
after a couple unsuccessful TS, the patients BP is falling and his neck veins are
distended. most likely complication is - ANSWER-aortic puncture with pericardial
tamponade
after a long EP case the patient develops back pain post venous sheath removal. a
simple comfort measure specific to this complaint is - ANSWER-pillow under knees
after an EPS with irrigated abl, when the patient is given to the recovery nurse all the
following info should be conveyed except
a. baseline vitals
b. arrhythmias induced
c. foley urine output
d. recently administered meds
e. description of abl - ANSWER-e
after complication of an EPS and the doc has left the room. the patient asks you to
interpret the results of the study. your response should be - ANSWER-explain that the
physician will interpret it and report the results
2026| Clinical Scenarios, Safety, and Best Practices
a foley retention cath is positioned in the ____ and the ballon inflated with ______ -
ANSWER-urinary bladder, saline or other fluid
a lack of demonstrated care of skill which is unreasonable or imprudent from a medical
professional is termed - ANSWER-negligence
a legal obligation that holds each individual responsible for his or her own actions is
termed - ANSWER-liability
a major complication of pericardiocentesis is the needle puncturing the heart, and its
vessels. the least likely and least dangerous complication is the needle puncture of the -
ANSWER-LV
a major safety guideline to a person transferring a premedicated patient from a bed onto
a gurney is - ANSWER-get adequate assistance
a patient has a history of chronic AF, anterior MI, renal dialysis, and CHF. what is the
most likely complication to watch for when ablating with an irrigated cath on long case?
- ANSWER-hypervolemia
a patient has just finished having a right and left heart cath from the right leg. both
arterial and venous sheaths remain in the groin. the safest method to establish
hemostasis for both vessels is to first pull the _____ sheath and apply pressure to that
site for _____ and then pull the other sheath and hold pressure on _______ -
ANSWER-arterial, 15 min, the vein for 10 min
a patient in acute pulmonary edema should be positioned in a - ANSWER-sitting up
fowler's position
a patient is noncompliant in taking their medications for systemic hypertension. they
should be taught that a common complication of uncontrolled hypertension is -
ANSWER-cerebral hemorrhage
a patient is told that he has a poor prognosis but says they believe there is a mistake.
the patient is most likely in which grief stage - ANSWER-denial
a patient with a prosthetic mitral valve needs a right heart EPS. he takes coumadin daily
and has had no clotting problems - ANSWER-discontinue coumadin 48 hours pre cath
until INR < 1.8
a patient with AF is scheduled for PVI. he is NPH-insulin dependent. what specific
precaution should be taken - ANSWER-premedicate the patient with atropine and
epinephrine
, a pt is being noncompliant in taking his meds for systemic hypertension. he should be
taught that a common complication of uncontrolled hypertension is - ANSWER-cerebral
hemorrhage
according the joint commission what is the minimum number of patient identifiers that
should be checked before you proceed with a case? - ANSWER-2 patient identifiers are
required for
according to the joint commission a precath "time out" should do all the folloing except -
ANSWER-include the major team members on the case + confirm that the correct
premedication has been administered
acute femoral arterial occlusion following cath may be treated with all the following
except - ANSWER-stents
acute femoral arterial occlusion following cath presents with of all the following clinical
signs except
a. leg pain
b. leg paralysis
c. warm sweaty leg
d. pulseless leg
e. leg numbness
f. pale or mottled leg - ANSWER-c. warm sweaty leg
after a couple unsuccessful TS, the patients BP is falling and his neck veins are
distended. most likely complication is - ANSWER-aortic puncture with pericardial
tamponade
after a long EP case the patient develops back pain post venous sheath removal. a
simple comfort measure specific to this complaint is - ANSWER-pillow under knees
after an EPS with irrigated abl, when the patient is given to the recovery nurse all the
following info should be conveyed except
a. baseline vitals
b. arrhythmias induced
c. foley urine output
d. recently administered meds
e. description of abl - ANSWER-e
after complication of an EPS and the doc has left the room. the patient asks you to
interpret the results of the study. your response should be - ANSWER-explain that the
physician will interpret it and report the results
