RCES Exam 2 Questions with Verified Correct
Answers
A Holter monitor is used to assess what?
Frequency and severity and arrhythmias
When draping a patient for a PPM, the technologist will drapes which area?
drapes the area that has been disinfected for use
Where is the primary source of airborne bacteria?
opening the procedure room door
When handling sterile items it is important to keep the equipment where?
within the sterile field
What influences the shelf life of a sterile package?
number of packaging layers
The patient is presenting for a Bi-V ICD implant has a baseline O2 saturation of 84%, which
does not improve with O2 therapy. How should the patient be sedated?
The patient should not be sedated
A patient is taken off Coumadin for one week prior to RF ablation procedure. The INR yields a
value of 3. What should the next step be?
Send the patient home and repeat the INR at a later date
What is the acceptable K+ levels for a patient undergoing an EP study?
3.5-5.4
Prior to starting the case, after explaining the procedure to the patient as well as identifying
risks and potential complications, permission is given to proceed with the study. This is known
as what?
informed consent
, The patient is arriving for their pacemaker implant is complaining of itching and feeling warm.
The IV ancef was started by the floor nurse approx. 20 mins ago. What immediate action
should be taken?
Stop the Ancef drip and notify the physician
What class drug is amiodarone?
Class III
Which medication markedly increases the refractory period?
Amiodarone
Which TVP adjustment would change the unit from the demand mode to asynchronous?
decrease sensitivity
The best description of cardiac thresholds for a single chamber implantable device?
the minimum amount of mA required to elicit a response
What is the unit for resistance?
Ohms (Ω)
Hysteresis is used for what?
promote intrinsic conduction
What happens to impedance when the lead is fractured?
increases
Class I antiarrhythmic _________________ velocity and _______________ refractory periods.
decrease, increase
If the ICD conductor is fractured by how much will the impedance increase?
250 Ohms or 30%
Where should a patient carry their cellphones when they have a device?
In the contralateral pocket or in their pant pockets
What does low impedance reading mean during a follow up visit post PPM?
possible lead insulation break
The physician orders Ibutilide 1 mg IV. What aspect of patient monitoring should you adjust?
Answers
A Holter monitor is used to assess what?
Frequency and severity and arrhythmias
When draping a patient for a PPM, the technologist will drapes which area?
drapes the area that has been disinfected for use
Where is the primary source of airborne bacteria?
opening the procedure room door
When handling sterile items it is important to keep the equipment where?
within the sterile field
What influences the shelf life of a sterile package?
number of packaging layers
The patient is presenting for a Bi-V ICD implant has a baseline O2 saturation of 84%, which
does not improve with O2 therapy. How should the patient be sedated?
The patient should not be sedated
A patient is taken off Coumadin for one week prior to RF ablation procedure. The INR yields a
value of 3. What should the next step be?
Send the patient home and repeat the INR at a later date
What is the acceptable K+ levels for a patient undergoing an EP study?
3.5-5.4
Prior to starting the case, after explaining the procedure to the patient as well as identifying
risks and potential complications, permission is given to proceed with the study. This is known
as what?
informed consent
, The patient is arriving for their pacemaker implant is complaining of itching and feeling warm.
The IV ancef was started by the floor nurse approx. 20 mins ago. What immediate action
should be taken?
Stop the Ancef drip and notify the physician
What class drug is amiodarone?
Class III
Which medication markedly increases the refractory period?
Amiodarone
Which TVP adjustment would change the unit from the demand mode to asynchronous?
decrease sensitivity
The best description of cardiac thresholds for a single chamber implantable device?
the minimum amount of mA required to elicit a response
What is the unit for resistance?
Ohms (Ω)
Hysteresis is used for what?
promote intrinsic conduction
What happens to impedance when the lead is fractured?
increases
Class I antiarrhythmic _________________ velocity and _______________ refractory periods.
decrease, increase
If the ICD conductor is fractured by how much will the impedance increase?
250 Ohms or 30%
Where should a patient carry their cellphones when they have a device?
In the contralateral pocket or in their pant pockets
What does low impedance reading mean during a follow up visit post PPM?
possible lead insulation break
The physician orders Ibutilide 1 mg IV. What aspect of patient monitoring should you adjust?
