RCIS CCI Practice Exam 4 | 100% Correct Answers | Verified | Latest 2024 Version

hypokalemia and which of the following might be considered contraindications for the pt to have a cardiac cath - anemia hyperkalemia electrolyte imbalance fever other systemic illnesses which might need stabilization in 1929, Dr Forssman performed which of the following - first cardiac cath (using a urinary cath inserted into his arm) the 4 major components of conscious sedation protocol should include all of the following except - cleaning the procedure room what are the 4 major components of conscious sedation protocol - 1. pre procedural baseline assessment 2. drug dosage and administration 3. monitoring the pt 4. monitoring of the pt post procedure (includes assessment and discharge criteria) which of the following statements would not be considered correct regarding the scope of practice for the cardiac cath lab - the scope or practice for the Ccl is set by the federal government according to mallampati, which class would be considered when the visibility of the pts tonsils, uvula, and soft palate are clear - class 1 if the soft/hard palate and the bas of the uvula can be see what class of mallampati would that be - class 3if only the hard palate is clearly visible what mallampati class would that be - class 4 if the hard/soft palate and the upper portion of the tonsils/uvula are visible what mallampati class would that be - class 2 all of the following is considered on of the 3 broad categoriesof tasks performed by the CCL staff except - office personnel what are the 3 broad categories of tasks performed by the CCL staff - scrub circulator monitor of the following, which should be check by the nurse/tech once the pt has been transported to the CCL procedure room - if they have a signed consent on the chart if the pt has any allergies if their IV is patent of the following, which would be considered the second thing the cath lab nurse should do when meeting the pt for the first time - check the identity of the pt when talking with the pt regarding the cardiac cath, simple terms should be used. which of the following statements might be appropriate during this time - 1. we will look to see how well your heart muscles are working 2. we will look at your coronary arteries when the time out is being done, which of the following people must be included - the circulating nurse the lab operator anesthesia provider (time out should include the entire operative team and should be done out loud)one of the pre-procedure check the Ccl staff must complete is to check the pts IV access site. if their site is not working, which of the following would not be considered correct - the procedure should be continued with no IV access site a R heart cath typically entails which of the following - measures of pressures visualized cardiac and pulmonary structures all of the following would be considered critical for a safe ventriculography except - the cost of the procedure which of the following would be considered a basic type of cardiac lead - unipolar bipolar what are your bipolar leads - I II III what are your unipolar leads - aVR aVL aVF V1-V6 according to organizations such as the US veterans affair, the 5th vital sign would be considered which of the following - pain of the following contrast agents, which would be considered a low osmolar nonionic agent - loversol which of the following would be considered correct for the purpose of the oil around a tube insert in an X-ray machine - 1. to act as an insulator between the cathode and the anode supplies 2. to provide a medium for the effective heat dissipationthe protocol in most hospitals for the pt admitted to the ER for chest pain is to administer aspirin. which of the following pts would this be contraindicated with - active/recent GI bleed allergy to aspirin according to the national commissions of radiologic protection and units, the typical amount of examinations that can be performed safely on a continuous basis in order to stay within their recommendations for a week would be considered - 25 which of the following would not be considered a primary pt vital sign - body mass index what are the 4 primary vital signs - temp HR respiratory rate BP the ___ ___ artery would be considered the target entry point for a femoral artery cardiac cath - common femoral this is designed as the portion of the femoral artery that is below the lowest margin of the inferior epigastric artery but above the bifurcations of the superficial and profound branches of the femoral art - common femoral art with a rotablator atherectomy which of the following would the pressure bag do - flushes the solution through the rotablator device what is the purpose of the flush solution for the rotablator device - allows lubrication and prevents oaverheating for the pt that is in pulseless Vtach, which of the following would be considered correct for the sequential defibrillation - 200J 200-300J 360Jduring a cardiac cath, the pt experiences an air embolism. which of the following interventions would not be considered correct for treatment at this time - transfer the pt back to the floor immediately what are some interventions for the pt who experiences an air embolism during a cardiac cath - fluids start ACLS protocol if needed aspirate the air if possible start 100% O2 during a cardiac cath procedure, the pt sats to complain of not feeling right. which of the following might be considered signs and symptoms of a cardiovascular anaphylactic reaction to the contrast medium - arrhythmias what are the most common cadiovascular anaphylactic reactions to contrast - vasodilations arrhythmias hypotension (shock) with basic life support, which would be considered the correct compression rate for one-person rescue for an adult - 30:2 at a rate of 100 compressions per min (same for a 2 person rescue) the LV pressure (supine resting press value for systolic press) would be considered ___ mmHg - 100- 140 mmHg the RV pressure (supine resting press value for systolic press) would be considered ___ mmHg - 15- 30 mmHg of the following, which would be considered the antidote for Versed - romazicon of the following, which would be considered the antidote for fentanyl - narcanif a pt is experiencing a MI, which of the following statements would be considered the most correct - 1. the chest pain typically last longer than angina pain 2. the pain is more intense than angina pain 3. rest doesn't help the pain which of the following would be considered correct for the reason that Ergonovine is not manufactured in the US any longer - it can induce coronary spasm the medical floor RN is assessing her newly admitted pt and he starts to complain of mid-sternal chest pain, becomes very anxious, complains of SOB, and becomes diaphoretic. and EKG is performed and there are changes in leads I, aVL, and V2-V5. which of the following MIs would this be indicative of - anterior which of the following statements would not be considered correct regarding tachycardia - it is a medical emergency ____ can be the earliest sign of a pt in distress and may be associated with conditions such as acute PE, hypoxemia, or hypoglycemia - tachycardia of the following which might be considered a preparation for an MRI - no preparation all of the following would be a type of calcium channel blocker except - aggregation inhibitors what are the 3 types of calcium channel blockers - 1. dihydroperidine (cardene) 2. phenylalkylamine (verapamil) 3. benzothiazepine (cardizem) which of the following layers of the blood vessels is considered the protective outer layer - adventitial which of the following conditions would be contraindicated for the use of NTG for chest pain - hypotension marked bradycardia of less than 50 bmptachycardia allergy to NTG of the following which would be included in the 11-100 calcium score interpretation with a cardiac EBCT - mild plaque is present a calcium score of 0 with a cardiac EBCT would tell us what - no plaque is present a calcium score of 400+ with a cardiac EBCT would tell us what - a large amount of plaque is blocking at least one artery a calcium score of 1-10 with a cardiac EBCT woul