RCIS CCI PRACTICE EXAM #6 WITH FULL PACK SOLUTIONS
1. all iof ithe ifollowing iwould ibe iconsidered ipt ilab itests ithat iare
itypically iordered iprior ito ithe ipt ihaving ia icardiac icath: iCBC
coagulopathy
iblood ichemistry
possibly ia itype iand icross-match
2. the ifirst iline imedications iused ifor iconscious isedation iwould iinclude:
imidazolam idemerol
morphine
1 i/
i26
,ifentanyl
3. all iof ithe imight ibe iused ifor iteaching ithe ipt iabout itheir icath iexcept:
iallowing ithem ito iview ianother ipt ihaving ia icath
4. although iIV iaccess iis iconsidered ithe isecond ilifeline ifor ithe ipt, iwhich
iof ithe ifollowing istatements iwould ibe iconsidered ithe imost icorrect
iregarding ithe iIV i access: iIV iaccess iallows ithe iadministration iof iemergency imeds ito
icounteract isuch iconditions ias ivagal ior iallergic ireactions
5. all ibut iwhich iof ithe imight ibe iconsidered ia imajor icomplication
iof ia icardiac icath: ijoint ipain
6. when i a i pt i is i admitted i to i the i hospital i in i anticipation i of i having i a
i cardiac i cath iprocedure, iwhen ishould ithe inursing istaff istart itheir
ieducation: iwhen ithe ipt iis iadmitted
7. if ithe ipt ineeds ito ibe iintubated, ithe imallampati iclass i4 ipt iwould
ibe iconsidered iwhich iof ithe ifollowing ilevels iof idifficulty: imore idiflcult
8. what iare isome iof ithe ifactors ithat imight ibe iassociated iwith ia
iclass i4 imallam- ipati: idysmorphic ijaw
short ineck
mouth ior ijaw
iabnormalities iadvanced
irheumatoid iarthritis
history iof isleep iapnea, istridor, ior isnoring
9. when ia ipt iis ischeduled ifor ia icardiac icath, ithey imust isign ian
iinformed iconsent iprior i to i the i procedure i being i performed. i which
i of i the i following i people i would ibe iconsidered ithe iperson ithat iusually
iobtains ithe iconsent: i operator/ iphysician iperform- iing ithe iprocedure
2 i/
i26
, 10. because iof ithe ifact ithat isedative iagents itend ito iimpair ithe
ipts iairway ireflexes i putting i them i at i risk i for i aspiration, i how i long
i prior i to i the i procedure ishould ithe ipt ibe ikept iNPO ifor isolid iand
inon iclear iliquids: iat ileast i8 ihrs
11. if ithe icardiac icath ipt iis iallergic ito ifish iand itaking iNPH
iinsulin, iwhich iof ithe ifollowing imeds ishould ithey inot ibe igiven
iduring ithe icardiac icath iprocedure: i- iprotamine
12. the ipt iis iadministered i to ireverse ithe
isystemic iheparinization iafter ia icardiac icath: iprotamine
13. a i permanent/temp i pacemaker i might i be i needed i for
i which i of i the i following iconditions: i1. ipreviously idemonstrated ihigh-dose
iconduction iblock
2. prophylactic iuse ifor irotational iatherectomy iand ithrombectomy
3. symptomatic i bradycardia
4. a ipre-existing iLBBB iwith ian ianticipated iR isided iheart istudy
5. transluminal iseptal iartery iablation iin ipts iwith ihypertrophic iobstructive icardiomyopathy
6. with ia irapid iventricular ipacing ioccurring iduring ian iaortic iballoon ivalvuloplasty
7. a iMI iwith ia itrifasicular iblock
14. the iadverse ireactions ifor iaspirin iwould iinclude iall iof ithe
ifollowing: itinnitus ibleeding
hepatotoxicit
y iGI
idistress
iulcers
nausea/vomiting
ibronchospasm
s
15. the icardiac icath ilab istaff iis idoing ia iprocedure iwhen ithe ipts iEKG
irhythm igoes iflatline. i which i of i the i following i should i be i considered
i the i first i thing i they i should ido: icheck ithe ipt iimmediately
16. major icomplications ifrom ia icardiac icath icould iinclude:
irespiratory iarrest icardiogenic ishock
3 i/
i26
1. all iof ithe ifollowing iwould ibe iconsidered ipt ilab itests ithat iare
itypically iordered iprior ito ithe ipt ihaving ia icardiac icath: iCBC
coagulopathy
iblood ichemistry
possibly ia itype iand icross-match
2. the ifirst iline imedications iused ifor iconscious isedation iwould iinclude:
imidazolam idemerol
morphine
1 i/
i26
,ifentanyl
3. all iof ithe imight ibe iused ifor iteaching ithe ipt iabout itheir icath iexcept:
iallowing ithem ito iview ianother ipt ihaving ia icath
4. although iIV iaccess iis iconsidered ithe isecond ilifeline ifor ithe ipt, iwhich
iof ithe ifollowing istatements iwould ibe iconsidered ithe imost icorrect
iregarding ithe iIV i access: iIV iaccess iallows ithe iadministration iof iemergency imeds ito
icounteract isuch iconditions ias ivagal ior iallergic ireactions
5. all ibut iwhich iof ithe imight ibe iconsidered ia imajor icomplication
iof ia icardiac icath: ijoint ipain
6. when i a i pt i is i admitted i to i the i hospital i in i anticipation i of i having i a
i cardiac i cath iprocedure, iwhen ishould ithe inursing istaff istart itheir
ieducation: iwhen ithe ipt iis iadmitted
7. if ithe ipt ineeds ito ibe iintubated, ithe imallampati iclass i4 ipt iwould
ibe iconsidered iwhich iof ithe ifollowing ilevels iof idifficulty: imore idiflcult
8. what iare isome iof ithe ifactors ithat imight ibe iassociated iwith ia
iclass i4 imallam- ipati: idysmorphic ijaw
short ineck
mouth ior ijaw
iabnormalities iadvanced
irheumatoid iarthritis
history iof isleep iapnea, istridor, ior isnoring
9. when ia ipt iis ischeduled ifor ia icardiac icath, ithey imust isign ian
iinformed iconsent iprior i to i the i procedure i being i performed. i which
i of i the i following i people i would ibe iconsidered ithe iperson ithat iusually
iobtains ithe iconsent: i operator/ iphysician iperform- iing ithe iprocedure
2 i/
i26
, 10. because iof ithe ifact ithat isedative iagents itend ito iimpair ithe
ipts iairway ireflexes i putting i them i at i risk i for i aspiration, i how i long
i prior i to i the i procedure ishould ithe ipt ibe ikept iNPO ifor isolid iand
inon iclear iliquids: iat ileast i8 ihrs
11. if ithe icardiac icath ipt iis iallergic ito ifish iand itaking iNPH
iinsulin, iwhich iof ithe ifollowing imeds ishould ithey inot ibe igiven
iduring ithe icardiac icath iprocedure: i- iprotamine
12. the ipt iis iadministered i to ireverse ithe
isystemic iheparinization iafter ia icardiac icath: iprotamine
13. a i permanent/temp i pacemaker i might i be i needed i for
i which i of i the i following iconditions: i1. ipreviously idemonstrated ihigh-dose
iconduction iblock
2. prophylactic iuse ifor irotational iatherectomy iand ithrombectomy
3. symptomatic i bradycardia
4. a ipre-existing iLBBB iwith ian ianticipated iR isided iheart istudy
5. transluminal iseptal iartery iablation iin ipts iwith ihypertrophic iobstructive icardiomyopathy
6. with ia irapid iventricular ipacing ioccurring iduring ian iaortic iballoon ivalvuloplasty
7. a iMI iwith ia itrifasicular iblock
14. the iadverse ireactions ifor iaspirin iwould iinclude iall iof ithe
ifollowing: itinnitus ibleeding
hepatotoxicit
y iGI
idistress
iulcers
nausea/vomiting
ibronchospasm
s
15. the icardiac icath ilab istaff iis idoing ia iprocedure iwhen ithe ipts iEKG
irhythm igoes iflatline. i which i of i the i following i should i be i considered
i the i first i thing i they i should ido: icheck ithe ipt iimmediately
16. major icomplications ifrom ia icardiac icath icould iinclude:
irespiratory iarrest icardiogenic ishock
3 i/
i26
