Prophecy/Relias Cardiac Cath Lab RN A
Complete Test 2025 Solutions
1. As the circulating nurse, what should you wear to protect yourself from radiation?
- ANSWER: Lead thyroid collar, apron, and eye protection
2. Why is scatter radiation a safety concern? - ANSWER: It causes leakage from
the radiation source or equipment
3. What is the normal range for cardiac output? - ANSWER: 4 - 8 L/min
4. In patients with a right to left shunt, in which chamber would you expect to record
the lower oxygen saturation? - ANSWER: Pulmonary Artery
5. What procedure helps the interventional cardiologist make accurate
measurements of a coronary artery?
I got WRONG - ANSWER: Intravascular ultrasound
6. Where is the LIMA take-off located? - ANSWER: Left Subclavian artery
7. 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? - ANSWER: Stop Smoking
8. 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? -
ANSWER: Pre-operative hydration with intravenous normal saline
9. 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? -
ANSWER: Non-compliant
10. An occlusion of which coronary artery will decrease blood supply to the SA
node? - ANSWER: Right coronary artery
#$%^&*&
11. What radiology practice decreases x-ray exposure to staff? - ANSWER: ^%$#%^&
Observation of ALARA protocol *(*&^%$%
^&*()*&^
12. Post PCI, your patient complains of increasing chest pain, nausea, vomiting and
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hypotension. What would be your FIRST intervention? - ANSWER: Obtain
STAT 12 lead EKG *&^%$%^
&*()*&^%
$%^&*(*&
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^&*(&^%
#%^&*(&
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, Prophecy/Relias Cardiac Cath Lab RN A
Complete Test 2025 Solutions
13. A right heart catheterization is on the schedule. What type of condition might this
procedure be used to identify? - ANSWER: Pulmonary hypertension
14. Which assessment should be performed to establish baseline hand perfusion in a
candidate for radial access? - ANSWER: Allen's test
15. You are caring for a patient who is prepping for PCI. This patient has received 3
sublingual doses of nitroglycerin but continues to have ongoing chest pain. What
medication would you expect to be ordered? - ANSWER: IV nitroglycerin
16. During inflation, what helps determine the dilation force of a balloon? -
ANSWER: Compliance of the balloon
17. Which of the following medications would the nurse MOST LIKELY expect the
patient to be prescribed after an acute coronary event? - ANSWER: Aspirin
and Brilinta
18. For a patient with an acute myocardial infarction, what lab value is MOST
pertinent? - ANSWER: Troponin
19. A perforation occurs during PCI. Which of the following is MOST important to
have readily available? - ANSWER: Covered stent, pericardiocentesis tray,
ECHO
20. A cardiologist has performed a radial approach to access the coronary arteries.
What dod you expect to see on the radiographic image screen as the catheter
approaches the coronary arteries? - ANSWER: Catheter traveling through the
brachiocephalic artery to the aorta
21. The physician selectively engages the conus branch of the RCA. What change
inn the waveform would you anticipate? - ANSWER: A dampened arterial
waveform
22. What vessel supplies oxygenated blood to the right atrium? - ANSWER: #$%^&*&
Pulmonary veins ^%$#%^&
*(*&^%$%
23. In what order would you apply sterile surgical attire? - ANSWER: Apply sterile
^&*()*&^
gown, insert hands inn gloves, hand tie to staff member
%$%^&*(
24. Why is cardiac index better than cardiac output for the assessment of cardiac *&^%$%^
function when considering variation between individuals? - ANSWER: Cardiac &*()*&^%
index takes into account the patient's body surface area $%^&*(*&
^%$%^&*
*&^%$#%
^&*(&^%
#%^&*(&
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Complete Test 2025 Solutions
1. As the circulating nurse, what should you wear to protect yourself from radiation?
- ANSWER: Lead thyroid collar, apron, and eye protection
2. Why is scatter radiation a safety concern? - ANSWER: It causes leakage from
the radiation source or equipment
3. What is the normal range for cardiac output? - ANSWER: 4 - 8 L/min
4. In patients with a right to left shunt, in which chamber would you expect to record
the lower oxygen saturation? - ANSWER: Pulmonary Artery
5. What procedure helps the interventional cardiologist make accurate
measurements of a coronary artery?
I got WRONG - ANSWER: Intravascular ultrasound
6. Where is the LIMA take-off located? - ANSWER: Left Subclavian artery
7. A 65 year old male arrives in the cardiovascular lab. He has a history of CAD in
his family, he smokes and he has hyperlipidemia. After the procedure, he wants
to know what is the MOST important thing he can do to help reverse his disease
process? - ANSWER: Stop Smoking
8. What orders do you expect from the physician to decrease the risk of contrast
induced nephropathy in a patient who has been identified as at risk? -
ANSWER: Pre-operative hydration with intravenous normal saline
9. When setting up a pressure monitoring system for an arterial line, what kind of
tubing is used to transmit pressure waves from the patient to the transducer? -
ANSWER: Non-compliant
10. An occlusion of which coronary artery will decrease blood supply to the SA
node? - ANSWER: Right coronary artery
#$%^&*&
11. What radiology practice decreases x-ray exposure to staff? - ANSWER: ^%$#%^&
Observation of ALARA protocol *(*&^%$%
^&*()*&^
12. Post PCI, your patient complains of increasing chest pain, nausea, vomiting and
%$%^&*(
hypotension. What would be your FIRST intervention? - ANSWER: Obtain
STAT 12 lead EKG *&^%$%^
&*()*&^%
$%^&*(*&
^%$%^&*
*&^%$#%
^&*(&^%
#%^&*(&
%$#$%^&
, Prophecy/Relias Cardiac Cath Lab RN A
Complete Test 2025 Solutions
13. A right heart catheterization is on the schedule. What type of condition might this
procedure be used to identify? - ANSWER: Pulmonary hypertension
14. Which assessment should be performed to establish baseline hand perfusion in a
candidate for radial access? - ANSWER: Allen's test
15. You are caring for a patient who is prepping for PCI. This patient has received 3
sublingual doses of nitroglycerin but continues to have ongoing chest pain. What
medication would you expect to be ordered? - ANSWER: IV nitroglycerin
16. During inflation, what helps determine the dilation force of a balloon? -
ANSWER: Compliance of the balloon
17. Which of the following medications would the nurse MOST LIKELY expect the
patient to be prescribed after an acute coronary event? - ANSWER: Aspirin
and Brilinta
18. For a patient with an acute myocardial infarction, what lab value is MOST
pertinent? - ANSWER: Troponin
19. A perforation occurs during PCI. Which of the following is MOST important to
have readily available? - ANSWER: Covered stent, pericardiocentesis tray,
ECHO
20. A cardiologist has performed a radial approach to access the coronary arteries.
What dod you expect to see on the radiographic image screen as the catheter
approaches the coronary arteries? - ANSWER: Catheter traveling through the
brachiocephalic artery to the aorta
21. The physician selectively engages the conus branch of the RCA. What change
inn the waveform would you anticipate? - ANSWER: A dampened arterial
waveform
22. What vessel supplies oxygenated blood to the right atrium? - ANSWER: #$%^&*&
Pulmonary veins ^%$#%^&
*(*&^%$%
23. In what order would you apply sterile surgical attire? - ANSWER: Apply sterile
^&*()*&^
gown, insert hands inn gloves, hand tie to staff member
%$%^&*(
24. Why is cardiac index better than cardiac output for the assessment of cardiac *&^%$%^
function when considering variation between individuals? - ANSWER: Cardiac &*()*&^%
index takes into account the patient's body surface area $%^&*(*&
^%$%^&*
*&^%$#%
^&*(&^%
#%^&*(&
%$#$%^&
