COMM 345 CERTIFICATION EVALUATION
STUDY GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS
▶ Percutaneous transluminal coronary angioplasty (PTCA). Answer: Goal
- Increase blood flow to myocardium
Balloon catheter is inflated inside the artery
Coronary stent may be placed to keep artery open
▶ meds post- stemi. Answer: Aspirin
Clopidogrel
▶ indications for CABG. Answer: Unstable angina
AMI
Failure of PCI
▶ CABG (Coronary Artery Bypass Graft). Answer: Pre-op teaching
Pt can watch educational movie
Signed consent
Answer questions
Post-op teaching
Monitor rhythm + hemodynamics
Risk of bleeding
Risk of hypervolemia
Monitor chest tube + mediastinal tube
Body temp (they got cold in sx)
Pain Management
Need to cough + deep breathe
Splinting
Neurological
▶ Pacemaker Issues. Answer: Failure to pace: pacer spikes are NOT
there
Biggest cause = low battery
Failure to sense: the pacemaker isn't sensing the pt's HR
Can cause ventricular dysrhythmias (mainly V-tach)
Treat: change pacemaker's sensitivity setting
STUDY GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS
▶ Percutaneous transluminal coronary angioplasty (PTCA). Answer: Goal
- Increase blood flow to myocardium
Balloon catheter is inflated inside the artery
Coronary stent may be placed to keep artery open
▶ meds post- stemi. Answer: Aspirin
Clopidogrel
▶ indications for CABG. Answer: Unstable angina
AMI
Failure of PCI
▶ CABG (Coronary Artery Bypass Graft). Answer: Pre-op teaching
Pt can watch educational movie
Signed consent
Answer questions
Post-op teaching
Monitor rhythm + hemodynamics
Risk of bleeding
Risk of hypervolemia
Monitor chest tube + mediastinal tube
Body temp (they got cold in sx)
Pain Management
Need to cough + deep breathe
Splinting
Neurological
▶ Pacemaker Issues. Answer: Failure to pace: pacer spikes are NOT
there
Biggest cause = low battery
Failure to sense: the pacemaker isn't sensing the pt's HR
Can cause ventricular dysrhythmias (mainly V-tach)
Treat: change pacemaker's sensitivity setting
