Cardiac cath lab rn a - prophecy/relias 2025 real exam questions |most tested questions and
correct answers |100% accurate|get it right!!
As the circulating nurse, what should you wear to protect yourself from radiation? - -Lead
thyroid collar, apron, and eye protection
--Why is scatter radiation a safety concern? - -It causes leakage from the radiation source or
equipment
--What is the normal range for cardiac output? - -4 - 8 L/min
--In patients with a right to left shunt, in which chamber would you expect to record the
lower oxygen saturation? - -Pulmonary Artery
--What procedure helps the interventional cardiologist make accurate measurements of a
coronary artery?
I got WRONG - -Intravascular ultrasound
--Where is the LIMA take-off located? - -Left Subclavian artery
--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? - -Stop Smoking
--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? - -Pre-operative hydration with
intravenous normal saline
--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? - -Non-compliant
--An occlusion of which coronary artery will decrease blood supply to the SA node? - -Right
coronary artery
--What radiology practice decreases x-ray exposure to staff? - -Observation of ALARA
protocol
--Post PCI, your patient complains of increasing chest pain, nausea, vomiting and
hypotension. What would be your FIRST intervention? - -Obtain STAT 12 lead EKG
--A right heart catheterization is on the schedule. What type of condition might this
procedure be used to identify? - -Pulmonary hypertension
--Which assessment should be performed to establish baseline hand perfusion in a
candidate for radial access? - -Allen's test
, --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? - -IV nitroglycerin
--During inflation, what helps determine the dilation force of a balloon? - -Compliance of the
balloon
--Which of the following medications would the nurse MOST LIKELY expect the patient to be
prescribed after an acute coronary event? - -Aspirin and Brilinta
--For a patient with an acute myocardial infarction, what lab value is MOST pertinent? - -
Troponin
--A perforation occurs during PCI. Which of the following is MOST important to have readily
available? - -Covered stent, pericardiocentesis tray, ECHO
--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? - -Catheter traveling through the brachiocephalic artery to the aorta
--The physician selectively engages the conus branch of the RCA. What change inn the
waveform would you anticipate? - -A dampened arterial waveform
--What vessel supplies oxygenated blood to the right atrium? - -Pulmonary veins
--In what order would you apply sterile surgical attire? - -Apply sterile gown, insert hands inn
gloves, hand tie to staff member
--Why is cardiac index better than cardiac output for the assessment of cardiac function
when considering variation between individuals? - -Cardiac index takes into account the
patient's body surface area
--Which lab finding is MOST suggestive of increased risk of contrast induced nephropathy? -
-40 ml/min estimated GFR
--After successful revascularization of a totally occluded RCA, which of the following
complications should the circulating nurse prepare for? - -Arrythmias
--Your STEMI patient tells you they drive to the hospital after experiencing acute onset chest
pain. What coaching would you give this patient if this occurs in the future? - -call 911
--You have been tasked with administering moderate sedation to a patient in the cardiac
catheterization lab. What tasks are your priority? - -Counting respirations, readying suction,
observing chest rise and fall
--Which statement made by the patient after a cardiac stent placement indicates patient
education was effective? - -I will take Brilinta twice a day with food
correct answers |100% accurate|get it right!!
As the circulating nurse, what should you wear to protect yourself from radiation? - -Lead
thyroid collar, apron, and eye protection
--Why is scatter radiation a safety concern? - -It causes leakage from the radiation source or
equipment
--What is the normal range for cardiac output? - -4 - 8 L/min
--In patients with a right to left shunt, in which chamber would you expect to record the
lower oxygen saturation? - -Pulmonary Artery
--What procedure helps the interventional cardiologist make accurate measurements of a
coronary artery?
I got WRONG - -Intravascular ultrasound
--Where is the LIMA take-off located? - -Left Subclavian artery
--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? - -Stop Smoking
--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? - -Pre-operative hydration with
intravenous normal saline
--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? - -Non-compliant
--An occlusion of which coronary artery will decrease blood supply to the SA node? - -Right
coronary artery
--What radiology practice decreases x-ray exposure to staff? - -Observation of ALARA
protocol
--Post PCI, your patient complains of increasing chest pain, nausea, vomiting and
hypotension. What would be your FIRST intervention? - -Obtain STAT 12 lead EKG
--A right heart catheterization is on the schedule. What type of condition might this
procedure be used to identify? - -Pulmonary hypertension
--Which assessment should be performed to establish baseline hand perfusion in a
candidate for radial access? - -Allen's test
, --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? - -IV nitroglycerin
--During inflation, what helps determine the dilation force of a balloon? - -Compliance of the
balloon
--Which of the following medications would the nurse MOST LIKELY expect the patient to be
prescribed after an acute coronary event? - -Aspirin and Brilinta
--For a patient with an acute myocardial infarction, what lab value is MOST pertinent? - -
Troponin
--A perforation occurs during PCI. Which of the following is MOST important to have readily
available? - -Covered stent, pericardiocentesis tray, ECHO
--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? - -Catheter traveling through the brachiocephalic artery to the aorta
--The physician selectively engages the conus branch of the RCA. What change inn the
waveform would you anticipate? - -A dampened arterial waveform
--What vessel supplies oxygenated blood to the right atrium? - -Pulmonary veins
--In what order would you apply sterile surgical attire? - -Apply sterile gown, insert hands inn
gloves, hand tie to staff member
--Why is cardiac index better than cardiac output for the assessment of cardiac function
when considering variation between individuals? - -Cardiac index takes into account the
patient's body surface area
--Which lab finding is MOST suggestive of increased risk of contrast induced nephropathy? -
-40 ml/min estimated GFR
--After successful revascularization of a totally occluded RCA, which of the following
complications should the circulating nurse prepare for? - -Arrythmias
--Your STEMI patient tells you they drive to the hospital after experiencing acute onset chest
pain. What coaching would you give this patient if this occurs in the future? - -call 911
--You have been tasked with administering moderate sedation to a patient in the cardiac
catheterization lab. What tasks are your priority? - -Counting respirations, readying suction,
observing chest rise and fall
--Which statement made by the patient after a cardiac stent placement indicates patient
education was effective? - -I will take Brilinta twice a day with food
