GLOWACKI AND SOMMERS RCIS ACTUAL
TEST BANK 2026 309 REAL QUESTIONS
WITH VERIFIED ANSWERS 55 PAGES
SUCCESS PREP GRADED A+
⩥ Name some antiplatelet medications?
Answer: ASA, Plavix, Brillenta, Effient, Integrelin, Reopro
Remember: Heparin is NOT an antiplatelet
⩥ Adenosine causes
Answer: Maximum hyperemia
⩥ When a patient has a vasovagal reaction what do you see?
Answer: BP decreases
HR decreases
SV decreases
⩥ When a patient has a vasovagal reaction what do you do?
Answer: Give fluids
Trendelenburg position
,Atropine 0.5-1 mg IV push
⩥ If a patient has high creatinine, what should you consider?
Answer: Pre-procedure fluid hydration
Use as small amount of contrast as possible
3ml/kg or 3 times the GFR
⩥ How does heparin prevent clot formation?
Answer: Heparin prevents the conversion of prothrombin to thrombin
Heparin combines with antithrombin to make it more effective
⩥ What is the initial dose of Versed (Midazolam) for sedation?
Answer: 0.5-1 mg
⩥ What is the action of Reopro?
Answer: Reopro inhibits IIb/IIIa receptors
⩥ INR measures the levels of which drug?
Answer: Coumadin (warfarin)
⩥ Most common access point to perform myocardial biopsy?
,Answer: Right internal jugular (IJ)
⩥ What are the landmarks to perform and IJ access?
Answer: The IJ lies between the medial and lateral heads of the
sternocleidomastoid muscle and lateral to the carotid artery
⩥ Lovenox (enoxaparin) impacts what?
Answer: Antithrombin and Factor Xa
⩥ What might be the medication of choice for SVT?
Answer: Adenosine
⩥ What short acting benzodiazepine is commonly used in the cath lab
for sedation?
Answer: Versed (Midazolam)
⩥ Steps to place a distal protection device?
Answer: 1. place the device distal to the lesion
2. cross the lesion with the stent/balloon
3. deploy stent
4. remove the stent balloon
5. remove the protection device
, ⩥ How do you check a patients clotting time after being given heparin?
Answer: ACT
If ACT option is not available, draw a PTT
⩥ Prior to a procedure, what information must be found on the patient's
chart?
Answer: H&P within 30 days
Informed consent
Specific cath lab procedure order
⩥ How does Plavix act?
Answer: Plavix turns off receptor sites on the platelets (super-aspirin)
⩥ If a patient is on NPH Insulin, what medication should not be given?
Answer: Protamine
⩥ Which procedures require venous access?
Answer: ASD/PFO closure
Mitral valve clip
Watchman
Mitral valvuloplasty
TEST BANK 2026 309 REAL QUESTIONS
WITH VERIFIED ANSWERS 55 PAGES
SUCCESS PREP GRADED A+
⩥ Name some antiplatelet medications?
Answer: ASA, Plavix, Brillenta, Effient, Integrelin, Reopro
Remember: Heparin is NOT an antiplatelet
⩥ Adenosine causes
Answer: Maximum hyperemia
⩥ When a patient has a vasovagal reaction what do you see?
Answer: BP decreases
HR decreases
SV decreases
⩥ When a patient has a vasovagal reaction what do you do?
Answer: Give fluids
Trendelenburg position
,Atropine 0.5-1 mg IV push
⩥ If a patient has high creatinine, what should you consider?
Answer: Pre-procedure fluid hydration
Use as small amount of contrast as possible
3ml/kg or 3 times the GFR
⩥ How does heparin prevent clot formation?
Answer: Heparin prevents the conversion of prothrombin to thrombin
Heparin combines with antithrombin to make it more effective
⩥ What is the initial dose of Versed (Midazolam) for sedation?
Answer: 0.5-1 mg
⩥ What is the action of Reopro?
Answer: Reopro inhibits IIb/IIIa receptors
⩥ INR measures the levels of which drug?
Answer: Coumadin (warfarin)
⩥ Most common access point to perform myocardial biopsy?
,Answer: Right internal jugular (IJ)
⩥ What are the landmarks to perform and IJ access?
Answer: The IJ lies between the medial and lateral heads of the
sternocleidomastoid muscle and lateral to the carotid artery
⩥ Lovenox (enoxaparin) impacts what?
Answer: Antithrombin and Factor Xa
⩥ What might be the medication of choice for SVT?
Answer: Adenosine
⩥ What short acting benzodiazepine is commonly used in the cath lab
for sedation?
Answer: Versed (Midazolam)
⩥ Steps to place a distal protection device?
Answer: 1. place the device distal to the lesion
2. cross the lesion with the stent/balloon
3. deploy stent
4. remove the stent balloon
5. remove the protection device
, ⩥ How do you check a patients clotting time after being given heparin?
Answer: ACT
If ACT option is not available, draw a PTT
⩥ Prior to a procedure, what information must be found on the patient's
chart?
Answer: H&P within 30 days
Informed consent
Specific cath lab procedure order
⩥ How does Plavix act?
Answer: Plavix turns off receptor sites on the platelets (super-aspirin)
⩥ If a patient is on NPH Insulin, what medication should not be given?
Answer: Protamine
⩥ Which procedures require venous access?
Answer: ASD/PFO closure
Mitral valve clip
Watchman
Mitral valvuloplasty
