Cardiac Cath Lab RN A - Prophecy/Relias Exam Questions and Answers Latest Update

Cardiac Cath Lab RN A - Prophecy/Relias Exam Questions and Answers Latest Update . Why is scatter radiation a safety concern? I got WRONG - ANSWER ****WRONG*** It causes leakage radiation from the radiation source or equipment - It is the main source of radiation exposure for patients and staff - It is the primary beam of radiation from the collider to the patient - It causes leakage from the radiation source or equipment What is the normal range for cardiac output? I got this WRONG - ANSWER ***WRONG*** 5-9 liters/min - 4 - 8 L/min -6 - 10 L/min -8 - 12 L/min In patients with a right to left shunt, in which chamber would you expect to record the lower oxygen saturation? I got this WRONG - ANSWER ***WRONG*** Right Atrium - Pulmonary Artery - Left Ventricle - Left Atrium What procedure helps the interventional cardiologist make accurate measurements of a coronary artery? I got WRONG - ANSWER ***WRONG*** Standard angiography - Intravascular ultrasound - Transesophageal echo - Intracardiac echocardiography Where is the LIMA take-off located? I got WRONG - ANSWER ***WRONG*** AORTA - Innominate artery - Left Subclavian artery -Right 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? I got WRONG - ANSWER ***WRONG*** Take medication as prescribed - Stop Smoking - Improve diet - Practice stress management 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 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 Noncompliant An occlusion of which coronary artery will decrease blood supply to the SA node? - ANSWER Right coronary artery What radiology practice decreases x-ray exposure to staff? - ANSWER Observation of ALARA protocol 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 A right heart catheterization is on the schedule. What type of condition might this procedure be used to identify? - ANSWER Pulmonary hypertension Which assessment should be performed to establish baseline hand perfusion in a candidate for radial access? - ANSWER 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? - ANSWER IV nitroglycerin During inflation, what helps determine the dilation force of a balloon? - ANSWER 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? - ANSWER Aspirin and Brilinta For a patient with an acute myocardial infarction, what lab value is MOST pertinent? - ANSWER Troponin A perforation occurs during PCI. Which of the following is MOST important to have readily available? - ANSWER 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? - ANSWER 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? - ANSWER A dampened arterial waveform What vessel supplies oxygenated blood to the right atrium? - ANSWER Pulmonary veins In what order would you apply sterile surgical attire? - ANSWER 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? - ANSWER Cardiac index takes into account the patient's body surface area Which lab finding is MOST suggestive of increased risk of contrast induced nephropathy? - ANSWER 40 ml/min estimated GFR After successful revascularization of a totally occluded RCA, which of the following complications should the circulating nurse prepare for? - ANSWER 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? - ANSWER call 911 You have been tasked with administering moderate sedation to a patient in the cardiac catheterization lab. What tasks are your priority? - ANSWER 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? - ANSWER I will take Brilinta twice a day with food While performing a PCI, you notice contrast staining the pericardium. The patient experiences chest pain, acute hypotension, and tachycardia. What emergent intervention should you prepare? - ANSWER Pericardidocentesis