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PROPHECY CARDIAC CATH LAB RN A EXAM ELABORATION LATEST UPDATE 2023|2024

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PROPHECY CARDIAC CATH LAB RN A EXAM ELABORATION LATEST UPDATE 2023|2024 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

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What orders do you expect from the physician
to decrease the risk of contrast induced Pre-operative hydration with
nephropathy in a patient who has been intravenous normal saline
identified as at risk?

When setting up a pressure monitoring
system for an arterial line, what kind of tubing Non-compliant
is used to transmit pressure waves from the
patient to the transducer?

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. Obtain STAT 12 lead EKG
What would be your FIRST intervention?

A right heart catheterization is on the
schedule. What type of condition might this Pulmonary hypertension
procedure be used to identify?

Which assessment should be performed to
establish baseline hand perfusion in a Allen’s test
candidate for radial access?

You are caring for a patient who is prepping
for PCI. This patient has received 3 sublingual IV nitroglycerin
doses of nitroglycerin but continues to have
ongoing chest pain. What medication would
you expect to be ordered?

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 Aspirin and Brilinta
prescribed after an acute coronary event?

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 Covered stent, pericardiocentesis
available?

, tray, ECHO


A cardiologist has performed a radial
approach to access the coronary arteries. Catheter traveling through the
What dod you expect to see on the brachiocephalic artery to the aorta
radiographic image screen as the catheter
approaches the coronary arteries?

The physician selectively engages the conus
branch of the RCA. What change inn the A dampened arterial waveform
waveform would you anticipate?

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 Cardiac index takes into account the
when considering variation between patient’s body surface area
individuals?

Which lab finding is MOST suggestive of
increased risk of contrast induced 40 ml/min estimated GFR
nephropathy?

After successful revascularization of a totally
occluded RCA, which of the following Arrythmias
complications should the circulating nurse
prepare for?

Your STEMI patient tells you they drive to the
hospital after experiencing acute onset chest call 911
pain. What coaching would you give this
patient if this occurs in the future?

You have been tasked with administering
moderate sedation to a patient in the cardiac Counting respirations, readying
catheterization lab. What tasks are your suction, observing chest rise and fall
priority?

Which statement made by the patient after a
cardiac stent placement indicates patient I will take Brilinta twice a day with
education was effective? food

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Geschreven in
2023/2024
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