CCI REVIEW EXAM
1. When intervening in the mid/distal right - .035 x 260 cm leg from a radial approach, which
is the best wire choice?
Answer: .035 x 260 cm
2. Which of the following BEST describes a balloon's ability to yield to changes in pressure?
Answer: Compliance
3. What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive
therapy for PCI?
Answer: To remove calcific atherosclerotic plaque
4. A Forgarty balloon is commonly used to:
Answer: Pull clot back into a vein
5. Select the methods used to treat flow limiting dissections (select three):
Answer: Stent, Angioplasty, Covered stent
6. When using a rotational atherectomy device in the RCA, what else should you consider
using? (choose 3)
Answer: Vasodilator drug, Guide with side holes, Temporary pacing wire
7. What information is required prior to prepping the patient for the procedure? (choose 4)
Answer: NPO status, Patient allergies, Patient identifiers, Advance directives
8. Which of the following inotropic agents predominately stimulates beta 1 receptors?
Answer: Dobutamine
9. What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation?
Answer: Increased coronary blood flow
10. Which actions should be completed when prepping the patient for a transradial cardiac
catheterization? (choose 2 responses)
Answer: Prep right groin, Allen's test performed prior to wrist prep
11. What is the most common complication of a Swan-Ganz catheter insertion?
Answer: Arrhythmias
12. What is the most appropriate action to take when a patient develops a hematoma at the
sheath site?
Answer: Apply manual pressure
, 13. What is the most appropriate action to take when a patient develops hypotension during
a procedure?
Answer: Administer fluids and vasopressors
14. What is the most appropriate action to take when a patient develops bradycardia during a
procedure?
Answer: Administer atropine
15. What is the most appropriate action to take when a patient develops chest pain during a
procedure?
Answer: Notify the physician and obtain an ECG
16. What is the most appropriate action to take when a patient develops shortness of breath
during a procedure?
Answer: Administer oxygen and assess respiratory status
17. What is the most appropriate action to take when a patient develops nausea during a
procedure?
Answer: Administer antiemetic medication
18. What is the most appropriate action to take when a patient develops anxiety during a
procedure?
Answer: Provide reassurance and consider sedation
19. What is the most appropriate action to take when a patient develops an allergic reaction
during a procedure?
Answer: Administer antihistamines and corticosteroids
20. What is the most appropriate action to take when a patient develops contrast-induced
nephropathy?
Answer: Hydrate the patient and monitor renal function
21. What is the most appropriate action to take when a patient develops vasovagal response
during a procedure?
Answer: Administer atropine and fluids
22. What is the most appropriate action to take when a patient develops air embolism during
a procedure?
Answer: Place patient in Trendelenburg position and administer 100% oxygen
23. What is the most appropriate action to take when a patient develops arrhythmias during a
procedure?
Answer: Administer antiarrhythmic medication and monitor ECG
1. When intervening in the mid/distal right - .035 x 260 cm leg from a radial approach, which
is the best wire choice?
Answer: .035 x 260 cm
2. Which of the following BEST describes a balloon's ability to yield to changes in pressure?
Answer: Compliance
3. What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive
therapy for PCI?
Answer: To remove calcific atherosclerotic plaque
4. A Forgarty balloon is commonly used to:
Answer: Pull clot back into a vein
5. Select the methods used to treat flow limiting dissections (select three):
Answer: Stent, Angioplasty, Covered stent
6. When using a rotational atherectomy device in the RCA, what else should you consider
using? (choose 3)
Answer: Vasodilator drug, Guide with side holes, Temporary pacing wire
7. What information is required prior to prepping the patient for the procedure? (choose 4)
Answer: NPO status, Patient allergies, Patient identifiers, Advance directives
8. Which of the following inotropic agents predominately stimulates beta 1 receptors?
Answer: Dobutamine
9. What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation?
Answer: Increased coronary blood flow
10. Which actions should be completed when prepping the patient for a transradial cardiac
catheterization? (choose 2 responses)
Answer: Prep right groin, Allen's test performed prior to wrist prep
11. What is the most common complication of a Swan-Ganz catheter insertion?
Answer: Arrhythmias
12. What is the most appropriate action to take when a patient develops a hematoma at the
sheath site?
Answer: Apply manual pressure
, 13. What is the most appropriate action to take when a patient develops hypotension during
a procedure?
Answer: Administer fluids and vasopressors
14. What is the most appropriate action to take when a patient develops bradycardia during a
procedure?
Answer: Administer atropine
15. What is the most appropriate action to take when a patient develops chest pain during a
procedure?
Answer: Notify the physician and obtain an ECG
16. What is the most appropriate action to take when a patient develops shortness of breath
during a procedure?
Answer: Administer oxygen and assess respiratory status
17. What is the most appropriate action to take when a patient develops nausea during a
procedure?
Answer: Administer antiemetic medication
18. What is the most appropriate action to take when a patient develops anxiety during a
procedure?
Answer: Provide reassurance and consider sedation
19. What is the most appropriate action to take when a patient develops an allergic reaction
during a procedure?
Answer: Administer antihistamines and corticosteroids
20. What is the most appropriate action to take when a patient develops contrast-induced
nephropathy?
Answer: Hydrate the patient and monitor renal function
21. What is the most appropriate action to take when a patient develops vasovagal response
during a procedure?
Answer: Administer atropine and fluids
22. What is the most appropriate action to take when a patient develops air embolism during
a procedure?
Answer: Place patient in Trendelenburg position and administer 100% oxygen
23. What is the most appropriate action to take when a patient develops arrhythmias during a
procedure?
Answer: Administer antiarrhythmic medication and monitor ECG
