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CARDIAC CATH LAB RN A -
PROPHECY/RELIAS EXAM 2025 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
What type and amount of IV fluids should a patient receive before
cardiac catheterization to reduce the risk of contrast induced
nephropathy? - correct answer -500ml of 0.9 NS
You are assessing a patient with left-sided heart failure. What is
an early finding for this patient? - correct answer -Shortness of
breath
In addition to ST elevation, which new ECG finding is suggestive
of acute MI? - correct answer -LBBB
Normal QRS length? - correct answer -0.08 - 0.12
What post-procedure findings should be IMMEDIATELY
communicated to the cardiologist? - correct answer -Absent pedal
pulses with blueish toes
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After a procedure during which heparin was administered, what
finding is suggestive of HIT? - correct answer -Decrease in
platelets by 50%
What catheter would BEST engage the right coronary artery? -
correct answer -JR4
What type of contrast is associated with fewer adverse clinical
events? - correct answer -Low-osmolar contrast
What PRIMARY reperfusion treatment is preferred for a patient
with an acute STEMI who is NOT a candidate for cardiac
catheterization? - correct answer -Fibrinolytic infusion
To calibrate the transducer at the level of the phlebostatic axis
where would the nurse position the transducer? - correct answer -
The level of the right atrium
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After PCI, a patient has a radial compression device in place.
What should you do if you palpate a diminished pulse, cool
fingers and the patient reports numbness in their hand? - correct
answer -Reduce the amount of compression
What size is a 6F catheter - correct answer -2 mm
What is the difference between a guiding catheter and a
diagnostic catheter? - correct answer -Guiding catheters have
wire braiding
Prior to draping the patient for a cardiovascular procedure, how
should the skin be prepared for the insertion of a catheter? -
correct answer -Cleansed with chlorhexadine prep
When putting on a sterile gown, how should you initially grasp it? -
correct answer -Grasp the inside of the neckline and lift it away
from the wrapper
Which statement made by a patient post coronary stent
placement indicates successful understanding of patient
CARDIAC CATH LAB RN A -
PROPHECY/RELIAS EXAM 2025 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
What type and amount of IV fluids should a patient receive before
cardiac catheterization to reduce the risk of contrast induced
nephropathy? - correct answer -500ml of 0.9 NS
You are assessing a patient with left-sided heart failure. What is
an early finding for this patient? - correct answer -Shortness of
breath
In addition to ST elevation, which new ECG finding is suggestive
of acute MI? - correct answer -LBBB
Normal QRS length? - correct answer -0.08 - 0.12
What post-procedure findings should be IMMEDIATELY
communicated to the cardiologist? - correct answer -Absent pedal
pulses with blueish toes
, Page | 2
After a procedure during which heparin was administered, what
finding is suggestive of HIT? - correct answer -Decrease in
platelets by 50%
What catheter would BEST engage the right coronary artery? -
correct answer -JR4
What type of contrast is associated with fewer adverse clinical
events? - correct answer -Low-osmolar contrast
What PRIMARY reperfusion treatment is preferred for a patient
with an acute STEMI who is NOT a candidate for cardiac
catheterization? - correct answer -Fibrinolytic infusion
To calibrate the transducer at the level of the phlebostatic axis
where would the nurse position the transducer? - correct answer -
The level of the right atrium
, Page | 3
After PCI, a patient has a radial compression device in place.
What should you do if you palpate a diminished pulse, cool
fingers and the patient reports numbness in their hand? - correct
answer -Reduce the amount of compression
What size is a 6F catheter - correct answer -2 mm
What is the difference between a guiding catheter and a
diagnostic catheter? - correct answer -Guiding catheters have
wire braiding
Prior to draping the patient for a cardiovascular procedure, how
should the skin be prepared for the insertion of a catheter? -
correct answer -Cleansed with chlorhexadine prep
When putting on a sterile gown, how should you initially grasp it? -
correct answer -Grasp the inside of the neckline and lift it away
from the wrapper
Which statement made by a patient post coronary stent
placement indicates successful understanding of patient
