Download Prophecy/Relias Cardiac Cath Lab RN Exam with complete top solutions latest 2025 | rated and more Exams Nursing in PDF only on Docsity!
Prophecy/Relias Cardiac Cath Lab RN Exam
with complete top solutions latest 2025 | rated A+
As the circulating nurse, what should you wear to protect yourself from radiation? I got this WRONG - ANSWER-***WRONG**** Lead thyroid collar, cap, eye protection, and humoral shield
- Lead thyroid collar, apron, and eye protection Non-leaded apron, humoral shield, and surgical mask Non-leaded collar, apron, humoral shield, badge, and mask 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
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-Non- compliant 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
experiences chest pain, acute hypotension, and tachycardia. What emergent intervention should you prepare? - ANSWER-Pericardidocentesis
During transfer of care post-procedure, what should you do with the receiving nurse to decrease the chance of missing a hematoma or bleeding? - ANSWER-View the sheath insertion site How is radiation exposure to staff monitored? - ANSWER-Wearing film badge dosimeters The physician states he wishes to perform a FFR (Fractional Flow Reserve) on a suspect lesion in the RCA. What medication would you anticipate preparing for this procedure? - ANSWER-Adenosine A hematoma is found when handing off patient care to recovery nurse. What IMMEDIATE actions can be taken to ensure that the hematoma does not progress? - ANSWER-Apply pressure to access site Your patient is newly prescribed Brilinta post PCI. What piece of education is MOST important before discharge? - ANSWER-Take Brilinta twice a day and do not miss any doses What does the dicrotic notch represent on the arterial waveform? - ANSWER- Closure of the aortic valve Which medications should be ready for the physician to be given intracoronary when experiencing slow flow phenomenon? - ANSWER-Diltiazem (Cardizem), Nipride (sodium nitroprusside), Cardene (Nicardipine) What finding would be MOST concerning post sheath removal? - ANSWER- Hematoma at insertion site In order to calculate Fick cardiac output which of the following saturations do you need? ANSWER-AO and PA What is the FIRST action you should take if a patient who is receiving moderate sedation has the following vital signs: HR 82, SpO2 93%, RR 18, elevated end tidal CO2 and begins snoring? - ANSWER-Open airway with head tilt/chin lift What intervention do you expect would be ordered for a patient with a blood pressure of 128/83, elevated right atrial, left ventricular, and pulmonary artery pressures, along with SOB, adventitious lung sounds, and SpO2 87%? - ANSWER- Lasix
A patient has just had a cardiovascular procedure and arrives in the recovery area with a sheath in place in the right groin. Their ACT in the lab was 357. What important patient education should be given prior to sheath removal? - ANSWER- The patient's head must remain on the pillow and the right leg must remain straight What type and amount of IV fluids should a patient receive before cardiac catheterization to reduce the risk of contrast induced nephropathy? - ANSWER- 500ml of 0.9 NS You are assessing a patient with left-sided heart failure. What is an early finding for this patient? - ANSWER-Shortness of breath In addition to ST elevation, which new ECG finding is suggestive of acute MI? - ANSWER-LBBB Normal QRS length? - ANSWER-0.08 - 0. What post-procedure findings should be IMMEDIATELY communicated to the cardiologist? - ANSWER-Absent pedal pulses with blueish toes After a procedure during which heparin was administered, what finding is suggestive of HIT? - ANSWER-Decrease in platelets by 50% What catheter would BEST engage the right coronary artery? - ANSWER-JR What type of contrast is associated with fewer adverse clinical events? - 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? - ANSWER- Fibrinolytic infusion To calibrate the transducer at the level of the phlebostatic axis where would the nurse position the transducer? - ANSWER-The level of the right atrium 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? - ANSWER-Reduce the amount of compression What size is a 6F catheter - ANSWER- 2 mm What is the difference between a guiding catheter and a diagnostic catheter? -
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? - ANSWER-Cleansed with chlorhexadine prep
