Cardiac Cath Lab RN A - Prophecy Relias Latest Update 2023-2024 Questions and Verified Correct Answers Guaranteed A+ 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 - CORRECT ANSWER: ***WRONG*** Take medication as prescribed
- Stop Smoking
- Improve diet
- Practice stress management
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? - CORRECT ANSWER: Catheter traveling through the
brachiocephalic artery to the aorta
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? -
CORRECT ANSWER: Apply pressure to access site
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? - CORRECT ANSWER: The patient's head must remain on the pillow and the right leg must remain straight
A perforation occurs during PCI. Which of the following is MOST important to have
readily available? - CORRECT ANSWER: Covered stent, pericardiocentesis tray,
ECHO
A right heart catheterization is on the schedule. What type of condition might this
procedure be used to identify? - CORRECT ANSWER: Pulmonary hypertension
After a procedure during which heparin was administered, what finding is suggestive of
HIT? - CORRECT ANSWER: Decrease in platelets by 50%
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 1 / 2
After successful revascularization of a totally occluded RCA, which of the following
complications should the circulating nurse prepare for? - CORRECT ANSWER:
Arrythmias
An occlusion of which coronary artery will decrease blood supply to the SA node? -
CORRECT ANSWER: Right coronary artery
As the circulating nurse, what should you wear to protect yourself from radiation?
I got this WRONG - CORRECT 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
During inflation, what helps determine the dilation force of a balloon? - CORRECT
ANSWER: Compliance of the balloon
During transfer of care post-procedure, what should you do with the receiving nurse to
decrease the chance of missing a hematoma or bleeding? - CORRECT ANSWER: View
the sheath insertion site
For a patient with an acute myocardial infarction, what lab value is MOST pertinent? -
CORRECT ANSWER: Troponin
How is radiation exposure to staff monitored? - CORRECT ANSWER: Wearing film
badge dosimeters
In addition to ST elevation, which new ECG finding is suggestive of acute MI? -
CORRECT ANSWER: LBBB
In order to calculate Fick cardiac output which of the following saturations do you
need? - CORRECT ANSWER: AO and PA
In patients with a right to left shunt, in which chamber would you expect to record the lower oxygen saturation?
I got this WRONG - CORRECT ANSWER: ***WRONG*** Right Atrium
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