Cardiac Cath Lab RN A - Prophecy/Relias Exam (98% Pass)

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, apr ...

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 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 - 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 For a patient with an acute myocardial infarction, what lab value is MOST pertinent? - ANSWER Troponin A perforation occurs during PCI. Which of the following is MOST important to have readily available? - ANSWER Covered stent, pericardiocentesis tray, ECHO 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? - ANSWER Catheter traveling through the brachiocephalic artery to the aorta The physician selectively engages the conus branch of the RCA. What change inn the waveform would you anticipate? - AN