RCIS – Questions With Complete Solutions
Which lab value does not evaluate the extent of an MI?
-SGOT
-Serum Creatinine
-CK-MB
-LDH Correct Ans - Serum Creatinine
If the transducer is postioned to low at the side of the table the pt.'s pressure
will read? Correct Ans - The pressure will read falsely high
If the patients IV site is infiltrated, what should you do? Correct Ans -
Turn it off
Metabolic Acidosis has a low level of what? Correct Ans - Bicarb
(HCO3)
If you are checking the radial/ulner pulse when you press and release one at a
time this is called what kind of test? Correct Ans - Allens Test
Post procedure renal dysfunction is more likely to occur in patients with?
Correct Ans - -Diabetes
-Pre-procedure dehydration
-Frequent use of NSAID
-Ace Inhibitors
Increased bicarb will do what to the pH? Correct Ans - Elevated HCO3
will increase ? pH
A high CO2 will impact the pH how? Correct Ans - It will lower the pH
The primary drive to breathe comes from the patient's? Correct Ans -
CO2 level
What would be the appropriate intervention for a patient with Respiratory
Acidosis? Correct Ans - Increase Ventilations
,What is the most common form of cardiac tumor? Correct Ans - Atrial
Myxoma located in the left atruim
Hyperventilation a patient prior to suctioning is done to? Correct Ans -
Increase arterial PO2
Osmolality refers to the ability of the contrast to? Correct Ans - Pull
fluid into the intravascular space
Jugular Vein distention can be caused by? Correct Ans - -RV infarct
-Pulmonary Hypertension
-Tricuspid Regurgitation
The purpose of Biventricular pacemakers is to? Correct Ans - To
synchronize the contraction of both ventricles
The ideal contrast volume to be given to the patient is? Correct Ans -
3ml/kg
Shortness of breath indicates right or left sided heart failure? Correct Ans
- Left sided heart failure
Ventricular arrythmias are most common during the injection of which
coronary artery? Correct Ans - RCA
What is the best balloon to use on an artery that has a tendency to close?
Correct Ans - A perfusion balloon
On a EKG, what shows a true" posterior infarct? Correct Ans - V7-V9,
V1 and V2
The purpose of ICD's is to? Correct Ans - Monitor bradycardia,
tachycardia, VT, and V-fib and convert if necessary
Where does the needle enter for a pericardial-centesis? Correct Ans -
sub-xyphoid process
What is the noraml range of potassium (k+) in the blood? Correct Ans -
Normal K+ = 3.5-5.0
The symptoms of increased heart rate, decreased BP, and SOB during a biopsy
and indicate what? Correct Ans - Cardiac Perforation
What device uses saline to dissolve and suction thrombus during and acute
MI? Correct Ans - Angiojet
What is a possible complication of over tightening the toughly? Correct
Ans - Unable to inflate the balloon
Synchronous (demand) pacemakers have what unique ability? Correct
Ans - They sense the hearts intrinsic activity and pace only when needed
2.66mm diameter is what size catheter? Correct Ans - 8 fr
What type of the balloon is best used on a calcified lesion? Correct Ans -
Cutting/Scoring Balloon
During a rotoblador intervention, what is the most common cause of "no
flow?" Correct Ans - Distal embolization
What is the action of Reopro? Correct Ans - Reopro inhibits IIb/IIIa
receptors
What labs look at kidney function? Correct Ans - -BUN and Creatinine
-GFR
-Creatinine clearance
If a patient is on NPH Insulin, what medication should not be given?
Correct Ans - Protamine
INR measures the level of which drug? Correct Ans - Coumadin
What is the best what to calculate a patients pulse rate? Correct Ans -
Check pulse for one mintue
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