RCIS Practice Test Questions and
Answers 100% Pass
What is the formula for calculating cardiac output? ✔✔CO= HR x SV
What is stroke volume related to? ✔✔preload
Preload is most impacted by….. ✔✔Increased filling volumes
A patient with chronic untreated hypertension would demonstrate…. ✔✔Increased afterload
Vascular resistance/pressure is most influenced by…. ✔✔Radius of the vessel
The formula for BP is…. ✔✔BP = CO x SVR
What component of a Pulmonary Capillary Wedge pressure indicates Mitral insufficiency ✔✔V
wave
An elevated RVEDP is found in which pathology ✔✔RV infarct
If the RA waveform is 2x the normal value, where would this be demonstrated in the physical
assessment ✔✔JVD
What is the most common cause of Pulmonic stenosis ✔✔Congenital
The Blue proximal part of the swan is located how far from the distal tip of the swan ✔✔30 cm
When performing a thermodilution cardiac output, the operator injects 10 cc of saline into the
_ and the temperature change is measured in the __ ✔✔RA, PA
Equalization of RVEDP and LVEDP are found in ✔✔restrictive pericarditis
Signs of Right sided heart failure include ✔✔JVD
Based on these oxygen saturations, what type of shunt is present? SVC sat= 67% IVC sat= 71%
RA sat= 85% RV sat= 85% PA sat= 85% LA sat= 98% LV sat= 98% AO sat= 98% ✔✔L to R
ASD
What type of ASD, located in the middle 1/3 of the atrial septum (the former site of the fossa
ovalis) is called ✔✔Ostium Secundum
What is the Flamm’s equation ✔✔3(SVC) + 1(IVC)/4
The formula used to calculate MAP is ✔✔1 (systolic) + 2 (diastolic)/3
What are the four anomalies associated with Tetralogy of Fallot ✔✔Pulmonic stenosis, over
riding aorta, RVH, VSD
Which fetal anomaly is characterized by a large VSD over which a large single great vessel
arises ✔✔Truncas Arteriosus
Pulsus Paradoxus is a sign of ✔✔Cardiac Tamponade
What does RAD stand for ✔✔Radiation absorbed dose
What component of the X-ray system converts light rays into images ✔✔Image intensifier
What is the maximum annual dose of radiation one can receive annually ✔✔5 REM
Lead protection should be at least how many millimeters of lead ✔✔.5
What is the minimum safe distance to position oneself from the X-ray source ✔✔6 feet
In an X-ray tube what is the charge on the cathode and the anode ✔✔Cathode: positive
Anode: negative
Which view exposes the operator to the greatest amount of radiation ✔✔Lateral
What converts x-rays into an image ✔✔Image Intensifier
RCIS Exam Prep Questions and Answers
Already Graded A
True or False: During a left heart biopsy you should give heparin. ✔✔Yes, 5000IU to avoid
thrombi going to the brain
What is the maximum annual Radiation exposure? ✔✔5 REM
What is the therapeutic INR range for someone on warfarin/coumadin? ✔✔2.0-3.0
What is a normal INR for someone not on coumadin/warfarin? ✔✔INR 0.6-1.2
When using FFR, what drug is given and how is it delivered? ✔✔Adenosine causes hyperemia
(Increased blood flow to the tissues.
Can be delivered by either IV or IC
What are the pros and cons of a mechanical aortic valve? ✔✔Pros: last longer
Cons: Prone to thrombus formation
Why would you use Cardiac Resynchronization Therapy (CTR) pacing device (such as
biventricular pacing)? How many leads does it use? Where are they placed? ✔✔uses 2-3 leads
placed through a vein in the RA, RV and into coronal sinus vein to pace the LV
A CRT device sends small electrical impulses to both lower chambers of the heart to help them
beat together in a more synchronized pattern.
What are the angioplasty guidewire calibers? ✔✔0.014-0.018 inch
When can you detect Myoglobin after an MI? ✔✔* 2-4 hours after symptom onset * normal in
24-36 hours
What is the diameter of the standard J wire? ✔✔0.035
What is the Warfarin ( Coumadin) antagonist? ✔✔vitamin K
When shooting a LIMA, the cuff should be? ✔✔Isolateral (same side as LIMA) left arm
What is the usual time for restenosis to occur? ✔✔within 6 months
What size is the red sheath? ✔✔*4F-red
What size is the grey sheath? ✔✔5F-grey
What size is the green sheath? ✔✔6F- green
What size is the orange sheath? ✔✔7F-orange
What size is the blue sheath? ✔✔8F-blue
What size is black sheath? ✔✔9F-black
What is the name of the self expanding stent used in the carotid arteries, SVG, Iliac and femoral
vessels? ✔✔Wall stent
Where can a wall stent be used? ✔✔carotid arteries, SVG, Iliac and femoral vessels
RCIS Exam Practice Questions and
Answers Already Passed
What is the formula for calculating cardiac output?
a. CO= PA- 1SVC
b. CO= AO x PA
c. CO= HR x SV
c. CO= HR x SV
Stoke Volume is __?
a. Related to preload
b. Related to afterload
c. The same as ejection fraction
a. Related to preload
Preload is most impacted by:
a. Mean arterial pressure
b. Increased filling volumes
c. Ejection Fraction
b. Increased filling volumes
A patient with chronic untreated hypertension would demonstrate
a. increased afterload
b. decreased afterload
c. decreased preload
a. increased afterload
Vascular resistance/pressure is most influenced by
a. Blood Viscosity
b. BMI
c. Length of the vessel
d. Radius of the vessel
d. Radius of the vessel
The formula for blood pressure is
a. BP = SV x SVR
b. BP = CO x SVR
c. BP = HR x SVR
b. BP = CO x SVR
What component of a Pulmonary Capillary Wedge pressure indicates Mitral Insufficiency
a. A wave
b. C wave
c. P Wave
D. V wave
D. V wave
An elevated RVEDP is found in which pathology?
a. LV infarct
b. Aortic stenosis
c. RV infarct
d. Mitral Regurgitation
c. RV infarct
If the RA waveform is 2x the normal value, where would this be demonstrated in the physical
assessment?
a. Decreased exercise tolerance
b. decreased O2 sat
c. Increased O2 sat
d. JVD
d. JVD
What is the most common cause of pulmonic stenosis?
a. Aging
b. congenital
c. cardiomyopathy
d. mitral regurgitation
b. congenital
The blue proximal port of the swan is located how far from the distal tip of the swan?
a. 15cm
b. 30cm
c. 45cm
d. 5cm
b. 30cm
When performing a thermodilution cardiac output, the operator injects 10cc of saline into the
and the temperature change is measured in the _.
a. LA, AO
b. RV, PCWP
c. RA, PA
d. RA, LA
c. RA, PA
Equalization of the RVEDP and LVEDP are found in
a. tamponade
RCIS Questions and Answers Latest
Update 2022/2023 Rated A
What is the formula for calculating cardiac output?
A. CO= PA-1 SVC
B. CO= AO x PA
C. CO= HR x SV ✔✔C. CO= HR x SV
Stroke volume is…
A. Related to preload
B. Related to afterload
C. The same as ejection fraction ✔✔A. Related to preload
Preload is most impacted by…
A. Mean arterial pressure
B. Increased filling volumes
C. Ejection fraction ✔✔B. Increased filling volumes
A patient with chronic untreated hypertension would demonstrate
A. Increased afterload
B. Decreased afterload
C. Decreased preload ✔✔A. Increased afterload
Vascular resistance/pressure is most influenced by…
A. Blood viscosity
B. BMI
C. Length of the vessel
D. Radius of the vessel ✔✔D. Radius of the vessel
The formula for BP is…
A. BP= SV x SVR
B. BP= CO x SVR
C. BP= HR x SVR ✔✔B. BP= CO x SVR
What component of a PCWP indicates Mitral Insufficiency
A. A wave
B. C wave
C. P wave
D. V wave ✔✔D. V wave
An elevated RVEDP is found in which pathology
A. LV infarct
B. Aortic stenosis
C. RV infarct
D. Mitral regurgitation ✔✔C. RV infarct
If the RA waveform is 2x the normal value, where would this be demonstrated in the physical
assessment
A. Decreased exercise tolerance
B. Decreased O2 sat
C. Increased O2 sat
D. JVD ✔✔D. JVD
What is the most common cause of Pulmonic stenosis
A. Aging
B. Congenital
C. Cardiomyopathy
D. Mitral regurgitation ✔✔B. Congenital
The blue proximal port of the swan is located how far from the distal tip of the swan
A. 15cm
CCI RCIS Review Questions and
Answers Graded A
- When intervening in the mid/distal right leg from a radial approach, which is the best wire
choice? ✔✔.035 x 260 - Which of the following BEST describes a balloon’s ability to yield to changes in pressure?
✔✔Compliance - What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive
therapy for PCI? ✔✔To remove calcific atherosclerotic plaque - A Forgarty balloon is commonly used __ ✔✔for removing clot from vein/artery
- Select the methods used to treat flow limiting dissections ✔✔stent, covered stent, angioplasty
- When using a rotational atherectomy device in the RCA, what else should you consider using?
✔✔Temporary pacing, catheter with side holes, (larger bur or vasodilators) - What information is required prior to prepping the patient for the procedure? ✔✔patient
identifiers, allergies, NPO status, advanced directives - Which of the following inotropic agents predominately stimulates beta 1 receptors?
✔✔Dopamine - What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation?
✔✔Increased coronary bloodflow - What view exposes an operator standing on the patient’s right side to the highest dose of
radiation? ✔✔LAO Cranial - Which actions should be completed when prepping the patient for a transradial cardiac
catheterization? ✔✔Allan’s test, pre-sedation, local anesthetic, ultrasound, draping - Cardiac index is calculated by dividing cardiac output in liters per minute by the patient’s
✔✔BSA
RCIS EXAM QUESTIONS AND ANSWERS
ALREADY PASSED
Creatinine ✔✔>1.5 mg/dL
Kidney function
A chemical waste molecule from muscle metabolism. Produced from creatine the energy in
muscles and filtered by kidneys. High levels warn kidney failure
BUN ✔✔7-22 mg/dL
Blood, Urea, Nitrates
Kidney function
30 = CHF, shock
< 3 = Liver failure
Platelet Count ✔✔150,00-450,000 /mcL (micro liters)
Hep B ✔✔Most contagious than HC, HA, HIV
OSHA ✔✔Occupational Safety and Health Admin – government department of labor created to
assure safe and healthful working conditions for healthcare workers, such as regulations on blood
borne pathogens
Lactic acid in large amts found in coronary sinus ✔✔Indicates coronary ischemia
CK-MB ✔✔3-6 hr peak
Creating Kinase-MB
Cardiac enzyme marker for MI
Myoglobin 1 ✔✔1-4 hr onset
Earliest to show
Troponin I ✔✔3-12 hr onset of chest pain
24-48 hr peaks
Baseline returned 5-14 days
LDH ✔✔3 days, slowest
Leukocytosis -increased number WBC
Ca++ ✔✔Calcium (electrolytes)
.8-1.0 mg/L
Hypercalcemia causes Abnormal T wave, extremely wide QRS
Hypocalcemia causes narrow QRS, no T wave, prominent U
Mg++ ✔✔Magnesium (electrolytes)
1.5-2.5’mEq/L
Heart and nervous system
Hypermag causes weakness, low BP, dyspnea, cardiac arrest
Hypomag causes loss of appetite, nausea, vomiting, sleepiness, muscle spasms, seizures.
Cl- ✔✔Chloride (electrolyte)
95-105 mEq/L
Hyperchloremia indicates dehydration, Cushing syndrome, kidney disease, CHF, metabolic
alkalosis, respiratory acidosis
Metabolic alkalosis ✔✔Happens when tissues are too basic or alkaline
Respiratory acidosis ✔✔Happens when lungs can’t remove enough CO2 carbon dioxide from
body
AO valve area ✔✔CO (L/min) / square root (peak – peak gradient mmHg)
CO / sq root (LV SYS / AO SYS
Peak – Peak gradient = LV sys / AO systole
Peak – Peak Gradient ✔✔LV systole – AO systole
AO Flow ✔✔CO/(SEP x HR)
Na+ ✔✔Sodium
135-145
Helps keep fluids in normal balance, key roll in normal nerves and muscle function
RCIS (2022/2023) Study Guide (Complete
and Accurate)
Kilovoltage
What determines the number of electrons generated by an x-ray tube?
-Frame rate
-Kilovoltage
-Pulse width
-Milliamperage
Digoxin
What medication is cardiac glycoside?
-Lasix
-Digoxin
-Hyperstat
-Hydralazine
High common femoral
What type of arterial puncture is associated with an increased risk of retroperitoneal bleeding?
-Internal Femoral
-External Femoral
-Low common femoral
-High common femoral
2,4,5
What are the contraindications for rotational atherectomy? Choose three contraindications.
1.Ostial Lesion
2.Existing dissection
3.Unprotected LMCA
4.Saphenous vein graft lesion
5.Angiographic evidence of thrombus
Scoring
What type of balloon catheter should be used to treat fibrotic plaque and neo-intimal
hyperplasia?
-Scoring
-Perfusion
-Intra-aortic
-Valvuloplasty
LAO Caudal
What planes are represented in this image? Choose two planes.
-AP
-LAO
-RAO
-Caudal
-Cranial
-Lateral
1,2
What devices are used to treat flow limiting dissections. Choose two devices.
1.Stent
2.Angioplasty
3.Atherectomy
4.Retractable coil
Mynx
Peg hydrogel plug closure device
Perclose
Suture Mediated closure device
Angio-Seal
Collagen & suture mediated closure device
StarClose
Nitinol Clip closure device
Pull back the catheter
During a diagnostic left heart cath, the following is observed on the hemodynamic monitor. What
should be the next immediate action?
-Flush the catheter
-Pull back the catheter
-Deliver 150 joules synchronized shock
-Deliver 150 joules unsynchronized shock
1,3,4
What INITIAL sign of retroperitoneal bleed may a patient exhibit? Choose three
- Hypotension
2.Bradycardia
3.Lower back pain
4.A falling hematocrit
RCIS CCI Practice Exam 10 Questions
and Answers Graded A
The antagonists for morphine, demerol, or fentanyl would be considered? ✔✔naloxone (narcan)
Which of the following descriptions would best describe cardiac catheterization? ✔✔the
insertion and passage of a small plastic cath into one of the arteries to the heart
The CCL (cardiac catheterization laboratory) staff needs to be certified in which of the
following? ✔✔ACLS
PALS
BLS
Of the following, which would be considered a relative contradiction for a patient to havea
cardiac catheterization? ✔✔renal failure
pregnancy
acute GI bleed
anemia
electrolyte imbalance
uncooperative pt
an uncontrolled condition such as high BP, arrhythmias, or CHF
recent CVA of less than 1 month
medication intoxication
infection/fever
anticoagulation
In the cardiac catheterization suite, which of the following techniques would be used by the
healthcare staff? ✔✔aseptic
The actual first cardiac catheterization was performed in which of the following years and by
whom? ✔✔1929
Dr Forssman
(in germany using a urinary cath inserted into his arm)
Moderate contrast medium reactions might be considered which of the following? ✔✔heachache
vomiting
diffuse urticaria
facial edema
mild bronchospams
palpitations
abdominal cramps
persistent vomiting
Which of the following would be considered one of the three types of reactions from contrast
media? ✔✔1. cardiac and major anaphylactoid responses
- smooth muscle and minor anaphylactoid responses
- cutaneous and mucosal manifestations
__ would be considered the complete destruction of all living organisms?
✔✔sterilization
Which of the following infuses the flush solution through the Rotablator atherectomy device?
✔✔a pressure bag
All of the following would be considered a mechanism of restenosis of a post-PCI patient?
✔✔intimal thickening
RCIS study guide latest update with
certified solutions
which of the following pacing methods requires the use of external pacing pads
✔✔transcutaneous
when transfering a patient to the recovery area or back to their room, what should be the actions
of the person who achieved hemostasis of the procedure site ✔✔go with the patient and
physically show the receiving nurse the site to discuss hemo details
what is an advantage to using a filter versus a balloon occlusion distal protection device
✔✔allows distal perfusion
in an AP projection, which of the following structures is the most posterior ✔✔left atrium
door to balloon time for STEMI should occur within how many minutes ✔✔90
what type of angina usually occurs with activity and subsides with rest ✔✔stable
what are the possible vascular access sites for a left femoral artery intervention ✔✔left/right
radial artery, right femoral artery, and left/right popliteal artery
which of the following are typical findings in patients with hypertrophic cardiomyopathy
✔✔decreased LV compliance and hyper dynamic LV function
what methods are used to treat flow limiting disections ✔✔stent, angioplasty (perfusion balloon),
and covered stent
what can not used for clots or dissections ✔✔atherectomy
which of the following hemodynamic abnormalities would be observed with mitral stenosis
✔✔large “a” wave in the left atrium
which of the following can be used to assure good stent apposition in PCI ✔✔intravascular
ultrasound (IVUS)
which vascular closure device has a suture that is self tightening ✔✔angioseal
which atherectomy catheters shave and sand away plaque ✔✔orbital and directional
which of the following conditions would invalidate Fick cardiac output results ✔✔atrial septal
defect (ASD)
what type of balloon catheter should be used to treat fibrotic plaque and neointimal hyperplasia
✔✔scoring
which of the listed signs and symptoms may indicate a vasovagal response ✔✔nausea,
bradycardia, hypotension, and pale skin
what information is required prior to prepping a patient for the procedure ✔✔NPO status, patient
allergies, patient identifiers and advanced directive
when educating a patient about their hemostasis site after either a radial or femoral approach,
which of the following points must be made ✔✔keep the bandage on the site for 24 hours, do not
submerge the site in water for 48 hours, do not bend the affected area during your recovery bed
rest, and no strenuous movement or heavy lifting for 24 hours
RCIS Mock Exam Latest Update with
Verified Solutions
In normal fetal circulation the path of oxygenated blood returning from the placenta passes
though several fetal shunts. One of these normal fetal pathways between the aorta and PA can be
described as a:
a- L>R shunt termed the PDA
b- R>L shunt termed the PDA
c- L>R shunt termed the foramen ovale
d- R>L shunt termed the foramen ovale ✔✔the PA-AO shunt is the PDA and its right to left.
When the left heart pressure begins to exceed the right heart pressure, that such a shunt would
switch to left to right
What is the name of the coronary arteries which normally branch off the Cx artery towards the
apex of the heart?
a- diagonal branches
b- OM branches
c- acute marginal branches
d- posterior descending branches ✔✔The left sided AV groove artery is the Cx and its branches
are termed OMs
The aortic dicrotic notch marks the beginning of ventricular:
a- systole
b- isometric relaxation
c- end diastolic pressure
d- slow filling phase ✔✔B. The systolic pulse is divided by a midsystolic dip indicating a sudden
ejection followed by increased resistance and then secondary release.
End-diastolic stretching of the ventricular muscle fibers is termed:
a- preload
b- afterload
c- inotropism
d- chronotropism ✔✔Preload refers to the filling of the ventricular chambers in diastole
The greatest expenditure of O2 during the cardiac cycle is used to:
a- open the aortic valve (isometric contraction)
b- open the mitral valve (diastolic filling)
c- eject blood out of the LV and into the AO (SEP)
d- overcome friction of blood viscosity and muscle compliance ✔✔A. One of the chief benefits
of IABP is to lower the pressure at which the aortic valve opens, which decreases pressure work.
This pressure work account for 90% of the work done by the LV
Which of the following is a common result of right sided heart failure?
a- dyspnea
b- pulmonary congestion
c- pulmonary hypertension
d- neck vein distension ✔✔When the right side of the heart fails the RA and systemic veins
become engorged with blood. Pulmonary hypertension is only a compensation to left sided
failure
Which of the following is NOT a clinical manifestation of shock?
a- pallor
b- metabolic acidosis
c- slow bounding pulse
d- falling blood pressure ✔✔Slow bounding pulse. Tachycardia usually results to compensate for
decreased tissue perfusion
RCIS REVIEW QUESTIONS AND
ANSWERS 100% CORRECT
What is the normal range of potassium in the blood? ✔✔3.5-5.0
Name some antiplatelet medications? ✔✔ASA, Ticlid, Plavix
If a patient has a high creatinine, what should you consider? ✔✔-as small amount of contrast as
possible
-post procedure fluid hydration 3 ml/kg
How does heparin prevent clot formation? ✔✔- prevents conversion of prothrombin to thrombin
-combines with antithrombin to make it more effective
What is the action of reopro? ✔✔Inhibits IIB/IIIA receptors
INR measures the levels of which drug? ✔✔Coumadin
Lovenox impacts what? ✔✔Antithrombin and Factor Xa
What might be the medication of choice for SVT? ✔✔Adenosine
What short acting benzodiazepine is commonly used in the cath lab for sedation? ✔✔Versed
What is a quick and easy way to check a patients clotting time after being given heparin?
✔✔ACT
How to ticlid and plavix act? ✔✔they turn off receptor sites on the platelets (super-aspirin)
If a patient is on NPH Insuling, what medication should not be given? ✔✔Protamine
What does ASA do? ✔✔Prevents platelet adhesion
TPA acts by? ✔✔-Dissolving Fibrin
-Activates plaminogen
RCIS Board Exam Study notes based on
Glowacki and Sommers MP3 (2022/2023)
100% Pass
What is the pressure as blood enters the right atrium?
5mmHg
What organ system in the body acts on the blood in the vessels to make a pressure of 5mmHg?
Deep skeletal muscle pump system
What pressure is the blood under as it goes from the RA through the tricuspid valve?
5mmHg
The bigger the diameter of the valve the _ pressure is needed to move blood across it.
Less
The smaller the diameter of the valve the pressure is needed to move blood across it.
more
What is the largest valve in the heart?
tricuspid valve
What is the normal right ventricular systolic pressure?
25mmHg
How much smaller is the pulmonic valve than the tricuspid valve?
5x smaller. It takes 5mmHg to get across the tricuspid valve and 25mmHg to get across the
pulmonic valve.
Which valve has a bigger diameter, the tricuspid or pulmonic valve?
Tricuspid
Which valve requires more pressure to move across it, the tricuspid or the pulmonic?
pulmonic
Valve A requires 5mmHg to move blood and valve B requires 30mmHg. Which valve has a
smaller diameter?
Valve B
What is the right ventricular diastolic pressure?
5mmHg
What is the RV EDP?
5mmHg
Why is the RV EDP not zero?
Because some blood is not ejected out. The heart is not a perfectly efficient pump.
What is a normal RV ejection fraction?
55-60%
What is EDP?
End Diastolic Pressure. An efficient heart has an ejection fraction of 55-60%, this leftover blood
in the ventricle is under a resting (diastolic) pressure.
What is a normal diastolic pressure in the pulmonary artery?
7-12mmHg
What is the normal left atrial pressure?
7-12mmHg
What is the normal O2 concentration of a RBC leaving the lungs?
98%
What is the normal O2 concentration of a RBC when it returns to the RA?
70%
How much O2 is a RBC able to give up to the organs?
30% of its O2
True/False: If someone has a higher EDP there is less damage to the heart.
False, the higher the EDP the more damage. More blood is being left and not pumped out.
What is a normal wedge pressure?
7-12mmHg
If the RBCs go through the lungs faster than 7-12mmHg what happens?
The RBCs have less time to get the O2 needed to fill them up fully.
CCI RCIS Review Questions and
Answers 100% Solved
NB: Answers appear above the respective questions and are highlighted in yellow.
- .035 x 260 cm
- When intervening in the mid/distal right leg from a radial approach, which is the best wire
choice?
- .038 x 150 cm
- .035 x 180 cm
- .038 x 180 cm
- .035 x 260 cm
- compliance
- Which of the following BEST describes a balloon’s ability to yield to changes in pressure?
- flexibility
- pushability
- trackability
- compliance
- to remove calcific atherosclerotic plaque
- What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive
therapy for PCI?
- to score fibrotic plaque
- to remove calcific atherosclerotic plaque
- to pulverize plaque using electromagnetic energy
- to remove thrombus using the Bernoulli/Venturi effect
- pull clot back into a vein
- A Forgarty balloon is commonly used to __-.
- dilate a stenotic lesion
- push plaque downstream
- pull clot back into a vein
- measure right heart pressure
- stent
- angioplasty
- covered stent
- Select the methods used to treat flow limiting dissections (select three)
- stent
- angioplasty
- atherectomy
- covered stent
- thrombectomy
- retractable coil
- vasodilator drug
- guide with side holes
- temporary pacing wire
- When using a rotational atherectomy device in the RCA, what else should you consider using?
(choose 3)
- stiff wire
- large size burr
- vasodilator drug
- guide with side holes
- temporary pacing wire
- NPO status
- patient allergies
- patient identifiers
- advance directives
- What information is required prior to prepping the patient for the procedure? (choose 4)
- NPO status
- patient allergies
- patient identifiers
- advance directives
- last H&P 40 days ago
- last visit to primary physician
- dobutamine
- Which of the following inotropic agents predominately stimulates beta 1 receptors?
- Isuprel
- dopamine
- dobutamine
- epinephrine
- Increased coronary blood flow
- What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation?
- increased preload
- increased afterload
- increased coronary blood flow
- increased myocardial oxygen demand
- prep right groin
- Allen’s test performed prior to wrist prep
- Which actions should be completed when prepping the patient for a transradial cardiac
catheterization? (chose 2 responses)
Glowacki & Sommers RCIS Review
Questions with Certified Answers
What is the normal range of potassium (K+) in the blood? ✔✔Normal K+ = 3.5-5.0
Potassium < 3.5 = Hypokalemia Potassium > 5.0 = Hyperkalemia
Name some antiplatelet medications? ✔✔ASA, Plavix, Brillenta, Effient, Integrelin, Reopro
Remember: Heparin is NOT an antiplatelet
If a patient has a high creatinine, what should you consider? ✔✔Use as a small amount of
contrast as possible
Pre-procedure fluid hydration
3 mL/kg
How does heparin prevent clot formation? ✔✔Heparin prevents the conversion of prothrombin
to thrombin
Heparin combines with antithrombin to make it more effective
What is the action of Reopro? ✔✔Reopro inhibits IIb/IIIa receptors
INR measures the levels of which drug? ✔✔Coumadin
Lovenox impacts what? ✔✔Antithrombin and Factor Xa
What might be the medication of choice for SVT? ✔✔Adenosine
What short acting benzodiazepine is commonly used in the cath lab for sedation? ✔✔Versed –
Midazolam
What is a quick and easy way to check a patients clotting time after being given heparin?
✔✔ACT