Section Three Test

Patient Care

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1. Flumazenil reveres a benzodiazapine overdose.
a. true
b. false
2. During the angiogram the patient's IV should be running at a drip rate of?
a. 50-100 ml/hr
b. 75-150 ml/hr
c. 100-150 ml/hr
d. less than 100 ml/hr
3. When prepping a patient with betadine you should work in?
a. rows from medial out
b. blocks from center out
c. circles from the inside out
d. circles from outward in
4. In an EKG what is the QRS phase?
a. contraction of the atria
b. relaxation of the atria
c. contraction of the ventricles
d. relaxation of the ventricles
5. This narcotic is 100 times stronger than Morphine.
a. Demerol
b. Fentanyl
c. Cocaine
d. Ativan
6. The informed consent must be signed by?
a. physician
b. patient
c. witness
d. all of the above
7. JCAHO states that vital signs should be taken every?
a. 5 minutes
b. 10 minutes
c. 15 minutes
d. 20 minutes
Name the following arrhythmias-

8.


a. Premature Ventricular Contraction (PVC)
b. Ventricular Tachycardia (VT)
c. Ventricular Fibrillation (VFIB)
d. Bradycardia
9.


a. Premature Ventricular Contraction (PVC)
b. Ventrucular Tachycardia (VT)
c. Atrial Flutter
d. Bradycardia
10.


a. Premature Ventricular Contraction (PVC)
b. Premature Atrial Contraction (PAC)
c. Ventricular Fibrillation (VFIB)
d. Tachycardia
11.


a. Premature Ventricular Contraction (PVC)
b. Premature Atrial Contraction (PAC)
c. Ventricular Fibrillation (VFIB)
d. Tachycardia
12. Which medication is not a benzodiazapine?
a. Valium
b. Ativan
c. Demerol
d. Versed
13. This medication relaxes the smooth muscles in the stomach.
a. Glucagon
b. Dextrose
c. Priscoline
d. Papaverine
14. Heparin must be stopped 3 days prior to an angiogram.
a. true
b. false
15. Which lab test does not measure clotting of the blood?
a. PT
b. PTT
c. INR
d. BUN
16. During an angiogram which vital sign don't you monitor?
a. blood pressure
b. pulse
c. EKG
d. CO2
17. Lidocaine is used to improve patient's response to defibrillation.
a. true
b. false
Match the contrast properties-
18. The degree of thickness?
a. Osmolality
b. Viscosity
c. Micibility
d. Strength
19. How solvant the contrast is?
a. Osmolality
b. Viscosity
c. Miscibility
d. Strength
20. Amount of iodine concentration?
a. Osmolality
b. Viscosity
c. Miscibility
d. Strength
21. Number of particles in a volume of solution?
a. Osmolality
b. Viscosity
c. Miscibility
d. Strength
22. Creatinine measures how well the kidney filters waste.
a. true
b. false
23. What kind of consent form does the patient sign prior to their angiogram?
a. verbal consent
b. informed consent
c. implied consent
d. blanket consent
24. Which medication os a thrombolytic agent?
a. Aspirin
b. Coumadin
c. Urokinase
d. None of the above
25. Normal Pulmonary Capillary Wedge pressure is?

a. 0-4 mm Hg
b. 4-8 mm Hg
c. 8-10 mm Hg
d. 8-12 mm Hg
26. If you want to mix up a 1000 ml flush bag to a dose of 10 units of heparin per ml, you should add?
a. 5,000 units
b. 10,000 units
c. 15,000 units
d. 20,000 units
27. What should you do if the patient's systolic blood pressure goes above 180?
a. inform the physician
b. do nothing
c. give the patient some medication like nifedipine
d. a and c
28. What would you do if the patient has a vasovagal contrast reaction?
a. give Benadryl
b. put the patient upright or semi-upright, give oxygen, increase IV fluids, give Epinephrine and Benadryl
c. put the patient in Trendelenberg, give oxygen, increase IV fluids, may need to give Atropine
d. place the patient in Trendlenberg, give oxygen, increase IV fluids, may need to give Epinephrine and Benadryl
29. A PVC is when?
a. atria contracts sooner than usual
b. ventricles contract sooner than usual
c. when only the ventricles contract
d. when only the atria contracts
30. Papaverine is used to vasodialate, to help with spasm.
a. true
b. false
31. Normal Sinus rhythm is?
a. 60-70 beats per minute
b. 80-100 beats per minute
c. above 100 beats per minute
d. 20-40 beats per minute
32. A patient with a low PLT count might have?
a. malignancy
b. hemolytic disorder
c. kidney disease
d. internal bleeding
33. Normal Cardiac Output is?
a. 0-4 L/min
b. 4-10 L/min
c. 4-8 L/min
d. 8-10 L/min
34. After pulling an arterial catheter or sheath the patient must lay flat for how many hours?
a. 2
b. 4
c. 6
d. 8
35. rt-PA is used?
a. to unclog coronary arteries
b. to limit mycardia ischemia
c. when Urokinase is not avaiable
d. all of the above
36. Contrast doesn't absorb radiation, so it is easier to see.
a. true
b. false
37. A decrease hematocrit (HCT) is seen when?
a. the patient has too many red blood cells
b. the patient has an infection
c. the patient is bleeding from somewhere
d. a and b
38. What should you do if you see an EKG that looks like this?


a. call the doctor
b. watch the patient
c. call a code
d. a and c
39. Versed is given in doses of?
a. .25-.5 mg
b. .5-1 mg
c. .25-1 mg
d. .75-1 mg
40. Why is it important to get a history and to find out if the patient has had prior angiograms?
a. to check for allergies
b. to check for indications
c. to check anatomy on old angiograms
d. all of the above
41. Once the patient returns to the floor they should have frequent vital signs and pulse checks.
a. true
b. false
42. Which emergency medication relives broncospasm?
a. Lidocaine
b. Epinephrine
c. Benadryl
d. Atropine
43. The cation (positive portion) of contrast contains?
a. meglumine and sodium
b. diatrizoate and sodium
c. iothalamate and sodium
d. a non-ionic dimer
44. Aspirin _____________ so it is prescribed after angioplasty.
a. causes bleeding
b. makes protein
c. stops platelet formation
d. inhibits platelet adhesiveness
45. Normal Stroke Volume is?
a. 60-70 ml/beat
b. 70-80 ml/beat
c. 80-100 ml/beat
d. 100-110 ml/beat
46. Patients who are allergic to contrast should be premedicated. Which of the following medications are used?
a. prednisone and benadryl
b. epinephrine and benadryl
c. prednisone and epinephrine
d. atropine and benadryl
47. If the patient is unable to give consent, consent must be given by?
a. next of kin
b. chief of staff
c. a and b
d. none of the above
48. Which contrast is non-ionic?
a. renografin
b. optiray
c. conray
d. hexabrix
49. Demerol may be used when giving patients Urokinase to help with?
a. pain
b. nausea
c. shaking
d. asthma
50. It is the job of the person monitoring the patient to?
a. monitor and medicate
b. get supplies
c. a and b
d. monitor, medicate and consent

©copyright 2000 Leona Benson