NCLEX CRUSADE ACADEMY TEST - 5 CARDIAC DIAGNOSTICS

1. Which term refers to the procedure used to visualize blood vessels using a catheter and contrast dye?. Echocardiography. Angiography. Electrocardiography. Thoracentesis.

2. Coronary angiography specifically evaluates which organ system?. Brain circulation. Pulmonary circulation. Coronary arteries of the heart. Renal vasculature.

3. Which contrast agent is typically required for angiography procedures?. Barium sulfate. Iodine-based contrast. Gadolinium. Carbon dioxide.

4. Before administering iodinated contrast, the nurse must primarily assess which risk?. Latex allergy. Seafood or iodine allergy history. Aspirin intolerance. Penicillin allergy.

5. What is the typical NPO requirement before an angiography procedure?. 2 hours. 4 hours. 6 hours. 8 hours.

6. During a right heart catheterization, the catheter is most commonly inserted through which structure?. Femoral vein. Radial artery. Carotid artery. Brachial artery.

7. Which artery is commonly used for modern cardiac catheterization due to lower bleeding risk?. Carotid artery. Radial artery. Iliac artery. Popliteal artery.

8. Which test must be performed before radial artery access to ensure adequate collateral circulation?. Babinski test. Allen test. Romberg test. Trendelenburg test.

9. Which medication class is often held before angiography procedures?. Anticoagulants. Antibiotics. Antihistamines. Diuretics.

10. What sensation is commonly experienced when iodinated contrast is injected?. Severe chest pain. Warm flushing sensation. Extreme dizziness. Immediate numbness.

11. After a femoral catheterization, how should the patient be positioned?. Sitting upright. Supine with leg flexed. Supine with leg straight. Prone.

12. How long is bedrest typically required after femoral artery catheterization?. 1-2 hours. 3-4 hours. 6-12 hours. 24 hours.

13. Which assessment should the nurse prioritize after catheterization?. Pupillary reflex. Distal pulses. Hearing ability. Speech pattern.

14. Which sign indicates possible vascular compromise after femoral angiography?. Warm extremity. Equal pulses bilaterally. Pale, cool limb. Mild soreness.

15. What is the most important intervention to protect kidneys after contrast administration?. Strict NPO. Increased fluids. Bedrest. Oxygen therapy.

16. Which complication may occur due to catheter irritation in the heart?. Seizures. Arrhythmias. Stroke. Hypoglycemia.

17. Which symptom following angiography requires immediate emergency intervention?. Mild cough. Warm sensation. Active bright red bleeding. Metallic taste.

18. Which neurological symptom may indicate cerebral angiography complications?. Blurred vision. Hair loss. Increased appetite. Sweating.

19. Which expected finding should the nurse document but not treat as an emergency?. Trace dark blood on dressing. Absent pulses. Severe limb numbness. Cool extremity.

20. Why is fluid intake encouraged after angiography?. To prevent infection. To dilute medications. To eliminate contrast dye. To reduce pain.