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CARDIAC-VASCULAR CERTIFICATION 2025 LATEST
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In an assessment for intermittent claudication, the cardiac-vascular nurse assesses the leg pain and cramping with exertion, then asks the patient: A. "Does the shortness of breath accompany the leg pain?" B. "Does this same type of pain occur without activity?" C. "Is the leg pain relieved by rest?" D. "Is the leg pain relieved with elevation?" C. "Is the leg pain relieved by rest?" The cardiac-vascular nurse reviews risk factor reduction with a patient who is newly diagnosed with myocardial infarction. The patient states, "I don't know why you're making such a big deal about this stuff. I feel fine, and the doctor said that my heart attack was small." The nurse's most effective action is to:
A. Assess the patient's perception of the event with open-ended questions B. Present research to support the need for risk factor reduction C. Reinforce patient education D. Review the laboratory values with the patient A. Assess the patient's perception of the event with open-ended questions The cardiac-vascular nurse encourages a patient with hypertension to adopt a low-sodium diet. The American Heart Association recommends limiting this patient's sodium: A. 3,000 mg per day B. 1,500 mg per day C. 1,700 mg per day D. 2,400 mg per day D. 2,400 mg per day A patient has been receiving heparin IV for the last three days. The patient's most current platelet count is 65,00 x 10^3/uL; the platelet
A patient is admitted to the hospital for a carotid angiogram with stents placement. The patient's spouse states, "I don't know want my spouse to find out there is a risk of stroke connected with this procedure because he or she won't sign the consent form." The cardiac-vascular nurse's most appropriate action is to: A. Assess the patient's level of understanding of risks, benefits, and alternatives B. Assure the patient's spouse that the risk of stroke is minimal C. Offer the patient emotional support and reinforce the benefits of the procedure D. Perform a neurologic assessment to establish a baseline A. Assess the patient's level of understanding of risks, benefits, and alternatives We have an expert-written solution to this problem! A patient who is recovering from a myocardial infarction may benefit from medication because this technique: A. Decreases sympathetic nervous system activity B. Decrease vasodilation C. Increases sympathetic nervous system activity
D. Increases the release of catecholamines A. Decreases sympathetic nervous system activity While the cardiac-vascular nurse preceptor is orientating a graduate nurse on the telemetry unit, a patient experiences cardiac arrest. Which action by the preceptor, during the emergency cardiac procedure, facilitates the graduate's nurse's competence and professional development? A. Asking the graduate nurse to review the policy and procedure for cardiac arrest A. Assigning the graduate nurse to comfort the family during the arrest C. Directing the graduate nurse to attempt IV assess D. Involving the graduate nurse in the resuscitation by assigning a basic task D. Involving the graduate nurse in the resuscitation by assigning a basic task A patient comes to the emergency department with reports of a swollen and painful leg but denies sustaining any injury. Physical examination reveals a tense calf muscle, decreased sensation to the
The most significant risk factor contributing to the development of peripheral vascular disease is: A. Hypertension B. Tobacco use C. Diabetes D. Age B. Tobacco use Mr. Clinton arrived at the emergency department at 0600 complaining of shortness of breath and chest pain over his anterior chest. A STAT EKG was obtained revealing ST-segment elevation in the anterior leads. A diagnosis of anterior ST elevation MI was made. He was taken straight to the catherization laboratory for an interventional cardiology procedure, which included insertion of a stent. Following the procedure, he was taken to the CCU overnight and subsequently transferred to your unit this morning. EKG changes for detection of an anterior AMI are found in leads: A. V2, V3, V B. V5 and V6, I and aVL C. II, III, aVF
D. VI and aVR A. V2, V3, V A patient reports intermittent feelings of palpitations and dizziness. Upon physical assessment of vital signs, the nurse notices that the apical pulse is irregular, and the peripheral pulses are not all the same strength. The nurse prepares the patient for which of the following initial tests? A. Computed tomography (CT) scan of the head w/out contrast B. Coronary angiography C. Twelve-lead electrocardiogram (ECG) D. Vascular doppler studies C. Twelve-lead electrocardiogram (ECG) Hypertension is one of the three major risk factors for coronary heart disease. A systolic blood pressure between 120 and 139 mm Hg is referred to as: A. Stage 2 hypertension B. Normal
C. Ventricular fibrillation You are ready to provide discharge teaching to Mr. Sams about his medications and hypertension. You know that one of the important determinants of effectiveness of patient family education is: A. Stress and his hospitalization B. Readiness to learn C. Anxious to go home D. Self-esteem B. Readiness to learn The optimal outcome of the use of left ventricular assist devices (LVADs) for any patient with heart failure: A. Improved quality of life and increased life span B. Eventual non-assisted improvement in left ventricular dysfunction C. Improved respiratory function until death occurs D. Remodeling the left ventricles for improved cardiac output A. Improved quality of life and increased life span
The purpose of beginning cardiac rehabilitation immediately after a cardiac event is to counteract the effects of inactivity. Therefore, the optimal time to begin ambulating a stable, post cardiac surgery patient is: A. 3rd-5th postoperative day B. 1st-2nd postoperative day C. Immediately following extubation D. 6th-7th postoperative day B. 1st-2nd postoperative day Which of the following lipid levels is raised with lipid-lowering therapy? A. Lipoprotein (a) B. Triglycerides C. High density lipoprotein cholesterol D. Low density lipoprotein cholesterol C. High density lipoprotein cholesterol
A nursing diagnosis/potential patient problem that would apply to the patient undergoing cardiac surgery would be: A. Potential altered family dynamics related to the patient's plan to return to work B. Potential for noncompliance related to risk factor modification C. Potential altered nutrition more than body requirements related to increased appetite D. Potential fear or anxiety related to the possibility of death during surgery D. Potential fear or anxiety related to the possibility of death during surgery When assessing the extremities of a patient who is suspected of having peripheral arterial disease, is it likely the patient will have: A. Normal pulses and skin color B. Cramping leg pain C. Mild to severe edema D. Ulcerations at the point of injury B. Cramping leg pain
Right-sided heart failure is characterized by: A. Elevated pulmonary artery pressure B. Reduced hepatic perfusion pressure C. Increased systemic venous pressure D. Decreased systemic arterial pressure C. Increased systemic venous pressure Echocardiography may be useful following AMI for: A. Prediction of recurrent ischemia B. Prediction of tissue viability C. Detection of cardiogenic shock D. Detection of wall motion abnormalities D. Detection of wall motion abnormalities The risk of stroke in each successive decade for 55 years: A. Triples
C. Refraining from contact sports and driving heavy machinery D. Comply with a diet high in carbohydrates but low in a dairy products B. Having liver profiles drawn regularly to monitor hepatic function Two hours after the pacemaker wires are removed, Mr. Berry has developed a sinus tachycardia at 110 beats/minute, and tells you he doesn't feel well. Your first action would be to: A. Call the surgeon B. Call the crash cart C. Assess the signs of cardiac tamponade D. Call the respiratory therapist C. Assess the signs of cardiac tamponade A patient's adherence to a health regimen for risk reduction is enhanced when A. The health care provider sets goals and helps the patient achieve them B. Goals are mutually set by patient and the healthcare provider and support is provided as necessary
C. There is no financial burden for the patient to adhere to the regimen D. The patient understands all education completely and can problem solve alone B. Goals are mutually set by patient and the healthcare provider and support is provided as necessary A beta-blocking agent should be administered in the setting of: A. Complete heart block B. Atrial flutter C. Atrial fibrillation D. Sinus tachycardia A. Complete heart block A patient who underwent a percutaneous, transluminal coronary angioplasty four weeks ago has a subsequent ejection fraction of 30%. The patient returns for a follow-up visit. Examination reveals lungs that are clear to auscultation and slight pedal edema. The patient's medications are digoxin (Lanoxin), furosemide (Lasix), enalapril maleate (Vasotec), and aspirin. The patient reports a 5-lb (2.27kg) weight gain over the past two days. The cardiac vascular nurse's initial action is to:
patient states that he or she no longer wants the medication. The nurse advises the patient that: A. He or she has the right to refuse the medication and withdraw from the study B. Participation in the study is critical to improving the quality of the patient outcomes C. The medication dose has been scheduled for administration D. The primary investigator will speak with the patient about his or her decision A. He or she has the right to refuse the medication and withdraw from the study When reviewing a patient's four week diet history, the cardiac-vascular nurse identifies a pattern of high calorie intake on Monday, Wednesday, and Friday nights. The patient states that the patient's spouse recently started taking a nigh class on those evenings at a local university. The patient's diet history indicates: A. A disabling family coping behavior B. A lack of dietary instructions C. A need for cooking classes D. An individual coping behavior
D. An individual coping behavior A contraindication to physical activity for a patient with a history of cardiac disease is: A. Diabetes B. Depression C. Unstable angina D. Chronic obstructive pulmonary disease C. Unstable angina When assessing overall risk for cardiovascular disease, in addition to smoking, hypertension, body mass index, and diet, a contributing factor of inflammation can be measured by performing a: A. Mini mental exam B. C-reactive protein blood level C. High density lipoprotein blood level D. Graded exercise stress test B. C-reactive protein blood level
