CARDIOVASCULAR NURSING EXAM ACTUAL EXAM 2026/2027 | EXPERT
VERIFIED | MOST TESTED | AHA & ACC GUIDELINES | ANSWERS &
RATIONALES | 75 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
SECTION 1: HYPERTENSION
Questions 1-10
Q1. According to the 2026 ACC/AHA guidelines, hypertension is defined as blood pressure of:
A) ≥120/80 mmHg
B) ≥130/80 mmHg
C) ≥140/90 mmHg
D) ≥150/90 mmHg
Answer: B) ≥130/80 mmHg
Rationale: The 2026 ACC/AHA guidelines define hypertension as BP ≥130/80 mmHg, based on the SPRINT
trial evidence.
Q2. According to the 2026 guidelines, elevated blood pressure is defined as:
A) 120-129/<80 mmHg
B) 130-139/80-89 mmHg
C) 140-159/90-99 mmHg
D) ≥160/100 mmHg
,CARDIOVASCULAR NURSING EXAM ACTUAL EXAM 2026/2027 | EXPERT
VERIFIED | MOST TESTED | AHA & ACC GUIDELINES | ANSWERS &
RATIONALES | 75 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
Answer: A) 120-129/<80 mmHg
Rationale: Elevated BP is defined as systolic 120-129 mmHg with diastolic <80 mmHg.
Q3. According to the 2026 guidelines, Stage 1 hypertension is defined as:
A) 120-129/<80 mmHg
B) 130-139/80-89 mmHg
C) 140-159/90-99 mmHg
D) ≥160/100 mmHg
Answer: B) 130-139/80-89 mmHg
Rationale: Stage 1 hypertension is defined as BP 130-139/80-89 mmHg.
Q4. According to the 2026 guidelines, first-line antihypertensive medications include:
A) Thiazide diuretics, ACE inhibitors, ARBs, CCBs
B) Beta-blockers only
C) Alpha-blockers only
,CARDIOVASCULAR NURSING EXAM ACTUAL EXAM 2026/2027 | EXPERT
VERIFIED | MOST TESTED | AHA & ACC GUIDELINES | ANSWERS &
RATIONALES | 75 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
D) Loop diuretics only
Answer: A) Thiazide diuretics, ACE inhibitors, ARBs, CCBs
Rationale: First-line antihypertensives include thiazides, ACE inhibitors, ARBs, and calcium channel blockers.
Q5. A patient with hypertension and heart failure should be treated with:
A) ACE inhibitor or ARB, beta-blocker, diuretic
B) Alpha-blocker
C) Direct vasodilator only
D) Clonidine
Answer: A) ACE inhibitor or ARB, beta-blocker, diuretic
Rationale: Guideline-directed medical therapy for HFrEF includes ACEi/ARB, beta-blocker, and diuretic.
Q6. A patient with hypertension and chronic kidney disease should be treated with:
A) ACE inhibitor or ARB
B) Beta-blocker
C) Calcium channel blocker
, CARDIOVASCULAR NURSING EXAM ACTUAL EXAM 2026/2027 | EXPERT
VERIFIED | MOST TESTED | AHA & ACC GUIDELINES | ANSWERS &
RATIONALES | 75 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
D) Thiazide diuretic
Answer: A) ACE inhibitor or ARB
Rationale: ACE inhibitors or ARBs are preferred in CKD to slow progression.
Q7. A patient with hypertension and diabetes should be treated with:
A) ACE inhibitor or ARB
B) Beta-blocker
C) Thiazide diuretic
D) Calcium channel blocker
Answer: A) ACE inhibitor or ARB
Rationale: ACE inhibitors or ARBs are preferred in diabetes to reduce nephropathy risk.
Q8. The most common adverse effect of ACE inhibitors is:
A) Dry cough
B) Hyperkalemia
VERIFIED | MOST TESTED | AHA & ACC GUIDELINES | ANSWERS &
RATIONALES | 75 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
SECTION 1: HYPERTENSION
Questions 1-10
Q1. According to the 2026 ACC/AHA guidelines, hypertension is defined as blood pressure of:
A) ≥120/80 mmHg
B) ≥130/80 mmHg
C) ≥140/90 mmHg
D) ≥150/90 mmHg
Answer: B) ≥130/80 mmHg
Rationale: The 2026 ACC/AHA guidelines define hypertension as BP ≥130/80 mmHg, based on the SPRINT
trial evidence.
Q2. According to the 2026 guidelines, elevated blood pressure is defined as:
A) 120-129/<80 mmHg
B) 130-139/80-89 mmHg
C) 140-159/90-99 mmHg
D) ≥160/100 mmHg
,CARDIOVASCULAR NURSING EXAM ACTUAL EXAM 2026/2027 | EXPERT
VERIFIED | MOST TESTED | AHA & ACC GUIDELINES | ANSWERS &
RATIONALES | 75 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
Answer: A) 120-129/<80 mmHg
Rationale: Elevated BP is defined as systolic 120-129 mmHg with diastolic <80 mmHg.
Q3. According to the 2026 guidelines, Stage 1 hypertension is defined as:
A) 120-129/<80 mmHg
B) 130-139/80-89 mmHg
C) 140-159/90-99 mmHg
D) ≥160/100 mmHg
Answer: B) 130-139/80-89 mmHg
Rationale: Stage 1 hypertension is defined as BP 130-139/80-89 mmHg.
Q4. According to the 2026 guidelines, first-line antihypertensive medications include:
A) Thiazide diuretics, ACE inhibitors, ARBs, CCBs
B) Beta-blockers only
C) Alpha-blockers only
,CARDIOVASCULAR NURSING EXAM ACTUAL EXAM 2026/2027 | EXPERT
VERIFIED | MOST TESTED | AHA & ACC GUIDELINES | ANSWERS &
RATIONALES | 75 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
D) Loop diuretics only
Answer: A) Thiazide diuretics, ACE inhibitors, ARBs, CCBs
Rationale: First-line antihypertensives include thiazides, ACE inhibitors, ARBs, and calcium channel blockers.
Q5. A patient with hypertension and heart failure should be treated with:
A) ACE inhibitor or ARB, beta-blocker, diuretic
B) Alpha-blocker
C) Direct vasodilator only
D) Clonidine
Answer: A) ACE inhibitor or ARB, beta-blocker, diuretic
Rationale: Guideline-directed medical therapy for HFrEF includes ACEi/ARB, beta-blocker, and diuretic.
Q6. A patient with hypertension and chronic kidney disease should be treated with:
A) ACE inhibitor or ARB
B) Beta-blocker
C) Calcium channel blocker
, CARDIOVASCULAR NURSING EXAM ACTUAL EXAM 2026/2027 | EXPERT
VERIFIED | MOST TESTED | AHA & ACC GUIDELINES | ANSWERS &
RATIONALES | 75 REAL QUESTIONS | PASS GUARANTEED - GRADED A+
D) Thiazide diuretic
Answer: A) ACE inhibitor or ARB
Rationale: ACE inhibitors or ARBs are preferred in CKD to slow progression.
Q7. A patient with hypertension and diabetes should be treated with:
A) ACE inhibitor or ARB
B) Beta-blocker
C) Thiazide diuretic
D) Calcium channel blocker
Answer: A) ACE inhibitor or ARB
Rationale: ACE inhibitors or ARBs are preferred in diabetes to reduce nephropathy risk.
Q8. The most common adverse effect of ACE inhibitors is:
A) Dry cough
B) Hyperkalemia
