Cardiac-Vascular Certification Exam
Questions and Answers 100% verified
Ag55-year-
oldgpatientgwhogisgdiagnosedgwithgangevolvinggmyocardialginfarctiong(MI)ginsistsgonggoinggh
ome.gThegcardiac-
vasculargnursegencouragesgthegpatientgtogbegadmittedgbecausegtheggreatestgriskgwithingthe
gfirstg24ghoursgofgsustaininggangMIgis:
A.gHeartgfailure
B.gPulmonarygembolism
C.gVentricularganeurysm
D.gVentriculargfibrillationg-gCORRECTgANSWER-D.gVentriculargfibrillation
Ag70-year-
oldgpatientgwithgcardiovasculargdiseasegattendsggroupgclassesgongdiseasegprocess,gmedic
ations,gexercise,gnutrition,gandgstressgmanagement.gTogpromotegoptimalgandgeffectiveglear
ning,gthegcardiac-vasculargnursegusesgwhichgteachinggstrategy?
A.gCondensinggtheginformationgtogonegsession,gsogthegpatientgneedgnotgreturngforgagsecond
gday
B.gCustomizegteachinggobjectivesgbasedgongtheglearner'sginterests
C.gPreparinggagPowerPointgpresentinggtogenhanceglearning
D.gTeachinggthegmostgimportantginformationgatgthegendgofgthegsession,gtogmaximizegretenti
ong-gCORRECTgANSWER-
B.gCustomizegteachinggobjectivesgbasedgongtheglearner'sginterests
Agbeta-blockinggagentgshouldgbegadministeredgingthegsettinggof:
A.gCompletegheartgblock
B.gAtrialgflutter
C.gAtrialgfibrillation
D.gSinusgtachycardiag-gCORRECTgANSWER-A.gCompletegheartgblock
Agconcerngforgpatientsgwithgbacterialgendocarditisgis:
A.gDevelopmentgofgpulmonicgstenosis
B.gEmergencygsurgicalgintervention
C.gEmbolizationgofgthegbacterialgvegetationgtogthegperiphery
D.gOnsetgofgacutegrenalgfailureg-gCORRECTgANSWER-
C.gEmbolizationgofgthegbacterialgvegetationgtogthegperiphery
, Agcontraindicationgtogphysicalgactivitygforgagpatientgwithgaghistorygofgcardiacgdiseasegis:
A.gDiabetes
B.gDepression
C.gUnstablegangina
D.gChronicgobstructivegpulmonarygdiseaseg-gCORRECTgANSWER-C.gUnstablegangina
Agnursinggdiagnosis/potentialgpatientgproblemgthatgwouldgapplygtogthegpatientgundergoingg
cardiacgsurgerygwouldgbe:g
A.gPotentialgalteredgfamilygdynamicsgrelatedgtogthegpatient'sgplangtogreturngtogwork
B.gPotentialgforgnoncompliancegrelatedgtogriskgfactorgmodification
C.gPotentialgalteredgnutritiongmoregthangbodygrequirementsgrelatedgtogincreasedgappetite
D.gPotentialgfeargorganxietygrelatedgtogthegpossibilitygofgdeathgduringgsurgeryg-
gCORRECTgANSWER-
D.gPotentialgfeargorganxietygrelatedgtogthegpossibilitygofgdeathgduringgsurgery
Agpatientgcomesgtogthegemergencygdepartmentgwithgreportsgofgagswollengandgpainfulgleggbu
tgdeniesgsustainingganyginjury.gPhysicalgexaminationgrevealsgagtensegcalfgmuscle,gdecreas
edgsensationgtogthegfootgandgleg,gandgabsentgpedalgpulses.gThegcardiac-
vasculargnursegasksgthegpatientgwhengthegsymptomsgbegangbecause:
A.gAgcompartmentgsyndromegdevelopsgdaysgaftergangarterialgocclusion
B.gAngarterialgthrombusgisgsuddengandgemergency,gandgangembolismgdevelopsggradually
C.gIrreversibleganoxicginjurygtogmusclesgandgnervesgcangoccurgingagfewgasgfourghours
D.gMetabolicgalkalosisgfromgmusclegswellinggingcardiotoxicg-gCORRECTgANSWER-
C.gIrreversibleganoxicginjurygtogmusclesgandgnervesgcangoccurgingagfewgasgfourghours
AgpatientghasgbeengreceivinggheparingIVgforgtheglastgthreegdays.gThegpatient'sgmostgcurrentg
plateletgcountgisg65,00gxg10^3/uL;gthegplateletgcountgongadmissiongwasg350,000gxg1-
^3/uL.gThegcardiac-vasculargnursegcontactsgthegphysiciangto:
A.gReportgthatgthegmedicationglevelgisgsubtherapeutic
B.gReportgthatgthegpatientgisgexhibitinggsignsgofgangadversegreaction
C.gRequestgangincreasegingthegmedicationginfusiongrate
D.gRequestgangordergforgplateletgtransfusiong-gCORRECTgANSWER-
B.gReportgthatgthegpatientgisgexhibitinggsignsgofgangadversegreaction
Agpatientgisgadmittedgtogtheghospitalgforgagcarotidgangiogramgwithgstentsgplacement.gThegpa
tient'sgspousegstates,g"Igdon'tgknowgwantgmygspousegtogfindgoutgtheregisgagriskgofgstrokegcon
nectedgwithgthisgproceduregbecauseghegorgshegwon'tgsigngthegconsentgform."gThegcardiac-
vasculargnurse'sgmostgappropriategactiongisgto:g
A.gAssessgthegpatient'sglevelgofgunderstandinggofgrisks,gbenefits,gandgalternatives
B.gAssuregthegpatient'sgspousegthatgthegriskgofgstrokegisgminimal
C.gOffergthegpatientgemotionalgsupportgandgreinforcegthegbenefitsgofgthegprocedure
Questions and Answers 100% verified
Ag55-year-
oldgpatientgwhogisgdiagnosedgwithgangevolvinggmyocardialginfarctiong(MI)ginsistsgonggoinggh
ome.gThegcardiac-
vasculargnursegencouragesgthegpatientgtogbegadmittedgbecausegtheggreatestgriskgwithingthe
gfirstg24ghoursgofgsustaininggangMIgis:
A.gHeartgfailure
B.gPulmonarygembolism
C.gVentricularganeurysm
D.gVentriculargfibrillationg-gCORRECTgANSWER-D.gVentriculargfibrillation
Ag70-year-
oldgpatientgwithgcardiovasculargdiseasegattendsggroupgclassesgongdiseasegprocess,gmedic
ations,gexercise,gnutrition,gandgstressgmanagement.gTogpromotegoptimalgandgeffectiveglear
ning,gthegcardiac-vasculargnursegusesgwhichgteachinggstrategy?
A.gCondensinggtheginformationgtogonegsession,gsogthegpatientgneedgnotgreturngforgagsecond
gday
B.gCustomizegteachinggobjectivesgbasedgongtheglearner'sginterests
C.gPreparinggagPowerPointgpresentinggtogenhanceglearning
D.gTeachinggthegmostgimportantginformationgatgthegendgofgthegsession,gtogmaximizegretenti
ong-gCORRECTgANSWER-
B.gCustomizegteachinggobjectivesgbasedgongtheglearner'sginterests
Agbeta-blockinggagentgshouldgbegadministeredgingthegsettinggof:
A.gCompletegheartgblock
B.gAtrialgflutter
C.gAtrialgfibrillation
D.gSinusgtachycardiag-gCORRECTgANSWER-A.gCompletegheartgblock
Agconcerngforgpatientsgwithgbacterialgendocarditisgis:
A.gDevelopmentgofgpulmonicgstenosis
B.gEmergencygsurgicalgintervention
C.gEmbolizationgofgthegbacterialgvegetationgtogthegperiphery
D.gOnsetgofgacutegrenalgfailureg-gCORRECTgANSWER-
C.gEmbolizationgofgthegbacterialgvegetationgtogthegperiphery
, Agcontraindicationgtogphysicalgactivitygforgagpatientgwithgaghistorygofgcardiacgdiseasegis:
A.gDiabetes
B.gDepression
C.gUnstablegangina
D.gChronicgobstructivegpulmonarygdiseaseg-gCORRECTgANSWER-C.gUnstablegangina
Agnursinggdiagnosis/potentialgpatientgproblemgthatgwouldgapplygtogthegpatientgundergoingg
cardiacgsurgerygwouldgbe:g
A.gPotentialgalteredgfamilygdynamicsgrelatedgtogthegpatient'sgplangtogreturngtogwork
B.gPotentialgforgnoncompliancegrelatedgtogriskgfactorgmodification
C.gPotentialgalteredgnutritiongmoregthangbodygrequirementsgrelatedgtogincreasedgappetite
D.gPotentialgfeargorganxietygrelatedgtogthegpossibilitygofgdeathgduringgsurgeryg-
gCORRECTgANSWER-
D.gPotentialgfeargorganxietygrelatedgtogthegpossibilitygofgdeathgduringgsurgery
Agpatientgcomesgtogthegemergencygdepartmentgwithgreportsgofgagswollengandgpainfulgleggbu
tgdeniesgsustainingganyginjury.gPhysicalgexaminationgrevealsgagtensegcalfgmuscle,gdecreas
edgsensationgtogthegfootgandgleg,gandgabsentgpedalgpulses.gThegcardiac-
vasculargnursegasksgthegpatientgwhengthegsymptomsgbegangbecause:
A.gAgcompartmentgsyndromegdevelopsgdaysgaftergangarterialgocclusion
B.gAngarterialgthrombusgisgsuddengandgemergency,gandgangembolismgdevelopsggradually
C.gIrreversibleganoxicginjurygtogmusclesgandgnervesgcangoccurgingagfewgasgfourghours
D.gMetabolicgalkalosisgfromgmusclegswellinggingcardiotoxicg-gCORRECTgANSWER-
C.gIrreversibleganoxicginjurygtogmusclesgandgnervesgcangoccurgingagfewgasgfourghours
AgpatientghasgbeengreceivinggheparingIVgforgtheglastgthreegdays.gThegpatient'sgmostgcurrentg
plateletgcountgisg65,00gxg10^3/uL;gthegplateletgcountgongadmissiongwasg350,000gxg1-
^3/uL.gThegcardiac-vasculargnursegcontactsgthegphysiciangto:
A.gReportgthatgthegmedicationglevelgisgsubtherapeutic
B.gReportgthatgthegpatientgisgexhibitinggsignsgofgangadversegreaction
C.gRequestgangincreasegingthegmedicationginfusiongrate
D.gRequestgangordergforgplateletgtransfusiong-gCORRECTgANSWER-
B.gReportgthatgthegpatientgisgexhibitinggsignsgofgangadversegreaction
Agpatientgisgadmittedgtogtheghospitalgforgagcarotidgangiogramgwithgstentsgplacement.gThegpa
tient'sgspousegstates,g"Igdon'tgknowgwantgmygspousegtogfindgoutgtheregisgagriskgofgstrokegcon
nectedgwithgthisgproceduregbecauseghegorgshegwon'tgsigngthegconsentgform."gThegcardiac-
vasculargnurse'sgmostgappropriategactiongisgto:g
A.gAssessgthegpatient'sglevelgofgunderstandinggofgrisks,gbenefits,gandgalternatives
B.gAssuregthegpatient'sgspousegthatgthegriskgofgstrokegisgminimal
C.gOffergthegpatientgemotionalgsupportgandgreinforcegthegbenefitsgofgthegprocedure
