Cardiac-Vascular Nursing Certification (CV-BC)
EXAM LATEST WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS/ALREADY GRADED
A+ 100% GUARANTEED TO PASS CONCEPTS(ALL
WHAT YOU NEED) LATEST EDITION
,Domain 1: Assessment and Diagnosis (Questions 1-25)
1. A nurse is auscultating a patient’s heart sounds. Which finding is most characteristic of an S3 gallop?
A) A high-pitched sound heard in early diastole
B) A low-pitched sound heard in early diastole, just after S2
C) A low-pitched sound heard in late diastole, just before S1
D) A mid-systolic click followed by a murmur
Answer: B
Rationale: An S3 gallop is a low-pitched, early diastolic sound occurring shortly after S2 during the rapid
ventricular filling phase. It is best heard with the bell of the stethoscope at the apex and is associated with
volume overload and heart failure.
,2. Which biomarker is the most sensitive and specific indicator of myocardial necrosis in the first 4-6 hours of an
acute coronary syndrome?
A) Myoglobin
B) CK-MB
C) Troponin I
D) B-type natriuretic peptide (BNP)
Answer: C
Rationale: Cardiac troponins (I and T) are the preferred biomarkers for diagnosing myocardial infarction due to
their high sensitivity and specificity for cardiac muscle injury. They rise within 3-6 hours of injury and remain
elevated for up to 10-14 days.
3. A patient presents with sharp, pleuritic chest pain that improves when leaning forward. The nurse suspects
which condition?
, A) Myocardial infarction
B) Pericarditis
C) Aortic dissection
D) Pulmonary embolism
Answer: B
Rationale: Pericarditis characteristically causes sharp, pleuritic chest pain that worsens with deep inspiration or
lying flat and improves when sitting up and leaning forward. This position reduces the pressure of the inflamed
pericardial layers on the heart.
4. During a cardiac assessment, the nurse palpates a sustained, forceful lift at the left parasternal border. This
finding most likely indicates:
A) Left ventricular hypertrophy
B) Right ventricular hypertrophy
C) Mitral valve prolapse
D) Aortic stenosis
EXAM LATEST WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS/ALREADY GRADED
A+ 100% GUARANTEED TO PASS CONCEPTS(ALL
WHAT YOU NEED) LATEST EDITION
,Domain 1: Assessment and Diagnosis (Questions 1-25)
1. A nurse is auscultating a patient’s heart sounds. Which finding is most characteristic of an S3 gallop?
A) A high-pitched sound heard in early diastole
B) A low-pitched sound heard in early diastole, just after S2
C) A low-pitched sound heard in late diastole, just before S1
D) A mid-systolic click followed by a murmur
Answer: B
Rationale: An S3 gallop is a low-pitched, early diastolic sound occurring shortly after S2 during the rapid
ventricular filling phase. It is best heard with the bell of the stethoscope at the apex and is associated with
volume overload and heart failure.
,2. Which biomarker is the most sensitive and specific indicator of myocardial necrosis in the first 4-6 hours of an
acute coronary syndrome?
A) Myoglobin
B) CK-MB
C) Troponin I
D) B-type natriuretic peptide (BNP)
Answer: C
Rationale: Cardiac troponins (I and T) are the preferred biomarkers for diagnosing myocardial infarction due to
their high sensitivity and specificity for cardiac muscle injury. They rise within 3-6 hours of injury and remain
elevated for up to 10-14 days.
3. A patient presents with sharp, pleuritic chest pain that improves when leaning forward. The nurse suspects
which condition?
, A) Myocardial infarction
B) Pericarditis
C) Aortic dissection
D) Pulmonary embolism
Answer: B
Rationale: Pericarditis characteristically causes sharp, pleuritic chest pain that worsens with deep inspiration or
lying flat and improves when sitting up and leaning forward. This position reduces the pressure of the inflamed
pericardial layers on the heart.
4. During a cardiac assessment, the nurse palpates a sustained, forceful lift at the left parasternal border. This
finding most likely indicates:
A) Left ventricular hypertrophy
B) Right ventricular hypertrophy
C) Mitral valve prolapse
D) Aortic stenosis
