Cardiac Vascular Nursing Certification
Examination (CV-BC) 2026–2027 |
Comprehensive Question Practice Test
with Answers & Rationales| Free Pdf
Access
1. Which chamber of the heart pumps oxygenated blood to the systemic
circulation?
A. Left ventricle
B. Right ventricle
C. Right atrium
D. Left atrium
Correct Answer: A
Rationale: The left ventricle pumps oxygenated blood through the aorta to the body's
tissues.
2. Which coronary artery primarily supplies the anterior wall of the left
ventricle?
A. Left anterior descending (LAD) artery
B. Right coronary artery
C. Circumflex artery only
D. Pulmonary artery
,Correct Answer: A
Rationale: The LAD supplies a large portion of the anterior left ventricle and
interventricular septum.
3. Which symptom is most commonly associated with myocardial ischemia?
A. Chest pain or pressure
B. Polyuria
C. Rash
D. Hearing loss
Correct Answer: A
Rationale: Chest discomfort is a hallmark symptom of myocardial ischemia.
4. Which biomarker is most specific for myocardial injury?
A. Troponin
B. Potassium
C. Sodium
D. Hemoglobin
Correct Answer: A
Rationale: Cardiac troponins are highly sensitive and specific indicators of myocardial
damage.
5. Which condition is characterized by inadequate blood flow to the
myocardium?
,A. Coronary artery disease
B. Asthma
C. Pneumonia
D. Peptic ulcer disease
Correct Answer: A
Rationale: Coronary artery disease reduces myocardial blood supply through arterial
narrowing.
6. Which medication class is commonly prescribed after myocardial infarction
to reduce mortality?
A. Beta-blockers
B. Antihistamines
C. Antacids
D. Laxatives
Correct Answer: A
Rationale: Beta-blockers decrease myocardial oxygen demand and improve survival after
MI.
7. Which ECG finding is associated with ST-elevation myocardial infarction
(STEMI)?
A. ST-segment elevation
B. Short PR interval
C. Flattened T waves only
D. Prolonged QT interval only
Correct Answer: A
, Rationale: ST-segment elevation indicates acute transmural myocardial injury.
8. Which intervention has the highest priority for a patient experiencing chest
pain suggestive of acute coronary syndrome?
A. Obtain a 12-lead ECG promptly
B. Schedule outpatient follow-up
C. Restrict communication
D. Delay assessment
Correct Answer: A
Rationale: Rapid ECG acquisition is essential for diagnosing acute coronary syndromes.
9. Which medication is commonly administered for acute chest pain related to
myocardial ischemia?
A. Nitroglycerin
B. Acetaminophen
C. Diphenhydramine
D. Insulin
Correct Answer: A
Rationale: Nitroglycerin dilates coronary arteries and reduces myocardial oxygen demand.
10. Which side effect should be monitored when administering nitroglycerin?
A. Hypotension
B. Hyperglycemia
Examination (CV-BC) 2026–2027 |
Comprehensive Question Practice Test
with Answers & Rationales| Free Pdf
Access
1. Which chamber of the heart pumps oxygenated blood to the systemic
circulation?
A. Left ventricle
B. Right ventricle
C. Right atrium
D. Left atrium
Correct Answer: A
Rationale: The left ventricle pumps oxygenated blood through the aorta to the body's
tissues.
2. Which coronary artery primarily supplies the anterior wall of the left
ventricle?
A. Left anterior descending (LAD) artery
B. Right coronary artery
C. Circumflex artery only
D. Pulmonary artery
,Correct Answer: A
Rationale: The LAD supplies a large portion of the anterior left ventricle and
interventricular septum.
3. Which symptom is most commonly associated with myocardial ischemia?
A. Chest pain or pressure
B. Polyuria
C. Rash
D. Hearing loss
Correct Answer: A
Rationale: Chest discomfort is a hallmark symptom of myocardial ischemia.
4. Which biomarker is most specific for myocardial injury?
A. Troponin
B. Potassium
C. Sodium
D. Hemoglobin
Correct Answer: A
Rationale: Cardiac troponins are highly sensitive and specific indicators of myocardial
damage.
5. Which condition is characterized by inadequate blood flow to the
myocardium?
,A. Coronary artery disease
B. Asthma
C. Pneumonia
D. Peptic ulcer disease
Correct Answer: A
Rationale: Coronary artery disease reduces myocardial blood supply through arterial
narrowing.
6. Which medication class is commonly prescribed after myocardial infarction
to reduce mortality?
A. Beta-blockers
B. Antihistamines
C. Antacids
D. Laxatives
Correct Answer: A
Rationale: Beta-blockers decrease myocardial oxygen demand and improve survival after
MI.
7. Which ECG finding is associated with ST-elevation myocardial infarction
(STEMI)?
A. ST-segment elevation
B. Short PR interval
C. Flattened T waves only
D. Prolonged QT interval only
Correct Answer: A
, Rationale: ST-segment elevation indicates acute transmural myocardial injury.
8. Which intervention has the highest priority for a patient experiencing chest
pain suggestive of acute coronary syndrome?
A. Obtain a 12-lead ECG promptly
B. Schedule outpatient follow-up
C. Restrict communication
D. Delay assessment
Correct Answer: A
Rationale: Rapid ECG acquisition is essential for diagnosing acute coronary syndromes.
9. Which medication is commonly administered for acute chest pain related to
myocardial ischemia?
A. Nitroglycerin
B. Acetaminophen
C. Diphenhydramine
D. Insulin
Correct Answer: A
Rationale: Nitroglycerin dilates coronary arteries and reduces myocardial oxygen demand.
10. Which side effect should be monitored when administering nitroglycerin?
A. Hypotension
B. Hyperglycemia
