CVRN REVIEW COURSE PRACTICE QUESTIONS
WITH CORRECT ANSWERS
"Regarding pulse pressure, we know that the normal resting pulse pressure should be 40 mmHg.
A) True
B) False - CORRECT ANSWER A) True"
"Widened pulse pressure is an indicator of increased cardiovascular risk.
A) True
B) False - CORRECT ANSWER A) True"
"Identify the average rate of an escaping ventricular rhythm.
A) 20-40 bpm
B) 50-100 bpm
C) 100-160 bpm
D) 60-80 bpm - CORRECT ANSWER A) 20-40 bpm"
"The most dangerous complication associated with a prolonged QT interval is the development
of:
A) atrial fibrillation
B) Torsade de pointes (ventricular tachycardia)
C) Junctional tachycardia
D) Bradycardia - CORRECT ANSWER B) Torsade de pointes (ventricular tachycardia)"
"Which of the following coronary arteries are involved when myocardial ischemia or injury is
present in the anterior wall?
A) left anterior descending (LAD)
B) circumflex (Cx)
C) obtuse marginal (OM)
D) right coronary artery (RCA) - CORRECT ANSWER A) left anterior descending (LAD)"
"Which of the following coronary arteries are involved when myocardial ischemia or injury is
present in the anterior and lateral walls?
A) left anterior descending (LAD)
B) circumflex (Cx)
C) obtuse marginal (OM)
1
,D) right coronary artery (RCA) - CORRECT ANSWER B) circumflex (Cx)"
"When there is an inferior infarction, evidence based practice standards tell us that there is
upwards of a 40% association of a right ventricular infarction necessitating that we record:
A) a standard 12-lead ECG
B) a 15-lead ECG involving the recording of the right side of the chest (V4R-V6R)
C) a 15-lead ECG involving the recording of the posterior chest wall (V7-V9)
D) a complete 18-lead ECG involving (V4R-V6R and V7-V9) - CORRECT ANSWER B) a 15-lead
ECG involving the recording of the right side of the chest (V4R-V6R)"
"What is the most important predictor of a positive patient outcome following a myocardial
infarction?
A) the height of ST elevation
B) CK-MB levels
C) troponin I levels
D) successful reperfusion - CORRECT ANSWER D) successful reperfusion"
"What effect does high blood pressure have on the Renin-Angiotensin system?
A) high pressures decrease renin production in the juxtaglomerular cells in the kidneys resulting
in vasodilation and a decrease in blood pressure
B) high pressures increase renin production in the juxtaglomerular cells in the kidneys resulting
in vasoconstriction and a increase in blood pressure
C) high pressures decrease renin production in the juxtaglomerular cells in the kidneys resulting
in vasodilation and a increase in blood pressure - CORRECT ANSWER A) high pressures
decrease renin production in the juxtaglomerular cells in the kidneys resulting in vasodilation and
a decrease in blood pressure"
"In the management of stage 2 hypertension you may expect to see the patient prescribed:
A) thiazide type diuretics
B) ACEI or ARB
C) beta blockers or calcium channel blockers
D) any of the above in combination therapy - CORRECT ANSWER D) any of the above in
combination therapy"
"Which of the following agents is less effective as mono therapy in the management of African
American patients with hypertension:
A) ACE-I
B) calcium channel blockers
C) alpha blockers
2
,D) beta blockers
E) diuretics - CORRECT ANSWER D) beta blockers"
"Which of the following statements regarding the pharmacologic management of renal patients
with hypertension is not true?
A) only requires mono therapy or a single drug to control
B) requires 3 or more drugs to control
C) ACEI and ARBs are effective in decreasing diabetic and non-diabetic renal disease
D) often given loop diuretics - CORRECT ANSWER A) only requires mono therapy or a single
drug to control"
"Which of the following agents is more likely to cause side effects when used in the management
of elderly patients with hypertension?
A) beta blockers
B) diuretics
C) calcium channel blockers
D) ACE inhibitors - CORRECT ANSWER A) beta blockers"
"Identify the new AHA/ACC guidelines for a normal blood pressure range?
A) <120 systolic, <80 diastolic
B) 120-139 systolic, 80-89 diastolic
C) 140-159 systolic, 90-99 diastolic
D) >160 diastolic, >100 diastolic
E) >180 diastolic, >110 diastolic - CORRECT ANSWER A) <120 systolic, <80 diastolic"
"Management for dilated cardiomyopathy includes:
A) agents to increase preload
B) agents to decrease preload
C) ACE-Is to lower blood pressure, improve blood flow, and decrease the workload of the heart
D) aldosterone antagonists
E) all of the above
F) b, c, and d only - CORRECT ANSWER F) b, c, and d only"
"Which type of cardiomyopathy leads to the gradual dilation of the ventricle changing its shape
from the normal elliptical egg shape to a spherical shape, and leads to a decline in the ejection
fraction?
A) Hypertrophic
B) Dilated
C) Restrictive
3
, D) Arrhythmogenic right ventricular dysplasia
E) all of the above
F) a and d only - CORRECT ANSWER B) dilated"
"Dilated cardiomyopathy is often associated with:
A) alcohol abuse
B) myocarditis
C) valvular heart disease
D) hypertension
E) all of the above
F) b and d only - CORRECT ANSWER E) all of the above"
"Systolic dysfunction, or heart failure w/ reduced ejection fraction (HFrEF) is characterized by:
A) failure of pump function of ventricles, dilated thick wall; eccentrically hypertrophied
B) decreased EF, SV, and CO
C) backward flow of blood from LV into the lungs
D) increased pulmonary pressures
E) dyspnea, orthopnea, and wheezing
F) all of the above - CORRECT ANSWER F) all of the above"
"In left ventricular heart failure we may find:
A) distended neck veins (increased JVD)
B) systolic murmur such as mitral regurgitation
C) S3 and S4
D) decreased PA pressure
E) all of the above
F) b and c only - CORRECT ANSWER F) b and c only"
"In right ventricular heart failure we may find:
A) distended neck veins (increased JVD)
B) hepatic engorgement
C) weight gain
D) increased CVP
E) all of the above
F) a and d only - CORRECT ANSWER E) all of the above"
"Nursing management for patients on ACE inhibitors includes monitoring:
A) for hypotension & dizziness
B) for worsening renal function - checking serum creatinine levels
C) for the development of an irritating cough
4
WITH CORRECT ANSWERS
"Regarding pulse pressure, we know that the normal resting pulse pressure should be 40 mmHg.
A) True
B) False - CORRECT ANSWER A) True"
"Widened pulse pressure is an indicator of increased cardiovascular risk.
A) True
B) False - CORRECT ANSWER A) True"
"Identify the average rate of an escaping ventricular rhythm.
A) 20-40 bpm
B) 50-100 bpm
C) 100-160 bpm
D) 60-80 bpm - CORRECT ANSWER A) 20-40 bpm"
"The most dangerous complication associated with a prolonged QT interval is the development
of:
A) atrial fibrillation
B) Torsade de pointes (ventricular tachycardia)
C) Junctional tachycardia
D) Bradycardia - CORRECT ANSWER B) Torsade de pointes (ventricular tachycardia)"
"Which of the following coronary arteries are involved when myocardial ischemia or injury is
present in the anterior wall?
A) left anterior descending (LAD)
B) circumflex (Cx)
C) obtuse marginal (OM)
D) right coronary artery (RCA) - CORRECT ANSWER A) left anterior descending (LAD)"
"Which of the following coronary arteries are involved when myocardial ischemia or injury is
present in the anterior and lateral walls?
A) left anterior descending (LAD)
B) circumflex (Cx)
C) obtuse marginal (OM)
1
,D) right coronary artery (RCA) - CORRECT ANSWER B) circumflex (Cx)"
"When there is an inferior infarction, evidence based practice standards tell us that there is
upwards of a 40% association of a right ventricular infarction necessitating that we record:
A) a standard 12-lead ECG
B) a 15-lead ECG involving the recording of the right side of the chest (V4R-V6R)
C) a 15-lead ECG involving the recording of the posterior chest wall (V7-V9)
D) a complete 18-lead ECG involving (V4R-V6R and V7-V9) - CORRECT ANSWER B) a 15-lead
ECG involving the recording of the right side of the chest (V4R-V6R)"
"What is the most important predictor of a positive patient outcome following a myocardial
infarction?
A) the height of ST elevation
B) CK-MB levels
C) troponin I levels
D) successful reperfusion - CORRECT ANSWER D) successful reperfusion"
"What effect does high blood pressure have on the Renin-Angiotensin system?
A) high pressures decrease renin production in the juxtaglomerular cells in the kidneys resulting
in vasodilation and a decrease in blood pressure
B) high pressures increase renin production in the juxtaglomerular cells in the kidneys resulting
in vasoconstriction and a increase in blood pressure
C) high pressures decrease renin production in the juxtaglomerular cells in the kidneys resulting
in vasodilation and a increase in blood pressure - CORRECT ANSWER A) high pressures
decrease renin production in the juxtaglomerular cells in the kidneys resulting in vasodilation and
a decrease in blood pressure"
"In the management of stage 2 hypertension you may expect to see the patient prescribed:
A) thiazide type diuretics
B) ACEI or ARB
C) beta blockers or calcium channel blockers
D) any of the above in combination therapy - CORRECT ANSWER D) any of the above in
combination therapy"
"Which of the following agents is less effective as mono therapy in the management of African
American patients with hypertension:
A) ACE-I
B) calcium channel blockers
C) alpha blockers
2
,D) beta blockers
E) diuretics - CORRECT ANSWER D) beta blockers"
"Which of the following statements regarding the pharmacologic management of renal patients
with hypertension is not true?
A) only requires mono therapy or a single drug to control
B) requires 3 or more drugs to control
C) ACEI and ARBs are effective in decreasing diabetic and non-diabetic renal disease
D) often given loop diuretics - CORRECT ANSWER A) only requires mono therapy or a single
drug to control"
"Which of the following agents is more likely to cause side effects when used in the management
of elderly patients with hypertension?
A) beta blockers
B) diuretics
C) calcium channel blockers
D) ACE inhibitors - CORRECT ANSWER A) beta blockers"
"Identify the new AHA/ACC guidelines for a normal blood pressure range?
A) <120 systolic, <80 diastolic
B) 120-139 systolic, 80-89 diastolic
C) 140-159 systolic, 90-99 diastolic
D) >160 diastolic, >100 diastolic
E) >180 diastolic, >110 diastolic - CORRECT ANSWER A) <120 systolic, <80 diastolic"
"Management for dilated cardiomyopathy includes:
A) agents to increase preload
B) agents to decrease preload
C) ACE-Is to lower blood pressure, improve blood flow, and decrease the workload of the heart
D) aldosterone antagonists
E) all of the above
F) b, c, and d only - CORRECT ANSWER F) b, c, and d only"
"Which type of cardiomyopathy leads to the gradual dilation of the ventricle changing its shape
from the normal elliptical egg shape to a spherical shape, and leads to a decline in the ejection
fraction?
A) Hypertrophic
B) Dilated
C) Restrictive
3
, D) Arrhythmogenic right ventricular dysplasia
E) all of the above
F) a and d only - CORRECT ANSWER B) dilated"
"Dilated cardiomyopathy is often associated with:
A) alcohol abuse
B) myocarditis
C) valvular heart disease
D) hypertension
E) all of the above
F) b and d only - CORRECT ANSWER E) all of the above"
"Systolic dysfunction, or heart failure w/ reduced ejection fraction (HFrEF) is characterized by:
A) failure of pump function of ventricles, dilated thick wall; eccentrically hypertrophied
B) decreased EF, SV, and CO
C) backward flow of blood from LV into the lungs
D) increased pulmonary pressures
E) dyspnea, orthopnea, and wheezing
F) all of the above - CORRECT ANSWER F) all of the above"
"In left ventricular heart failure we may find:
A) distended neck veins (increased JVD)
B) systolic murmur such as mitral regurgitation
C) S3 and S4
D) decreased PA pressure
E) all of the above
F) b and c only - CORRECT ANSWER F) b and c only"
"In right ventricular heart failure we may find:
A) distended neck veins (increased JVD)
B) hepatic engorgement
C) weight gain
D) increased CVP
E) all of the above
F) a and d only - CORRECT ANSWER E) all of the above"
"Nursing management for patients on ACE inhibitors includes monitoring:
A) for hypotension & dizziness
B) for worsening renal function - checking serum creatinine levels
C) for the development of an irritating cough
4
