SAPPC CERTIFICATION 2026 QUESTION BANK
PROFESSIONAL MODULE TRAINING
WORKBOOK SOLVED ITEMS AND RESPONSE
KEY
◉ A patient who has type 2 diabetes is prescribed carvedilol (Coreg)
for hypertension. The nurse monitors for
A. Hypoglycemia
B. Hyperglycemia
C. Hypocalcemia
D. Hypercalcemia Answer: A. Hypoglycemia
In patients with DM, Coreg may increase the effects of hypoglycemic
drugs (prevent adrenalin from stimulating the liver to make glucose)
and mask symptoms of hypoglycemia.
◉ Which of the following is an AHA recommendation for patients
with coronary artery disease for stroke prevention?
A. Fibrate therapy
B. Heparin therapy
,C. Beta-blocker therapy
D. Aspirin therapy Answer: D. Aspirin therapy
This is a core measure for patients with CAD
Heparin is not indicated nor is it really sustainable for home use,
betablockers don't decrease your risk of stroke directly although it
does reduce bp which reduces risk of stroke
◉ A client complains of crushing chest pain that radiates to his left
arm. Which of the following treatments should you anticipate:
A. Aspirin, oxygen, nitroglycerin, and morphine
B. Aspirin, oxygen, nitroglycerin, and codeine
C. Oxygen, nitroglycerin, meperidine, and thrombolytics
D. Aspirin, oxygen, nitroprusside, and morphine Answer: A. Aspirin,
oxygen, nitroglycerin, and morphine
MONA
◉ A patient is recovering from an uncomplicated MI. Which of the
following rehabilitation guidelines is a priority to include in the
teaching plan?
,A. Refrain from sexual activity for a minimum of 3 weeks.
B. Plan a diet program that aims for a 1- to 2-pound weight loss per
week.
C. Begin an exercise program that aims for at least five 30-minute
sessions per week.
D. Consider the use of erectile agents and prophylactic NTG before
engaging in sexual activity. Answer: C
Avoid intercourse for 4-6 weeks
The need for a weight loss plan would be patient specific
You do not want to mix nitrates and ED meds because this can cause
and unsafe drop in BP
◉ The most common finding in individuals at risk for sudden
cardiac death is:
A. aortic valve disease
B. mitral valve disease
C. left ventricular dysfunction
D. atherosclerotic heart disease Answer: C. left ventricular
dysfunction
, Those with LV dysfunction are at high risk for ventricular
arrythmias. Typically, the LV dysfunction is secondary to MI,
cardiomyopathy or advanced heart failure.
◉ A patient with a history of myocardial infarction (MI) complains
of chest pain while walking to the restroom. Which action should the
nurse perform first?
A. Assess patient's vital signs
B. Instruct patient to sit down
C. Obtain a STAT EKG
D. Call the physician Answer: B. Instruct patient to sit down
Having the patient sit down reduces myocardial oxygen demand to
help relieve pain and take stress off the heart. The other actions are
important, but would come after having the patient sit down to
ensure safety.
◉ The key diagnostic test for heart failure is:
A. Serum potassium
B. B-type natriuretic peptide
C. Troponin I
D. Cardiac enzymes Answer: B. B-type natriuretic peptide
PROFESSIONAL MODULE TRAINING
WORKBOOK SOLVED ITEMS AND RESPONSE
KEY
◉ A patient who has type 2 diabetes is prescribed carvedilol (Coreg)
for hypertension. The nurse monitors for
A. Hypoglycemia
B. Hyperglycemia
C. Hypocalcemia
D. Hypercalcemia Answer: A. Hypoglycemia
In patients with DM, Coreg may increase the effects of hypoglycemic
drugs (prevent adrenalin from stimulating the liver to make glucose)
and mask symptoms of hypoglycemia.
◉ Which of the following is an AHA recommendation for patients
with coronary artery disease for stroke prevention?
A. Fibrate therapy
B. Heparin therapy
,C. Beta-blocker therapy
D. Aspirin therapy Answer: D. Aspirin therapy
This is a core measure for patients with CAD
Heparin is not indicated nor is it really sustainable for home use,
betablockers don't decrease your risk of stroke directly although it
does reduce bp which reduces risk of stroke
◉ A client complains of crushing chest pain that radiates to his left
arm. Which of the following treatments should you anticipate:
A. Aspirin, oxygen, nitroglycerin, and morphine
B. Aspirin, oxygen, nitroglycerin, and codeine
C. Oxygen, nitroglycerin, meperidine, and thrombolytics
D. Aspirin, oxygen, nitroprusside, and morphine Answer: A. Aspirin,
oxygen, nitroglycerin, and morphine
MONA
◉ A patient is recovering from an uncomplicated MI. Which of the
following rehabilitation guidelines is a priority to include in the
teaching plan?
,A. Refrain from sexual activity for a minimum of 3 weeks.
B. Plan a diet program that aims for a 1- to 2-pound weight loss per
week.
C. Begin an exercise program that aims for at least five 30-minute
sessions per week.
D. Consider the use of erectile agents and prophylactic NTG before
engaging in sexual activity. Answer: C
Avoid intercourse for 4-6 weeks
The need for a weight loss plan would be patient specific
You do not want to mix nitrates and ED meds because this can cause
and unsafe drop in BP
◉ The most common finding in individuals at risk for sudden
cardiac death is:
A. aortic valve disease
B. mitral valve disease
C. left ventricular dysfunction
D. atherosclerotic heart disease Answer: C. left ventricular
dysfunction
, Those with LV dysfunction are at high risk for ventricular
arrythmias. Typically, the LV dysfunction is secondary to MI,
cardiomyopathy or advanced heart failure.
◉ A patient with a history of myocardial infarction (MI) complains
of chest pain while walking to the restroom. Which action should the
nurse perform first?
A. Assess patient's vital signs
B. Instruct patient to sit down
C. Obtain a STAT EKG
D. Call the physician Answer: B. Instruct patient to sit down
Having the patient sit down reduces myocardial oxygen demand to
help relieve pain and take stress off the heart. The other actions are
important, but would come after having the patient sit down to
ensure safety.
◉ The key diagnostic test for heart failure is:
A. Serum potassium
B. B-type natriuretic peptide
C. Troponin I
D. Cardiac enzymes Answer: B. B-type natriuretic peptide
