American Cardiovascular Nursing Certification Exam Questions and Answers

American Cardiovascular Nursing
Certification Exam Questions and
Answers

ACEeinhibitorse-eCORRECTeANSWER--ACEe-Ie(drugseendingeine"pril"ecaptopril)e
-
InhibiteconversioneofeangiotensioneIetoeangiotensioneIIeresultingeinereducedesalteandewaterer
etention.

ACEeinhibitorse-eCORRECTeANSWER--
Promoteevasodilatationeandediuresisedecreasingebloodevolume,eresultingeineaedecreaseeinet
heeheart'seworkload
-Mayebeetheefirstemedicationeprescribede
-Monitorepatienteforehyperkalemiaeandehypotension.

AcuteeCoronaryeSyndromeeoreAcuteeMyocardialeInfarctione-eCORRECTeANSWER-
Lifeethreateningeconditionecharacterizedebyetheeformationeofelocalizedenecroticeareaewithine
theemyocardium

Aldosteroneeantagonistse(ALDOeANT)e-eCORRECTeANSWER--
Methyldopae(Aldomet),eclonidinee(Catapres)
-ActseoneCNS,eaffectingenorepinephrine

AnginaeDiagnosticeFindingse-eCORRECTeANSWER--ECG
Resting
Exercise
-CoronaryeAngiograme
Remainsetheegoldestandardeinediagnosingetheepercentageeofeblockageeinecoronaryearteries
.

AnginaePectorise-eCORRECTeANSWER-
Clinicalesyndromeeusuallyecharacterizedebyeepisodeseofepaineorepressureeineanteriorechest,
ecausedebyeinsufficientecoronaryebloodeflow.




AnginaePharmacologiceTherapye-eCORRECTeANSWER--Nitrates
e*Dilatesevessels,ecausingedecreasedeperipheraleresistance,edecreasedeBPeandepoolingeofe

bloodeinetheebody
-ßeadrenergiceblockers
e*DecreaseeHR,eBPeandecontractilityeofeheart

-Calciumechanneleblockers

, e*ActeoneSAenodeetoeslowehearterateeandedecreaseestrengtheofeheartemuscleecontraction
-AntiplateleteandeAnticoagulants
e*Preventseplateleteaggregationeandesubsequentethrombosis,ewhicheimpedesebloodeflow

-Oxygen

AnginaePrecipitatingeFactorse-eCORRECTeANSWER--Physicaleexertion
-Temperatureeextremes
-Eatingeaeheavyemeal
-Emotionalestress
-Smoking
-Sexualeactivity.

AngiotensineReceptoreBlockerse(ARB)e-eCORRECTeANSWER--
Angiotensinereceptoreblockerse(drugseendingeine"sartan"elosartaneoreCozaar)
-BlocketheeeffectseofeangiotensineIIeatetheereceptoresite.
-Reduceseperipheraleresistance.

ArterialeUlcerse-eCORRECTeANSWER--Typicallyesmall,ecirculareandedeep
-Onetipseofetoeseoreinetheewebespacesebetweenetheetoes
-Gangreneeofetoeeresultsefrometraumaetoearea
-Paineisedescribedeaseintermittenteclaudication.
-NoeEdemae(noteenougheblood)

ArteriosclerosiseMedicaleManagemente-eCORRECTeANSWER--Avoideparticularestimuli
e*Cold

e*Tobacco

e*Stress

-Pharmacologic
e*Calciumechanneleblockere(nifedipine:elowedoseevasodilator)




ArteriosclerosiseNursingeDiagnosise-eCORRECTeANSWER--
Ineffectiveeorealteredeperipheraletissueeperfusioner/tecompromisedecirculation
-Chronicepainer/teimpairedeabilityeofeperipheralevesselsetoesupplyetissuesewitheoxygen
-RiskeforeImpairedeSkineIntegrityer/tedecreasedeperipheralecirculation
-Deficienteknowledgeeregardingeself-careeactivities.

ArteriosclerosiseNursingeinterventionse-eCORRECTeANSWER--
ImprovingePeripheraleArterialeCirculation
e*Positioneofeextremity

e*Exercise

-PromotingeVasodilationeandePreventinge*VasculareCompression
e*Smokingecessation.

e*Warmeblanketetoeabdomen.

e*Avoidecoldetemperatures.

e*Adequateelooseefittingeclothing.