ANCC CARDIAC VASCULAR RN
CERTIFICATION 2025
EXAM
A nursing diagnosis/potential patient problem that would apply to the patient undergoing
cardiac surgery would be:
A. Potential altered family dynamics related to the patient's plan to return to work
B. Potential for noncompliance related to risk factor modification
C. Potential altered nutrition more than body requirements related to increased appetite
D. Potential fear or anxiety related to the possibility of death during surgery -
ANSWER >>D. Potential fear or anxiety related to the possibility of death during surgery
When assessing the extremities of a patient who is suspected of having peripheral
arterial disease, is it likely the patient will have:
A. Normal pulses and skin color
B. Cramping leg pain
C. Mild to severe edema
D. Ulcerations at the point of injury - ANSWER >>B. Cramping leg
pain
Right-sided heart failure is characterized by:
A. Elevated pulmonary artery pressure
B. Reduced hepatic perfusion pressure
C. Increased systemic venous pressure
D. Decreased systemic arterial pressure - ANSWER>>C. Increased systemic venous
pressure
Echocardiography may be useful following AMI for:
A. Prediction of recurrent ischemia
B. Prediction of tissue viability
,A.
C. Detection of cardiogenic shock
D. Detection of wall motion abnormalities - ANSWER>>D. Detection of wall motion
abnormalities
The risk of stroke in each successive decade for 55 years:
A. Triples
B. Doubles
C. Does not change
D. Declines - ANSWER>>B. Doubles
When caring for a patient with an implantable cardioverter defibrillator (ICD), the nurse
understands that to disable the defibrillation function, it is necessary to
A. Slow the patient's heart rate to under 100 beats per minute
B. Apply a magnet to the chest directly over the device
C. Call the company representative and have the device reprogrammed
D. Preform transthoracic synchronized cardioversion - ANSWER>>B. Apply a magnet to
the chest directly over the device
A patient with dyslipidemia will be prescribed lovastatin (Mevacor). The nurse prepares
to teach the patient about:
A. Monitoring the kidney function for signs of statin toxicity
B. Having liver profiles drawn regularly to monitor hepatic function
C. Refraining from contact sports and driving heavy machinery
D. Comply with a diet high in carbohydrates but low in a dairy products - ANSWER>>B.
Having liver profiles drawn regularly to monitor hepatic function
Two hours after the pacemaker wires are removed, Mr. Berry has developed a sinus
tachycardia at 110 beats/minute, and tells you he doesn't feel well. Your first action
would be to:
A. Call the surgeon
B. Call the crash cart
C. Assess the signs of cardiac tamponade
D. Call the respiratory therapist - ANSWER >>C. Assess the signs of cardiac tamponade
A patient's adherence to a health regimen for risk reduction is enhanced when
A. The health care provider sets goals and helps the patient achieve them
, B. Goals are mutually set by patient and the healthcare provider and support is provided
as necessary
C. There is no financial burden for the patient to adhere to the regimen
D. The patient understands all education completely and can problem solve alone -
ANSWER>>B. Goals are mutually set by patient and the healthcare provider and
support is provided as necessary
A beta-blocking agent should be administered in the setting of:
Complete heart block
B. Atrial flutter
C. Atrial fibrillation
D. Sinus tachycardia - ANSWER>>A. Complete heart block
A patient who underwent a percutaneous, transluminal coronary angioplasty four weeks
ago has a subsequent ejection fraction of 30%. The patient returns for a follow-up visit.
Examination reveals lungs that are clear to auscultation and slight pedal edema. The
patient's medications are digoxin (Lanoxin), furosemide (Lasix), enalapril maleate
(Vasotec), and aspirin. The patient reports a 5-lb (2.27kg) weight gain over the past two
days. The cardiac vascular nurse's initial action is to:
A. Document the weight and reassess the patient at the next session
B. Inquire about the patient's medication compliance
C. Notify the patient's physician
D. Review the patient's most recent nuclear scan - ANSWER>>B. Inquire about the
patient's medication compliance
A 55-year-old patient who is diagnosed with an evolving myocardial infarction (MI)
insists on going home. The cardiac-vascular nurse encourages the patient to be
admitted because the greatest risk within the first 24 hours of sustaining an MI is:
A. Heart failure
B. Pulmonary embolism
C. Ventricular aneurysm
D. Ventricular fibrillation - ANSWER>>D. Ventricular fibrillation
As the cardiac-vascular nurse prepares to administer an experimental cardiac drug to a
patient who is participating in a research study, the patient states that he or she no
longer wants the medication. The nurse advises the patient that:
A. He or she has the right to refuse the medication and withdraw from the study
B. Participation in the study is critical to improving the quality of the patient outcomes
C. The medication dose has been scheduled for administration
CERTIFICATION 2025
EXAM
A nursing diagnosis/potential patient problem that would apply to the patient undergoing
cardiac surgery would be:
A. Potential altered family dynamics related to the patient's plan to return to work
B. Potential for noncompliance related to risk factor modification
C. Potential altered nutrition more than body requirements related to increased appetite
D. Potential fear or anxiety related to the possibility of death during surgery -
ANSWER >>D. Potential fear or anxiety related to the possibility of death during surgery
When assessing the extremities of a patient who is suspected of having peripheral
arterial disease, is it likely the patient will have:
A. Normal pulses and skin color
B. Cramping leg pain
C. Mild to severe edema
D. Ulcerations at the point of injury - ANSWER >>B. Cramping leg
pain
Right-sided heart failure is characterized by:
A. Elevated pulmonary artery pressure
B. Reduced hepatic perfusion pressure
C. Increased systemic venous pressure
D. Decreased systemic arterial pressure - ANSWER>>C. Increased systemic venous
pressure
Echocardiography may be useful following AMI for:
A. Prediction of recurrent ischemia
B. Prediction of tissue viability
,A.
C. Detection of cardiogenic shock
D. Detection of wall motion abnormalities - ANSWER>>D. Detection of wall motion
abnormalities
The risk of stroke in each successive decade for 55 years:
A. Triples
B. Doubles
C. Does not change
D. Declines - ANSWER>>B. Doubles
When caring for a patient with an implantable cardioverter defibrillator (ICD), the nurse
understands that to disable the defibrillation function, it is necessary to
A. Slow the patient's heart rate to under 100 beats per minute
B. Apply a magnet to the chest directly over the device
C. Call the company representative and have the device reprogrammed
D. Preform transthoracic synchronized cardioversion - ANSWER>>B. Apply a magnet to
the chest directly over the device
A patient with dyslipidemia will be prescribed lovastatin (Mevacor). The nurse prepares
to teach the patient about:
A. Monitoring the kidney function for signs of statin toxicity
B. Having liver profiles drawn regularly to monitor hepatic function
C. Refraining from contact sports and driving heavy machinery
D. Comply with a diet high in carbohydrates but low in a dairy products - ANSWER>>B.
Having liver profiles drawn regularly to monitor hepatic function
Two hours after the pacemaker wires are removed, Mr. Berry has developed a sinus
tachycardia at 110 beats/minute, and tells you he doesn't feel well. Your first action
would be to:
A. Call the surgeon
B. Call the crash cart
C. Assess the signs of cardiac tamponade
D. Call the respiratory therapist - ANSWER >>C. Assess the signs of cardiac tamponade
A patient's adherence to a health regimen for risk reduction is enhanced when
A. The health care provider sets goals and helps the patient achieve them
, B. Goals are mutually set by patient and the healthcare provider and support is provided
as necessary
C. There is no financial burden for the patient to adhere to the regimen
D. The patient understands all education completely and can problem solve alone -
ANSWER>>B. Goals are mutually set by patient and the healthcare provider and
support is provided as necessary
A beta-blocking agent should be administered in the setting of:
Complete heart block
B. Atrial flutter
C. Atrial fibrillation
D. Sinus tachycardia - ANSWER>>A. Complete heart block
A patient who underwent a percutaneous, transluminal coronary angioplasty four weeks
ago has a subsequent ejection fraction of 30%. The patient returns for a follow-up visit.
Examination reveals lungs that are clear to auscultation and slight pedal edema. The
patient's medications are digoxin (Lanoxin), furosemide (Lasix), enalapril maleate
(Vasotec), and aspirin. The patient reports a 5-lb (2.27kg) weight gain over the past two
days. The cardiac vascular nurse's initial action is to:
A. Document the weight and reassess the patient at the next session
B. Inquire about the patient's medication compliance
C. Notify the patient's physician
D. Review the patient's most recent nuclear scan - ANSWER>>B. Inquire about the
patient's medication compliance
A 55-year-old patient who is diagnosed with an evolving myocardial infarction (MI)
insists on going home. The cardiac-vascular nurse encourages the patient to be
admitted because the greatest risk within the first 24 hours of sustaining an MI is:
A. Heart failure
B. Pulmonary embolism
C. Ventricular aneurysm
D. Ventricular fibrillation - ANSWER>>D. Ventricular fibrillation
As the cardiac-vascular nurse prepares to administer an experimental cardiac drug to a
patient who is participating in a research study, the patient states that he or she no
longer wants the medication. The nurse advises the patient that:
A. He or she has the right to refuse the medication and withdraw from the study
B. Participation in the study is critical to improving the quality of the patient outcomes
C. The medication dose has been scheduled for administration
