Cardiac Vascular Nursing Certification
Final Test Review (Qns & Ans)
2025
1. Multiple Choice
A 65-year-old male presents with chest pain radiating to his left
arm and jaw. Which biomarker is most specific for diagnosing
acute myocardial infarction (AMI)?
A. Creatine kinase (CK)
B. Troponin I
C. Myoglobin
D. Lactate dehydrogenase (LDH)
ANS : B. Troponin I
©2025
, Rationale : Troponin I is highly specific for myocardial injury
and remains elevated for a prolonged period, aiding in the
diagnosis of AMI.
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2. Fill-in-the-Blank
The ___________ scale is used to assess the severity of heart
failure symptoms in patients.
ANS : New York Heart Association (NYHA)
Rationale : The NYHA classification system evaluates the
functional limitations caused by heart failure.
---
3. True/False
Beta-blockers are contraindicated in patients with heart failure
with reduced ejection fraction (HFrEF).
ANS : False
©2025
, Rationale : Beta-blockers are a cornerstone of therapy for
HFrEF as they improve survival and reduce hospitalizations.
---
4. Multiple Response
Which of the following are risk factors for developing peripheral
arterial disease (PAD)? (Select all that apply.)
A. Smoking
B. Diabetes mellitus
C. Hypertension
D. High HDL cholesterol
ANS : A. Smoking, B. Diabetes mellitus, C. Hypertension
Rationale : Smoking, diabetes, and hypertension are major risk
factors for PAD, while high HDL cholesterol is protective.
---
5. Multiple Choice
A patient with atrial fibrillation is started on warfarin. What is the
target INR range for anticoagulation?
©2025
, A. 1.0-1.5
B. 2.0-3.0
C. 3.5-4.5
D. 4.0-5.0
ANS : B. 2.0-3.0
Rationale : An INR of 2.0-3.0 is the therapeutic range for most
patients on warfarin to prevent thromboembolic events.
---
6. Fill-in-the-Blank
The ___________ test is used to diagnose deep vein thrombosis
(DVT) by measuring fibrin degradation products.
ANS : D-dimer
Rationale : Elevated D-dimer levels indicate increased
fibrinolysis, which is suggestive of DVT.
---
©2025
Final Test Review (Qns & Ans)
2025
1. Multiple Choice
A 65-year-old male presents with chest pain radiating to his left
arm and jaw. Which biomarker is most specific for diagnosing
acute myocardial infarction (AMI)?
A. Creatine kinase (CK)
B. Troponin I
C. Myoglobin
D. Lactate dehydrogenase (LDH)
ANS : B. Troponin I
©2025
, Rationale : Troponin I is highly specific for myocardial injury
and remains elevated for a prolonged period, aiding in the
diagnosis of AMI.
---
2. Fill-in-the-Blank
The ___________ scale is used to assess the severity of heart
failure symptoms in patients.
ANS : New York Heart Association (NYHA)
Rationale : The NYHA classification system evaluates the
functional limitations caused by heart failure.
---
3. True/False
Beta-blockers are contraindicated in patients with heart failure
with reduced ejection fraction (HFrEF).
ANS : False
©2025
, Rationale : Beta-blockers are a cornerstone of therapy for
HFrEF as they improve survival and reduce hospitalizations.
---
4. Multiple Response
Which of the following are risk factors for developing peripheral
arterial disease (PAD)? (Select all that apply.)
A. Smoking
B. Diabetes mellitus
C. Hypertension
D. High HDL cholesterol
ANS : A. Smoking, B. Diabetes mellitus, C. Hypertension
Rationale : Smoking, diabetes, and hypertension are major risk
factors for PAD, while high HDL cholesterol is protective.
---
5. Multiple Choice
A patient with atrial fibrillation is started on warfarin. What is the
target INR range for anticoagulation?
©2025
, A. 1.0-1.5
B. 2.0-3.0
C. 3.5-4.5
D. 4.0-5.0
ANS : B. 2.0-3.0
Rationale : An INR of 2.0-3.0 is the therapeutic range for most
patients on warfarin to prevent thromboembolic events.
---
6. Fill-in-the-Blank
The ___________ test is used to diagnose deep vein thrombosis
(DVT) by measuring fibrin degradation products.
ANS : D-dimer
Rationale : Elevated D-dimer levels indicate increased
fibrinolysis, which is suggestive of DVT.
---
©2025
