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Question # 51

A patient receiving continuous nitroglycerin infusion reports complete relief of chest pain, but blood pressure has fallen to 92/58 mm Hg. The nurse’s most appropriate action is to:

Options:

A.

Continue the current rate indefinitely

B.

Titrate the infusion downward according to protocol while monitoring for recurrence of pain and maintaining adequate coronary perfusion pressure

C.

Increase the rate further

D.

Stop the infusion abruptly and discharge the patient

Question # 52

A patient is scheduled for elective cardioversion of atrial fibrillation lasting 72 hours. The nurse’s priority action before the procedure is to:

Options:

A.

Confirm the patient has been therapeutically anticoagulated for at least three weeks or that a recent TEE has ruled out left-atrial appendage thrombus

B.

Obtain a 12-lead ECG

C.

Ensure NPO status for six hours

D.

Administer a benzodiazepine for anxiety

Question # 53

A patient develops sudden dyspnea, unilateral pleuritic chest pain, and tachycardia five days after major orthopedic surgery. The nurse’s highest-priority diagnostic suspicion is:

Options:

A.

Simple atelectasis

B.

Pulmonary embolism

C.

Anxiety

D.

Community-acquired pneumonia only

Question # 54

Which strategy best promotes smoking cessation in a patient with newly diagnosed peripheral artery disease?

Options:

A.

A single brief comment that smoking is unhealthy

B.

Assessment of readiness to quit, personalized counseling about the direct link between continued smoking and limb loss, offer of pharmacotherapy and referral to a quit line or program, and scheduled follow-up

C.

Advising the patient that quitting is impossible

D.

Focusing only on other risk factors

Question # 55

A patient with suspected deep-vein thrombosis has a negative D-dimer and a low Wells score. The nurse correctly interprets this combination as:

Options:

A.

High probability of DVT requiring immediate anticoagulation

B.

Low probability of DVT; further imaging is usually unnecessary

C.

Indication for immediate thrombolysis

D.

Laboratory error only

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CV-BC Overview

Name Cardiac-Vascular Nursing Certification
Code CV-BC
Vendor Nursing
Certification American Nurses Credentialing Center (ANCC)

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