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Question # 61

A patient is scheduled for elective percutaneous mitral balloon valvuloplasty. Pre-procedure nursing priorities include:

Options:

A.

Ensuring informed consent, reviewing anticoagulation status, and confirming absence of left-atrial thrombus

B.

Encouraging unrestricted oral intake until the moment of the procedure

C.

Omitting all cardiac monitoring

D.

Administering thrombolytics routinely

Question # 62

When teaching a patient about home blood-pressure monitoring after a hypertensive emergency, the nurse emphasizes:

Options:

A.

Checking blood pressure only when symptoms occur

B.

Using a validated upper-arm cuff, measuring at the same time each day after resting, recording values, and bringing the log to every appointment

C.

Relying solely on pharmacy kiosk readings

D.

Ignoring readings higher than 180 mm Hg

Question # 63

When developing an individualized education plan for a patient with limited health literacy who has peripheral artery disease, the nurse should:

Options:

A.

Use simple language, teach-back, and focus on one or two key behaviors (smoking cessation and daily foot care) at a time

B.

Provide a detailed written packet of all possible complications without discussion

C.

Assume the patient understands after one explanation

D.

Avoid discussing lifestyle changes

Question # 64

A patient with suspected acute coronary syndrome has serial troponin values that remain below the 99th percentile upper reference limit at 0 and 3 hours, with a non-ischemic ECG. The nurse correctly interprets this as:

Options:

A.

Confirmed myocardial infarction

B.

Low probability of acute myocardial injury at this time, supporting consideration of alternative diagnoses or early risk stratification pathways

C.

Laboratory error requiring immediate repeat

D.

Indication for immediate thrombolysis

Question # 65

Before administering intravenous metoprolol for rate control in atrial fibrillation with rapid ventricular response, the nurse must verify:

Options:

A.

Absence of acute decompensated heart failure, severe bradycardia, or high-degree AV block, and adequate blood pressure

B.

That the patient has not eaten for 12 hours

C.

A normal potassium level only

D.

That the patient is already paced

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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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