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Question # 66

A patient with HFrEF is prescribed an ARNI, beta-blocker, mineralocorticoid receptor antagonist, and SGLT2 inhibitor. The nurse understands this regimen represents:

Options:

A.

Symptom-directed therapy only

B.

Guideline-directed medical therapy shown to reduce mortality and hospitalizations

C.

Therapy reserved exclusively for transplant candidates

D.

An experimental combination

Question # 67

A patient with heart failure asks how to use a daily weight log effectively. The best instruction is:

Options:

A.

“Weigh yourself occasionally when you remember.”

B.

“Weigh yourself at the same time each morning after voiding, record the value, and contact your provider for a gain of 2–3 pounds in one day or 5 pounds in one week.”

C.

“Weights are unnecessary if you feel well.”

D.

“Only weigh yourself at the clinic.”

Question # 68

Laboratory values for a patient on chronic warfarin therapy show INR 1.4 (target 2.0–3.0). The patient reports missing several doses last week. The nurse interprets this result as:

Options:

A.

Therapeutic anticoagulation

B.

Subtherapeutic anticoagulation with increased thrombotic risk

C.

Supratherapeutic anticoagulation

D.

Laboratory error only

Question # 69

A patient is being prepared for urgent coronary artery bypass grafting. The nurse’s pre-operative priorities include:

Options:

A.

Verification of informed consent, completion of pre-operative checklist, confirmation of blood-product availability, and baseline neurologic and vascular assessments

B.

Encouraging a large meal immediately before surgery

C.

Discontinuing all monitoring

D.

Omitting family communication

Question # 70

A patient returns from peripheral angiography with a closure device in place. Four hours later the nurse notes a new continuous machinery-like bruit at the puncture site and a palpable thrill. This finding most likely indicates:

Options:

A.

Normal post-procedure change

B.

Arteriovenous fistula

C.

Simple hematoma

D.

Complete arterial occlusion

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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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