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Question # 11

A patient newly prescribed rivaroxaban after atrial fibrillation diagnosis asks about dietary restrictions. The most accurate teaching is:

Options:

A.

“You must avoid all green vegetables permanently.”

B.

“Unlike warfarin, rivaroxaban has no specific dietary vitamin-K restrictions, but you should take it with the evening meal for better absorption and avoid missing doses.”

C.

“You may skip doses if you feel well.”

D.

“No monitoring or precautions are needed.”

Question # 12

A patient receiving continuous intravenous insulin for hyperglycemia after cardiac surgery develops a blood glucose of 52 mg/dL and becomes diaphoretic. The nurse’s immediate action is to:

Options:

A.

Continue the current insulin rate

B.

Stop the insulin infusion, administer concentrated dextrose per protocol, and recheck glucose frequently

C.

Increase the insulin dose

D.

Encourage oral carbohydrates without stopping insulin

Question # 13

A 70-year-old patient with diabetes presents with nausea, diaphoresis, and mild epigastric discomfort but denies classic chest pain. The 12-lead ECG shows 2 mm ST depression in leads V4–V6. The cardiac-vascular nurse recognizes this presentation as most consistent with:

Options:

A.

Gastrointestinal reflux

B.

Atypical acute coronary syndrome, common in patients with diabetes

C.

Stable angina

D.

Anxiety attack

Question # 14

When coordinating care for a patient after uncomplicated PCI, the nurse prioritizes:

Options:

A.

Dual antiplatelet therapy education, activity guidelines, cardiac rehabilitation referral, and clear instructions on when to seek emergency care

B.

Advising the patient to stop all medications after one week

C.

Restricting all follow-up appointments

D.

Encouraging immediate return to heavy lifting

Question # 15

After titration of an ACE inhibitor, a patient’s blood pressure has decreased appropriately, but a persistent dry cough has developed. The nurse evaluates that:

Options:

A.

The cough is unrelated to the medication

B.

The cough is a common side effect; the provider should be notified so that consideration can be given to switching to an angiotensin-receptor blocker

C.

The dose should be increased

D.

Cough suppressants will solve the problem permanently

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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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