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Question # 16

A patient receiving continuous nitroglycerin has complete pain relief but a systolic blood pressure of 84 mm Hg. The nurse’s most appropriate action is to:

Options:

A.

Increase the infusion rate

B.

Reduce or temporarily stop the infusion according to protocol while monitoring for recurrence of ischemia

C.

Continue the current rate indefinitely

D.

Administer an additional fluid bolus without adjusting the nitroglycerin

Question # 17

A patient receiving continuous intravenous insulin after cardiac surgery develops a blood glucose of 48 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 # 18

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 the 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 # 19

A patient post-cardiac transplantation requires lifelong immunosuppression. The nurse’s plan of care prioritizes:

Options:

A.

Infection-prevention measures, therapeutic drug-level monitoring, and education about adherence and signs of rejection or infection

B.

Encouraging large social gatherings without precautions

C.

Discontinuing all monitoring after the first month

D.

Unrestricted dietary sodium

Question # 20

A patient post-femoral-access PCI develops a painful, pulsatile mass at the puncture site with a bruit. The nurse correctly identifies this as:

Options:

A.

Hematoma and applies additional pressure

B.

Possible pseudoaneurysm and notifies the interventionalist for further evaluation

C.

Normal post-procedure finding

D.

Arteriovenous fistula requiring immediate surgical repair

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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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