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Question # 26

A patient with long-standing hypertension presents with blood pressure 210/120 mm Hg, severe headache, and papilledema. The nurse correctly classifies this as:

Options:

A.

Hypertensive urgency

B.

Hypertensive emergency

C.

White-coat hypertension

D.

Isolated systolic hypertension

Question # 27

A patient who underwent carotid endarterectomy 6 hours earlier develops a sudden severe headache, hypertension, and focal neurologic deficits. The nurse recognizes this as possible:

Options:

A.

Normal post-operative recovery

B.

Hyperperfusion syndrome or stroke and initiates the stroke alert protocol while notifying the surgeon

C.

Simple migraine

D.

Medication non-adherence

Question # 28

A patient with HFrEF (EF 30 %) is volume-overloaded. The provider orders intravenous furosemide. The nurse’s priority monitoring parameters after administration include:

Options:

A.

Hourly urine output, daily weights, electrolytes (especially potassium and magnesium), and signs of volume depletion or worsening renal function

B.

Only blood pressure every 8 hours

C.

Continuous pulse oximetry solely

D.

Weekly laboratory studies

Question # 29

A patient with acute decompensated heart failure and pulmonary edema is ordered non-invasive positive-pressure ventilation (NIPPV). The nurse’s priority actions include:

Options:

A.

Ensuring proper mask fit, continuous pulse-oximetry and cardiac monitoring, and readiness to escalate to intubation if the patient deteriorates

B.

Applying the mask loosely and leaving the patient unattended

C.

Restricting oxygen to 2 L/min by nasal cannula only

D.

Encouraging the patient to remove the mask frequently to talk

Question # 30

A patient on long-term amiodarone develops progressive dyspnea, non-productive cough, and interstitial changes on chest imaging. The nurse suspects:

Options:

A.

Simple viral illness

B.

Possible amiodarone-induced pulmonary toxicity and notifies the provider for further evaluation and likely drug discontinuation

C.

Need to increase the amiodarone dose

D.

Unrelated heart-failure exacerbation 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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