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Question # 41

A patient on long-term amiodarone therapy is scheduled for elective surgery. The nurse’s medication-related priority is to:

Options:

A.

Inform the anesthesia and surgical teams of chronic amiodarone use because of potential interactions with anesthetic agents and prolonged QT effects

B.

Discontinue amiodarone the night before surgery without consultation

C.

Double the dose pre-operatively

D.

Ignore the medication history

Question # 42

After starting an ACE inhibitor, a patient develops angioedema with lip swelling and mild dyspnea. The nurse’s immediate actions include:

Options:

A.

Continuing the medication and observing

B.

Holding the ACE inhibitor, ensuring airway patency, notifying the provider, and preparing for possible advanced airway management and alternative therapy

C.

Increasing the dose

D.

Administering an additional dose of the same drug

Question # 43

A patient with a new mechanical aortic valve asks how long anticoagulation will be needed. The most accurate teaching is:

Options:

A.

“Anticoagulation is required only for the first three months.”

B.

“Lifelong anticoagulation with warfarin is required; regular INR monitoring and consistent vitamin-K intake are essential.”

C.

“Aspirin alone is sufficient long-term.”

D.

“You may stop anticoagulation if you feel well.”

Question # 44

A patient develops symptomatic hypotension after initiation of a new ACE inhibitor. The nurse’s first action is to:

Options:

A.

Continue the medication and reassess in several hours

B.

Hold the next dose, place the patient supine, and notify the provider while assessing volume status

C.

Increase the dose

D.

Administer a second antihypertensive agent

Question # 45

A patient in cardiogenic shock is started on norepinephrine. The nurse understands the primary goal of this therapy is to:

Options:

A.

Increase heart rate only

B.

Restore adequate perfusion pressure while the underlying cause is addressed

C.

Produce profound vasodilation

D.

Replace the need for revascularization

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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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