Exam (elaborations)
Cardiac-Vascular Certification EXAM 2024/2025
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Cardiac-Vascular Certification EXAM 2024/2025
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Cardiac-Vascular Certification EXAM2024/2025
In an assessment for intermittent claudication, the cardiac-vascular nurse
assesses the leg pain and cramping with exertion, then asks the patient:
A. "Does the shortness of breath accompany the leg pain?"
B. "Does this same type of pain occur without activity?"
C. "Is the leg pain relieved by rest?"
D. "Is the leg pain relieved with elevation?" - Precise Answer ✔✔C. "Is
the leg pain relieved by rest?"
The cardiac-vascular nurse reviews risk factor reduction with a patient
who is newly diagnosed with myocardial infarction. The patient states,
"I don't know why you're making such a big deal about this stuff. I feel
fine, and the doctor said that my heart attack was small." The nurse's
most effective action is to:
A. Assess the patient's perception of the event with open-ended
questions
B. Present research to support the need for risk factor reduction
C. Reinforce patient education
D. Review the laboratory values with the patient - Precise Answer
✔✔A. Assess the patient's perception of the event with open-ended
questions
,The cardiac-vascular nurse encourages a patient with hypertension to
adopt a low-sodium diet. The American Heart Association recommends
limiting this patient's sodium:
A. 3,000 mg per day
B. 1,500 mg per day
C. 1,700 mg per day
D. 2,400 mg per day - Precise Answer ✔✔D. 2,400 mg per day
A patient has been receiving heparin IV for the last three days. The
patient's most current platelet count is 65,00 x 10^3/uL; the platelet
count on admission was 350,000 x 1-^3/uL. The cardiac-vascular nurse
contacts the physician to:
A. Report that the medication level is subtherapeutic
B. Report that the patient is exhibiting signs of an adverse reaction
C. Request an increase in the medication infusion rate
D. Request an order for platelet transfusion - Precise Answer ✔✔B.
Report that the patient is exhibiting signs of an adverse reaction
A patient recently had a cardiac catheterization via right-radial approach.
The patient has a compression device in place. The patient complains of
numbness and pain in the right hand. The cardiac-vascular nurse notes a
diminished pulse, with a cool and cyanotic hand. The nurse:
, A. Calls the physician
B. Performs an Allen's test
C. Reduces the pressure on the puncture site
D. Uses the Doppler to assess the pulse signals - Precise Answer ✔✔C.
Reduces the pressure on the puncture site
A patient is admitted to the hospital for a carotid angiogram with stents
placement. The patient's spouse states, "I don't know want my spouse to
find out there is a risk of stroke connected with this procedure because
he or she won't sign the consent form." The cardiac-vascular nurse's
most appropriate action is to:
A. Assess the patient's level of understanding of risks, benefits, and
alternatives
B. Assure the patient's spouse that the risk of stroke is minimal
C. Offer the patient emotional support and reinforce the benefits of the
procedure
D. Perform a neurologic assessment to establish a baseline - Precise
Answer ✔✔A. Assess the patient's level of understanding of risks,
benefits, and alternatives
A patient who is recovering from a myocardial infarction may benefit
from medication because this technique:
A. Decreases sympathetic nervous system activity
B. Decrease vasodilation
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