Latest PDF of ANCC-CVNC: ANCC (CV-BC) Cardiac Vascular Nursing Certification

ANCC (CV-BC) Cardiac Vascular Nursing Certification Practice Test

ANCC-CVNC test Format | Course Contents | Course Outline | test Syllabus | test Objectives

The ANCC Cardiac-Vascular Nursing board certification examination is a competency based examination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the cardiac-vascular specialty after initial RN licensure. Once you complete eligibility requirements to take the certification examination and successfully pass the exam, you are awarded the credential: Registered Nurse-Board Certified (RN-BC). This credential is valid for 5 years. You can continue to use this credential by maintaining your license to practice and meeting the renewal requirements in place at the time of your certification renewal. The Accreditation Board for Specialty Nursing Certification accredits this ANCC certification

There are 150 questions on this examination. Of these, 125 are scored questions and 25 are pretest
questions that are not scored. Pretest questions are used to determine how well these questions will
perform before they are used on the scored portion of the examination. The pretest questions cannot
be distinguished from those that will be scored, so it is important for a candidate to answer all
questions. A candidate's score, however, is based solely on the 125 scored questions. Performance on
pretest questions does not affect a candidate's score.

I Assessment and Diagnosis 31 25%
II Planning and Implementation 44 35%
III Evaluation and Modification 28 22%
IV Patient and Community Education 22 18%
TOTAL 125 100%

Assessment and Diagnosis
A. Knowledge
1. Anatomy and physiology
2. Pathophysiology
B. Skill
1. Patient interview (e.g., history, chief complaint, allergies)
2. Cardiac-vascular assessment techniques and tools (e.g., Doppler, stroke scale)
3. Data collection and interpretation (e.g., diagnostic tests, laboratory results)
4. Nursing diagnosis identification and prioritization
II Planning and Implementation
A. Knowledge
1. Evidence-based practice guidelines (e.g., ACC/AHA guidelines, quality measures)
2. Scope and standards of practice (i.e., cardiovascular nursing, vascular nursing)
3. Legal and ethical considerations (e.g., informed consent, advance directives)
4. Procedures (e.g., angiogram)
5. Surgeries (e.g., coronary artery bypass, carotid endarterectomy)
6. Pharmacologic therapies
7. Non-pharmacologic and complementary therapies
8. Risk-reduction measures (e.g., venous thromboembolism prophylaxis)
B. Skill
1. Care coordination (e.g., interdisciplinary teams, discharge planning)
2. Interventions (e.g., therapeutic hypothermia)
III Evaluation and Modification
A. Knowledge
1. Expected outcomes
2. Drug interactions (e.g., drug-drug, drug-food)
B. Skill
1. Adverse reactions and events (e.g., heparin-induced thrombocytopenia, hypotension) recognition and treatment
2. Urgent condition (e.g., pseudoaneurysm) recognition and treatment
3. Emergent condition (e.g., STEMI) recognition and treatment
IV Patient and Community Education
A. Knowledge
1. Cardiac-vascular risk factors (e.g., ethnicity, smoking)
2. Chronic disease management
3. Cardiac-vascular education syllabus (e.g., procedures, medications)
4. Self-management strategies (e.g., daily weights, blood pressure logs)
5. Community resources (e.g., cardiac rehabilitation, anticoagulation clinic)
B. Skill
1. Individualized education planning and implementation (e.g., addressing barriers)
2. Home monitoring (e.g., remote telemetry, point-of-care testing)
3. Health promotion (e.g., wellness counseling, health fairs)

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Question: 61
Which of the following sets of drugs might slow the conduction through AV node
and cause second degree heart block?
1. Digoxin, statins, nitrates
2. Procainamide, statins, fibrates
3. Digoxin, beta-blockers, calcium channel blockers
4. Calcium channel blockers, potassium channel openers
Answer: C
Digoxin, beta-blockers, and calcium channel blockers might slow the conduction through AV node and cause second degree heart block. Pharmacologic agents that slow conduction through the atrioventricular node have been shown to cause second-degree atrioventricular block type I. These agents include cardioactive drugs such as digoxin, beta-blockers, calcium channel blockers, and certain antiarrhythmia drugs such as sodium channel blockers (procainamide).
Question: 62
A patient who has been diagnosed with aneurysm in femoral artery during routine
screening wants to know about the available treatment options. What the nurse should explain this patient regarding treatment?
1. No treatment is necessary
2. Follow up every month
3. Immediately undergo surgery
4. Undergo angioplasty if aneurysm starts causing symptom
Answer: A
The nurse should tell this patient that as the aneurysm is located in the extremity and is asymptomatic, no treatment is necessary. Peripheral aneurysms in the extremities are typically asymptomatic and do not require treatment due to their low risk of rupture. Treatment of peripheral aneurysms depends on the presence of symptoms, the location of the aneurysm, and whether the blood flow through the artery is blocked.
Question: 63
A patient has been diagnosed with aortic aneurysm of abdominal aorta having a
diameter of 3.5 cm. What advice should the nurse give this patient about follow- up?
1. Come for follow up every year
2. Come for follow up after 5 years
3. Come for follow up every 2-3 years
4. No need to come for follow up
Answer: A
The nurse should advise the patient with abdominal or thoracic of size 3 to 4 cm to come for follow up every year. For patients with an abdominal or thoracic aortic aneurysm with a diameter less than 3 cm without symptoms, follow-up screening should be conducted within 5 to 10 years. For patients with an aorta of 3 to 4 cm in diameter, follow-up screening should be performed on a yearly basis. For patients with a diameter of greater than 4 cm, careful follow-up needs to be performed on a bi-yearly basis. If a patient presents with an aorta with a diameter greater than 5 cm, surgery is recommended, which would include abdominal or open chest repair.
Question: 64
The incorrect statement about Buerger"s disease is:
1. Buerger"s disease is a rare disorder
2. Complications of the disease are ulcerations, infections, and gangrene
3. The disease is more common in men than in women
4. Another name for the disease is Raynaud"s disease
Answer: D
The incorrect statement about Buerger"s disease is �Another name for the disease is Raynaud"s disease�. Another name for Buerger"s disease is Thromboangiitis obliterans. Symptoms of Buerger"s disease include pain and weakness in extremities, swelling of hands and feet, Raynaud"s phenomenon, open sores on digits.
Question: 65
Which of the following is true about atherosclerotic plaque formation?
1. Plaque formation is caused by an acute inflammatory response and endothelial dysfunction where lipids, cholesterol, and calcium build up in the arteries
2. Plaque formation is caused by a chronic inflammatory response and epithelial
injury where lipids, cholesterol, and calcium build up in the arteries
3. Plaque formation is caused by a chronic inflammatory response and endothelial dysfunction where lipids, cholesterol, and calcium build up in the arteries
4. Plaque formation is caused by an acute inflammatory response and epithelial injury where lipids, cholesterol, and calcium build up in the arteries
Answer: B
The true statement about �Plaque formation is caused by a chronic inflammatory response and epithelial injury where lipids, cholesterol, and calcium build up in the arteries�. Atherosclerotic plaque formation is caused by a chronic inflammatory response and endothelial dysfunction where lipids, cholesterol, calcium, and other substances build up in the arteries. There is an imbalance between deposition of plaque and removal by low-density lipoproteins in smooth muscle cells.

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ANCC (CV-BC) Cardiac Vascular Nursing Certification Practice Test

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