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Cardiac Subspecialty Certification (CSC) Exam Question List

1 A patient was planning to undergo Mitral valve replacement surgery. He was on warfarin therapy for Atrial Fibrillation. What modification should the nurse do with the anticoagulant medication?
  1. Stop warfarin on the day of surgery
  2. Stop warfarin 4-5 days before surgery
  3. Stop warfarin 4-5 days prior to surgery; admit and start on IV heparin; stop IV heparin 2-3 hours pre-op
  4. Continue warfarin therapy
See Answer
3 What are the contraindications of percutaneous transluminal angioplasty of the lower extremity?
  1. Hypertensive patients of poor ventricular function
  2. Patients having dyslipidemia
  3. Medically unstable, diabetic patient, long arterial occlusion, poor distal run off
  4. Patient who has undergone coronary angioplasty
See Answer
4 Which of the following signs and symptoms would the attending nurse expect to see in a patient of aneurysmal rupture?
  1. Pain abdomen, hypertension, bradycardia
  2. Hypotension, tachycardia, nausea, vomiting, shortness of breath, chest pain/lower back/abdominal pain
  3. Headache, nausea, vomiting, vertigo
  4. Hypertension, chest pain, syncope
See Answer