NUR 6111: ADVANCED HEALTH ASSESSMENT TELEHEALTH CARDIOVASCULAR |
EXAMINATION LATEST VERSION 2026/2027 | 100% VERIFIED EXAM QUESTIONS &
CORRECT ANSWERS (PASS GUARANTEE
1. A telehealth patient reports palpitations and shortness of breath. Which
cardiovascular assessment finding would most warrant immediate in-person
evaluation?
A. Resting heart rate of 88 bpm
B. New-onset irregular rhythm with lightheadedness
C. Blood pressure of 130/82 mmHg
D. Mild bilateral ankle swelling
ANSWER : B. New-onset irregular rhythm with lightheadedness
2. During a telehealth cardiovascular assessment, the nurse practitioner asks
the patient to describe their chest pain. Which characteristic is most
indicative of unstable angina?
A. Sharp, reproducible with palpation
B. Burning pain relieved by antacids
C. Pressure at rest not relieved by nitroglycerin
D. Pleuritic pain worsening with deep inspiration
ANSWER : C. Pressure at rest not relieved by nitroglycerin
3. A patient on a telehealth visit reports new bilateral leg swelling and
orthopnea. Which condition does this presentation most suggest?
A. Deep vein thrombosis
B. Peripheral arterial disease
C. Decompensated heart failure
D. Hypoalbuminemia
ANSWER : C. Decompensated heart failure
4. When conducting a remote cardiovascular history, which question best
assesses functional capacity?
A. 'Do you take aspirin daily?'
NUR 6111 | Telehealth Cardiovascular Exam | Page 1 of 51
, B. 'Can you climb two flights of stairs without stopping?'
C. 'Do you have a family history of heart disease?'
D. 'What is your most recent cholesterol level?'
ANSWER : B. 'Can you climb two flights of stairs without stopping?'
5. A telehealth patient describes paroxysmal nocturnal dyspnea. This
symptom is most commonly associated with which condition?
A. Chronic obstructive pulmonary disease
B. Left ventricular heart failure
C. Pulmonary hypertension
D. Valvular stenosis
ANSWER : B. Left ventricular heart failure
6. During a telehealth visit, a patient reports syncope during exertion. Which
underlying cause is most concerning?
A. Vasovagal response
B. Hypovolemia
C. Hypertrophic obstructive cardiomyopathy
D. Anxiety disorder
ANSWER : C. Hypertrophic obstructive cardiomyopathy
7. A patient with hypertension presents via telehealth with a blood pressure
of 182/110 mmHg and a headache. What is the most appropriate next step?
A. Schedule a follow-up in two weeks
B. Add a second antihypertensive medication
C. Assess for end-organ damage symptoms and consider emergency
referral
D. Recommend lifestyle modification only
ANSWER : C. Assess for end-organ damage symptoms and consider
emergency referral
8. Which finding during a telehealth cardiovascular screening would indicate
the need for a 12-lead ECG?
A. Heart rate of 72 bpm
B. Patient-reported palpitations with near-syncope
C. Mild exertional dyspnea in a sedentary patient
D. Occasional skipped beats without symptoms
NUR 6111 | Telehealth Cardiovascular Exam | Page 2 of 51
, ANSWER : B. Patient-reported palpitations with near-syncope
9. A telehealth patient reports claudication. Which assessment question is
most pertinent?
A. 'Do you have difficulty breathing at night?'
B. 'At what walking distance does the pain begin?'
C. 'Do you have chest tightness with activity?'
D. 'Have you noticed swelling in your hands?'
ANSWER : B. 'At what walking distance does the pain begin?'
10. A patient describes their ankle swelling as worse at the end of the day
and relieved by elevation. This pattern is most consistent with:
A. Deep vein thrombosis
B. Lymphedema
C. Dependent edema from venous insufficiency
D. Right heart failure
ANSWER : C. Dependent edema from venous insufficiency
11. During a telehealth visit, a patient with known coronary artery disease
reports new-onset jaw pain with exertion. The nurse practitioner should:
A. Recommend a dental referral
B. Treat as a possible anginal equivalent and initiate emergency protocol
C. Prescribe an analgesic
D. Reassess in 48 hours
ANSWER : B. Treat as a possible anginal equivalent and initiate
emergency protocol
12. Which cardiovascular risk factor is most accurately assessed via
telehealth without additional diagnostics?
A. LDL cholesterol level
B. Carotid intima-media thickness
C. Smoking history and pack-year calculation
D. Resting ECG findings
ANSWER : C. Smoking history and pack-year calculation
13. A patient uses a home blood pressure cuff. To ensure accuracy during
telehealth monitoring, the nurse practitioner should instruct the patient to:
NUR 6111 | Telehealth Cardiovascular Exam | Page 3 of 51
, A. Measure immediately after waking before eating or moving
B. Take the reading standing in the kitchen
C. Measure after 30 minutes of light exercise
D. Use the dominant arm consistently
ANSWER : A. Measure immediately after waking before eating or
moving
14. A telehealth patient with atrial fibrillation reports increased fatigue and
reduced exercise tolerance. Which intervention is most appropriate?
A. Recommend increased caffeine intake for energy
B. Adjust anticoagulation dose independently
C. Evaluate rate control and heart failure status
D. Discontinue beta-blocker therapy
ANSWER : C. Evaluate rate control and heart failure status
15. The nurse practitioner assesses a telehealth patient's jugular venous
pressure remotely by asking the patient to:
A. Perform the Valsalva maneuver on camera
B. Tilt the head back to expose the neck on video
C. Position themselves at 45 degrees with adequate lighting for neck vein
visualization
D. Palpate their own neck veins
ANSWER : C. Position themselves at 45 degrees with adequate
lighting for neck vein visualization
16. During telehealth, a patient reports that their prescribed beta-blocker
causes fatigue and cold extremities. The most appropriate response is:
A. Stop the medication immediately
B. Reassure the patient these are expected and non-concerning side
effects always
C. Assess severity, impact on adherence, and consider medication
adjustment
D. Double the dose to achieve therapeutic effect
ANSWER : C. Assess severity, impact on adherence, and consider
medication adjustment
NUR 6111 | Telehealth Cardiovascular Exam | Page 4 of 51
EXAMINATION LATEST VERSION 2026/2027 | 100% VERIFIED EXAM QUESTIONS &
CORRECT ANSWERS (PASS GUARANTEE
1. A telehealth patient reports palpitations and shortness of breath. Which
cardiovascular assessment finding would most warrant immediate in-person
evaluation?
A. Resting heart rate of 88 bpm
B. New-onset irregular rhythm with lightheadedness
C. Blood pressure of 130/82 mmHg
D. Mild bilateral ankle swelling
ANSWER : B. New-onset irregular rhythm with lightheadedness
2. During a telehealth cardiovascular assessment, the nurse practitioner asks
the patient to describe their chest pain. Which characteristic is most
indicative of unstable angina?
A. Sharp, reproducible with palpation
B. Burning pain relieved by antacids
C. Pressure at rest not relieved by nitroglycerin
D. Pleuritic pain worsening with deep inspiration
ANSWER : C. Pressure at rest not relieved by nitroglycerin
3. A patient on a telehealth visit reports new bilateral leg swelling and
orthopnea. Which condition does this presentation most suggest?
A. Deep vein thrombosis
B. Peripheral arterial disease
C. Decompensated heart failure
D. Hypoalbuminemia
ANSWER : C. Decompensated heart failure
4. When conducting a remote cardiovascular history, which question best
assesses functional capacity?
A. 'Do you take aspirin daily?'
NUR 6111 | Telehealth Cardiovascular Exam | Page 1 of 51
, B. 'Can you climb two flights of stairs without stopping?'
C. 'Do you have a family history of heart disease?'
D. 'What is your most recent cholesterol level?'
ANSWER : B. 'Can you climb two flights of stairs without stopping?'
5. A telehealth patient describes paroxysmal nocturnal dyspnea. This
symptom is most commonly associated with which condition?
A. Chronic obstructive pulmonary disease
B. Left ventricular heart failure
C. Pulmonary hypertension
D. Valvular stenosis
ANSWER : B. Left ventricular heart failure
6. During a telehealth visit, a patient reports syncope during exertion. Which
underlying cause is most concerning?
A. Vasovagal response
B. Hypovolemia
C. Hypertrophic obstructive cardiomyopathy
D. Anxiety disorder
ANSWER : C. Hypertrophic obstructive cardiomyopathy
7. A patient with hypertension presents via telehealth with a blood pressure
of 182/110 mmHg and a headache. What is the most appropriate next step?
A. Schedule a follow-up in two weeks
B. Add a second antihypertensive medication
C. Assess for end-organ damage symptoms and consider emergency
referral
D. Recommend lifestyle modification only
ANSWER : C. Assess for end-organ damage symptoms and consider
emergency referral
8. Which finding during a telehealth cardiovascular screening would indicate
the need for a 12-lead ECG?
A. Heart rate of 72 bpm
B. Patient-reported palpitations with near-syncope
C. Mild exertional dyspnea in a sedentary patient
D. Occasional skipped beats without symptoms
NUR 6111 | Telehealth Cardiovascular Exam | Page 2 of 51
, ANSWER : B. Patient-reported palpitations with near-syncope
9. A telehealth patient reports claudication. Which assessment question is
most pertinent?
A. 'Do you have difficulty breathing at night?'
B. 'At what walking distance does the pain begin?'
C. 'Do you have chest tightness with activity?'
D. 'Have you noticed swelling in your hands?'
ANSWER : B. 'At what walking distance does the pain begin?'
10. A patient describes their ankle swelling as worse at the end of the day
and relieved by elevation. This pattern is most consistent with:
A. Deep vein thrombosis
B. Lymphedema
C. Dependent edema from venous insufficiency
D. Right heart failure
ANSWER : C. Dependent edema from venous insufficiency
11. During a telehealth visit, a patient with known coronary artery disease
reports new-onset jaw pain with exertion. The nurse practitioner should:
A. Recommend a dental referral
B. Treat as a possible anginal equivalent and initiate emergency protocol
C. Prescribe an analgesic
D. Reassess in 48 hours
ANSWER : B. Treat as a possible anginal equivalent and initiate
emergency protocol
12. Which cardiovascular risk factor is most accurately assessed via
telehealth without additional diagnostics?
A. LDL cholesterol level
B. Carotid intima-media thickness
C. Smoking history and pack-year calculation
D. Resting ECG findings
ANSWER : C. Smoking history and pack-year calculation
13. A patient uses a home blood pressure cuff. To ensure accuracy during
telehealth monitoring, the nurse practitioner should instruct the patient to:
NUR 6111 | Telehealth Cardiovascular Exam | Page 3 of 51
, A. Measure immediately after waking before eating or moving
B. Take the reading standing in the kitchen
C. Measure after 30 minutes of light exercise
D. Use the dominant arm consistently
ANSWER : A. Measure immediately after waking before eating or
moving
14. A telehealth patient with atrial fibrillation reports increased fatigue and
reduced exercise tolerance. Which intervention is most appropriate?
A. Recommend increased caffeine intake for energy
B. Adjust anticoagulation dose independently
C. Evaluate rate control and heart failure status
D. Discontinue beta-blocker therapy
ANSWER : C. Evaluate rate control and heart failure status
15. The nurse practitioner assesses a telehealth patient's jugular venous
pressure remotely by asking the patient to:
A. Perform the Valsalva maneuver on camera
B. Tilt the head back to expose the neck on video
C. Position themselves at 45 degrees with adequate lighting for neck vein
visualization
D. Palpate their own neck veins
ANSWER : C. Position themselves at 45 degrees with adequate
lighting for neck vein visualization
16. During telehealth, a patient reports that their prescribed beta-blocker
causes fatigue and cold extremities. The most appropriate response is:
A. Stop the medication immediately
B. Reassure the patient these are expected and non-concerning side
effects always
C. Assess severity, impact on adherence, and consider medication
adjustment
D. Double the dose to achieve therapeutic effect
ANSWER : C. Assess severity, impact on adherence, and consider
medication adjustment
NUR 6111 | Telehealth Cardiovascular Exam | Page 4 of 51
