BSN 445 Cardiovascular Therapeutic
Management Exam Questions and Answers
with Verified Solutions | Latest Updated 2026
Question 1 of 6 Clearing of crackles in lung bases
Which assessment change would MCS reduces pulmonary congestion,
the which would
nurse expect to see after initiation clear the crackles in the lung bases.
of
mechanical circulatory support
(MCS)?
Decrease in cardiac output from 8
L/min to 3 L/min
Increase in chest pain
Clearing of crackles in lung bases
Decrease in systolic blood
pressure
from 105 mm Hg to 95 mm Hg
Question 2 of 6
Match the mechanical circulatory
support device to the
corresponding
Central VA-ECMO
=CentriMag
Short-term left ventricle support
=Impella CP
Right ventricle support
=TandemHeart
Long-term left ventricle support
=HeartWare
,Question 3 of 6 Severe peripheral vascular disease
In which patient would treatment Contraindications to IABP therapy include
with intraaortic balloon pump severe
(IABP) peripheral vascular disease due to the
therapy be contraindicated? difficulty
History of right-sided heart failure with inserting and placing the IABP
Severe peripheral vascular through
disease vascular access.
Volume overload
Stage 3 acute kidney failure
Question 4 of 6 Flat mean arterial pressure curve
Which finding would the nurse Frequently, left ventricular contraction
expect when caring for a patient ceases
with when the TandemHeart is in place. This
a TandemHeart device? results in a
Flat mean arterial pressure curve flat mean arterial pressure curve.
Cyanosis and decreased oxygen
levels
Decreased urinary output
Numbness and tingling in the
extremities
Question 5 of 6 Muffled heart tones
Which assessment finding One complication of ECMO is cardiac
indicates a tamponade.
cardiac complication related to Cardiac tamponade causes muffled heart
extracorporeal membrane tones,
oxygenation (ECMO)? pulsus paradoxus, and jugular vein
Body aches distention.
Fever
Muffled heart tones
Deep vein thrombosis
,Question 6 of 6 Left atrium
Which location would the blood be The inlet cannulas are placed in the left
diverted from when a long-term atrium, and
ventricular assist device is in use? blood is diverted from the left atrium or
Right atrium apex to
Left ventricle the ventricular assist device.
Right ventricle
Left atrium
Question 1 of 3 Manual blood pressure cuff with a Doppler
The nurse is caring for a patient Manual blood pressure measurement with
with a
a continuous-flow ventricular Doppler to assess for Korotkoff sounds
assist would
device (VAD) in place and needs provide the most accurate assessment of
to mean
assess the patient's mean arterial arterial pressure.
pressure. Which technique would
provide the most accurate
measurement?
Automatic cuff placed on the
femoral artery
Manual blood pressure cuff with
stethoscope auscultation
Manual blood pressure cuff with a
Doppler
Automatic cuff placed on the
brachial artery
, Question 2 of 3 Bleeding
Which complication occurs most Bleeding is the most common complication
frequently with mechanical of MCS
circulatory support (MCS) device use because patients require
devices? anticoagulation to prevent
Valve damage thromboembolism from
Bleeding occurring.
Power failure
Sepsis
Question 3 of 3 Activity restrictions
Which element would the nurse It is important for the nurse to educate the
include in the education for a patient
patient on activity restrictions that should be
who is being discharged with a followed
ventricular assist device (VAD)? while receiving VAD therapy.
Select all that apply. One, some, Symptoms to report to the health care
or professional
all responses may be correct. The patient should receive education on
Activity restrictions symptoms
Information about the critical care to report to the health care professional
environment and signs
Symptoms to report to the health of potential complications.
care professional How the VAD works
How the VAD works Patients should be able to teach-back how
Signs of power failure their
specific VAD works and ways to manage
the VAD
at home.
Signs of power failure
Power failure is a complication that can
occur, and
patients should be able to teach-back
signs of
power failure and actions to take.
Management Exam Questions and Answers
with Verified Solutions | Latest Updated 2026
Question 1 of 6 Clearing of crackles in lung bases
Which assessment change would MCS reduces pulmonary congestion,
the which would
nurse expect to see after initiation clear the crackles in the lung bases.
of
mechanical circulatory support
(MCS)?
Decrease in cardiac output from 8
L/min to 3 L/min
Increase in chest pain
Clearing of crackles in lung bases
Decrease in systolic blood
pressure
from 105 mm Hg to 95 mm Hg
Question 2 of 6
Match the mechanical circulatory
support device to the
corresponding
Central VA-ECMO
=CentriMag
Short-term left ventricle support
=Impella CP
Right ventricle support
=TandemHeart
Long-term left ventricle support
=HeartWare
,Question 3 of 6 Severe peripheral vascular disease
In which patient would treatment Contraindications to IABP therapy include
with intraaortic balloon pump severe
(IABP) peripheral vascular disease due to the
therapy be contraindicated? difficulty
History of right-sided heart failure with inserting and placing the IABP
Severe peripheral vascular through
disease vascular access.
Volume overload
Stage 3 acute kidney failure
Question 4 of 6 Flat mean arterial pressure curve
Which finding would the nurse Frequently, left ventricular contraction
expect when caring for a patient ceases
with when the TandemHeart is in place. This
a TandemHeart device? results in a
Flat mean arterial pressure curve flat mean arterial pressure curve.
Cyanosis and decreased oxygen
levels
Decreased urinary output
Numbness and tingling in the
extremities
Question 5 of 6 Muffled heart tones
Which assessment finding One complication of ECMO is cardiac
indicates a tamponade.
cardiac complication related to Cardiac tamponade causes muffled heart
extracorporeal membrane tones,
oxygenation (ECMO)? pulsus paradoxus, and jugular vein
Body aches distention.
Fever
Muffled heart tones
Deep vein thrombosis
,Question 6 of 6 Left atrium
Which location would the blood be The inlet cannulas are placed in the left
diverted from when a long-term atrium, and
ventricular assist device is in use? blood is diverted from the left atrium or
Right atrium apex to
Left ventricle the ventricular assist device.
Right ventricle
Left atrium
Question 1 of 3 Manual blood pressure cuff with a Doppler
The nurse is caring for a patient Manual blood pressure measurement with
with a
a continuous-flow ventricular Doppler to assess for Korotkoff sounds
assist would
device (VAD) in place and needs provide the most accurate assessment of
to mean
assess the patient's mean arterial arterial pressure.
pressure. Which technique would
provide the most accurate
measurement?
Automatic cuff placed on the
femoral artery
Manual blood pressure cuff with
stethoscope auscultation
Manual blood pressure cuff with a
Doppler
Automatic cuff placed on the
brachial artery
, Question 2 of 3 Bleeding
Which complication occurs most Bleeding is the most common complication
frequently with mechanical of MCS
circulatory support (MCS) device use because patients require
devices? anticoagulation to prevent
Valve damage thromboembolism from
Bleeding occurring.
Power failure
Sepsis
Question 3 of 3 Activity restrictions
Which element would the nurse It is important for the nurse to educate the
include in the education for a patient
patient on activity restrictions that should be
who is being discharged with a followed
ventricular assist device (VAD)? while receiving VAD therapy.
Select all that apply. One, some, Symptoms to report to the health care
or professional
all responses may be correct. The patient should receive education on
Activity restrictions symptoms
Information about the critical care to report to the health care professional
environment and signs
Symptoms to report to the health of potential complications.
care professional How the VAD works
How the VAD works Patients should be able to teach-back how
Signs of power failure their
specific VAD works and ways to manage
the VAD
at home.
Signs of power failure
Power failure is a complication that can
occur, and
patients should be able to teach-back
signs of
power failure and actions to take.
