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Free Practice Questions for CV-BC

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Sample CV-BC Practice Questions

Try these sample questions to review concepts for the CV-BC exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 145+ question experience with AI tutoring.

1A patient with chronic heart failure is prescribed digoxin. Which of the following electrolyte imbalances increases the risk of digoxin toxicity?
A.Hyperkalemia
B.Hypokalemia
C.Hypercalcemia
D.Hypocalcemia
Explanation: Hypokalemia (low potassium) is a major risk factor for digoxin toxicity because it enhances the drug's effects on the myocardium. This can lead to dangerous arrhythmias. Nurses should monitor potassium levels closely in patients taking digoxin.
2A patient is admitted with a diagnosis of deep vein thrombosis (DVT). Which of the following is the most appropriate initial intervention?
A.Administering a bolus of heparin
B.Applying warm compresses to the affected leg
C.Encouraging the patient to ambulate
D.Preparing the patient for surgery
Explanation: The initial intervention for DVT is to administer a bolus of heparin to prevent further clot formation. Ambulation is contraindicated as it can dislodge the clot. Warm compresses can help with comfort but are not the priority. Surgery is not the first-line treatment.
3A patient with atrial fibrillation is at high risk for which of the following complications?
A.Hemorrhagic stroke
B.Ischemic stroke
C.Myocardial infarction
D.Ventricular tachycardia
Explanation: Atrial fibrillation causes the atria to quiver, leading to blood stasis and clot formation. These clots can travel to the brain and cause an ischemic stroke. Anticoagulation therapy is crucial for these patients.
4A patient with a history of hypertension is prescribed a thiazide diuretic. Which of the following should the nurse monitor for?
A.Hyperkalemia
B.Hypokalemia
C.Hyperglycemia
D.Hypoglycemia
Explanation: Thiazide diuretics can cause potassium wasting, leading to hypokalemia. Nurses should monitor potassium levels and encourage patients to eat potassium-rich foods.
5A patient is scheduled for a coronary artery bypass graft (CABG) surgery. Which of the following is a key component of preoperative teaching?
A.Informing the patient that they will be on a ventilator for several days
B.Teaching the patient how to use an incentive spirometer
C.Discussing the importance of a low-fat diet
D.Explaining that they will be able to drive home after the surgery
Explanation: Teaching the patient how to use an incentive spirometer is crucial to prevent postoperative pulmonary complications such as atelectasis and pneumonia. While the patient will be on a ventilator, it's typically for a shorter period. A low-fat diet is important long-term, but not the immediate priority. Driving is not permitted immediately after surgery.
6A patient with a history of mitral valve stenosis is at risk for which of the following?
A.Right-sided heart failure
B.Left-sided heart failure
C.Aortic regurgitation
D.Pulmonary hypertension
Explanation: Mitral valve stenosis obstructs blood flow from the left atrium to the left ventricle, causing increased pressure in the left atrium and pulmonary vasculature. This can lead to pulmonary hypertension.
7A patient is recovering from a myocardial infarction. Which of the following is an important component of a cardiac rehabilitation program?
A.A gradually progressing, individually prescribed exercise regimen
B.Education on a low-sodium, heart-healthy diet
C.Stress management and psychosocial counseling
D.All of the above
Explanation: Cardiac rehabilitation is a comprehensive, multidisciplinary program that includes a gradually progressing, individually prescribed exercise regimen, education on a heart-healthy low-sodium diet, and stress management or psychosocial counseling. High-intensity exercise is avoided early after an MI; exercise is advanced gradually per a monitored, individualized plan.
8A patient is diagnosed with peripheral artery disease (PAD). Which of the following is a classic symptom?
A.Intermittent claudication
B.Pitting edema
C.Varicose veins
D.Stasis dermatitis
Explanation: Intermittent claudication, or pain in the legs with activity that is relieved by rest, is the classic symptom of PAD. Pitting edema, varicose veins, and stasis dermatitis are more commonly associated with venous insufficiency.
9A patient is taking an ACE inhibitor. Which of the following side effects should the nurse monitor for?
A.A persistent, dry cough
B.Tachycardia
C.Hypertension
D.Fluid retention
Explanation: A persistent, dry cough is a common side effect of ACE inhibitors. If it becomes bothersome, the patient may be switched to an angiotensin II receptor blocker (ARB).
10A patient has a new prescription for sublingual nitroglycerin. Which of the following instructions should the nurse provide?
A.Take one tablet every 5 minutes for up to 3 doses for chest pain.
B.Swallow the tablet whole with a glass of water.
C.Store the tablets in a brightly lit, warm place.
D.Take the tablet with food to prevent an upset stomach.
Explanation: For acute angina, the patient should take one sublingual nitroglycerin tablet every 5 minutes for up to 3 doses. If chest pain persists, they should call 911. The tablet should be placed under the tongue and allowed to dissolve. It should not be swallowed. The tablets should be stored in a cool, dark place.

About the CV-BC Exam

The ANCC CV-BC certification validates specialized knowledge and clinical judgment in cardiac-vascular nursing, covering assessment, evidence-based pharmacological and interventional therapies, complication evaluation, and patient/community education.

Exam sponsor: American Nurses Credentialing Center (ANCC). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

150 questions

Time Limit

3 hours

Passing Score

350 scaled score (range 0–500)

Exam / Certification Fees

$395 ($295 ANA members; $340 SVN or PCNA members)

Exam sponsor website

Reported exam pass rate: 67% (2025, first-time). ANCC 2025 certification data: 1,120 tested, 754 passed (67%) This describes exam candidates, not OpenExamPrep users or results from using our resources. Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

22%

Assessment and Diagnosis

Cardiovascular anatomy, pathophysiology, physical assessment, diagnostic testing, and cardiac rhythm interpretation.

35%

Planning and Implementation

Evidence-based practice guidelines, invasive/surgical procedures, cardiovascular pharmacology, and clinical risk reduction.

18%

Evaluation and Modification

Expected outcomes, cardiovascular drug interactions, adverse events, and urgent/emergent crisis management.

25%

Patient and Community Education

Cardiovascular risk factors, chronic disease self-management, health literacy, and community resources.

Preparing for the CV-BC Exam

What You Need to Know

  • Passing score: 350 scaled score (range 0–500)
  • Exam length: 150 questions
  • Time limit: 3 hours
  • Exam / certification fees: $395 ($295 ANA members; $340 SVN or PCNA members) Official sources

Using Our Practice Resources

  • Work through all 145 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Frequently Asked Questions

How hard is the ANCC CV-BC exam?

The CV-BC is considered an advanced specialty certification. It tests broad cardiac-vascular knowledge including assessment, hemodynamics, pharmacology, device management, and patient education. ANCC's 2025 Certification Data reports a 67% first-time pass rate for Cardiac-Vascular Nursing (1,120 tested, 754 passed).

How many questions are on the CV-BC exam?

The CV-BC exam has 150 multiple-choice questions, of which 125 are scored and 25 are unscored pretest items. You are given 3 hours to complete the examination.

What score do I need to pass the CV-BC exam?

The ANCC uses a scaled pass/fail scoring model rather than a fixed percentage. A scaled score of 350 out of 500 is required to pass. ANCC does not publish a specific percentage cutoff.

How long should I study for the CV-BC exam?

Most candidates study for 3-6 months (100-140 hours) depending on clinical experience. Focus on Planning and Implementation (35%) and Patient and Community Education (25%), which together make up 60% of the scored exam, alongside Assessment and Diagnosis (22%) and Evaluation and Modification (18%).

What is the CV-BC exam fee and what are the eligibility requirements?

The CV-BC exam fee is $395 for non-members, $295 for ANA members, and $340 for Society for Vascular Nursing (SVN) or Preventive Cardiovascular Nurses Association (PCNA) members; every price includes a $140 non-refundable administrative fee. Eligibility requires a current active RN license, 2 years of full-time RN experience, 2,000 hours of clinical practice in cardiac-vascular nursing within the last 3 years, and 30 hours of continuing education in the specialty within the last 3 years.