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100+ Free CNA Cardiovascular Nursing (CCN(C)) Practice Questions

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2026 Statistics

Key Facts: CNA Cardiovascular Nursing (CCN(C)) Exam

100

Practice Questions

OpenExamPrep

~165

Official MCQ Items

CNA CV Blueprint 2021

11

Competency Categories

CNA CV Blueprint 2021

15–20%

IHD & HF Each

CNA CV Blueprint 2021

$588/$780

Member/Non-member Fee

CNA Initial Exam Fees

5 years

Credential Renewal Cycle

CNA Certification Program

CCN(C) is CNA’s specialty certification for cardiovascular nurses. The official exam has about 165 MCQs weighted to eleven competency categories, with ischemic heart disease and heart failure each 15–20%. Application fees in 2026 are CAD $588 (member) or $780 (non-member) plus $85–$110 for exam delivery. This free bank provides 100 practice questions aligned to the published blueprint weights.

Sample CNA Cardiovascular Nursing (CCN(C)) Practice Questions

Try these sample questions to test your CNA Cardiovascular Nursing (CCN(C)) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A client with mixed dyslipidemia asks which lifestyle change most effectively lowers LDL cholesterol before medication titration. Which response is most accurate?
A.Adopt a dietary pattern low in saturated fat and rich in fibre
B.Eliminate all dietary cholesterol regardless of overall diet quality
C.Replace aerobic activity with resistance training only
D.Increase alcohol intake to raise HDL cholesterol
Explanation: Reducing saturated fat and increasing soluble fibre are foundational lifestyle strategies to lower LDL cholesterol in primary and secondary prevention. These changes support guideline-directed risk reduction alongside medication when indicated.
2Using the stages-of-change model, a client who says "I know smoking is bad for my heart, but I am not ready to quit yet" is best classified in which stage?
A.Precontemplation
B.Contemplation
C.Action
D.Maintenance
Explanation: Contemplation describes awareness of the problem without a firm commitment to change soon. The client recognizes smoking risk but is not yet ready to quit.
3Which intervention best supports secondary prevention after an uncomplicated ST-elevation myocardial infarction (STEMI)?
A.Delaying activity counselling until six months post-event
B.Discouraging family involvement in lifestyle education
C.Referral to a structured cardiac rehabilitation program
D.Stopping antiplatelet therapy once chest pain resolves
Explanation: Cardiac rehabilitation improves functional capacity, risk-factor control, and psychosocial outcomes after ACS. Early referral is a core secondary-prevention nursing action.
4A cardiovascular nurse working with an Indigenous client notes historical and ongoing mistrust of the health system. Which approach best aligns with culturally safe practice?
A.Assume all Indigenous clients prefer only traditional healers
B.Minimize discussion of past harms to avoid discomfort
C.Use a standardized script that ignores community-specific practices
D.Create a care environment where the client feels safe to access services and share concerns
Explanation: CNA cardiovascular competencies emphasize that Indigenous peoples will not access care when they feel unsafe. Culturally safe practice builds trust, respects Indigenous health knowledges, and reduces harm in the nurse–client relationship.
5Which finding is a non-modifiable cardiovascular risk factor that should still inform risk counselling?
A.First-degree relative with premature coronary disease
B.Current tobacco use
C.Sedentary lifestyle
D.Uncontrolled hypertension
Explanation: Family history of premature CAD is non-modifiable but shapes absolute risk estimation and intensity of prevention counselling. Tobacco, inactivity, and hypertension are modifiable.
6During cardiac rehab education, which teaching point best promotes self-management after ACS?
A.Avoid all physical activity for three months
B.Recognize warning symptoms and when to seek urgent care
C.Discontinue prescribed statin if muscle soreness occurs once
D.Measure blood pressure only during clinic visits
Explanation: Self-management includes recognizing ischemic or HF warning signs and knowing escalation pathways. Activity is progressed safely; medications and home monitoring are individualized with the care team.
7A client with obesity and type 2 diabetes asks how weight loss relates to cardiovascular risk. The best evidence-based response is that modest intentional weight loss can:
A.Eliminate the need for any lipid assessment
B.Replace guideline-directed medical therapy for known CAD
C.Improve blood pressure, glycemic control, and lipid profiles
D.Only help if BMI falls below 18.5
Explanation: Even modest weight loss can improve cardiometabolic risk factors including BP, glucose, and lipids. It complements—not replaces—guideline therapies and ongoing risk assessment.
8Which nursing action best addresses cumulative cardiovascular risk in a client with hypertension, diabetes, and ongoing smoking?
A.Focus only on the single highest laboratory abnormality
B.Defer smoking cessation until diabetes is perfectly controlled
C.Advise that risk factors act independently with no interaction
D.Prioritize concurrent risk-factor reduction with a staged, client-centred plan
Explanation: Modifiable risks have interdependent and cumulative effects. Cardiovascular nurses address multiple risks together using staged, collaborative plans rather than siloed or deferred counselling.
9A client with newly diagnosed heart failure reports insomnia, worry, and fear of sudden death. Which initial nursing response is most appropriate?
A.Acknowledge the emotional response and assess anxiety and coping needs
B.Reassure that psychosocial concerns are outside cardiovascular nursing scope
C.Recommend stopping all HF medications to reduce side-effect anxiety
D.Limit discussion to vital signs only
Explanation: Psychosocial assessment—including emotional response to illness—is a core CCN(C) competency. Validating distress and assessing coping guides supportive interventions and referrals.
10Which approach best supports shared decision-making for a client considering ICD implantation?
A.Present only the clinician’s preferred option to reduce confusion
B.Explain benefits, risks, and alternatives and elicit the client’s values and goals
C.Defer all discussion until after the device is implanted
D.Exclude family from discussions even if the client requests inclusion
Explanation: Shared decision-making requires balanced information and exploration of client values, goals, and preferences. Family may be included when the client wishes.

About the CNA Cardiovascular Nursing (CCN(C)) Exam

The CNA Cardiovascular Nursing Certification Exam awards the CCN(C) credential to experienced Canadian RNs and NPs practising cardiovascular nursing. The 2021 blueprint organizes competencies into eleven categories spanning prevention/rehab, psychosocial care, dysrhythmias, ischemic disease, valves, heart failure, vascular disease, inflammatory/infectious processes, cardiac surgery, percutaneous interventions, and cardiogenic shock. The exam is computer-based via remote ProctorU or selected Meazure Learning centres.

Assessment

Criterion-referenced specialty MCQ exam for cardiovascular nursing. Approximately 165 items across 11 competency categories. Cognitive mix: knowledge/comprehension 20–30%, application 35–45%, critical thinking 30–40%. Adult population focus (16 years and older).

Time Limit

Approximately 4 hours

Passing Score

Criterion-referenced pass/fail (CNA standard setting)

Exam Fee

CAD $588 member / $780 non-member + ProctorU $85 or in-person $110 (2026 CNA fee table); rewrite $378/$500 (Canadian Nurses Association (CNA))

CNA Cardiovascular Nursing (CCN(C)) Exam Content Outline

5-10%

Health Promotion, Prevention and Rehabilitation

Risk factors, lifestyle change, rehab, cultural safety, and self-management

5-10%

Psychosocial Needs

Coping, adherence, shared decisions, caregivers, palliative care, MAiD

10-15%

Cardiac Dysrhythmias

Assessment, ECG, electrolytes, ACLS rhythms, devices, ablation

15-20%

Ischemic Heart Disease

ACS, ECG/biomarkers, anti-ischemic care, complications, prevention

5-10%

Valvular Heart Disease

Assessment, echo, anticoagulation, endocarditis prevention

15-20%

Heart Failure

Congestion, GDMT, self-care, devices, palliative needs

5-15%

Vascular Diseases

PAD/VTE, ABI, aortic emergencies, ulcers, risk reduction

1-5%

Inflammatory/Infectious Heart Disease

Pericarditis, tamponade, myocarditis, endocarditis

5-10%

Cardiac Surgical Intervention

Pre/post CABG and valve surgery nursing care

5-10%

Percutaneous Cardiac Interventions

PCI prep/recovery, access sites, contrast, stents

1-5%

Cardiogenic Shock

Pump-failure shock recognition and support readiness

How to Pass the CNA Cardiovascular Nursing (CCN(C)) Exam

What You Need to Know

  • Passing score: Criterion-referenced pass/fail (CNA standard setting)
  • Assessment: Criterion-referenced specialty MCQ exam for cardiovascular nursing. Approximately 165 items across 11 competency categories. Cognitive mix: knowledge/comprehension 20–30%, application 35–45%, critical thinking 30–40%. Adult population focus (16 years and older).
  • Time limit: Approximately 4 hours
  • Exam fee: CAD $588 member / $780 non-member + ProctorU $85 or in-person $110 (2026 CNA fee table); rewrite $378/$500

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

CNA Cardiovascular Nursing (CCN(C)) Study Tips from Top Performers

1Weight study time to ischemic heart disease and heart failure (15–20% each on the blueprint)
2Practice both independent MCQs and short case vignettes (30–40% of the official exam is case-based)
3Review CCCN standards and current Canadian/international cardiovascular guidelines cited in your specialty practice
4Drill ACLS-critical rhythms, ACS pathways, HF self-care teaching, and peri-PCI/surgery complications
5Include psychosocial, cultural safety, and MAiD/palliative competencies—they are explicitly blueprinted
6Complete all 100 practice questions and remediate every miss before your testing window

Frequently Asked Questions

What is CCN(C)?

CCN(C) is Certified in Cardiovascular Nursing (Canada), the CNA specialty credential for experienced cardiovascular nurses who pass the CNA Cardiovascular Nursing Certification Exam.

How many questions are on the CNA cardiovascular certification exam?

The official 2021 CNA Cardiovascular Nursing Exam Blueprint specifies approximately 165 multiple-choice questions, with 60–70% independent items and 30–40% case-based.

What topics are weighted most heavily?

Ischemic heart disease and heart failure each account for about 15–20% of the exam. Cardiac dysrhythmias are about 10–15%, and vascular diseases about 5–15%.

How much does the CCN(C) exam cost in 2026?

CNA lists CAD $588 for members and $780 for non-members for the exam application fee, plus $85 for ProctorU online or $110 for in-person Meazure Learning. Rewrite fees are $378/$500.

Is the exam remote?

Yes. Candidates can write during a two-week remote ProctorU window or at selected in-person Meazure Learning centres in Canada.

How long is CCN(C) valid?

CNA specialty certification is typically renewed every 5 years by continuous learning hours or by exam.