Cardiac-Vascular Nursing (CVRN) Practice Exam

During a patient assessment, where should the cardiac-vascular nurse document a positive calcium score from a computed tomography scan?

1. Past medical history

2. Personal/social history

3. Presenting problem

4. Review of symptoms

The correct answer is: Presenting problem

The documentation of a positive calcium score from a computed tomography scan is best placed under the presenting problem. This section is dedicated to outlining the current issues or findings that warrant the patient's medical attention. A positive calcium score indicates coronary artery disease and is a significant finding that can influence the patient's management plan, symptoms, or treatment options. While past medical history might detail the patient's history of cardiovascular issues, a current finding like a calcium score directly pertains to the immediate clinical context and decision-making. Personal or social history focuses more on lifestyle factors rather than specific medical findings. Meanwhile, the review of systems typically addresses symptoms experienced by the patient rather than diagnostic imaging results. Therefore, documenting the calcium score under the presenting problem allows for clarity and direct relevance to the patient’s current health status.