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. Author manuscript; available in PMC: 2015 May 1.
Published in final edited form as: J Cardiovasc Nurs. 2014 May-Jun;29(3):242–256. doi: 10.1097/JCN.0b013e31828f0d01

Table 2.

# Test Item Expert
Mean
Agreement
1 A term that is used to describe blood pressure higher than normal is: 84.3
  a. Hyperactive   b. Hypertension   c. Vasoconstriction   d. Hypotension   e. I don’t know
2 A bad form of cholesterol is: 91.8
  a. HDL (High Density Lipoprotein)   b. Hbg (Hemoglobin)   c. LDL (Low Density Lipoprotein)   d. CPK (Phosphokinase)   e. I don’t know
3 The best way to measure if you are working hard enough during exercise is to: 95.4
  a. Count the minutes of each exercise session   b. Count your pulse rate during exercise   c. Count the settings on the exercise equipment   d. Count your breathing rate during exercise   e. I don’t know
4 High amounts of Bad Cholesterol may lead to heart problems by blocking: 82.9
  a. Heart valves   b. Heart arteries   c. Heart electricity   d. Heart chambers   e. I don’t know
5 Each heart healthy exercise conditioning session should be not less than 88.6
  a. 15 minutes   b. 30 minutes   c. 60 minutes   d. 90 minutes   e. I don’t know
6 If you feel lightheaded during or after exercise, the best thing to do is: 91.4
  a. Continue to exercise   b. Monitor your pulse   c. Breath rapidly & deeply   d. Sit or lie down   e. I don’t know
7 The food item we eat or drink that most directly effects blood pressure is: 81.6
  a. Fat   b. Salt   c. Water   d. Sweets   e. I don’t know
8 The two best ways to decrease bad cholesterol is by: 86.9
  a. Exercise & medication   b. Cardiac cath & medication   c. Diet & medication   d. Chelation & angiograms   e. I don’t know
9 People who have had heart problems due to blocked arteries should keep their triglyceride levels less than 87.0
  a. 150 mg/dL   b. 200 mg/dL   c. 250 mg/dL   d. 200 mg/dL   e. I don’t know
10 The amount of sodium (salt) in the daily diet should be less than: 91.1
  a. 3,400 mg.   b. 1,500 mg.   c. 400 mg   d. 3,000 mg   e. I don’t know
11 To gain the most benefit from a heart healthy exercise program you should exercise at least: 90.6
  a. Once each week   b. Twice per week   c. Three times per week   d. Seven times per week   e. I don’t know
12 The type of cholesterol that is good and acts to remove harmful cholesterol from the body is: 90.6
  a. HDL (High Density Lipoprotein)   b. Hbg (Hemoglobin)   c. LDL (Low Density Lipoprotien)   d. VLDL   e. I don’t know
13 The best exercise for loosing body fat around the waist is: 82.1
  a. Leg lifts   b. Sit-ups   c. Crunches   d. Walking   e. I don’t know
14 Choose the food below this is most likely to increase triglyceride levels: 81.7
  a. Fried Foods   b. Sweets   c. Red Meat   d. Eggs   e. I don’t know
15 All of the below may help reduce high blood pressure except 83.6
  a. Weight lifting & resistance exercises   b. Body weight reduction   c. Aerobic “cardio” exercises   d. Stop smoking   e. I don’t know
16 The ideal goal for people who have had heart problems due to blocked arteries is to keep their LDL cholesterol less than: 87.9
  a. 50 mg/dL   b. 70 mg/dL   c. 150 mg/dL   d. 200mg/dL   e. I don’t know
17 High resting blood pressure levels increase the risk of all the below except: 86.9
  a. Stroke   b. High cholesterol   c. Heart attack   d. Diseased arteries   e. I don’t know
18 The type of food that is most likely to increase LDL cholesterol is: 88.6
  a. Fried Foods   b. Sweets   c. Pasta   d. Eggs   e. I don’t know
19 If you feel you are having side effects from your blood pressure medication you should: 87.7
  a. Decrease the dose   b. Call your physician   c. Ignore the symptoms   d. Stop taking the medication   e. I don’t know
20 All of the below choices are types of heart healthy exercises except 83.9
  a. Walking   b. Weight lifting   c. Swimming   d. Cycling   e. I don’t know
21 The health practice that is most effective in increasing (HDL) cholesterol is: 88.3
  a. Low fat diet   b. Exercise   c. Stress reduction   d. Weight reduction diet   e. I don’t know
22 When should you plan and begin a home or community based exercise program. 92.1
  a. During the Cardiac Rehab program   b. During the last session of Cardiac Rehab   c. Immediately after the Cardiac Rehab program   d. Two weeks after completing Cardiac Rehab   e. I don’t know
23 People who have had heart problems due to blocked blood vessels in the heart also are at a higher risk for stroke because: 90.7
  a. Most strokes are caused by weakened blood vessels   b. Most strokes are caused by blood thinners   c. Most strokes are caused by blocked vessels in the brain   d. Most stroke are caused by heart attacks   e. I don’t know
24 If you have chest pain that is caused by movement of or pressing on the painful area it is likely that the pain is: 86.4
  a. Heart related   b. Muscle or bone related   c. Breathing related   d. Stomach related   e. I don’t know
25 If you become short of breath when lying down or during rest it is most likely due to fluid build-up in the lungs caused by: 86.7
  a. Bronchial congestion   b. Emphysema   c. Exertion   d. Heart failure   e. I don’t know
26 The best drink to replace fluid lost when exercising in warm conditions is: 92.1
  a. Water   b. Sports drinks   c. Fruit Juice   d. Diet soda   e. I don’t know
27 The following are all controllable (modifiable) risk factors for heart disease except 90.0
  a. High cholesterol   b. High blood pressure   c. Family History   d. Smoking   e. I don’t know
28 The job of the coronary arteries is to: 90.7
  a. Supply the lungs with blood   b. Take blood away from the heart   c. Supply the heart muscle with blood   d. Deliver blood to the brain   e. I don’t know
29 It is possible to prevent Type II (adult onset) diabetes. 85.7
  a. True   b. False   c. I don’t know
30 The most effective method for you to evaluate heart failure is: 87.1
  a. Periodic checks with your doctor   b. Weighing yourself at the same time each day   c. Measure the amount of salt you eat each week.   D. Measure the amount of water you drink each day   e. I don’t know
31 A person may be having the signs and symptoms of heart failure if: 92.9
  a. They wake up from sleep with sever air hunger   b. They notice that they become short of breath when doing their normal daily activities   c. They notice, the first thing in the morning, that they have ½ inch pitted swelling around both ankles   d. All of the above may be signs of heart failure.   e. I don’t know
a

During the time period 2002–2011, two alterations have occurred to reflect changes in national guidelines. Item #10, correct response: Sodium 2400mg –changed to- 1500mg/day; and item #16, correct response: LDL cholesterol <100mg/dL- changed to- <70mg/dL. These changes did not affect response sequence or alter the substantive context of the correct answer or item distracters.]