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TEST BANK
GUIDELINES IN PRIMARY CARE, 4TH EDITION
Amelie Hollier




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Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
Table of Contents
Chapter 1: Cardiovascular Disorders
Chapter 2: Dermatologic Disorders
Chapter 3: Ear Nose & Throat Disorders
Chapter 4: Endocrine Disorders
Chapter 5: Gastrointestinal Disorders
Chapter 6: Genetic Disorders
Chapter 7: Health Promotion - Pediatric
Chapter 8: Hematologic Disorders
Chapter 9: Lactation and Breastfeeding
Chapter 10: Men’s Health Disorders
Chapter 11: Neurologic Disorders
Chapter 12: Ophthalmic Disorders
Chapter 13: Orthopedic Disorders
Chapter 14: Pregnancy
Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
Chapter 16: Pulmonary Disorders
Chapter 17: Sexually Transmitted Diseases
Chapter 18: Urologic Disorders
Chapter 19: Women’s Health Disorders




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Chapter nm1: nmCardiovascular nmDisorders
Clinical nmGuidelines nmin nmPrimary nmCare nm4th nmEdition nmTest nmbank


MULTIPLE nmCHOICE
1. The nmnurse nmis nmaware nmthat nmthe nmmuscle nmlayer nmof nmthe nmheart, nmwhich nmis
nmresponsible nmfor nmthe nmhearts nmcontraction, nmis nmthe:


a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.

ANS: nmD
The nmmyocardium nmis nmthe nmspecialized nmmuscle nmlayer nmthat nmallows nmthe nmheart nmto nmcontract.
2. The nmnurse nmclarifies nmthat nmthe nmmaster nmpacemaker nmof nmthe nmheart nmis nmthe:

a. left nmventricle.
b. atrioventricular nm(AV) nmnode.
c. sinoatrial nm(SA) nmnode.
d. bundle nmof nmHis.

ANS: nmC
The nmSA nmnode nmis nmthe nmmaster nmpacemaker nmof nmthe nmheart.
3. The nmnurse nmis nmaware nmthat nmthe nmsymptoms nmof nman nmimpending nmmyocardial
nminfarction nm(MI) nmdiffer nmin nmwomen nmbecause nmacute nmchest nmpain nmis nm not
nmpresent. nmWomen nmare nmfrequently nmmisdiagnosed nmas nmhaving:


a. hepatitis nmA.
b. indigestion.
c. urinary nminfection.
d. menopausal nmcomplications.




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ANS: nmB
Indigestion, nmgallbladder nmattack, nmanxiety nmattack, nmand nmdepression nmare nmfrequent
nmmisdiagnoses nmfor nmwomen nmhaving nman nmMI.

4. The nmnurse nmidentifies nmthe nmLUBB nmsound nmof nmthe nmLUBB/DUBB nmof nmthe
nmcardiac nmcycle nmas nmthe nmsound nmof nmthe:


a. AV nmvalves nmclosing.
b. closure nmof nmthe nmsemilunar nmvalves.
c. contraction nmof nmthe nmpapillary nmmuscles.
d. contraction nmof nmthe nmventricles.

ANS: nmA
The nmLUBB nmis nmthe nmfirst nmsound nmof nma nmlow nmpitch nmheard nmwhen nmthe nmAV nmvalves nmclose.
5. A nmpatient nmis nmadmitted nmfrom nmthe nmemergency nmdepartment. nmThe nmemergency
nmdepartment nmphysician nmnotes nmthe nmpatient nmhas nma nmdiagnosis nmof nmheart nmfailure
nmwith nma nmNew nmYork nmHeart nmAssociation nm(NYHA) nmclassification nmof nmIV. nmThis
nmindicates nmthe nmpatients nmcondition nmas:


a. moderate nmheart nmfailure.
b. severe nmheart nmfailure.
c. congestive nmheart nmfailure.
d. negligible nmheart nmfailure.

ANS: nmB
Class nmIV: nmSevere; nmpatient nmunable nmto nmperform nmany nmphysical nmactivity nmwithout
nmdiscomfort. nmAngina nmor nmsymptoms nmof nmcardiac nminefficiency nmmay nmdevelop nmat
nmrest.

6. The nmnurse nmassesses nmthat nmthe nmhome nmhealth nmpatient nmhas nmno nmsigns nmor
nmsymptoms nmof nmheart nmfailure, nmbut nmdoes nmhave nma nmhistory nmof nmrheumatic nmfever
nmand nmhas nmbeen nmrecently nmdiagnosed nmwith nmdiabetes nmmellitus. nmThe nmnurse nmis
nmaware nmthat nmusing nmthe nmAmerican nmCollege nmof nmCardiology nmand nmthe
nmAmerican nmHeart nmAssociation nm(ACC/AHA) nmstaging, nmthis nmpatient nmwould nmbe
nma:


a. stage nmA.
b. stage nmB.
c. stage nmC.
d. stage nmD.

ANS: nmA
The nmACC/AHA nmstaging nmdescribes nmstage nmA nmas nma nmperson nmwithout nmsymptoms
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