TESTBANK
GUIDELINES IN PRIMARY CARE, 4TH EDITION
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Amelie Hollier
l 7
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
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Table of Contents
l 7 l 7
Chapter 1: Cardiovascular Disorders
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Chapter 2: Dermatologic Disorders
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Chapter 3: Ear Nose & Throat Disorders
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Chapter 4: Endocrine Disorders
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Chapter 5: Gastrointestinal Disorders
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Chapter 6: Genetic Disorders
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Chapter 7: Health Promotion - Pediatric
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Chapter 8: Hematologic Disorders
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Chapter 9: Lactation and Breastfeeding
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Chapter 10: Men’s Health Disorders
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Chapter 11: Neurologic Disorders
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Chapter 12: Ophthalmic Disorders
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Chapter 13: Orthopedic Disorders
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Chapter 14: Pregnancy
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Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
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Chapter 16: Pulmonary Disorders
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Chapter 17: Sexually Transmitted Diseases
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Chapter 18: Urologic Disorders
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Chapter 19: Women’s Health Disorders
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,Chapter 1: Cardiovascular Disorders
l 7 l 7 l 7
Clinical Guidelines in Primary Care 4th Edition Test bank
l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7
MULTIPLE CHOICE l 7
1. The nurse is aware that the muscle layer of the heart, which is responsible
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for the heartscontraction, is the:
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a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D l7
The myocardium is the specialized muscle layer that allows the heart to
l7 l7 l7 l7 l7 l7 l7 l7 l7 l7 l7
l 7 contract.2.The nurse clarifies that the master pacemaker of the heart is the:
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a. left ventricle. l7
b. atrioventricular (AV) node. l7 l7
c. sinoatrial (SA) node. l7 l7
d. bundle of His. l 7 l7
ANS: C l7
The SA node is the master pacemaker of the heart.
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3. The nurse is aware that the symptoms of an impending myocardial infarction
l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7
(MI) differ in women because acute chest pain is not present. Women are frequently
l 7 l 7 l7 l 7 l7 l 7 l 7 l7 l 7 l 7 l7 l7 l7 l7
misdiagnosed as having:
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a. hepatitis A. l7
b. indigestion.
c. urinary infection. l7
d. menopausal complications. l7
, ANS: B l7
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses
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forwomen having an MI.
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4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as
l 7 l 7 l 7 l7 l7 l 7 l7 l7 l 7 l7 l 7 l7 l7
l 7 the sound ofthe:
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a. AV valves closing.
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b. closure of the semilunar valves. l 7 l7 l7 l 7
c. contraction of the papillary muscles. l 7 l7 l7 l7
d. contraction of the ventricles. l7 l7 l 7
ANS: A l 7
The LUBB is the first sound of a low pitch heard when the AV valves close.
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5. A patient is admitted from the emergency department. The emergency
l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7
l 7 department physician notes the patient has a diagnosis of heart failure with a New York
l7 l7 l7 l7 l7 l7 l7 l7 l7 l7 l7 l7 l7 l7
l7 Heart Association (NYHA)classification of IV. This indicates the patients condition
l7 l 7 l 7 l 7 l 7 l 7 l 7 l7 l 7
l7 as:
a. moderate heart failure. l7 l7
b. severe heart failure. l7 l7
c. congestive heart failure. l7 l7
d. negligible heart failure. l7 l7
ANS: B l7
Class IV: Severe; patient unable to perform any physical activity without discomfort.
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Angina orsymptoms of cardiac inefficiency may develop at rest.
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6. The nurse assesses that the home health patient has no signs or symptoms of
l 7 l7 l 7 l 7 l 7 l 7 l7 l 7 l 7 l7 l 7 l 7 l 7
l 7 heart failure, butdoes have a history of rheumatic fever and has been recently
l7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7
l 7 diagnosed with diabetes mellitus.The nurse is aware that using the American
l 7 l7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7
l 7 College of Cardiology and the American Heart Association (ACC/AHA) staging,
l 7 l 7 l 7 l7 l 7 l 7 l 7 l 7 l 7
l 7 this patient would be a:
l 7 l 7 l 7 l 7
a. stage A. l7
b. stage B. l7
c. stage C. l7
d. stage D. l7
ANS: A l 7
The ACC/AHA staging describes stage A as a person without symptoms of heart failure,
l7 l7 l7 l 7 l7 l7 l 7 l7 l7 l7 l 7 l7 l 7
butwith primary conditions associated with the development of the disease.
l7 l7 l7 l 7 l 7 l7 l 7 l 7 l7 l 7
GUIDELINES IN PRIMARY CARE, 4TH EDITION
l7 l7 l7 l7 l7
Amelie Hollier
l 7
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7
Table of Contents
l 7 l 7
Chapter 1: Cardiovascular Disorders
l7 l 7 l 7
Chapter 2: Dermatologic Disorders
l7 l7 l 7
Chapter 3: Ear Nose & Throat Disorders
l7 l 7 l 7 l7 l 7 l 7
Chapter 4: Endocrine Disorders
l7 l 7 l 7
Chapter 5: Gastrointestinal Disorders
l7 l 7 l 7
Chapter 6: Genetic Disorders
l7 l 7 l 7
Chapter 7: Health Promotion - Pediatric
l7 l 7 l 7 l 7 l 7
Chapter 8: Hematologic Disorders
l7 l 7 l 7
Chapter 9: Lactation and Breastfeeding
l7 l 7 l 7 l 7
Chapter 10: Men’s Health Disorders
l7 l7 l7 l 7
Chapter 11: Neurologic Disorders
l7 l 7 l 7
Chapter 12: Ophthalmic Disorders
l7 l 7 l 7
Chapter 13: Orthopedic Disorders
l7 l 7 l 7
Chapter 14: Pregnancy
l7 l 7
Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
l7 l 7 l 7 l 7 l 7 l 7
Chapter 16: Pulmonary Disorders
l7 l 7 l7
Chapter 17: Sexually Transmitted Diseases
l7 l 7 l7 l 7
Chapter 18: Urologic Disorders
l7 l 7 l 7
Chapter 19: Women’s Health Disorders
l7 l7 l 7 l 7
,Chapter 1: Cardiovascular Disorders
l 7 l 7 l 7
Clinical Guidelines in Primary Care 4th Edition Test bank
l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7
MULTIPLE CHOICE l 7
1. The nurse is aware that the muscle layer of the heart, which is responsible
l7 l7 l7 l 7 l7 l7 l 7 l 7 l7 l 7 l7 l 7 l7
for the heartscontraction, is the:
l 7 l7 l7 l7 l7
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D l7
The myocardium is the specialized muscle layer that allows the heart to
l7 l7 l7 l7 l7 l7 l7 l7 l7 l7 l7
l 7 contract.2.The nurse clarifies that the master pacemaker of the heart is the:
l 7 l7 l 7 l 7 l7 l7 l 7 l7 l7 l 7 l 7
a. left ventricle. l7
b. atrioventricular (AV) node. l7 l7
c. sinoatrial (SA) node. l7 l7
d. bundle of His. l 7 l7
ANS: C l7
The SA node is the master pacemaker of the heart.
l7 l 7 l 7 l 7 l7 l 7 l 7 l7 l 7
3. The nurse is aware that the symptoms of an impending myocardial infarction
l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7
(MI) differ in women because acute chest pain is not present. Women are frequently
l 7 l 7 l7 l 7 l7 l 7 l 7 l7 l 7 l 7 l7 l7 l7 l7
misdiagnosed as having:
l7 l 7 l7
a. hepatitis A. l7
b. indigestion.
c. urinary infection. l7
d. menopausal complications. l7
, ANS: B l7
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses
l7 l7 l7 l7 l7 l7 l7 l7 l7
forwomen having an MI.
l7 l7 l7 l7
4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as
l 7 l 7 l 7 l7 l7 l 7 l7 l7 l 7 l7 l 7 l7 l7
l 7 the sound ofthe:
l7 l 7
a. AV valves closing.
l7 l7
b. closure of the semilunar valves. l 7 l7 l7 l 7
c. contraction of the papillary muscles. l 7 l7 l7 l7
d. contraction of the ventricles. l7 l7 l 7
ANS: A l 7
The LUBB is the first sound of a low pitch heard when the AV valves close.
l7 l 7 l7 l 7 l7 l 7 l7 l7 l 7 l 7 l 7 l7 l 7 l7 l 7
5. A patient is admitted from the emergency department. The emergency
l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7
l 7 department physician notes the patient has a diagnosis of heart failure with a New York
l7 l7 l7 l7 l7 l7 l7 l7 l7 l7 l7 l7 l7 l7
l7 Heart Association (NYHA)classification of IV. This indicates the patients condition
l7 l 7 l 7 l 7 l 7 l 7 l 7 l7 l 7
l7 as:
a. moderate heart failure. l7 l7
b. severe heart failure. l7 l7
c. congestive heart failure. l7 l7
d. negligible heart failure. l7 l7
ANS: B l7
Class IV: Severe; patient unable to perform any physical activity without discomfort.
l7 l7 l7 l7 l7 l7 l7 l7 l 7 l7 l7
Angina orsymptoms of cardiac inefficiency may develop at rest.
l7 l 7 l 7 l 7 l 7 l7 l7 l 7 l7
6. The nurse assesses that the home health patient has no signs or symptoms of
l 7 l7 l 7 l 7 l 7 l 7 l7 l 7 l 7 l7 l 7 l 7 l 7
l 7 heart failure, butdoes have a history of rheumatic fever and has been recently
l7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7
l 7 diagnosed with diabetes mellitus.The nurse is aware that using the American
l 7 l7 l 7 l 7 l 7 l 7 l 7 l 7 l 7 l 7
l 7 College of Cardiology and the American Heart Association (ACC/AHA) staging,
l 7 l 7 l 7 l7 l 7 l 7 l 7 l 7 l 7
l 7 this patient would be a:
l 7 l 7 l 7 l 7
a. stage A. l7
b. stage B. l7
c. stage C. l7
d. stage D. l7
ANS: A l 7
The ACC/AHA staging describes stage A as a person without symptoms of heart failure,
l7 l7 l7 l 7 l7 l7 l 7 l7 l7 l7 l 7 l7 l 7
butwith primary conditions associated with the development of the disease.
l7 l7 l7 l 7 l 7 l7 l 7 l 7 l7 l 7
