Clinical guidelines in primary care 4th edition test bank

Clinical Guidelines in Primary
C C C C




Care 4th Edition Test bank/Stu
C C C C




dyGuide
ChapterC1CCardiovascularCDisorders

MULTIPLECCHOICE
1.TheCnurseCisCawareCthatCtheCmuscleClayerCofCtheCheart,CwhichCisCresponsibleCforCtheCheart
sCcontraction,CisCthe:

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

ANS:CD
TheCmyocardiumCisCtheCspecializedCmuscleClayerCthatCallowsCtheCheartCtoCcontrac
t.C2.TheCnurseCclarifiesCthatCtheCmasterCpacemakerCofCtheCheartCisCthe:

a. leftCventricle.
b. atrioventricularC(AV)Cnode.
c. sinoatrialC(SA)Cnode.
d. bundleCofCHis.

ANS:CC
TheCSACnodeCisCtheCmasterCpacemakerCofCtheCheart.
3. TheCnurseCisCawareCthatCtheCsymptomsCofCanCimpendingCmyocardialCinfarctionC(MI)CdifferCinC
womenCbecauseCacuteCchestCpainCisCnotCpresent.CWomenCareCfrequentlyCmisdiagnosedCasChavin
g:

a. hepatitisCA.
b. indigestion.
c. urinaryCinfection.
d. menopausalCcomplications.

,ANS:CB
Indigestion,CgallbladderCattack,CanxietyCattack,CandCdepressionCareCfrequentCmisdiagnosesCfo
rCwomenChavingCanCMI.
4. TheCnurseCidentifiesCtheCLUBBCsoundCofCtheCLUBB/DUBBCofCtheCcardiacCcycleCasCtheCsoundC
ofCthe:

a. AVCvalvesCclosing.
b. closureCofCtheCsemilunarCvalves.
c. contractionCofCtheCpapillaryCmuscles.
d. contractionCofCtheCventricles.

ANS:CA
TheCLUBBCisCtheCfirstCsoundCofCaClowCpitchCheardCwhenCtheCAVCvalvesCclose.
5.ACpatientCisCadmittedCfromCtheCemergencyCdepartment.CTheCemergencyCdepartmentCphysicia
nCnotesCtheCpatientChasCaCdiagnosisCofCheartCfailureCwithCaCNewCYorkCHeartCAssociationC(NYH
A)CclassificationCofCIV.CThisCindicatesCtheCpatientsCconditionCas:

a. moderateCheartCfailure.
b. severeCheartCfailure.
c. congestiveCheartCfailure.
d. negligibleCheartCfailure.

ANS:CB
ClassCIV:CSevere;CpatientCunableCtoCperformCanyCphysicalCactivityCwithoutCdiscomfort.CAnginaCo
rCsymptomsCofCcardiacCinefficiencyCmayCdevelopCatCrest.
6. TheCnurseCassessesCthatCtheChomeChealthCpatientChasCnoCsignsCorCsymptomsCofCheartCfailure,Cb
utCdoesChaveCaChistoryCofCrheumaticCfeverCandChasCbeenCrecentlyCdiagnosedCwithCdiabetesCmellit
us.CTheCnurseCisCawareCthatCusingCtheCAmericanCCollegeCofCCardiologyCandCtheCAmericanCHeart
CAssociationC(ACC/AHA)Cstaging,CthisCpatientCwouldC beCa:




a. stageCA.
b. stageCB.
c. stageCC.
d. stageCD.

ANS:CA
TheCACC/AHACstagingCdescribesCstageCACasCaCpersonCwithoutCsymptomsCofCheartCfailure,Cb
utCwithCprimaryCconditionsCassociatedCwithCtheCdevelopmentCofCtheCdisease.

,7. TheCnurseCcaringCforCaCpatientCrecoveringCfromCaCmyocardialCinfarctCwhoCisConCremoteCtelemetr
yCrecognizesCtheCneedCforCaddedCinstructionCwhenCtheCpatientCsays:

a. ICcanCambulateCinCtheChallwayCwithCthisCgadgetCon.
b. ICalwaysCtakeCoffCtheCtelemetryCdeviceCwhenCICshower.
c. MyCEKGCisCbeingCwatchedCbyConeCofCtheCnursesCinCCCUConCtheChomeCunit.
d. ICamCableCtoCsleepCjustCfineCwithCthisCdeviceCon.

ANS:CB
RemoteCtelemetryCallowsCtheCpatientCtoCbeConCaCseparateCunit,CbutCbeCmonitoredCinCaCcentralCl
ocation.CTheCpatientsCcanCbeCambulatoryCandCcanCsleepCwithCtheCmonitorCon.CThey
shouldCnotCremoveCtheCmonitorCtoCshower.
8. TheCnurseCassessesCpittingCedemaCthatCcanCbeCdepressedCapproximatelyCinchCandCrefillsCinC1
5Cseconds.CTheCnurseCwouldCdocumentCthisCassessmentCas:

a. +1Cedema.
b. +2Cedema.
c. +3Cedema.
d. +4Cedema.

ANS:CB
AC+2CedemaCcanCbeCdocumentedCifCtheCskinCcanCbeCdepressedCinchCandCrespondCwithinC1
5Cseconds.
9. WhatCdoCdarkCorCcoldCspotsConCaCthalliumCscanCindicate?

a. TissueCwithCadequateCbloodCsupply
b. DilatedCvessels
c. AreasCofCneoplasticCgrowth
d. TissueCthatChasCinadequateCperfusion

ANS:CD
ThalliumCscansCshowCadequateCperfusedCareasCbyCtheCcollectionCofCthallium.CDarkCspotsCorCcol
dCspotsCindicateCtissuesCthatChaveCinadequateCperfusion.
10. TheCnurseCrecognizesCtheCechocardiogramCreportCthatCshowsCanCejectionCfactorCofC42%CasCa
nCindicationCof:

a. normalCheartCaction.
b. mildCheartCfailure.
c. moderateCheartCfailure.

, d. severeCheartCfailure.

ANS:CC
AnCejectionCfactorC(cardiacCoutput)CofC42%CindicatesCmoderateCheartCfailure.
11. TheCnurseCtakesCintoCconsiderationCthatCage-
relatedCchangesCcanCaffectCtheCperipheralCcirculationCbecauseCof:

a. sclerosedCbloodCvessels.
b. hypotension.
c. inactivity.
d. poorCnutrition.

ANS:CA
AgingCcausesCscleroticCchangesCinCtheCbloodCvesselsCthatCleadCtoCdecreasedCelasticityCan
dCnarrowingCofCtheCvesselClumen.


12. TheCnurseCassessingCaCcardiacCmonitorCnotesCthatCtheCcardiacCcomplexesCeachChaveCaCPCwav
eCfollowedCbyCaCQRSCandCaCT.CTheCrateCisC120.CTheCnurseCrecognizesCthisCarrhythmiaCas:

a. sinusCbradycardia.
b. atrialCfibrillation.
c. sinusCtachycardia.
d. ventricularCtachycardia.

ANS:CC
SinusCtachycardiaChasCaCPCwaveCfollowedCbyCtheCQRSCandCtheCT.CAllCtheCcomponentsCofCth
eCcomplexCareCpresentCandCinCtheCcorrectCorder,CbutCtheCrateCisCoverC100CbeatsCaCminute.
13. AfterCanCinfluenza-
likeCillness,CtheCpatientCcomplainsCofCchillsCandCsmallCpetechiaeCinChisCmouthCandChisClegs.C
ACheartCmurmurCisCdetectable.CTheseCareCcharacteristicCsignsCof:

a. congestiveCheartCfailure.
b. heartCblock.
c. aorticCstenosis.
d. infectiveCendocarditis.

ANS:CD
CollectionCofCsubjectiveCdataCincludesCnotingCpatientCcomplaintsCofCinfluenza-
likeCsymptomsCwithCrecurrentCfever,CundueCfatigue,CchestCpain,CandCchills.CObjectiveCdataCmayCrev
ealCtheCsignificant