,Clinical Guidelines in PrimaryCare 4th Edition Test bank
Chapter 1 Cardiovascular Disorders
MULTIPLE CHOICE
1. The nurse is aware that the muscle layer of the heart, which is responsible for the hearts
contraction, is the:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D
The myocardium is the specialized muscle layer that allows the heart to contract.
2. The nurse clarifies that the master pacemaker of the heart is the:
a. left ventricle.
b. atrioventricular (AV) node.
c. sinoatrial (SA) node.
d. bundle of His.
ANS: C
The SA node is the master pacemaker of the heart.
3. The nurse is
aware that the symptoms of an impending myocardial infarction (MI) differ in
women because acute chest pain is not present. Women are frequently misdiagnosed as having:
a. hepatitis A.
b. indigestion.
c. urinary infection.
d. menopausal complications.
,ANS: @zlB
Indigestion, @zlgallbladder @zlattack, @zlanxiety@zlattack, @zland @zldepression @zlare @zlfrequent
@zlmisdiagnoses @zlfor @zlwomen @zlhaving @zlan @zlMI.
4. The @zlnurse @zlidentifies @zlthe @zlLUBB @zlsound @zlof @zlthe @zlLUBB/DUBB @zlof @zlthe @zlcardiac @zlcycle
as @zlthe @zlsound @zlof @zlthe:
@zl
a. AV @zlvalves @zlclosing.
b. closure @zlof @zlthe @zlsemilunar @zlvalves.
c. contraction @zlof @zlthe @zlpapillary @zlmuscles.
d. contraction @zlof @zlthe @zlventricles.
ANS: @zlA
The @zlLUBB @zlis @zlthe @zlfirst @zlsound @zlof @zla @zllow @zlpitch @zlheard @zlwhen @zlthe @zlAV @zlvalves @zlclose.
5. A @zlpatient @zlis @zladmitted @zlfrom @zlthe @zlemergency @zldepartment. @zlThe @zlemergency
department @zlphysician @zlnotes @zlthe @zlpatient @zlhas @zla @zldiagnosis @zlof @zlheart @zlfailure @zlwith @zla
@zl
@zlNew @zlYork @zlHeart @zlAssociation @zl(NYHA) @zlclassification @zlof @zlIV. @zlThis @zlindicates @zlthe
@zlpatients @zlcondition @zlas:
a. moderate @zlheart @zlfailure.
b. severe @zlheart @zlfailure.
c. congestive @zlheart @zlfailure.
d. negligible @zlheart @zlfailure.
ANS: @zlB
Class @zlIV: @zlSevere; @zlpatient @zlunable @zlto @zlperform @zlany @zlphysical @zlactivity @zlwithout
@zldiscomfort. @zlAngina @zlor @zlsymptoms @zlof @zlcardiac @zlinefficiency @zlmay @zldevelop @zlat @zlrest.
6. The @zlnurse @zlassesses @zlthat @zlthe @zlhome @zlhealth @zlpatient @zlhas @zlno @zlsigns @zlor @zlsymptoms @zlof
heart @zlfailure, @zlbut @zldoes @zlhave @zla @zlhistory @zlof @zlrheumatic @zlfever @zland @zlhas @zlbeen
@zl
@zlrecently @zldiagnosed @zlwith @zldiabetes @zlmellitus. @zlThe @zlnurse @zlis @zlaware @zlthat @zlusing @zlthe
@zlAmerican @zlCollege @zlof @zlCardiology @zland @zlthe @zlAmerican @zlHeart @zlAssociation
@zl(ACC/AHA) @zlstaging, @zlthis @zlpatient @zlwould @zlbe @zla:
a. stage @zlA.
b. stage @zlB.
c. stage @zlC.
d. stage @zlD.
ANS: @zlA
The @zlACC/AHA @zlstaging @zldescribes @zlstage @zlA @zlas @zla @zlperson @zlwithout @zlsymptoms @zlof @zlheart
@zlfailure, @zlbut @zlwith @zlprimary @zlconditions @zlassociated @zlwith @zlthe @zldevelopment @zlof @zlthe
@zldisease.
, 7. The @zlnurse @zlcaring @zlfor @zla @zlpatient @zlrecovering @zlfrom @zla @zlmyocardial @zlinfarct @zlwho @zlis @zlon
remote @zltelemetry @zlrecognizes @zlthe @zlneed @zlfor @zladded @zlinstruction @zlwhen @zlthe @zlpatient
@zl
says:
@zl
a. I@zlcan @zlambulate @zlin @zlthe @zlhallway @zlwith @zlthis @zlgadget @zlon.
b. I @zlalways @zltake @zloff @zlthe @zltelemetry @zldevice @zlwhen @ zl I@zlshower.
c. My@zlEKG @zlis @zlbeing @zlwatched @zlby @zlone @zlof @zlthe @zlnurses @zl in @zlCCU @zlon @zlthe @zlhome @zlunit.
d. I @zlam @zlable @zlto @zlsleep @zljust @zlfine @zlwith @zlthis @zldevice @zlon.
ANS: @zlB
Remote @zltelemetry @zlallows @zlthe @zlpatient @zlto @zlbe @zlon @zla @zlseparate @zlunit, @zlbut @zlbe @zlmonitored @zlin
@zla @zlcentral @zllocation. @zlThe @zlpatients @zlcan @zlbe @zlambulatory @zland @zlcan @zlsleep @zlwith @zlthe
@zlmonitor @zlon. @zlThey
should @zlnot @zlremove @zlthe @zlmonitor @zlto @zlshower.
8. The @zlnurse @zlassesses @zlpitting @zledema @zlthat @zlcan @zlbe @zldepressed @zlapproximately @zlinch @zland
@zl refills @zlin @zl15 @zlseconds. @zlThe @zlnurse @zlwould @zldocument @zlthis @zlassessment @zlas:
a. +1 @zledema.
b. +2 @zledema.
c. +3 @zledema.
d. +4 @zledema.
ANS: @zlB
A @zl+2 @zledema @zlcan @zlbe @zldocumented @zlif @zlthe @zlskin @zlcan @zlbe @zldepressed @zlinch @zland @zlrespond
@zlwithin @zl15 @zlseconds.
9. What @zldo @zldark @zlor @zlcold @zlspots @zlon @zla @zlthallium @zlscan @zlindicate?
a. Tissue @zlwith @zladequate @zlblood @zlsupply
b. Dilated @zlvessels
c. Areas @zlof @zlneoplastic @zlgrowth
d. Tissue @zlthat @zlhas @zlinadequate @zlperfusion
ANS: @zlD
Thallium @zlscans @zlshow @zladequate @zlperfused @zlareas @zlby@zlthe @zlcollection @zlof @zlthallium. @zlDark
@zlspots @zlor @zlcold @zlspots @zlindicate @zltissues @zlthat @zlhave @zlinadequate @zlperfusion.
10. The @zlnurse @zlrecognizes @zlthe @zlechocardiogram @zlreport @zlthat @zlshows @zlan @zlejection @zlfactor
@zl of @zl42% @zlas @zlan @zlindication @zlof:
a. normal @zlheart @zlaction.
b. mild @zlheart @zlfailure.
c. moderate @zlheart @zlfailure.
Chapter 1 Cardiovascular Disorders
MULTIPLE CHOICE
1. The nurse is aware that the muscle layer of the heart, which is responsible for the hearts
contraction, is the:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D
The myocardium is the specialized muscle layer that allows the heart to contract.
2. The nurse clarifies that the master pacemaker of the heart is the:
a. left ventricle.
b. atrioventricular (AV) node.
c. sinoatrial (SA) node.
d. bundle of His.
ANS: C
The SA node is the master pacemaker of the heart.
3. The nurse is
aware that the symptoms of an impending myocardial infarction (MI) differ in
women because acute chest pain is not present. Women are frequently misdiagnosed as having:
a. hepatitis A.
b. indigestion.
c. urinary infection.
d. menopausal complications.
,ANS: @zlB
Indigestion, @zlgallbladder @zlattack, @zlanxiety@zlattack, @zland @zldepression @zlare @zlfrequent
@zlmisdiagnoses @zlfor @zlwomen @zlhaving @zlan @zlMI.
4. The @zlnurse @zlidentifies @zlthe @zlLUBB @zlsound @zlof @zlthe @zlLUBB/DUBB @zlof @zlthe @zlcardiac @zlcycle
as @zlthe @zlsound @zlof @zlthe:
@zl
a. AV @zlvalves @zlclosing.
b. closure @zlof @zlthe @zlsemilunar @zlvalves.
c. contraction @zlof @zlthe @zlpapillary @zlmuscles.
d. contraction @zlof @zlthe @zlventricles.
ANS: @zlA
The @zlLUBB @zlis @zlthe @zlfirst @zlsound @zlof @zla @zllow @zlpitch @zlheard @zlwhen @zlthe @zlAV @zlvalves @zlclose.
5. A @zlpatient @zlis @zladmitted @zlfrom @zlthe @zlemergency @zldepartment. @zlThe @zlemergency
department @zlphysician @zlnotes @zlthe @zlpatient @zlhas @zla @zldiagnosis @zlof @zlheart @zlfailure @zlwith @zla
@zl
@zlNew @zlYork @zlHeart @zlAssociation @zl(NYHA) @zlclassification @zlof @zlIV. @zlThis @zlindicates @zlthe
@zlpatients @zlcondition @zlas:
a. moderate @zlheart @zlfailure.
b. severe @zlheart @zlfailure.
c. congestive @zlheart @zlfailure.
d. negligible @zlheart @zlfailure.
ANS: @zlB
Class @zlIV: @zlSevere; @zlpatient @zlunable @zlto @zlperform @zlany @zlphysical @zlactivity @zlwithout
@zldiscomfort. @zlAngina @zlor @zlsymptoms @zlof @zlcardiac @zlinefficiency @zlmay @zldevelop @zlat @zlrest.
6. The @zlnurse @zlassesses @zlthat @zlthe @zlhome @zlhealth @zlpatient @zlhas @zlno @zlsigns @zlor @zlsymptoms @zlof
heart @zlfailure, @zlbut @zldoes @zlhave @zla @zlhistory @zlof @zlrheumatic @zlfever @zland @zlhas @zlbeen
@zl
@zlrecently @zldiagnosed @zlwith @zldiabetes @zlmellitus. @zlThe @zlnurse @zlis @zlaware @zlthat @zlusing @zlthe
@zlAmerican @zlCollege @zlof @zlCardiology @zland @zlthe @zlAmerican @zlHeart @zlAssociation
@zl(ACC/AHA) @zlstaging, @zlthis @zlpatient @zlwould @zlbe @zla:
a. stage @zlA.
b. stage @zlB.
c. stage @zlC.
d. stage @zlD.
ANS: @zlA
The @zlACC/AHA @zlstaging @zldescribes @zlstage @zlA @zlas @zla @zlperson @zlwithout @zlsymptoms @zlof @zlheart
@zlfailure, @zlbut @zlwith @zlprimary @zlconditions @zlassociated @zlwith @zlthe @zldevelopment @zlof @zlthe
@zldisease.
, 7. The @zlnurse @zlcaring @zlfor @zla @zlpatient @zlrecovering @zlfrom @zla @zlmyocardial @zlinfarct @zlwho @zlis @zlon
remote @zltelemetry @zlrecognizes @zlthe @zlneed @zlfor @zladded @zlinstruction @zlwhen @zlthe @zlpatient
@zl
says:
@zl
a. I@zlcan @zlambulate @zlin @zlthe @zlhallway @zlwith @zlthis @zlgadget @zlon.
b. I @zlalways @zltake @zloff @zlthe @zltelemetry @zldevice @zlwhen @ zl I@zlshower.
c. My@zlEKG @zlis @zlbeing @zlwatched @zlby @zlone @zlof @zlthe @zlnurses @zl in @zlCCU @zlon @zlthe @zlhome @zlunit.
d. I @zlam @zlable @zlto @zlsleep @zljust @zlfine @zlwith @zlthis @zldevice @zlon.
ANS: @zlB
Remote @zltelemetry @zlallows @zlthe @zlpatient @zlto @zlbe @zlon @zla @zlseparate @zlunit, @zlbut @zlbe @zlmonitored @zlin
@zla @zlcentral @zllocation. @zlThe @zlpatients @zlcan @zlbe @zlambulatory @zland @zlcan @zlsleep @zlwith @zlthe
@zlmonitor @zlon. @zlThey
should @zlnot @zlremove @zlthe @zlmonitor @zlto @zlshower.
8. The @zlnurse @zlassesses @zlpitting @zledema @zlthat @zlcan @zlbe @zldepressed @zlapproximately @zlinch @zland
@zl refills @zlin @zl15 @zlseconds. @zlThe @zlnurse @zlwould @zldocument @zlthis @zlassessment @zlas:
a. +1 @zledema.
b. +2 @zledema.
c. +3 @zledema.
d. +4 @zledema.
ANS: @zlB
A @zl+2 @zledema @zlcan @zlbe @zldocumented @zlif @zlthe @zlskin @zlcan @zlbe @zldepressed @zlinch @zland @zlrespond
@zlwithin @zl15 @zlseconds.
9. What @zldo @zldark @zlor @zlcold @zlspots @zlon @zla @zlthallium @zlscan @zlindicate?
a. Tissue @zlwith @zladequate @zlblood @zlsupply
b. Dilated @zlvessels
c. Areas @zlof @zlneoplastic @zlgrowth
d. Tissue @zlthat @zlhas @zlinadequate @zlperfusion
ANS: @zlD
Thallium @zlscans @zlshow @zladequate @zlperfused @zlareas @zlby@zlthe @zlcollection @zlof @zlthallium. @zlDark
@zlspots @zlor @zlcold @zlspots @zlindicate @zltissues @zlthat @zlhave @zlinadequate @zlperfusion.
10. The @zlnurse @zlrecognizes @zlthe @zlechocardiogram @zlreport @zlthat @zlshows @zlan @zlejection @zlfactor
@zl of @zl42% @zlas @zlan @zlindication @zlof:
a. normal @zlheart @zlaction.
b. mild @zlheart @zlfailure.
c. moderate @zlheart @zlfailure.
