GUIDELINES IN PRIMARY CARE, 4TH EDITION
i i i i i
Amelie iHollier
,Clinical iGuidelines iin iPrimary iCare i4th iEdition iHollier iTest iBank
Table iof iContents
Chapter i1: iCardiovascular iDisorders
Chapter i2: iDermatologic iDisorders
Chapter i3: iEar iNose i& iThroat iDisorders
Chapter i4: iEndocrine iDisorders
Chapter i5: iGastrointestinal iDisorders
Chapter i6: iGenetic iDisorders
Chapter i7: iHealth iPromotion i- iPediatric
Chapter i8: iHematologic iDisorders
Chapter i9: iLactation iand iBreastfeeding
Chapter i10: iMen’s iHealth iDisorders
Chapter i11: iNeurologic iDisorders
Chapter i12: iOphthalmic iDisorders
Chapter i13: iOrthopedic iDisorders
Chapter i14: iPregnancy
Chapter i15: iPsychiatric iDisorders, iViolence, iAbuse, iNeglect
Chapter i16: iPulmonary iDisorders
Chapter i17: iSexually iTransmitted iDiseases
Chapter i18: iUrologic iDisorders
Chapter i19: iWomen’s iHealth iDisorders
,Chapter i1: iCardiovascular iDisorders
Clinical iGuidelines iin iPrimary iCare i4th iEdition iTest ibank
MULTIPLE iCHOICE
1. i The inurse iis iaware ithat ithe imuscle ilayer iof ithe iheart, iwhich iis iresponsible ifor ithe
i heartsicontraction, iis ithe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: iD
The imyocardium iis ithe ispecialized imuscle ilayer ithat iallows ithe iheart ito
contract.i2.The inurse iclarifies ithat ithe imaster ipacemaker iof ithe iheart iis ithe:
i
a. left iventricle.
b. atrioventricular i(AV) inode.
c. sinoatrial i(SA) inode.
d. bundle iof iHis.
ANS: iC
The iSA inode iis ithe imaster ipacemaker iof ithe iheart.
3. The inurse iis iaware ithat ithe isymptoms iof ian iimpending imyocardial iinfarction i(MI) idiffer
i in iwomen ibecause iacute ichest ipain iis inot ipresent. iWomen iare ifrequently imisdiagnosed ias
i having:
a. hepatitis iA.
b. indigestion.
c. urinary iinfection.
d. menopausal icomplications.
, ANS: iB
Indigestion, igallbladder iattack, ianxiety iattack, iand idepression iare ifrequent imisdiagnoses
iforiwomen ihaving ian iMI.
4. The inurse iidentifies ithe iLUBB isound iof ithe iLUBB/DUBB iof ithe icardiac icycle ias ithe isound
i ofithe:
a. AV ivalves iclosing.
b. closure iof ithe isemilunar ivalves.
c. contraction iof ithe ipapillary imuscles.
d. contraction iof ithe iventricles.
ANS: iA
The iLUBB iis ithe ifirst isound iof ia ilow ipitch iheard iwhen ithe iAV ivalves iclose.
5.A ipatient iis iadmitted ifrom ithe iemergency idepartment. iThe iemergency idepartment
iphysician inotes ithe ipatient ihas ia idiagnosis iof iheart ifailure iwith ia iNew iYork iHeart
iAssociation i(NYHA)iclassification iof iIV. iThis i indicates ithe ipatients i condition ias:
a. moderate iheart ifailure.
b. severe iheart ifailure.
c. congestive iheart ifailure.
d. negligible iheart ifailure.
ANS: iB
Class iIV: iSevere; ipatient iunable ito iperform iany iphysical iactivity iwithout idiscomfort. iAngina
iorisymptoms iof icardiac iinefficiency imay idevelop i at irest.
6. The inurse iassesses ithat ithe ihome ihealth ipatient ihas ino isigns ior isymptoms iof iheart ifailure,
ibutidoes ihave ia ihistory iof irheumatic ifever iand ihas ibeen irecently idiagnosed iwith idiabetes
imellitus.iThe inurse iis iaware ithat iusing ithe iAmerican iCollege iof iCardiology iand ithe
iAmerican iHeart iAssociation i(ACC/AHA) istaging, ithis ipatient iwould i be ia:
a. stage iA.
b. stage iB.
c. stage iC.
d. stage iD.
ANS: iA
The iACC/AHA istaging idescribes istage iA ias ia iperson iwithout isymptoms iof iheart ifailure, ibut
iwith iprimary iconditions i associated iwith ithe idevelopment iof ithe idisease.