Test Bank For Clinical Guidelines in Primary Care 3rd Edition by Amelie Hollier, A+ guide.

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,Clinical Guidelines in PrimaryCare 3rd Edition Test
bankChapter 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.




Testbanksadept

,ANS: $djB
Indigestion, $djgallbladder $djattack, $djanxiety$djattack, $djand $djdepression $djare $djfrequent $djmisdiagnoses
$djfor $djwomen $djhaving $djan $djMI.



4. The $djnurse $djidentifies $djthe $djLUBB $djsound $djof $djthe $djLUBB/DUBB $djof $djthe $djcardiac $djcycle $djas
$dj the $djsound $djof $djthe:

a. AV $djvalves $djclosing.
b. closure $djof $djthe $djsemilunar $djvalves.
c. contraction $djof $djthe $djpapillary $djmuscles.
d. contraction $djof $djthe $djventricles.

ANS: $djA
The $djLUBB $djis $djthe $djfirst $djsound $djof $dja $djlow $djpitch $djheard $djwhen $djthe $djAV $djvalves $djclose.
5. A $djpatient $djis $djadmitted $djfrom $djthe $djemergency $djdepartment. $djThe $djemergency $djdepartment
$djphysician $djnotes $djthe $djpatient $djhas $dja $djdiagnosis $djof $djheart $djfailure $djwith $dja $djNew $djYork
$djHeart $djAssociation $dj(NYHA) $djclassification $djof $djIV. $djThis $djindicates $djthe $djpatients

$djcondition $djas:




a. moderate $djheart $djfailure.
b. severe $djheart $djfailure.
c. congestive $djheart $djfailure.
d. negligible $djheart $djfailure.

ANS: $djB
Class $djIV: $djSevere; $djpatient $djunable $djto $djperform $djany $djphysical $djactivity $djwithout $djdiscomfort.
$djAngina $djor $djsymptoms $djof $djcardiac $djinefficiency $djmay $djdevelop $djat $djrest.



6. The $djnurse $djassesses $djthat $djthe $djhome $djhealth $djpatient $djhas $djno $djsigns $djor $djsymptoms $djof $djheart
$djfailure, $djbut $djdoes $djhave $dja $djhistory $djof $djrheumatic $djfever $djand $djhas $djbeen $djrecently
$djdiagnosed $djwith $djdiabetes $djmellitus. $djThe $djnurse $djis $djaware $djthat $djusing $djthe $djAmerican
$djCollege $djof $djCardiology $djand $djthe $djAmerican $djHeart $djAssociation $dj(ACC/AHA) $djstaging,

$djthis $djpatient $djwould $djbe $dja:




a. stage $djA.
b. stage $djB.
c. stage $djC.
d. stage $djD.

ANS: $djA
The $djACC/AHA $djstaging $djdescribes $djstage $djA $djas $dja $djperson $djwithout $djsymptoms $djof $djheart
$djfailure, $djbut $djwith $djprimary $djconditions $djassociated $djwith $djthe $djdevelopment $djof $djthe $djdisease.




Testbanksadept

, 7. The $djnurse $djcaring $djfor $dja $djpatient $djrecovering $djfrom $dja $djmyocardial $djinfarct $djwho $djis $djon
remote $djtelemetry $djrecognizes $djthe $djneed $djfor $djadded $djinstruction $djwhen $djthe $djpatient $djsays:
$dj




a. I$djcan $djambulate $djin $djthe $djhallway $djwith $djthis $djgadget $djon.
b. I $djalways $djtake $djoff $djthe $djtelemetry $djdevice $djwhen $dj I$djshower.
c. My$djEKG $djis $djbeing $djwatched $djby $djone $djof $djthe $djnurses $dj in $djCCU $djon $djthe $djhome $djunit.
d. I $djam $djable $djto $djsleep $djjust $djfine $djwith $djthis $djdevice $djon.

ANS: $djB
Remote $djtelemetry $djallows $djthe $djpatient $djto $djbe $djon $dja $djseparate $djunit, $djbut $djbe $djmonitored $djin $dja
$djcentral $djlocation. $djThe $djpatients $djcan $djbe $djambulatory $djand $djcan $djsleep $djwith $djthe $djmonitor

$djon. $djThey

should $djnot $djremove $djthe $djmonitor $djto $djshower.
8. The $djnurse $djassesses $djpitting $djedema $djthat $djcan $djbe $djdepressed $djapproximately $djinch $djand
$dj refills $djin $dj15 $djseconds. $djThe $djnurse $djwould $djdocument $djthis $djassessment $djas:

a. +1 $djedema.
b. +2 $djedema.
c. +3 $djedema.
d. +4 $djedema.

ANS: $djB
A $dj+2 $djedema $djcan $djbe $djdocumented $djif $djthe $djskin $djcan $djbe $djdepressed $djinch $djand $djrespond
$djwithin $dj15 $djseconds.



9. What $djdo $djdark $djor $djcold $djspots $djon $dja $djthallium $djscan $djindicate?

a. Tissue $djwith $djadequate $djblood $djsupply
b. Dilated $djvessels
c. Areas $djof $djneoplastic $djgrowth
d. Tissue $djthat $djhas $djinadequate $djperfusion

ANS: $djD
Thallium $djscans $djshow $djadequate $djperfused $djareas $djby $djthe $djcollection $djof $djthallium. $djDark $djspots
$djor $djcold $djspots $djindicate $djtissues $djthat $djhave $djinadequate $djperfusion.



10. The $djnurse $djrecognizes $djthe $djechocardiogram $djreport $djthat $djshows $djan $djejection $djfactor $djof
$dj42% $djas $djan $djindication $djof:




a. normal $djheart $djaction.
b. mild $djheart $djfailure.
c. moderate $djheart $djfailure.



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