COMPREHENSIVE TEST BANK for
Clinical Guidelines in Primary Care, 4th
Edition by Amelie Hollier
All Chapters Fully Covered 1-19| Expert Verified
Questions & 100%Accurate Answers with Rationales for
Exam Preparations| A+ PASS GUARANTEED
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, Table of Contents
Chapter 1: Cardiovascular Disorders
Chapter 2: Dermatologic Disorders
Chapter 3: Ear Nose & Throat Disorders
Chapter 4: Endocrine Disorders
Chapter 5: Gastrointestinal Disorders
Chapter 6: Genetic Disorders
Chapter 7: Health Promotion - Pediatric
Chapter 8: Hematologic Disorders
Chapter 9: Lactation and Breastfeeding
Chapter 10: Men’s Health Disorders
Chapter 11: Neurologic Disorders
Chapter 12: Ophthalmic Disorders
Chapter 13: Orthopedic Disorders
Chapter 14: Pregnancy
Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
Chapter 16: Pulmonary Disorders
Chapter 17: Sexually Transmitted Diseases
Chapter 18: Urologic Disorders
Chapter 19: Women’s Health Disorders
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, 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.
CORRECT ANSWER: 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.
CORRECT ANSWER: 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.
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d. menopausal complications. CORRECT ANSWER: B
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, Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for women
having an MI.
4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound of the:
a. AV valves closing.
b. closure of the semilunar valves.
c. contraction of the papillary muscles.
d. contraction of the ventricles. CORRECT ANSWER: A
The LUBB is the first sound of a low pitch heard when the AV valves close.
5. A patient is admitted from the emergency department. The emergency department physician notes the
patient has a diagnosis of heart failure with a New York Heart Association (NYHA) classification of IV.
This indicates the patients condition as:
a. moderate heart failure.
b. severe heart failure.
c. congestive heart failure.
d. negligible heart failure. CORRECT ANSWER: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or
symptoms of cardiac inefficiency may develop at rest.
6. The nurse assesses that the home health patient has no signs or symptoms of heart failure, but does
have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The nurse is
aware that using the American College of Cardiology and the American Heart Association (ACC/AHA)
staging, this patient would be a:
TB
a. stage A.
Ac
Page | 4
er
Clinical Guidelines in Primary Care, 4th
Edition by Amelie Hollier
All Chapters Fully Covered 1-19| Expert Verified
Questions & 100%Accurate Answers with Rationales for
Exam Preparations| A+ PASS GUARANTEED
TB
Ac
Page | 1
er
, Table of Contents
Chapter 1: Cardiovascular Disorders
Chapter 2: Dermatologic Disorders
Chapter 3: Ear Nose & Throat Disorders
Chapter 4: Endocrine Disorders
Chapter 5: Gastrointestinal Disorders
Chapter 6: Genetic Disorders
Chapter 7: Health Promotion - Pediatric
Chapter 8: Hematologic Disorders
Chapter 9: Lactation and Breastfeeding
Chapter 10: Men’s Health Disorders
Chapter 11: Neurologic Disorders
Chapter 12: Ophthalmic Disorders
Chapter 13: Orthopedic Disorders
Chapter 14: Pregnancy
Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
Chapter 16: Pulmonary Disorders
Chapter 17: Sexually Transmitted Diseases
Chapter 18: Urologic Disorders
Chapter 19: Women’s Health Disorders
TB
Ac
Page | 2
er
, 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.
CORRECT ANSWER: 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.
CORRECT ANSWER: 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.
TB
d. menopausal complications. CORRECT ANSWER: B
Ac
Page | 3
er
, Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for women
having an MI.
4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound of the:
a. AV valves closing.
b. closure of the semilunar valves.
c. contraction of the papillary muscles.
d. contraction of the ventricles. CORRECT ANSWER: A
The LUBB is the first sound of a low pitch heard when the AV valves close.
5. A patient is admitted from the emergency department. The emergency department physician notes the
patient has a diagnosis of heart failure with a New York Heart Association (NYHA) classification of IV.
This indicates the patients condition as:
a. moderate heart failure.
b. severe heart failure.
c. congestive heart failure.
d. negligible heart failure. CORRECT ANSWER: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or
symptoms of cardiac inefficiency may develop at rest.
6. The nurse assesses that the home health patient has no signs or symptoms of heart failure, but does
have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The nurse is
aware that using the American College of Cardiology and the American Heart Association (ACC/AHA)
staging, this patient would be a:
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a. stage A.
Ac
Page | 4
er
