GUIDELINES IN PRIMARY CARE, 4TH EDITION
x x x x x
Amelie Hollier
x
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
x x x x x x x x x
Table of Contents
x x
Chapter 1: Cardiovascular Disorders
x x x
Chapter 2: Dermatologic Disorders
x x x
Chapter 3: Ear Nose & Throat Disorders
x x x x x x
Chapter 4: Endocrine Disorders
x x x
Chapter 5: Gastrointestinal Disorders
x x x
Chapter 6: Genetic Disorders
x x x
Chapter 7: Health Promotion - Pediatric
x x x x x
Chapter 8: Hematologic Disorders
x x x
Chapter 9: Lactation and Breastfeeding
x x x x
Chapter 10: Men’s Health Disorders
x x x x
Chapter 11: Neurologic Disorders
x x x
Chapter 12: Ophthalmic Disorders
x x x
Chapter 13: Orthopedic Disorders
x x x
Chapter 14: Pregnancy
x x
Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
x x x x x x
Chapter 16: Pulmonary Disorders
x x x
Chapter 17: Sexually Transmitted Diseases
x x x x
Chapter 18: Urologic Disorders
x x x
Chapter 19: Women’s Health Disorders
x x x x
,Chapter 1: Cardiovascular Disorders
x x x
Clinical Guidelines in Primary Care 4th Edition Test bank
x x x x x x x x
MULTIPLE CHOICE x
1. The nurse is aware that the muscle layer of the heart, which is responsible for the
x x x x x x x x x x x x x x x x
heartscontraction, is the:
x x x x
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D x
The myocardium is the specialized muscle layer that allows the heart to
x x x x x x x x x x x
xcontract.2.The nurse clarifies that the master pacemaker of the heart is the:
x x x x x x x x x x x x
a. left ventricle. x
b. atrioventricular (AV) node. x x
c. sinoatrial (SA) node. x x
d. bundle of His. x x
ANS: C x
The SA node is the master pacemaker of the heart.
x x x x x x x x x
3. The nurse is
xaware that the symptoms of an impending myocardial infarction (MI) differ in
x x x x x x x x x x x x x
xwomen because acute chest pain is not present. Women are frequently misdiagnosed as having:
x x x x x x x x x x x x x
a. hepatitis A. x
b. indigestion.
c. urinary infection. x
d. menopausal complications. x
, ANS: B x
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses
x x x x x x x x x
forwomen having an MI.
x x x x x
4. The nurse identifies
x x x the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound
x x x x x x x x x x x x
x ofthe:
x
a. AV valves closing. x x
b. closure of the semilunar valves. x x x x
c. contraction of the papillary muscles. x x x x
d. contraction of the ventricles. x x x
ANS: A x
The LUBB is the first sound of a low pitch heard when the AV valves close.
x x x x x x x x x x x x x x x
5.A patient is admitted from the emergency department. The emergency department
x x x x x x x x x x
physiciannotes the patient has a diagnosis of heart failure with a New York Heart Association
x x x x x x x x x x x x x x x x
(NYHA)classification of IV. This indicates the patients condition as:
x x x x x x x x x x
a. moderate heart failure. x x
b. severe heart failure. x x
c. congestive heart failure. x x
d. negligible heart failure. x x
ANS: B x
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina
x x x x x x x x x x x x
orsymptoms of cardiac inefficiency may develop at rest.
x x x x x x x x x
6. The nurse assesses that the home health patient has
x x no signs or symptoms of heart failure,
x x x x x x x x x x x x x
butdoes have a history of rheumatic fever and has been recently diagnosed with diabetes
x x x x x x x x x x x x x x x
mellitus.The nurse is aware that using the American College of Cardiology and the American
x x x x x x x x x x x x x x x
Heart Association (ACC/AHA) staging, this patient would be a:
x x x x x x x x x
a. stage A. x
b. stage B. x
c. stage C. x
d. stage D. x
ANS: A x
The ACC/AHA staging describes stage A as a person without symptoms of heart failure,
x x x x x x x x x x x x x
butwith primary conditions associated with the development of the disease.
x x x x x x x x x x x