GUIDELINES IN PRIMARY CARE, 4TH EDITION
x x x x x
Amelie xHollier
,Clinical xGuidelines xin xPrimary xCare x4th xEdition xHollier xTest xBank
Table xof xContents
Chapter x1: xCardiovascular xDisorders
Chapter x2: xDermatologic xDisorders
Chapter x3: xEar xNose x& xThroat xDisorders
Chapter x4: xEndocrine xDisorders
Chapter x5: xGastrointestinal xDisorders
Chapter x6: xGenetic xDisorders
Chapter x7: xHealth xPromotion x- xPediatric
Chapter x8: xHematologic xDisorders
Chapter x9: xLactation xand xBreastfeeding
Chapter x10: xMen’s xHealth xDisorders
Chapter x11: xNeurologic xDisorders
Chapter x12: xOphthalmic xDisorders
Chapter x13: xOrthopedic xDisorders
Chapter x14: xPregnancy
Chapter x15: xPsychiatric xDisorders, xViolence, xAbuse, xNeglect
Chapter x16: xPulmonary xDisorders
Chapter x17: xSexually xTransmitted xDiseases
Chapter x18: xUrologic xDisorders
Chapter x19: xWomen’s xHealth xDisorders
,Chapter x1: xCardiovascular xDisorders
Clinical xGuidelines xin xPrimary xCare x4th xEdition x Test xbank
MULTIPLE xCHOICE
1. x The xnurse xis xaware xthat xthe xmuscle xlayer xof xthe xheart, xwhich xis xresponsible
xfor xthe xheartsxcontraction, xis xthe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: xD
The xmyocardium xis xthe xspecialized xmuscle xlayer xthat xallows xthe xheart
to xcontract.x2.The xnurse xclarifies xthat xthe xmaster xpacemaker xof xthe
x
heart xis xthe:
x
a. left xventricle.
b. atrioventricular x(AV) xnode.
c. sinoatrial x(SA) xnode.
d. bundle xof xHis.
ANS: xC
The xSA xnode xis xthe xmaster xpacemaker xof xthe xheart.
3. The xnurse xis xaware xthat xthe xsymptoms xof xan ximpending xmyocardial xinfarction
x(MI) xdiffer xin xwomen xbecause xacute xchest xpain xis xnot xpresent. xWomen xare
xfrequently xmisdiagnosed xas xhaving:
a. hepatitis xA.
b. indigestion.
c. urinary xinfection.
d. menopausal xcomplications.
, ANS: xB
Indigestion, xgallbladder xattack, xanxiety xattack, xand xdepression xare xfrequent
xmisdiagnoses xforxwomen xhaving xan xMI.
4. The xnurse xidentifies xthe xLUBB xsound xof xthe xLUBB/DUBB xof xthe xcardiac xcycle xas
x the xsound xofxthe:
a. AV xvalves xclosing.
b. closure xof xthe xsemilunar xvalves.
c. contraction xof xthe xpapillary xmuscles.
d. contraction xof xthe xventricles.
ANS: xA
The xLUBB xis xthe xfirst xsound xof xa xlow xpitch xheard xwhen xthe xAV xvalves xclose.
5.A xpatient xis xadmitted xfrom xthe xemergency xdepartment. xThe xemergency
xdepartment xphysician x notes xthe xpatient xhas xa xdiagnosis xof xheart xfailure xwith xa
xNew xYork xHeart xAssociation x(NYHA) x classification xof xIV. xThis xindicates xthe
xpatients x condition xas:
a. moderate xheart xfailure.
b. severe xheart xfailure.
c. congestive xheart xfailure.
d. negligible xheart xfailure.
ANS: xB
Class xIV: xSevere; xpatient xunable xto xperform xany xphysical xactivity xwithout
xdiscomfort. xAngina xorx symptoms xof xcardiac xinefficiency xmay xdevelop xat xrest.
6. The xnurse xassesses xthat xthe xhome xhealth xpatient xhas xno xsigns xor xsymptoms xof
xheart xfailure, xbutxdoes xhave xa xhistory xof xrheumatic xfever xand xhas xbeen xrecently
xdiagnosed xwith xdiabetes xmellitus.x The xnurse xis xaware xthat xusing xthe xAmerican
xCollege xof xCardiology xand xthe xAmerican xHeart xAssociation x(ACC/AHA) xstaging,
x this xpatient xwould xbe xa:
a. stage xA.
b. stage xB.
c. stage xC.
d. stage xD.
ANS: xA
The xACC/AHA xstaging xdescribes xstage xA xas xa xperson xwithout xsymptoms xof xheart
xfailure, xbutx
with xprimary xconditions x associated xwith xthe xdevelopment xof xthe
xdisease.