Test Bank for Clinical Guidelines In Primary Care 4th Edition Hollier

TEST BANK m




GUIDELINES IN PRIMARY CARE, 4TH EDITION
m m m m m



AmeliemHollier

,ClinicalmGuidelinesminmPrimarymCarem4thmEditionmHolliermTestmBank
TablemofmContents
Chapterm1:mCardiovascularmDisorders
Chapterm2:mDermatologicmDisorders
Chapterm3:mEarmNosem&mThroatmDisorders
Chapterm4:mEndocrinemDisorders
Chapterm5:mGastrointestinalmDisorders
Chapterm6:mGeneticmDisorders
Chapterm7:mHealthmPromotionm-mPediatric
Chapterm8:mHematologicmDisorders
Chapterm9:mLactationmandmBreastfeeding
Chapterm10:mMen’smHealthmDisorders
Chapterm11:mNeurologicmDisorders
Chapterm12:mOphthalmicmDisorders
Chapterm13:mOrthopedicmDisorders
Chapterm14:mPregnancy
Chapterm15:mPsychiatricmDisorders,mViolence,mAbuse,mNeglect
Chapterm16:mPulmonarymDisorders
Chapterm17:mSexuallymTransmittedmDiseases
Chapterm18:mUrologicmDisorders
Chapterm19:mWomen’smHealthmDisorders

,Chapterm1:mCardiovascularmDisorders
ClinicalmGuidelinesminmPrimarymCarem4thmEditionmTestmbank


MULTIPLEmCHOICE
1. Themnursemismawaremthatmthemmusclemlayermofmthemheart,mwhichmismresponsiblemformthemhe
artsmcontraction,mismthe:

a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.

ANS:mD
Themmyocardiummismthemspecializedmmusclemlayermthatmallowsmthemheartmtomcontract.
2. Themnursemclarifiesmthatmthemmastermpacemakermofmthemheartmismthe:

a. leftmventricle.
b. atrioventricularm(AV)mnode.
c. sinoatrialm(SA)mnode.
d. bundlemofmHis.

ANS:mC
ThemSAmnodemismthemmastermpacemakermofmthemheart.
3. Themnursemismawaremthatmthemsymptomsmofmanmimpendingmmyocardialminfarctionm(MI)mdiffermi
nmwomenmbecausemacutemchestmpainmism notmpresent.mWomenmaremfrequentlymmisdiagnosedmasmha
ving:

a. hepatitismA.
b. indigestion.
c. urinaryminfection.
d. menopausalmcomplications.

, ANS:mB
Indigestion,mgallbladdermattack,manxietymattack,mandmdepressionmaremfrequentmmisdiagnosesmformw
omenmhavingmanmMI.
4. ThemnursemidentifiesmthemLUBBmsoundmofmthemLUBB/DUBBmofmthemcardiacmcyclemasmthemsound
m ofmthe:

a. AVmvalvesmclosing.
b. closuremofmthemsemilunarmvalves.
c. contractionmofmthempapillarymmuscles.
d. contractionmofmthemventricles.

ANS:mA
ThemLUBBmismthemfirstmsoundmofmamlowmpitchmheardmwhenmthemAVmvalvesmclose.
5. Ampatientmismadmittedmfrommthememergencymdepartment.mThememergencymdepartmentmphysici
anmnotesmthempatientmhasmamdiagnosismofmheartmfailuremwithmamNewmYorkmHeartmAssociationm(N
YHA)mclassificationmofmIV.mThismindicatesmthempatientsmconditionmas:

a. moderatemheartmfailure.
b. severemheartmfailure.
c. congestivemheartmfailure.
d. negligiblemheartmfailure.

ANS:mB
ClassmIV:mSevere;mpatientmunablemtomperformmanymphysicalmactivitymwithoutmdiscomfort.mAnginam
ormsymptomsmofmcardiacminefficiencymmaymdevelopmatmrest.
6. Themnursemassessesmthatmthemhomemhealthmpatientmhasmnomsignsmormsymptomsmofmheartmfailure,m
butmdoesmhavemamhistorymofmrheumaticmfevermandmhasmbeenmrecentlymdiagnosedmwithmdiabetesmm
ellitus.mThemnursemismawaremthatmusingmthemAmericanmCollegemofmCardiologymandmthemAmerican
mHeartmAssociationm(ACC/AHA)mstaging,mthismpatientmwouldmbema:




a. stagemA.
b. stagemB.
c. stagemC.
d. stagemD.

ANS:mA
ThemACC/AHAmstagingmdescribesmstagemAmasmampersonmwithoutmsymptomsmofmheartmfailure,mbutm
withmprimarymconditionsmassociatedmwithmthemdevelopmentmofmthemdisease.