TEST BANK
CL N CAL GU DEL NES N
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PR MARY CARE
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4th Ed t on, Holl er
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TEST BANK
,Cl n cal Gu del nes n Pr mary Care 4th Ed t on Holl er Test Bank
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Table of Contents
Chapter 1: Card ovascular D sorders
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Chapter 2: Dermatolog c D sorders fg fg
Chapter 3: Ear Nose & Throat D sorders fg
Chapter 4: Endocr ne D sorders
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Chapter 5: Gastro ntest nal D sorders
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Chapter 6: Genet c D sorders
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Chapter 7: Health Promot on - Ped atr c fg fg fg
Chapter 8: Hematolog c D sorders fg fg
Chapter 9: Lactat on and Breastfeed ng
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Chapter 10: Men’s Health D sorders fg
Chapter 11: Neurolog c D sorders fg fg
Chapter 12: Ophthalm c D sorders fg fg
Chapter 13: Orthoped c D sorders fg fg
Chapter 14: Pregnancy
Chapter 15: Psych atr c D sorders, V olence, Abuse, Neglect
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Chapter 16: Pulmonary D sorders fg
Chapter 17: Sexually Transm tted D seases fg fg
Chapter 18: Urolog c D sorders fg fg
Chapter 19: Women’s Health D sorders fg
,Chapter 1: Card ovascular D sorders fg fg
Cl n cal Gu del nes n Pr mary Care 4th Ed t on Test bank
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MULT PLE CHO CE FG FG
1. The nurse s aware that the muscle layer of the heart, wh ch s respons ble for the
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hearts contract on, s the: fg fg
a. endocard um. fg
b. per card um. fg fg
c. med ast num. fg fg
d. myocard um. fg
ANS: D
The myocard um s the spec al zed muscle layer that allows the heart to contract.
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2. The nurse clar f es that the master pacemaker of the heart s the:
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a. left ventr cle. fg
b. atr oventr cular (AV) node.
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c. s noatr al (SA) node.
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d. bundle of H s. fg
ANS: C
The SA node s the master pacemaker of the heart.
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3. The
nurse s aware that the symptoms of an mpend ng myocard al nfarct on (M ) d ffer n
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women because acute chest pa n s not present. Women are frequently m sd agnosed as hav fg fg fg fg
ng:
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a. hepat t s A. fg fg
b. nd gest on.
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c. ur nary nfect on.
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d. menopausal compl cat ons. fg fg
, ANS: B
nd gest on, gallbladder attack, anx ety attack, and depress on are frequent m sd agnoses for
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women hav ng an M . fg FG
4. The nurse fg dent f es the LUBB sound of the LUBB/DUBB of the card ac cycle as the sound
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of the:
a. AV valves clos ng. fg
b. closure of the sem lunar valves. fg
c. contract on of the pap llary muscles.
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d. contract on of the ventr cles. fg fg
ANS: A
The LUBB s the f rst sound of a low p tch heard when the AV valves close.
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5. A pat ent s adm tted from the emergency department. The emergency department phys c
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an notes the pat ent has a d agnos s of heart fa lure w th a New York Heart Assoc at on
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(NYHA) class f cat on of V. Th s nd cates the pat ents cond t on as:
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a. moderate heart fa lure. fg
b. severe heart fa lure. fg
c. congest ve heart fa lure. fg fg
d. negl g ble heart fa lure.
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ANS: B
Class V: Severe; pat ent unable to perform any phys cal act v ty w thout d scomfort. Ang na
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or symptoms of card ac neff c ency may develop at rest. fg fg fg fg
6. The nurse assesses that the
home health pat ent has no s gns or symptoms of heart fa lure, fg fg fg
but does have a h story of rheumat c fever and has been recently d agnosed w th d abetes mell
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tus. The nurse s aware that us ng the Amer can College of Card ology and the Amer can
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Heart Assoc at on (ACC/AHA) stag ng, th s pat ent would be a:
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a. stage A.
b. stage B.
c. stage C.
d. stage D.
ANS: A
The ACC/AHA stag ng descr bes stage A as a person w thout symptoms of heart fa lure, but w
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th pr mary cond t ons assoc ated w th the development of the d sease.
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CL N CAL GU DEL NES N
FG FG FG FG FG
PR MARY CARE
FG
4th Ed t on, Holl er
fg fg fg
TEST BANK
,Cl n cal Gu del nes n Pr mary Care 4th Ed t on Holl er Test Bank
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Table of Contents
Chapter 1: Card ovascular D sorders
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Chapter 2: Dermatolog c D sorders fg fg
Chapter 3: Ear Nose & Throat D sorders fg
Chapter 4: Endocr ne D sorders
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Chapter 5: Gastro ntest nal D sorders
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Chapter 6: Genet c D sorders
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Chapter 7: Health Promot on - Ped atr c fg fg fg
Chapter 8: Hematolog c D sorders fg fg
Chapter 9: Lactat on and Breastfeed ng
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Chapter 10: Men’s Health D sorders fg
Chapter 11: Neurolog c D sorders fg fg
Chapter 12: Ophthalm c D sorders fg fg
Chapter 13: Orthoped c D sorders fg fg
Chapter 14: Pregnancy
Chapter 15: Psych atr c D sorders, V olence, Abuse, Neglect
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Chapter 16: Pulmonary D sorders fg
Chapter 17: Sexually Transm tted D seases fg fg
Chapter 18: Urolog c D sorders fg fg
Chapter 19: Women’s Health D sorders fg
,Chapter 1: Card ovascular D sorders fg fg
Cl n cal Gu del nes n Pr mary Care 4th Ed t on Test bank
fg fg fg fg fg fg fg fg
MULT PLE CHO CE FG FG
1. The nurse s aware that the muscle layer of the heart, wh ch s respons ble for the
fg fg fg fg
hearts contract on, s the: fg fg
a. endocard um. fg
b. per card um. fg fg
c. med ast num. fg fg
d. myocard um. fg
ANS: D
The myocard um s the spec al zed muscle layer that allows the heart to contract.
fg fg fg fg
2. The nurse clar f es that the master pacemaker of the heart s the:
fg fg fg
a. left ventr cle. fg
b. atr oventr cular (AV) node.
fg fg
c. s noatr al (SA) node.
fg fg
d. bundle of H s. fg
ANS: C
The SA node s the master pacemaker of the heart.
fg
3. The
nurse s aware that the symptoms of an mpend ng myocard al nfarct on (M ) d ffer n
fg fg fg fg fg fg FG fg fg
women because acute chest pa n s not present. Women are frequently m sd agnosed as hav fg fg fg fg
ng:
fg
a. hepat t s A. fg fg
b. nd gest on.
fg fg fg
c. ur nary nfect on.
fg fg fg
d. menopausal compl cat ons. fg fg
, ANS: B
nd gest on, gallbladder attack, anx ety attack, and depress on are frequent m sd agnoses for
FG fg fg fg fg fg fg
women hav ng an M . fg FG
4. The nurse fg dent f es the LUBB sound of the LUBB/DUBB of the card ac cycle as the sound
fg fg fg
of the:
a. AV valves clos ng. fg
b. closure of the sem lunar valves. fg
c. contract on of the pap llary muscles.
fg fg
d. contract on of the ventr cles. fg fg
ANS: A
The LUBB s the f rst sound of a low p tch heard when the AV valves close.
fg fg fg
5. A pat ent s adm tted from the emergency department. The emergency department phys c
fg fg fg fg
an notes the pat ent has a d agnos s of heart fa lure w th a New York Heart Assoc at on
fg fg fg fg fg fg fg fg
(NYHA) class f cat on of V. Th s nd cates the pat ents cond t on as:
fg fg fg FG fg fg fg fg fg fg
a. moderate heart fa lure. fg
b. severe heart fa lure. fg
c. congest ve heart fa lure. fg fg
d. negl g ble heart fa lure.
fg fg fg
ANS: B
Class V: Severe; pat ent unable to perform any phys cal act v ty w thout d scomfort. Ang na
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or symptoms of card ac neff c ency may develop at rest. fg fg fg fg
6. The nurse assesses that the
home health pat ent has no s gns or symptoms of heart fa lure, fg fg fg
but does have a h story of rheumat c fever and has been recently d agnosed w th d abetes mell
fg fg fg fg fg
tus. The nurse s aware that us ng the Amer can College of Card ology and the Amer can
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Heart Assoc at on (ACC/AHA) stag ng, th s pat ent would be a:
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a. stage A.
b. stage B.
c. stage C.
d. stage D.
ANS: A
The ACC/AHA stag ng descr bes stage A as a person w thout symptoms of heart fa lure, but w
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th pr mary cond t ons assoc ated w th the development of the d sease.
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