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