Clinical Guidelines in Primary Care 4th Ed Test Bank

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Test Bank For Clinical Guidelines
in Primary Care, 4th Edition by
FAANP Amelie Hollier




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Chapter 1 Cardiovascular Disorders

MULTIPLE CHOICE

• The nurse is aware that the muscle layer of the heart, which is
responsible for the hearts contraction, is the:



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

myocardium.

ANS: D

The myocardium is the specialized muscle layer that allows the heart to contract.

• The nurse clarifies that the master pacemaker of the heart is the:


a.
left ventricle.

b.
atrioventricular (AV) node.
c.

sinoatrial (SA) node.
d.
bundle of His.
ANS: C

The SA node is the master pacemaker of the heart.
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• The nurse is aware that the symptoms of an impending myocardial
infarction (MI) differ in women because acute chest pain is not present. Women are
frequently misdiagnosed as having:


a.
hepatitis A.
b.

indigestion.
c.
urinary infection.
d.
menopausal complications.


ANS: B

Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for
women having an MI.

• The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac
cycle as the sound of the:



a.
AV valves closing.
b.

closure of the semilunar valves.
c.
contraction of the papillary muscles.
d.
contraction of the ventricles.
ANS: A

The LUBB is the first sound of a low pitch heard when the AV valves close.


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• A patient is admitted from the emergency department. The emergency
department physician notes the patient has a diagnosis of heart failure with a New York
Heart Association (NYHA) classification of IV. This indicates the patients condition as:


a.
moderate heart failure.
b.

severe heart failure.
c.
congestive heart failure.
d.
negligible heart failure.

ANS: B

Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or
symptoms of cardiac inefficiency may develop at rest.

• The nurse assesses that the home health patient has no signs or symptoms
of heart failure, but does have a history of rheumatic fever and has been recently
diagnosed with diabetes mellitus. The nurse is aware that using the American College of
Cardiology and the American Heart Association (ACC/AHA) staging, this patient would
be a:



a.
stage A.

b.
stage B.
c.
stage C.
d.
stage D.
ANS: A


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