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Test Bank for Clinical Guidelines in Primary Care, 4th Edition by Amelie Hollier, DNP, FNP-BC, FAANP – Complete Chapters 1–19, Verified Questions & Answers with Detailed Rationales

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Companion test bank for Clinical Guidelines in Primary Care, 4th Edition, edited by Amelie Hollier, DNP, FNP-BC, FAANP, and published by Advanced Practice Education Associates (APEA) in 2021. This comprehensive resource covers all 19 chapters of the textbook, providing a complete set of exam-style questions—multiple-choice, clinical scenarios, evidence-based decision-making, and diagnostic reasoning exercises—with verified answers and detailed rationales. Content spans the full spectrum of primary care: cardiovascular disorders, dermatologic disorders, ear/nose/throat disorders, endocrine disorders, gastrointestinal disorders, genetic disorders, pediatric health promotion, hematologic disorders, lactation and breastfeeding, men's health, neurologic disorders, ophthalmic disorders, orthopedic disorders, pregnancy, psychiatric disorders, pulmonary disorders, sexually transmitted diseases, urologic disorders, and women's health disorders. The 4th Edition provides guidance for the diagnosis and management of 368 of the most common patient presentations in primary care settings. Sample questions cover topics such as monitoring serum electrolytes with hydrochlorothiazide, recognizing retinal detachment from "curtain falling" vision loss, first-line antibiotics for community-acquired pneumonia, colorectal cancer screening age, high-dose prednisone for temporal arteritis, McBurney's point tenderness for appendicitis, ACE inhibitors for diabetic hypertension, psoriatic silvery scales, mitral valve prolapse mid-systolic click, and croup with barking cough and stridor. Designed for Nurse Practitioner (NP) students, Family Nurse Practitioner (FNP) candidates, and clinicians preparing for certification exams and the APEA Predictor Exam. Edition Details Author/Editor: Amelie Hollier, DNP, FNP-BC, FAANP Edition: Fourth Edition (4th) Publisher: Advanced Practice Education Associates, Inc. (APEA) Publication Year: 2021 ISBN-10: 1892418274 ISBN-13: 978-1892418272 Chapter Coverage: All 19 chapters Document Type: Test Bank with multiple-choice, case-based, evidence-based decision-making, and diagnostic reasoning questions Question Count: Varies by version (219–500+ questions across Stuvia and Docsity listings) Rationales: Included with each question Pages: 248–274 pages (varies by version and seller) Update: 2025/2026 and 2026/2027 versions available

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,Table of Contents
Chapter 1: Cardiovascular Disorders
Chapter 2: Dermatologic Disorders
Chapter 3: Ear Nose & Throat Disorders
Chapter 4: Endocrine Disorders
Chapter 5: Gastrointestinal Disorders
Chapter 6: Genetic Disorders
Chapter 7: Health Promotion - Pediatric
Chapter 8: Hematologic Disorders
Chapter 9: Lactation and Breastfeeding
Chapter 10: Men’s Health Disorders
Chapter 11: Neurologic Disorders
Chapter 12: Ophthalmic Disorders
Chapter 13: Orthopedic Disorders
Chapter 14: Pregnancy
Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
Chapter 16: Pulmonary Disorders
Chapter 17: Sexually Transmitted Diseases
Chapter 18: Urologic Disorders
Chapter 19: Women’s Health Disorders

,Chapter 1: Cardiovascular Disorders


MULTIPLE CHOICE
1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but
with primary conditions associated with the development of the disease.

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Publisher: 2021 ISBN: 9781892418272 Edition: Unknown

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