Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
Clinical Guidelines in Primary Care 4th Edition Hollier Test
Bank
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
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.
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
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.
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.
, Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
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.
7. The nurse caring for a patient recovering from a myocardial
infarct who is on remote telemetry recognizes the need for added instruction when the patient says:
a. I can ambulate in the hallway with this gadget on.
b. I always take off the telemetry device when I shower.
Clinical Guidelines in Primary Care 4th Edition Hollier Test
Bank
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
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.
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
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.
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.
, Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
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.
7. The nurse caring for a patient recovering from a myocardial
infarct who is on remote telemetry recognizes the need for added instruction when the patient says:
a. I can ambulate in the hallway with this gadget on.
b. I always take off the telemetry device when I shower.
