TEST BANK nn
GUIDELINES IN PRIMARY CARE, 4TH EDITION
nn nn nn nn nn
Amelie nnHollier
,Clinical nnGuidelines nnin nnPrimary nnCare nn4th nnEdition nnHollier nnTest nnBank
Table nnof nnContents
Chapter nn1: nnCardiovascular nnDisorders
Chapter nn2: nnDermatologic nnDisorders
Chapter nn3: nnEar nnNose nn& nnThroat nnDisorders
Chapter nn4: nnEndocrine nnDisorders
Chapter nn5: nnGastrointestinal nnDisorders
Chapter nn6: nnGenetic nnDisorders
Chapter nn7: nnHealth nnPromotion nn- nnPediatric
Chapter nn8: nnHematologic nnDisorders
Chapter nn9: nnLactation nnand nnBreastfeeding
Chapter nn10: nnMen’s nnHealth nnDisorders
Chapter nn11: nnNeurologic nnDisorders
Chapter nn12: nnOphthalmic nnDisorders
Chapter nn13: nnOrthopedic nnDisorders
Chapter nn14: nnPregnancy
Chapter nn15: nnPsychiatric nnDisorders, nnViolence, nnAbuse, nnNeglect
Chapter nn16: nnPulmonary nnDisorders
Chapter nn17: nnSexually nnTransmitted nnDiseases
Chapter nn18: nnUrologic nnDisorders
Chapter nn19: nnWomen’s nnHealth nnDisorders
,Chapter nn1: nnCardiovascular nnDisorders
Clinical nnGuidelines nnin nnPrimary nnCare nn4th nnEdition nnTest nnbank
MULTIPLE nnCHOICE
1. n n The nnnurse nnis nnaware nnthat nnthe nnmuscle nnlayer nnof nnthe nnheart, nnwhich nnis nnresponsible
nn for nnthe nnheartsncontraction, nnis nnthe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: nnD
The nnmyocardium nnis nnthe nnspecialized nnmuscle nnlayer nnthat nnallows nnthe nnheart nnto
contract.n2.The nnnurse nnclarifies nn that nnthe nnmaster nnpacemaker nnof nnthe nnheart nnis
nn
nn the:
a. left nnventricle.
b. atrioventricular nn(AV) nnnode.
c. sinoatrial nn(SA) nnnode.
d. bundle nnof nnHis.
ANS: nnC
The nnSA nnnode nnis nnthe nnmaster nnpacemaker nnof nnthe nnheart.
3. The nnnurse nnis nnaware nnthat nnthe nnsymptoms nnof nnan nnimpending nnmyocardial nninfarction
nn (MI) nndiffer nnin nnwomen nnbecause nnacute nnchest nnpain nnis nn not nnpresent. nnWomen nnare
nn frequently nnmisdiagnosed nnas nnhaving:
a. hepatitis nnA.
b. indigestion.
c. urinary nninfection.
d. menopausal nncomplications.
, ANS: nnB
Indigestion, nngallbladder nnattack, nnanxiety nnattack, nnand nndepression nnare nnfrequent
nnmisdiagnoses nnfornwomen nnhaving nnan nnMI.
4. The nnnurse nnidentifies nnthe nnLUBB nnsound nnof nnthe nnLUBB/DUBB nnof nnthe nncardiac nncycle nnas
nn the nnsound nnofnthe:
a. AV nnvalves nnclosing.
b. closure nnof nnthe nnsemilunar nnvalves.
c. contraction nnof nnthe nnpapillary nnmuscles.
d. contraction nnof nnthe nnventricles.
ANS: nnA
The nnLUBB nnis nnthe nnfirst nnsound nnof nna nnlow nnpitch nnheard nnwhen nnthe nnAV nnvalves nnclose.
5.A nnpatient nnis nn admitted nn from nnthe nnemergency nndepartment. nnThe nnemergency nndepartment
nnphysician nnotes nnthe nnpatient nnhas nna nndiagnosis nnof nnheart nnfailure nnwith nna nnNew nnYork
nnHeart nnAssociation nn(NYHA)n classification nnof nnIV. nnThis nn indicates nnthe nnpatients nn condition
nnas:
a. moderate nnheart nnfailure.
b. severe nnheart nnfailure.
c. congestive nnheart nnfailure.
d. negligible nnheart nnfailure.
ANS: nnB
Class nnIV: nnSevere; nnpatient nnunable nnto nnperform nnany nnphysical nnactivity nnwithout nndiscomfort.
nnAngina nnorn symptoms nnof nncardiac nninefficiency nnmay nndevelop nnat nnrest.
6. The nnnurse nnassesses nnthat nnthe nnhome nnhealth nnpatient nnhas nn no nnsigns nnor nnsymptoms nnof nnheart
nnfailure, nnbutndoes nnhave nna nnhistory nnof nnrheumatic nnfever nnand nnhas nnbeen nnrecently nndiagnosed
nnwith nndiabetes nnmellitus.n The nnnurse nnis nnaware nnthat nnusing nnthe nnAmerican nnCollege nnof
nnCardiology nnand nnthe nnAmerican nnHeart nnAssociation nn(ACC/AHA) nnstaging, nn this nnpatient
nnwould nn be nna:
a. stage nnA.
b. stage nnB.
c. stage nnC.
d. stage nnD.
ANS: nnA
The nnACC/AHA nnstaging nndescribes nnstage nnA nnas nna nnperson nnwithout nnsymptoms nnof nnheart
nnfailure, nnbutn
with nnprimary nnconditions nn associated nnwith nnthe nndevelopment nnof nnthe nndisease.
GUIDELINES IN PRIMARY CARE, 4TH EDITION
nn nn nn nn nn
Amelie nnHollier
,Clinical nnGuidelines nnin nnPrimary nnCare nn4th nnEdition nnHollier nnTest nnBank
Table nnof nnContents
Chapter nn1: nnCardiovascular nnDisorders
Chapter nn2: nnDermatologic nnDisorders
Chapter nn3: nnEar nnNose nn& nnThroat nnDisorders
Chapter nn4: nnEndocrine nnDisorders
Chapter nn5: nnGastrointestinal nnDisorders
Chapter nn6: nnGenetic nnDisorders
Chapter nn7: nnHealth nnPromotion nn- nnPediatric
Chapter nn8: nnHematologic nnDisorders
Chapter nn9: nnLactation nnand nnBreastfeeding
Chapter nn10: nnMen’s nnHealth nnDisorders
Chapter nn11: nnNeurologic nnDisorders
Chapter nn12: nnOphthalmic nnDisorders
Chapter nn13: nnOrthopedic nnDisorders
Chapter nn14: nnPregnancy
Chapter nn15: nnPsychiatric nnDisorders, nnViolence, nnAbuse, nnNeglect
Chapter nn16: nnPulmonary nnDisorders
Chapter nn17: nnSexually nnTransmitted nnDiseases
Chapter nn18: nnUrologic nnDisorders
Chapter nn19: nnWomen’s nnHealth nnDisorders
,Chapter nn1: nnCardiovascular nnDisorders
Clinical nnGuidelines nnin nnPrimary nnCare nn4th nnEdition nnTest nnbank
MULTIPLE nnCHOICE
1. n n The nnnurse nnis nnaware nnthat nnthe nnmuscle nnlayer nnof nnthe nnheart, nnwhich nnis nnresponsible
nn for nnthe nnheartsncontraction, nnis nnthe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: nnD
The nnmyocardium nnis nnthe nnspecialized nnmuscle nnlayer nnthat nnallows nnthe nnheart nnto
contract.n2.The nnnurse nnclarifies nn that nnthe nnmaster nnpacemaker nnof nnthe nnheart nnis
nn
nn the:
a. left nnventricle.
b. atrioventricular nn(AV) nnnode.
c. sinoatrial nn(SA) nnnode.
d. bundle nnof nnHis.
ANS: nnC
The nnSA nnnode nnis nnthe nnmaster nnpacemaker nnof nnthe nnheart.
3. The nnnurse nnis nnaware nnthat nnthe nnsymptoms nnof nnan nnimpending nnmyocardial nninfarction
nn (MI) nndiffer nnin nnwomen nnbecause nnacute nnchest nnpain nnis nn not nnpresent. nnWomen nnare
nn frequently nnmisdiagnosed nnas nnhaving:
a. hepatitis nnA.
b. indigestion.
c. urinary nninfection.
d. menopausal nncomplications.
, ANS: nnB
Indigestion, nngallbladder nnattack, nnanxiety nnattack, nnand nndepression nnare nnfrequent
nnmisdiagnoses nnfornwomen nnhaving nnan nnMI.
4. The nnnurse nnidentifies nnthe nnLUBB nnsound nnof nnthe nnLUBB/DUBB nnof nnthe nncardiac nncycle nnas
nn the nnsound nnofnthe:
a. AV nnvalves nnclosing.
b. closure nnof nnthe nnsemilunar nnvalves.
c. contraction nnof nnthe nnpapillary nnmuscles.
d. contraction nnof nnthe nnventricles.
ANS: nnA
The nnLUBB nnis nnthe nnfirst nnsound nnof nna nnlow nnpitch nnheard nnwhen nnthe nnAV nnvalves nnclose.
5.A nnpatient nnis nn admitted nn from nnthe nnemergency nndepartment. nnThe nnemergency nndepartment
nnphysician nnotes nnthe nnpatient nnhas nna nndiagnosis nnof nnheart nnfailure nnwith nna nnNew nnYork
nnHeart nnAssociation nn(NYHA)n classification nnof nnIV. nnThis nn indicates nnthe nnpatients nn condition
nnas:
a. moderate nnheart nnfailure.
b. severe nnheart nnfailure.
c. congestive nnheart nnfailure.
d. negligible nnheart nnfailure.
ANS: nnB
Class nnIV: nnSevere; nnpatient nnunable nnto nnperform nnany nnphysical nnactivity nnwithout nndiscomfort.
nnAngina nnorn symptoms nnof nncardiac nninefficiency nnmay nndevelop nnat nnrest.
6. The nnnurse nnassesses nnthat nnthe nnhome nnhealth nnpatient nnhas nn no nnsigns nnor nnsymptoms nnof nnheart
nnfailure, nnbutndoes nnhave nna nnhistory nnof nnrheumatic nnfever nnand nnhas nnbeen nnrecently nndiagnosed
nnwith nndiabetes nnmellitus.n The nnnurse nnis nnaware nnthat nnusing nnthe nnAmerican nnCollege nnof
nnCardiology nnand nnthe nnAmerican nnHeart nnAssociation nn(ACC/AHA) nnstaging, nn this nnpatient
nnwould nn be nna:
a. stage nnA.
b. stage nnB.
c. stage nnC.
d. stage nnD.
ANS: nnA
The nnACC/AHA nnstaging nndescribes nnstage nnA nnas nna nnperson nnwithout nnsymptoms nnof nnheart
nnfailure, nnbutn
with nnprimary nnconditions nn associated nnwith nnthe nndevelopment nnof nnthe nndisease.
