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Test Bank For Clinical Guidelines in Primary Care 3rd Edition by Amelie Hollier: ISBN-13 978-8, A+ guide. 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 ...