Clinical Guidelines in Primary Care 4th Edition Exam With Actual Questions And
Verified Detailed Answers With A New Update 2024-2025 100% Pass Guaranteed
The nurse knows that the muscle layer of the heart responsible for the heart's
contraction is the:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium. -Answer d. myocardium.
The myocardium is the specialized muscle layer that allows the heart to contract.
The nurse explains that the master pacemaker of the heart is the:
a. left ventricle.
b. atrioventricular (AV) node.
c. sinoatrial (SA) node.
d. bundle of His. - Answer c. sinoatrial (SA) node.
SA node is the master pacemaker of the heart.
The nurse knows that symptoms of an impending MI differ for women because acute
chest pain does not occur. Many women are misdiagnosed with:
a. hepatitis A.
b. indigestion.
c. urinary infection.
d. menopausal complications. Answer b. indigestion.
,Common misdiagnosis for women in MI includes indigestion, gallbladder attack, anxiety
attack, and depression.
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. - Answer a. AV valves closing.
The LUBB is the first sound of a low pitch that occurs upon the closing of the AV valves.
A patient is admitted from the ED. The ED physician has documented that the patient
has a diagnosis of heart failure and a NYHA classification of IV. This identifies the
patient's condition as: a. moderate heart failure. b. severe heart failure. c. congestive
heart failure. d. negligible heart failure. -Answer b. severe heart failure.
Class IV: Severe; patient is unable to carry on any physical activity without discomfort.
Angina or symptoms of cardiac inefficiency may develop at rest.
The nurse identifies the home health patient as having no signs/symptoms of heart
failure, yet with a history of rheumatic fever and newly diagnosed with diabetes mellitus.
The nurse recognizes that based on the staging by the American College of Cardiology
and the American Heart Association (ACC/AHA) this patient would be a: a. stage A. b.
stage B. c. stage C. d. stage D. Answer a. stage A.
ACC/AHA staging defines stage A as a patient without symptoms of heart failure but with
primary conditions associated with the development of the disease.
The nurse caring for a patient recovering from a myocardial infarct who is on remote
telemetry identifies the need for added teaching when the patient says:
a. "I can walk in the hallway with this device on."
, b. "I always take the telemetry device off when I shower."
c. "My EKG is monitored by one of the nurses in CCU on the home unit."
d. "I can sleep just fine with this device on."
Remote telemetry allows the patient to be on a separate unit, but be monitored in a
central location. The patients can be ambulatory and can sleep with the monitor on.
They should not remove the monitor to shower.
The nurse assesses pitting edema that can be depressed approximately inch and refills
in 15 seconds. The nurse would document this assessment as:
a. +1 edema.
b. +2 edema.
c. +3 edema.
d. +4 edema. - Answer b. +2 edema.
A +2 edema can be documented if the skin can be depressed inch and respond within 15
seconds.
What do dark or "cold" spots on a thallium scan indicate?
a. Tissue with adequate blood supply
b. Dilated vessels
c. Areas of neoplastic growth
d. Tissue that has inadequate perfusion - Answer d. Tissue that has inadequate
perfusion
Thallium scans reveal areas that are adequately perfused by the collection of thallium.
Tissues that are not adequately perfused appear as dark spots or "cold spots."
The nurse recognizes that the echocardiogram report indicating an ejection factor of
42% is indicative of:
Verified Detailed Answers With A New Update 2024-2025 100% Pass Guaranteed
The nurse knows that the muscle layer of the heart responsible for the heart's
contraction is the:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium. -Answer d. myocardium.
The myocardium is the specialized muscle layer that allows the heart to contract.
The nurse explains that the master pacemaker of the heart is the:
a. left ventricle.
b. atrioventricular (AV) node.
c. sinoatrial (SA) node.
d. bundle of His. - Answer c. sinoatrial (SA) node.
SA node is the master pacemaker of the heart.
The nurse knows that symptoms of an impending MI differ for women because acute
chest pain does not occur. Many women are misdiagnosed with:
a. hepatitis A.
b. indigestion.
c. urinary infection.
d. menopausal complications. Answer b. indigestion.
,Common misdiagnosis for women in MI includes indigestion, gallbladder attack, anxiety
attack, and depression.
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. - Answer a. AV valves closing.
The LUBB is the first sound of a low pitch that occurs upon the closing of the AV valves.
A patient is admitted from the ED. The ED physician has documented that the patient
has a diagnosis of heart failure and a NYHA classification of IV. This identifies the
patient's condition as: a. moderate heart failure. b. severe heart failure. c. congestive
heart failure. d. negligible heart failure. -Answer b. severe heart failure.
Class IV: Severe; patient is unable to carry on any physical activity without discomfort.
Angina or symptoms of cardiac inefficiency may develop at rest.
The nurse identifies the home health patient as having no signs/symptoms of heart
failure, yet with a history of rheumatic fever and newly diagnosed with diabetes mellitus.
The nurse recognizes that based on the staging by the American College of Cardiology
and the American Heart Association (ACC/AHA) this patient would be a: a. stage A. b.
stage B. c. stage C. d. stage D. Answer a. stage A.
ACC/AHA staging defines stage A as a patient without symptoms of heart failure but with
primary conditions associated with the development of the disease.
The nurse caring for a patient recovering from a myocardial infarct who is on remote
telemetry identifies the need for added teaching when the patient says:
a. "I can walk in the hallway with this device on."
, b. "I always take the telemetry device off when I shower."
c. "My EKG is monitored by one of the nurses in CCU on the home unit."
d. "I can sleep just fine with this device on."
Remote telemetry allows the patient to be on a separate unit, but be monitored in a
central location. The patients can be ambulatory and can sleep with the monitor on.
They should not remove the monitor to shower.
The nurse assesses pitting edema that can be depressed approximately inch and refills
in 15 seconds. The nurse would document this assessment as:
a. +1 edema.
b. +2 edema.
c. +3 edema.
d. +4 edema. - Answer b. +2 edema.
A +2 edema can be documented if the skin can be depressed inch and respond within 15
seconds.
What do dark or "cold" spots on a thallium scan indicate?
a. Tissue with adequate blood supply
b. Dilated vessels
c. Areas of neoplastic growth
d. Tissue that has inadequate perfusion - Answer d. Tissue that has inadequate
perfusion
Thallium scans reveal areas that are adequately perfused by the collection of thallium.
Tissues that are not adequately perfused appear as dark spots or "cold spots."
The nurse recognizes that the echocardiogram report indicating an ejection factor of
42% is indicative of:
