Test Bank – Hollier’s Clinical Guidelines in Primary Care (5th Edition, 2025)
By Amelie Hollier
APEA-Aligned Questions, Evidence-Based Care & NP Exam Success | ISBN-13: 978-1565332737
,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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
By Amelie Hollier
APEA-Aligned Questions, Evidence-Based Care & NP Exam Success | ISBN-13: 978-1565332737
,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.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: 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.
