TEST BANK CLINICAL GUIDE LINES IN PRIMARY CARE 4thEdition, Hollier

TEST BANK h




CLINICAL GUIDELINESI
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N PRIMARY CARE
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4th Edition, Hollier
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TEST BANK h

,ClinicalhGuidelineshinhPrimaryhCareh4thhEditionhHollierhTesthBank
TablehofhContents
Chapterh1:hCardiovascularhDisorders
Chapterh2:hDermatologichDisorders
Chapterh3:hEarhNoseh&hThroathDisorders
Chapterh4:hEndocrinehDisorders
Chapterh5:hGastrointestinalhDisorders
Chapterh6:hGenetichDisorders
Chapterh7:hHealthhPromotionh-hPediatric
Chapterh8:hHematologichDisorders
Chapterh9:hLactationhandhBreastfeeding
Chapterh10:hMen’shHealthhDisorders
Chapterh11:hNeurologichDisorders
Chapterh12:hOphthalmichDisorders
Chapterh13:hOrthopedichDisorders
Chapterh14:hPregnancy
Chapterh15:hPsychiatrichDisorders,hViolence,hAbuse,hNeglect
Chapterh16:hPulmonaryhDisorders
Chapterh17:hSexuallyhTransmittedhDiseases
Chapterh18:hUrologichDisorders
Chapterh19:hWomen’shHealthhDisorders

,Chapterh1:hCardiovascularhDisorders
ClinicalhGuidelineshinhPrimaryhCareh4thhEditionhTesthbank


MULTIPLEhCHOICE
1.h Thehnursehishawarehthaththehmusclehlayerhofhthehheart,hwhichhishresponsiblehforhthehheartshco
ntraction,hishthe:

a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.

ANS:hD
Thehmyocardiumhishthehspecializedhmusclehlayerhthathallowshthehhearthtohcontract.h2
.Thehnursehclarifieshthaththehmasterhpacemakerhofhthehhearthishthe:

a. lefthventricle.
b. atrioventricularh(AV)hnode.
c. sinoatrialh(SA)hnode.
d. bundlehofhHis.

ANS:hC
ThehSAhnodehishthehmasterhpacemakerhofhthehheart.
3. Thehnursehishawarehthaththehsymptomshofhanhimpendinghmyocardialhinfarctionh(MI)hdifferhinhw
omenhbecausehacutehchesthpainhish nothpresent.hWomenharehfrequentlyhmisdiagnosedhashhaving:

a. hepatitishA.
b. indigestion.
c. urinaryhinfection.
d. menopausalhcomplications.

, ANS:hB
Indigestion,hgallbladderhattack,hanxietyhattack,handhdepressionharehfrequenthmisdiagnoseshforh
womenhhavinghanhMI.
4. ThehnursehidentifieshthehLUBBhsoundhofhthehLUBB/DUBBhofhthehcardiachcyclehashthehsoundhofht
he:

a. AVhvalveshclosing.
b. closurehofhthehsemilunarhvalves.
c. contractionhofhthehpapillaryhmuscles.
d. contractionhofhthehventricles.

ANS:hA
ThehLUBBhishthehfirsthsoundhofhahlowhpitchhheardhwhenhthehAVhvalveshclose.
5.Ahpatienthishadmittedhfromhthehemergencyhdepartment.hThehemergencyhdepartmenthphysicianhn
oteshthehpatienthhashahdiagnosishofhhearthfailurehwithhahNewhYorkhHearthAssociationh(NYHA)hcla
ssificationhofhIV.hThish indicateshthehpatientshconditionhas:

a. moderatehhearthfailure.
b. severehhearthfailure.
c. congestivehhearthfailure.
d. negligiblehhearthfailure.

ANS:hB
ClasshIV:hSevere;hpatienthunablehtohperformhanyhphysicalhactivityhwithouthdiscomfort.hAnginahorhs
ymptomshofhcardiachinefficiencyhmayhdevelophathrest.
6. Thehnursehassesseshthaththehhomehhealthhpatienthhashnohsignshorhsymptomshofhhearthfailure,hbuthd
oeshhavehahhistoryhofhrheumatichfeverhandhhashbeenhrecentlyhdiagnosedhwithhdiabeteshmellitus.hTh
ehnursehishawarehthathusinghthehAmericanhCollegehofhCardiologyhandhthehAmericanhHearthAssoci
ationh(ACC/AHA)hstaging,hthishpatienthwouldhbeha:

a. stagehA.
b. stagehB.
c. stagehC.
d. stagehD.

ANS:hA
ThehACC/AHAhstaginghdescribeshstagehAhashahpersonhwithouthsymptomshofhhearthfailure,hbuthwithh
primaryhconditionsh associatedhwithhthehdevelopmenthofhthehdisease.