TEST BANK
HOLLIER’S CLINICAL GUIDELINES IN PRIMARY CARE
5TH EDITION (ADVANCED PRACTICE EDUCATION
ASSOCIATES, 2025) BY KATHY BALDRIGDE, ISBN NO;
9781565332737, ALL 19 CHAPTERS COVERED
1 Page
, Test Bank for Hollier’s Clinical Guidelines in Primary Care 5th Edition (Advanced Practice Education
Associates, 2025) by Kathy Baldrigde, Isbn no; 9781565332737, all 19 Chapters Covered
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
2 Page
, Test Bank for Hollier’s Clinical Guidelines in Primary Care 5th Edition (Advanced Practice
Education Associates, 2025) by Kathy Baldrigde, Isbn no; 9781565332737, all 19 Chapters Covered
Chapter 1: Cardiovascular Disorders
Clinical Guidelines in Primary Care 5th Edition
MULTIPLE CHOICE
1. The nurse is aware that the muscle layer of the heart, which is responsible for the heart’s
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 ventricle.
b. atrioventricular (AV) node.
c. sinoatrial (SA) node.
d. bundle of His.
ANS: 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.
ANS: B
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for
women having an MI.
3 Page
, 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.
ANS: 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 patient’s condition as:
a. moderate heart failure.
b. severe heart failure.
c. congestive heart failure.
d. negligible heart failure.
ANS: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or
symptoms of cardiac inefficiency may develop at rest.
6. The nurse assesses that the home health patient has no signs or symptoms of heart failure,
but does have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus.
The nurse is aware that using the American College of Cardiology and the American Heart
Association (ACC/AHA) staging, this patient would be a:
a. stage A.
b. stage B.
c. stage C.
d. stage D.
ANS: A
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but with
primary conditions associated with the development of the disease.
4 Page
HOLLIER’S CLINICAL GUIDELINES IN PRIMARY CARE
5TH EDITION (ADVANCED PRACTICE EDUCATION
ASSOCIATES, 2025) BY KATHY BALDRIGDE, ISBN NO;
9781565332737, ALL 19 CHAPTERS COVERED
1 Page
, Test Bank for Hollier’s Clinical Guidelines in Primary Care 5th Edition (Advanced Practice Education
Associates, 2025) by Kathy Baldrigde, Isbn no; 9781565332737, all 19 Chapters Covered
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
2 Page
, Test Bank for Hollier’s Clinical Guidelines in Primary Care 5th Edition (Advanced Practice
Education Associates, 2025) by Kathy Baldrigde, Isbn no; 9781565332737, all 19 Chapters Covered
Chapter 1: Cardiovascular Disorders
Clinical Guidelines in Primary Care 5th Edition
MULTIPLE CHOICE
1. The nurse is aware that the muscle layer of the heart, which is responsible for the heart’s
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 ventricle.
b. atrioventricular (AV) node.
c. sinoatrial (SA) node.
d. bundle of His.
ANS: 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.
ANS: B
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for
women having an MI.
3 Page
, 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.
ANS: 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 patient’s condition as:
a. moderate heart failure.
b. severe heart failure.
c. congestive heart failure.
d. negligible heart failure.
ANS: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or
symptoms of cardiac inefficiency may develop at rest.
6. The nurse assesses that the home health patient has no signs or symptoms of heart failure,
but does have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus.
The nurse is aware that using the American College of Cardiology and the American Heart
Association (ACC/AHA) staging, this patient would be a:
a. stage A.
b. stage B.
c. stage C.
d. stage D.
ANS: A
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but with
primary conditions associated with the development of the disease.
4 Page
