TESTBANK v
GUIDELINES IN PRIMARY CARE, 4TH EDITION
v v v v v
Amelie Hollier
v
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
v v v v v v v v v
Table of Contents
v v
Chapter 1: Cardiovascular Disorders
v v v
Chapter 2: Dermatologic Disorders
v v v
Chapter 3: Ear Nose & Throat Disorders
v v v v v v
Chapter 4: Endocrine Disorders
v v v
Chapter 5: Gastrointestinal Disorders
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Chapter 6: Genetic Disorders
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Chapter 7: Health Promotion - Pediatric
v v v v v
Chapter 8: Hematologic Disorders
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Chapter 9: Lactation and Breastfeeding
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Chapter 10: Men’s Health Disorders
v v v v
Chapter 11: Neurologic Disorders
v v v
Chapter 12: Ophthalmic Disorders
v v v
Chapter 13: Orthopedic Disorders
v v v
Chapter 14: Pregnancy
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Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
v v v v v v
Chapter 16: Pulmonary Disorders
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Chapter 17: Sexually Transmitted Diseases
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Chapter 18: Urologic Disorders
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Chapter 19: Women’s Health Disorders
v v v v
,Chapter 1: Cardiovascular Disorders
v v v
Clinical Guidelines in Primary Care 4th Edition Test bank
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MULTIPLE CHOICE v
1. The nurse is aware that the muscle layer of the heart, which is responsible for the
v v v v v v v v v v v v v v v v
heartscontraction, is the:
v v v v
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D v
The myocardium is the specialized muscle layer that allows the heart to
v v v v v v v v v v v
vcontract.2.The nurse clarifies that the master pacemaker of the heart is the:
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a. left ventricle. v
b. atrioventricular (AV) node. v v
c. sinoatrial (SA) node. v v
d. bundle of His. v v
ANS: C v
The SA node is the master pacemaker of the heart.
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3. The nurse is
vaware that the symptoms of an impending myocardial infarction (MI) differ in
v v v v v v v v v v v v v
vwomen because acute chest pain is not present. Women are frequently misdiagnosed as having:
v v v v v v v v v v v v v
a. hepatitis A. v
b. indigestion.
c. urinary infection. v
d. menopausal complications. v
, ANS: B v
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses
v v v v v v v v v
forwomen having an MI.
v v v v v
4. The nurse identifies
v v v the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound
v v v v v v v v v v v v
v ofthe:
v
a. AV valves closing. v v
b. closure of the semilunar valves. v v v v
c. contraction of the papillary muscles. v v v v
d. contraction of the ventricles. v v v
ANS: A v
The LUBB is the first sound of a low pitch heard when the AV valves close.
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5.A patient is admitted from the emergency department. The emergency department
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physiciannotes the patient has a diagnosis of heart failure with a New York Heart Association
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(NYHA)classification of IV. This indicates the patients condition as:
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a. moderate heart failure. v v
b. severe heart failure. v v
c. congestive heart failure. v v
d. negligible heart failure. v v
ANS: B v
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina
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orsymptoms of cardiac inefficiency may develop at rest.
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6. The nurse assesses that the home health patient has
v v no signs or symptoms of heart failure,
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butdoes have a history of rheumatic fever and has been recently diagnosed with diabetes
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mellitus.The nurse is aware that using the American College of Cardiology and the American
v v v v v v v v v v v v v v v
Heart Association (ACC/AHA) staging, this patient would be a:
v v v v v v v v v
a. stage A. v
b. stage B. v
c. stage C. v
d. stage D. v
ANS: A v
The ACC/AHA staging describes stage A as a person without symptoms of heart failure,
v v v v v v v v v v v v v
butwith primary conditions associated with the development of the disease.
v v v v v v v v v v v
GUIDELINES IN PRIMARY CARE, 4TH EDITION
v v v v v
Amelie Hollier
v
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
v v v v v v v v v
Table of Contents
v v
Chapter 1: Cardiovascular Disorders
v v v
Chapter 2: Dermatologic Disorders
v v v
Chapter 3: Ear Nose & Throat Disorders
v v v v v v
Chapter 4: Endocrine Disorders
v v v
Chapter 5: Gastrointestinal Disorders
v v v
Chapter 6: Genetic Disorders
v v v
Chapter 7: Health Promotion - Pediatric
v v v v v
Chapter 8: Hematologic Disorders
v v v
Chapter 9: Lactation and Breastfeeding
v v v v
Chapter 10: Men’s Health Disorders
v v v v
Chapter 11: Neurologic Disorders
v v v
Chapter 12: Ophthalmic Disorders
v v v
Chapter 13: Orthopedic Disorders
v v v
Chapter 14: Pregnancy
v v
Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
v v v v v v
Chapter 16: Pulmonary Disorders
v v v
Chapter 17: Sexually Transmitted Diseases
v v v v
Chapter 18: Urologic Disorders
v v v
Chapter 19: Women’s Health Disorders
v v v v
,Chapter 1: Cardiovascular Disorders
v v v
Clinical Guidelines in Primary Care 4th Edition Test bank
v v v v v v v v
MULTIPLE CHOICE v
1. The nurse is aware that the muscle layer of the heart, which is responsible for the
v v v v v v v v v v v v v v v v
heartscontraction, is the:
v v v v
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D v
The myocardium is the specialized muscle layer that allows the heart to
v v v v v v v v v v v
vcontract.2.The nurse clarifies that the master pacemaker of the heart is the:
v v v v v v v v v v v v
a. left ventricle. v
b. atrioventricular (AV) node. v v
c. sinoatrial (SA) node. v v
d. bundle of His. v v
ANS: C v
The SA node is the master pacemaker of the heart.
v v v v v v v v v
3. The nurse is
vaware that the symptoms of an impending myocardial infarction (MI) differ in
v v v v v v v v v v v v v
vwomen because acute chest pain is not present. Women are frequently misdiagnosed as having:
v v v v v v v v v v v v v
a. hepatitis A. v
b. indigestion.
c. urinary infection. v
d. menopausal complications. v
, ANS: B v
Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses
v v v v v v v v v
forwomen having an MI.
v v v v v
4. The nurse identifies
v v v the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound
v v v v v v v v v v v v
v ofthe:
v
a. AV valves closing. v v
b. closure of the semilunar valves. v v v v
c. contraction of the papillary muscles. v v v v
d. contraction of the ventricles. v v v
ANS: A v
The LUBB is the first sound of a low pitch heard when the AV valves close.
v v v v v v v v v v v v v v v
5.A patient is admitted from the emergency department. The emergency department
v v v v v v v v v v
physiciannotes the patient has a diagnosis of heart failure with a New York Heart Association
v v v v v v v v v v v v v v v v
(NYHA)classification of IV. This indicates the patients condition as:
v v v v v v v v v v
a. moderate heart failure. v v
b. severe heart failure. v v
c. congestive heart failure. v v
d. negligible heart failure. v v
ANS: B v
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina
v v v v v v v v v v v v
orsymptoms of cardiac inefficiency may develop at rest.
v v v v v v v v v
6. The nurse assesses that the home health patient has
v v no signs or symptoms of heart failure,
v v v v v v v v v v v v v
butdoes have a history of rheumatic fever and has been recently diagnosed with diabetes
v v v v v v v v v v v v v v v
mellitus.The nurse is aware that using the American College of Cardiology and the American
v v v v v v v v v v v v v v v
Heart Association (ACC/AHA) staging, this patient would be a:
v v v v v v v v v
a. stage A. v
b. stage B. v
c. stage C. v
d. stage D. v
ANS: A v
The ACC/AHA staging describes stage A as a person without symptoms of heart failure,
v v v v v v v v v v v v v
butwith primary conditions associated with the development of the disease.
v v v v v v v v v v v
