Test Bank for Clinical Guidelines in Primary Care 4th Edition (Advanced Practice Education Associates Inc, 2021) by Amelie Hollier,

TESTBANK vv




GUIDELINES IN PRIMARY CARE, 4TH EDITION
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Amelie Hollier
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,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
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Table of Contents
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Chapter 1: Cardiovascular Disorders
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Chapter 2: Dermatologic Disorders
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Chapter 3: Ear Nose & Throat Disorders
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Chapter 4: Endocrine Disorders
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Chapter 5: Gastrointestinal Disorders
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Chapter 6: Genetic Disorders
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Chapter 7: Health Promotion - Pediatric
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Chapter 8: Hematologic Disorders
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Chapter 9: Lactation and Breastfeeding
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Chapter 10: Men’s Health Disorders
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Chapter 11: Neurologic Disorders
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Chapter 12: Ophthalmic Disorders
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Chapter 13: Orthopedic Disorders
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Chapter 14: Pregnancy
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Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
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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
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,Chapter 1: Cardiovascular Disorders
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Clinical Guidelines in Primary Care 4th Edition Test bank
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MULTIPLE CHOICE vv




1. v v The nurse is aware that the muscle layer of the heart, which is responsible for the
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vv heartscontraction, is the:
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a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.

ANS: D vv




The myocardium is the specialized muscle layer that allows the heart to
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vv contract.2.The nurse clarifies that the master pacemaker of the heart is the:
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a. left ventricle.
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b. atrioventricular (AV) node. vv vv



c. sinoatrial (SA) node. vv vv



d. bundle of His. vv vv




ANS: C vv




The SA node is the master pacemaker of the heart.
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3. The nurse is aware that the symptoms of an impending myocardial infarction (MI)
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differ in women because acute chest pain is not present. Women are frequently
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misdiagnosed as having:
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a. hepatitis A. vv



b. indigestion.
c. urinary infection. vv



d. menopausal complications. vv

, ANS: B vv




Indigestion, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses
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forwomen having an MI.
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4. Thenurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the
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sound ofthe:
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a. AV valves closing.
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b. closure of the semilunar valves.
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c. contraction of the papillary muscles. vv vv vv vv



d. contraction of the ventricles. vv vv vv




ANS: A vv




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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physician notes the patient has a diagnosis of heart failure with a New York Heart
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Association (NYHA)classification of IV. This indicates the patients condition as:
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a. moderate heart failure. vv vv



b. severe heart failure. vv vv



c. congestive heart failure. vv vv



d. negligible heart failure. vv vv




ANS: B vv




Class IV: Severe; patient unable to perform any physical activity without discomfort.
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Angina orsymptoms of cardiac inefficiency may develop at rest.
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6. The nurse assesses that the home health patient has no signs or symptoms of heart
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vv failure, butdoes have a history of rheumatic fever and has been recently diagnosed with
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vv diabetes mellitus.The nurse is aware that using the American College of Cardiology and
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vv the American Heart Association (ACC/AHA) staging, this patient would be a:
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a. stage A. vv



b. stage B. vv



c. stage C. vv



d. stage D. vv




ANS: A vv




The ACC/AHA staging describes stage A as a person without symptoms of heart failure,
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butwith primary conditions associated with the development of the disease.
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