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