TESTBANK j
GUIDELINESINPRIMARYCARE,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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Chapter15: 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
j j j j
,Chapter 1: Cardiovascular Disorders
j j j
Clinical Guidelines in Primary Care 4th Edition Test bank
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MULTIPLE CHOICE j
1. The nurse is aware thatthemuscle layer ofthe heart,which is responsible for the hearts
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contraction, is the:
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a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS:D j
Themyocardium is the specialized muscle layerthat allows the heartto contract.
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2. The nurse clarifies that the master pacemaker ofthe heart is the:
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a. leftventricle. j
b. atrioventricular(AV)node. j j
c. sinoatrial (SA) node. j j
d. bundle ofHis. j j
ANS:C j
TheSA node is themaster pacemaker ofthe heart.
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3. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in women
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because acute chest pain is not present. Women are frequentlymisdiagnosed as having:
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a. hepatitis A. j
b. indigestion.
c. urinaryinfection. j
d. menopausalcomplications. j
, ANS:B j
Indigestion,gallbladderattack, anxietyattack, and depressionarefrequentmisdiagnoses for women
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having an MI.
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4. The nurse identifies the LUBB sound ofthe LUBB/DUBB ofthe cardiac cycle as the sound of the:
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a. AV valves closing. j j
b. closure ofthe semilunar valves. j j j j
c. contraction ofthe papillarymuscles. j j j j
d. contraction ofthe ventricles. j j j
ANS: A j
The LUBB is the first sound ofa 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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j notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)
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j classification of IV. This indicates the patients condition as: j j j j j j j j
a. moderate heartfailure. j j
b. severe heart failure. j j
c. congestiveheart failure. j j
d. negligible heartfailure. j j
ANS:B j
Class IV:Severe; patient unable toperform any physical activitywithout discomfort. Angina or
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symptoms of cardiac inefficiency may develop at rest.
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6. The nurseassesses that the home healthpatient has nosigns or symptoms of heart failure, but does
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j have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The nurse
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j is aware that using the American College of Cardiology and the American Heart Association
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j (ACC/AHA) staging, this patient would be a: j j j j j j
a. stageA. j
b. stage B. j
c. stageC. j
d. stageD. j
ANS: A j
TheACC/AHAstaging describes stage Aas apersonwithout symptoms of heart failure, but with
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primary conditions associated with the development of the disease.
j j j j j j j j j
GUIDELINESINPRIMARYCARE,4TH EDITION
j j j j j
Amelie Hollier
j
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
j j j j j j j j j
Table of Contents
j j
Chapter 1: Cardiovascular Disorders
j j j
Chapter 2: Dermatologic Disorders
j j j
Chapter 3: Ear Nose & Throat Disorders
j j j j j j
Chapter 4: Endocrine Disorders
j j j
Chapter 5: Gastrointestinal Disorders
j j j
Chapter 6: Genetic Disorders
j j j
Chapter 7: Health Promotion - Pediatric
j j j j j
Chapter 8: Hematologic Disorders
j j j
Chapter 9: Lactation and Breastfeeding
j j j j
Chapter 10: Men’s Health Disorders
j j j j
Chapter 11: Neurologic Disorders
j j j
Chapter 12: Ophthalmic Disorders
j j j
Chapter 13: Orthopedic Disorders
j j j
Chapter 14: Pregnancy
j j
Chapter15: Psychiatric Disorders, Violence, Abuse, Neglect
j j j j j j
Chapter 16: Pulmonary Disorders
j j j
Chapter 17: Sexually Transmitted Diseases
j j j j
Chapter 18: Urologic Disorders
j j j
Chapter 19: Women’s Health Disorders
j j j j
,Chapter 1: Cardiovascular Disorders
j j j
Clinical Guidelines in Primary Care 4th Edition Test bank
j j j j j j j j
MULTIPLE CHOICE j
1. The nurse is aware thatthemuscle layer ofthe heart,which is responsible for the hearts
j j j j j j j j j j j j j j j j
contraction, is the:
j j j
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS:D j
Themyocardium is the specialized muscle layerthat allows the heartto contract.
j j j j j j j j j j j j
2. The nurse clarifies that the master pacemaker ofthe heart is the:
j j j j j j j j j j j
a. leftventricle. j
b. atrioventricular(AV)node. j j
c. sinoatrial (SA) node. j j
d. bundle ofHis. j j
ANS:C j
TheSA node is themaster pacemaker ofthe heart.
j j j j j j j j j
3. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in women
j j j j j j j j j j j j j j j
because acute chest pain is not present. Women are frequentlymisdiagnosed as having:
j j j j j j j j j j j j j
a. hepatitis A. j
b. indigestion.
c. urinaryinfection. j
d. menopausalcomplications. j
, ANS:B j
Indigestion,gallbladderattack, anxietyattack, and depressionarefrequentmisdiagnoses for women
j j j j j j j j j j j
having an MI.
j j j
4. The nurse identifies the LUBB sound ofthe LUBB/DUBB ofthe cardiac cycle as the sound of the:
j j j j j j j j j j j j j j j j j
a. AV valves closing. j j
b. closure ofthe semilunar valves. j j j j
c. contraction ofthe papillarymuscles. j j j j
d. contraction ofthe ventricles. j j j
ANS: A j
The LUBB is the first sound ofa low pitch heard when the AV valves close.
j j j j j j j j j j j j j j j
5. A patient is admitted from the emergency department. The emergency department physician
j j j j j j j j j j j
j notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)
j j j j j j j j j j j j j j j
j classification of IV. This indicates the patients condition as: j j j j j j j j
a. moderate heartfailure. j j
b. severe heart failure. j j
c. congestiveheart failure. j j
d. negligible heartfailure. j j
ANS:B j
Class IV:Severe; patient unable toperform any physical activitywithout discomfort. Angina or
j j j j j j j j j j j j j
symptoms of cardiac inefficiency may develop at rest.
j j j j j j j j
6. The nurseassesses that the home healthpatient has nosigns or symptoms of heart failure, but does
j j j j j j j j j j j j j j j j j
j have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The nurse
j j j j j j j j j j j j j j j
j is aware that using the American College of Cardiology and the American Heart Association
j j j j j j j j j j j j j
j (ACC/AHA) staging, this patient would be a: j j j j j j
a. stageA. j
b. stage B. j
c. stageC. j
d. stageD. j
ANS: A j
TheACC/AHAstaging describes stage Aas apersonwithout symptoms of heart failure, but with
j j j j j j j j j j j j j j j
primary conditions associated with the development of the disease.
j j j j j j j j j
