TESTBANK d
GUIDELINESIN PRIMARYCARE, 4TH EDITION
d d d d d
Amelie Hollier
d
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
d d d d d d d d d
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
d d d d d d
Chapter 4: Endocrine Disorders
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Chapter 5: Gastrointestinal Disorders
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Chapter 6: Genetic Disorders
d d d
Chapter 7: Health Promotion - Pediatric
d d d d d
Chapter 8: Hematologic Disorders
d d d
Chapter 9: Lactation and Breastfeeding
d d d d
Chapter 10: Men’s Health Disorders
d d d d
Chapter 11: Neurologic Disorders
d d d
Chapter 12: Ophthalmic Disorders
d d d
Chapter 13: Orthopedic Disorders
d d d
Chapter 14: Pregnancy
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Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
d d d d d d
Chapter 16: Pulmonary Disorders
d d d
Chapter 17: Sexually Transmitted Diseases
d d d d
Chapter 18: Urologic Disorders
d d d
Chapter 19: Women’s Health Disorders
d d d d
,Chapter 1: Cardiovascular Disorders
d d d
Clinical Guidelines in Primary Care 4th Edition Test bank
d d d d d d d d
MULTIPLE CHOICE d
1. The nurse is aware that the muscle layer of the heart, which is responsible for the hearts
d d d d d d d d d d d d d d d d
contraction, is the:
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a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D d
The myocardium is the specialized muscle layer that allows the heart to contract.
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2. The nurse clarifies that the master pacemaker of the heart is the:
d d d d d d d d d d d
a. left ventricle. d
b. atrioventricular (AV) node. d d
c. sinoatrial (SA) node. d d
d. bundle of His. d d
ANS: C d
The SA node is the master pacemaker of the heart.
d d d d d d d d d
3. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in
d d d d d d d d d d d d d d
d women because acute chest pain is not present. Women are frequently misdiagnosed as having:
d d d d d d d d d d d d d
a. hepatitis A. d
b. indigestion.
c. urinary infection. d
d. menopausal complications. d
, ANS: B d
Indigestion, gallbladder attack, anxietyattack, and depression are frequent misdiagnoses for women
d d d d d d d d d d d
having an MI.
d d d
4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound of the:
d d d d d d d d d d d d d d d d d
a. AV valves closing. d d
b. closure of the semilunar valves. d d d d
c. contraction of the papillary muscles. d d d d
d. contraction of the ventricles. d d d
ANS: A d
The LUBB is the first sound of a low pitch heard when the AV valves close.
d d d d d d d d d d d d d d d
5. A patient is admitted from the emergency department. The emergency department physician
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d notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)
d d d d d d d d d d d d d d d
d classification of IV. This indicates the patients condition as: d d d d d d d d
a. moderate heart failure. d d
b. severe heart failure. d d
c. congestive heart failure. d d
d. negligible heart failure. d d
ANS: B d
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.
d d d d d d d d
6. The nurse assesses that the home health patient has nosigns or symptoms of heart failure, but does
d d d d d d d d d d d d d d d d d
d have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The
d d d d d d d d d d d d d d
d nurse is aware that using the American College of Cardiology and the American Heart Association
d d d d d d d d d d d d d d
d (ACC/AHA) staging, this patient would be a: d d d d d d
a. stage A. d
b. stage B. d
c. stage C. d
d. stage D. d
ANS: A d
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but with
d d d d d d d d d d d d d d d
primary conditions associated with the development of the disease.
d d d d d d d d d
GUIDELINESIN PRIMARYCARE, 4TH EDITION
d d d d d
Amelie Hollier
d
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
d d d d d d d d d
Table of Contents
d d
Chapter 1: Cardiovascular Disorders
d d d
Chapter 2: Dermatologic Disorders
d d d
Chapter 3: Ear Nose & Throat Disorders
d d d d d d
Chapter 4: Endocrine Disorders
d d d
Chapter 5: Gastrointestinal Disorders
d d d
Chapter 6: Genetic Disorders
d d d
Chapter 7: Health Promotion - Pediatric
d d d d d
Chapter 8: Hematologic Disorders
d d d
Chapter 9: Lactation and Breastfeeding
d d d d
Chapter 10: Men’s Health Disorders
d d d d
Chapter 11: Neurologic Disorders
d d d
Chapter 12: Ophthalmic Disorders
d d d
Chapter 13: Orthopedic Disorders
d d d
Chapter 14: Pregnancy
d d
Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
d d d d d d
Chapter 16: Pulmonary Disorders
d d d
Chapter 17: Sexually Transmitted Diseases
d d d d
Chapter 18: Urologic Disorders
d d d
Chapter 19: Women’s Health Disorders
d d d d
,Chapter 1: Cardiovascular Disorders
d d d
Clinical Guidelines in Primary Care 4th Edition Test bank
d d d d d d d d
MULTIPLE CHOICE d
1. The nurse is aware that the muscle layer of the heart, which is responsible for the hearts
d d d d d d d d d d d d d d d d
contraction, is the:
d d d
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D d
The myocardium is the specialized muscle layer that allows the heart to contract.
d d d d d d d d d d d d
2. The nurse clarifies that the master pacemaker of the heart is the:
d d d d d d d d d d d
a. left ventricle. d
b. atrioventricular (AV) node. d d
c. sinoatrial (SA) node. d d
d. bundle of His. d d
ANS: C d
The SA node is the master pacemaker of the heart.
d d d d d d d d d
3. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in
d d d d d d d d d d d d d d
d women because acute chest pain is not present. Women are frequently misdiagnosed as having:
d d d d d d d d d d d d d
a. hepatitis A. d
b. indigestion.
c. urinary infection. d
d. menopausal complications. d
, ANS: B d
Indigestion, gallbladder attack, anxietyattack, and depression are frequent misdiagnoses for women
d d d d d d d d d d d
having an MI.
d d d
4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound of the:
d d d d d d d d d d d d d d d d d
a. AV valves closing. d d
b. closure of the semilunar valves. d d d d
c. contraction of the papillary muscles. d d d d
d. contraction of the ventricles. d d d
ANS: A d
The LUBB is the first sound of a low pitch heard when the AV valves close.
d d d d d d d d d d d d d d d
5. A patient is admitted from the emergency department. The emergency department physician
d d d d d d d d d d d
d notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)
d d d d d d d d d d d d d d d
d classification of IV. This indicates the patients condition as: d d d d d d d d
a. moderate heart failure. d d
b. severe heart failure. d d
c. congestive heart failure. d d
d. negligible heart failure. d d
ANS: B d
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or
d d d d d d d d d d d d d
symptoms of cardiac inefficiency may develop at rest.
d d d d d d d d
6. The nurse assesses that the home health patient has nosigns or symptoms of heart failure, but does
d d d d d d d d d d d d d d d d d
d have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The
d d d d d d d d d d d d d d
d nurse is aware that using the American College of Cardiology and the American Heart Association
d d d d d d d d d d d d d d
d (ACC/AHA) staging, this patient would be a: d d d d d d
a. stage A. d
b. stage B. d
c. stage C. d
d. stage D. d
ANS: A d
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but with
d d d d d d d d d d d d d d d
primary conditions associated with the development of the disease.
d d d d d d d d d
