TEST BANK
GUIDELINES IN PRIMARY CARE, 4TH EDITION
Amelie Hollier
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
Table of Contents
Chapter 1: Cardiovascular Disorders
Chapter 2: Dermatologic Disorders
Chapter 3: Ear Nose & Throat Disorders
Chapter 4: Endocrine Disorders
Chapter 5: Gastrointestinal Disorders
Chapter 6: Genetic Disorders
Chapter 7: Health Promotion - Pediatric
Chapter 8: Hematologic Disorders
Chapter 9: Lactation and Breastfeeding
Chapter 10: Men’s Health Disorders
Chapter 11: Neurologic Disorders
Chapter 12: Ophthalmic Disorders
Chapter 13: Orthopedic Disorders
Chapter 14: Pregnancy
Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
Chapter 16: Pulmonary Disorders
Chapter 17: Sexually Transmitted Diseases
Chapter 18: Urologic Disorders
Chapter 19: Women’s Health Disorders
,Chapter 1: Cardiovascular Disorders
Clinical Guidelines in Primary Care 4th Edition Test bank
MULTIPLE CHOICE
1. The nurse is aware that the muscle layer of the heart, which is responsible for the hearts
contraction, is the:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D
The myocardium is the specialized muscle layer that allows the heart to contract.
2. The nurse clarifies that the master pacemaker of the heart is the:
a. left ventricle.
b. atrioventricular (AV) node.
c. sinoatrial (SA) node.
d. bundle of His.
ANS: C
The SA node is the master pacemaker of the heart.
3. The nurse is
aware that the symptoms of an impending myocardial infarction (MI) differ in
women because acute chest pain is not present. Women are frequently misdiagnosed as having:
a. hepatitis A.
b. indigestion.
c. urinary infection.
d. menopausal complications.
, ANS: B
Indigestion, sgallbladder sattack, sanxiety sattack, sand sdepression sare sfrequent smisdiagnoses sfor
swomen shaving san sMI.
4. The snurse sidentifies sthe sLUBB ssound sof sthe sLUBB/DUBB sof sthe scardiac scycle sas sthe
ssound sof sthe:
a. AV svalves sclosing.
b. closure sof sthe ssemilunar svalves.
c. contraction sof sthe spapillary smuscles.
d. contraction sof sthe sventricles.
ANS: sA
The sLUBB sis sthe sfirst ssound sof sa slow spitch sheard swhen sthe sAV svalves sclose.
5. A spatient sis sadmitted sfrom sthe semergency sdepartment. sThe semergency sdepartment
sphysician snotes sthe spatient shas sa sdiagnosis sof sheart sfailure swith sa sNew sYork sHeart
sAssociation s(NYHA) sclassification sof sIV. sThis sindicates sthe spatients scondition sas:
a. moderate sheart sfailure.
b. severe sheart sfailure.
c. congestive sheart sfailure.
d. negligible sheart sfailure.
ANS: sB
Class sIV: sSevere; spatient sunable sto sperform sany sphysical sactivity swithout sdiscomfort.
sAngina sor ssymptoms sof scardiac sinefficiency smay sdevelop sat srest.
6. The snurse sassesses sthat sthe shome shealth spatient shas sno ssigns sor ssymptoms sof sheart
sfailure, sbut sdoes shave sa shistory sof srheumatic sfever sand shas sbeen srecently sdiagnosed swith
sdiabetes smellitus. sThe snurse sis saware sthat susing sthe sAmerican sCollege sof sCardiology
sand sthe sAmerican sHeart sAssociation s(ACC/AHA) sstaging, sthis spatient swould sbe sa:
a. stage sA.
b. stage sB.
c. stage sC.
d. stage sD.
ANS: sA
The sACC/AHA sstaging sdescribes sstage sA sas sa sperson swithout ssymptoms sof sheart sfailure,
sbut swith sprimary sconditions sassociated swith sthe sdevelopment sof sthe sdisease.
GUIDELINES IN PRIMARY CARE, 4TH EDITION
Amelie Hollier
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
Table of Contents
Chapter 1: Cardiovascular Disorders
Chapter 2: Dermatologic Disorders
Chapter 3: Ear Nose & Throat Disorders
Chapter 4: Endocrine Disorders
Chapter 5: Gastrointestinal Disorders
Chapter 6: Genetic Disorders
Chapter 7: Health Promotion - Pediatric
Chapter 8: Hematologic Disorders
Chapter 9: Lactation and Breastfeeding
Chapter 10: Men’s Health Disorders
Chapter 11: Neurologic Disorders
Chapter 12: Ophthalmic Disorders
Chapter 13: Orthopedic Disorders
Chapter 14: Pregnancy
Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
Chapter 16: Pulmonary Disorders
Chapter 17: Sexually Transmitted Diseases
Chapter 18: Urologic Disorders
Chapter 19: Women’s Health Disorders
,Chapter 1: Cardiovascular Disorders
Clinical Guidelines in Primary Care 4th Edition Test bank
MULTIPLE CHOICE
1. The nurse is aware that the muscle layer of the heart, which is responsible for the hearts
contraction, is the:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D
The myocardium is the specialized muscle layer that allows the heart to contract.
2. The nurse clarifies that the master pacemaker of the heart is the:
a. left ventricle.
b. atrioventricular (AV) node.
c. sinoatrial (SA) node.
d. bundle of His.
ANS: C
The SA node is the master pacemaker of the heart.
3. The nurse is
aware that the symptoms of an impending myocardial infarction (MI) differ in
women because acute chest pain is not present. Women are frequently misdiagnosed as having:
a. hepatitis A.
b. indigestion.
c. urinary infection.
d. menopausal complications.
, ANS: B
Indigestion, sgallbladder sattack, sanxiety sattack, sand sdepression sare sfrequent smisdiagnoses sfor
swomen shaving san sMI.
4. The snurse sidentifies sthe sLUBB ssound sof sthe sLUBB/DUBB sof sthe scardiac scycle sas sthe
ssound sof sthe:
a. AV svalves sclosing.
b. closure sof sthe ssemilunar svalves.
c. contraction sof sthe spapillary smuscles.
d. contraction sof sthe sventricles.
ANS: sA
The sLUBB sis sthe sfirst ssound sof sa slow spitch sheard swhen sthe sAV svalves sclose.
5. A spatient sis sadmitted sfrom sthe semergency sdepartment. sThe semergency sdepartment
sphysician snotes sthe spatient shas sa sdiagnosis sof sheart sfailure swith sa sNew sYork sHeart
sAssociation s(NYHA) sclassification sof sIV. sThis sindicates sthe spatients scondition sas:
a. moderate sheart sfailure.
b. severe sheart sfailure.
c. congestive sheart sfailure.
d. negligible sheart sfailure.
ANS: sB
Class sIV: sSevere; spatient sunable sto sperform sany sphysical sactivity swithout sdiscomfort.
sAngina sor ssymptoms sof scardiac sinefficiency smay sdevelop sat srest.
6. The snurse sassesses sthat sthe shome shealth spatient shas sno ssigns sor ssymptoms sof sheart
sfailure, sbut sdoes shave sa shistory sof srheumatic sfever sand shas sbeen srecently sdiagnosed swith
sdiabetes smellitus. sThe snurse sis saware sthat susing sthe sAmerican sCollege sof sCardiology
sand sthe sAmerican sHeart sAssociation s(ACC/AHA) sstaging, sthis spatient swould sbe sa:
a. stage sA.
b. stage sB.
c. stage sC.
d. stage sD.
ANS: sA
The sACC/AHA sstaging sdescribes sstage sA sas sa sperson swithout ssymptoms sof sheart sfailure,
sbut swith sprimary sconditions sassociated swith sthe sdevelopment sof sthe sdisease.
