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, agallbladder aattack, aanxiety aattack, aand adepression aare afrequent amisdiagnoses afor
awomen ahaving aan aMI.
4. The anurse aidentifies athe aLUBB asound aof athe aLUBB/DUBB aof athe acardiac acycle aas athe
asound aof athe:
a. AV avalves aclosing.
b. closure aof athe asemilunar avalves.
c. contraction aof athe apapillary amuscles.
d. contraction aof athe aventricles.
ANS: aA
The aLUBB ais athe afirst asound aof aa alow apitch aheard awhen athe aAV avalves aclose.
5. A apatient ais aadmitted afrom athe aemergency adepartment. aThe aemergency adepartment
aphysician anotes athe apatient ahas aa adiagnosis aof aheart afailure awith aa aNew aYork aHeart
aAssociation a(NYHA) aclassification aof aIV. aThis aindicates athe apatients acondition aas:
a. moderate aheart afailure.
b. severe aheart afailure.
c. congestive aheart afailure.
d. negligible aheart afailure.
ANS: aB
Class aIV: aSevere; apatient aunable ato aperform aany aphysical aactivity awithout adiscomfort.
aAngina aor asymptoms aof acardiac ainefficiency amay adevelop aat arest.
6. The anurse aassesses athat athe ahome ahealth apatient ahas ano asigns aor asymptoms aof aheart
afailure, abut adoes ahave aa ahistory aof arheumatic afever aand ahas abeen arecently adiagnosed
awith adiabetes amellitus. aThe anurse ais aaware athat ausing athe aAmerican aCollege aof
aCardiology aand athe aAmerican aHeart aAssociation a(ACC/AHA) astaging, athis apatient awould
abe aa:
a. stage aA.
b. stage aB.
c. stage aC.
d. stage aD.
ANS: aA
The aACC/AHA astaging adescribes astage aA aas aa aperson awithout asymptoms aof aheart afailure,
abut awith aprimary aconditions aassociated awith athe adevelopment aof athe adisease.
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, agallbladder aattack, aanxiety aattack, aand adepression aare afrequent amisdiagnoses afor
awomen ahaving aan aMI.
4. The anurse aidentifies athe aLUBB asound aof athe aLUBB/DUBB aof athe acardiac acycle aas athe
asound aof athe:
a. AV avalves aclosing.
b. closure aof athe asemilunar avalves.
c. contraction aof athe apapillary amuscles.
d. contraction aof athe aventricles.
ANS: aA
The aLUBB ais athe afirst asound aof aa alow apitch aheard awhen athe aAV avalves aclose.
5. A apatient ais aadmitted afrom athe aemergency adepartment. aThe aemergency adepartment
aphysician anotes athe apatient ahas aa adiagnosis aof aheart afailure awith aa aNew aYork aHeart
aAssociation a(NYHA) aclassification aof aIV. aThis aindicates athe apatients acondition aas:
a. moderate aheart afailure.
b. severe aheart afailure.
c. congestive aheart afailure.
d. negligible aheart afailure.
ANS: aB
Class aIV: aSevere; apatient aunable ato aperform aany aphysical aactivity awithout adiscomfort.
aAngina aor asymptoms aof acardiac ainefficiency amay adevelop aat arest.
6. The anurse aassesses athat athe ahome ahealth apatient ahas ano asigns aor asymptoms aof aheart
afailure, abut adoes ahave aa ahistory aof arheumatic afever aand ahas abeen arecently adiagnosed
awith adiabetes amellitus. aThe anurse ais aaware athat ausing athe aAmerican aCollege aof
aCardiology aand athe aAmerican aHeart aAssociation a(ACC/AHA) astaging, athis apatient awould
abe aa:
a. stage aA.
b. stage aB.
c. stage aC.
d. stage aD.
ANS: aA
The aACC/AHA astaging adescribes astage aA aas aa aperson awithout asymptoms aof aheart afailure,
abut awith aprimary aconditions aassociated awith athe adevelopment aof athe adisease.
