GUIDELINES IN PRIMARY CARE, 4TH EDITION
s s s s s
AmeliesHollier
,ClinicalsGuidelinessinsPrimarysCares4thsEditionsHolliersTestsBank
TablesofsContents
Chapters1:sCardiovascularsDisorders
Chapters2:sDermatologicsDisorders
Chapters3:sEarsNoses&sThroatsDisorders
Chapters4:sEndocrinesDisorders
Chapters5:sGastrointestinalsDisorders
Chapters6:sGeneticsDisorders
Chapters7:sHealthsPromotions-sPediatric
Chapters8:sHematologicsDisorders
Chapters9:sLactationsandsBreastfeeding
Chapters10:sMen’ssHealthsDisorders
Chapters11:sNeurologicsDisorders
Chapters12:sOphthalmicsDisorders
Chapters13:sOrthopedicsDisorders
Chapters14:sPregnancy
Chapters15:sPsychiatricsDisorders,sViolence,sAbuse,sNeglect
Chapters16:sPulmonarysDisorders
Chapters17:sSexuallysTransmittedsDiseases
Chapters18:sUrologicsDisorders
Chapters19:sWomen’ssHealthsDisorders
,Chapters1:sCardiovascularsDisorders
ClinicalsGuidelinessinsPrimarysCares4thsEditionsTestsbank
MULTIPLEsCHOICE
1. Thesnursesissawaresthatsthesmuscleslayersofsthesheart,swhichsissresponsiblesforsthesheartssco
ntraction,sissthe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS:sD
Thesmyocardiumsissthesspecializedsmuscleslayersthatsallowssthesheartstoscontract.
2. Thesnursesclarifiessthatsthesmasterspacemakersofsthesheartsissthe:
a. leftsventricle.
b. atrioventriculars(AV)snode.
c. sinoatrials(SA)snode.
d. bundlesofsHis.
ANS:sC
ThesSAsnodesissthesmasterspacemakersofsthesheart.
3. Thesnursesissawaresthatsthessymptomssofsansimpendingsmyocardialsinfarctions(MI)sdiffersinswo
mensbecausesacuteschestspainsissnotspresent.sWomensaresfrequentlysmisdiagnosedsasshaving:
a. hepatitissA.
b. indigestion.
c. urinarysinfection.
d. menopausalscomplications.
, ANS:sB
Indigestion,sgallbladdersattack,sanxietysattack,sandsdepressionsaresfrequentsmisdiagnosessforswome
nshavingsansMI.
4. ThesnursesidentifiessthesLUBBssoundsofsthesLUBB/DUBBsofsthescardiacscyclesassthessoundsofsthe
:
a. AVsvalvessclosing.
b. closuresofsthessemilunarsvalves.
c. contractionsofsthespapillarysmuscles.
d. contractionsofsthesventricles.
ANS:sA
ThesLUBBsissthesfirstssoundsofsaslowspitchsheardswhensthesAVsvalvessclose.
5. Aspatientsissadmittedsfromsthesemergencysdepartment.sThesemergencysdepartmentsphysiciansn
otessthespatientshassasdiagnosissofsheartsfailureswithsasNewsYorksHeartsAssociations(NYHA)sclas
sificationsofsIV.sThissindicatessthespatientssconditionsas:
a. moderatesheartsfailure.
b. severesheartsfailure.
c. congestivesheartsfailure.
d. negligiblesheartsfailure.
ANS:sB
ClasssIV:sSevere;spatientsunablestosperformsanysphysicalsactivityswithoutsdiscomfort.sAnginasorssy
mptomssofscardiacsinefficiencysmaysdevelopsatsrest.
6. Thesnursesassessessthatstheshomeshealthspatientshassnossignssorssymptomssofsheartsfailure,sbutsdoe
sshavesashistorysofsrheumaticsfeversandshassbeensrecentlysdiagnosedswithsdiabetessmellitus.sThesnu
rsesissawaresthatsusingsthesAmericansCollegesofsCardiologysandsthesAmericansHeartsAssociations(
ACC/AHA)sstaging,sthisspatientswouldsbesa:
a. stagesA.
b. stagesB.
c. stagesC.
d. stagesD.
ANS:sA
ThesACC/AHAsstagingsdescribessstagesAsassaspersonswithoutssymptomssofsheartsfailure,sbutswithsp
rimarysconditionssassociatedswithsthesdevelopmentsofsthesdisease.