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ClinicalgGuidelinesgingPrimaryCareg3rdgEditiongTestgbankChapt
erg1gCardiovasculargDisorders
MULTIPLEgCHOICE
1. Thegnursegisgawaregthatgthegmuscleglayergofgthegheart,gwhichgisgresponsiblegforgtheghear
tsgcontraction,gisgthe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS:gD
Thegmyocardiumgisgthegspecializedgmuscleglayergthatgallowsgthegheartgtogcontract.
2. Thegnursegclarifiesgthatgthegmastergpacemakergofgthegheartgisgthe:
a. leftgventricle.
b. atrioventricularg(AV)gnode.
c. sinoatrialg(SA)gnode.
d. bundlegofgHis.
ANS:gC
ThegSAgnodegisgthegmastergpacemakergofgthegheart.
3. Thegnursegisgawaregthatgthegsymptomsgofgangimpendinggmyocardialginfarctiong(MI)gdiffergin
gwomengbecausegacutegchestgpaingisgnotgpresent.gWomengaregfrequentlygmisdiagnosedgasghavin
g:
a. hepatitisgA.
b. indigestion.
c. urinaryginfection.
d. menopausalgcomplications.
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ANS:gB
Indigestion,ggallbladdergattack,ganxietygattack,gandgdepressiongaregfrequentgmisdiagnosesgforgw
omenghavinggangMI.
4. ThegnursegidentifiesgthegLUBBgsoundgofgthegLUBB/DUBBgofgthegcardiacgcyclegasgthegsoundg
ofgthe:
a. AVgvalvesgclosing.
b. closuregofgthegsemilunargvalves.
c. contractiongofgthegpapillarygmuscles.
d. contractiongofgthegventricles.
ANS:gA
ThegLUBBgisgthegfirstgsoundgofgaglowgpitchgheardgwhengthegAVgvalvesgclose.
5. Agpatientgisgadmittedgfromgthegemergencygdepartment.gThegemergencygdepartmentgphysicia
ngnotesgthegpatientghasgagdiagnosisgofgheartgfailuregwithgagNewgYorkgHeartgAssociationg(NY
HA)gclassificationgofgIV.gThisgindicatesgthegpatientsgconditiongas:
a. moderategheartgfailure.
b. severegheartgfailure.
c. congestivegheartgfailure.
d. negligiblegheartgfailure.
ANS:gB
ClassgIV:gSevere;gpatientgunablegtogperformganygphysicalgactivitygwithoutgdiscomfort.gAnginago
rgsymptomsgofgcardiacginefficiencygmaygdevelopgatgrest.
6. Thegnursegassessesgthatgtheghomeghealthgpatientghasgnogsignsgorgsymptomsgofgheartgfailure,gb
utgdoesghavegaghistorygofgrheumaticgfevergandghasgbeengrecentlygdiagnosedgwithgdiabetesgmell
itus.gThegnursegisgawaregthatgusinggthegAmericangCollegegofgCardiologygandgthegAmericangHe
artgAssociationg(ACC/AHA)gstaging,gthisgpatientgwouldgbega:
a. stagegA.
b. stagegB.
c. stagegC.
d. stagegD.
ANS:gA
ThegACC/AHAgstaginggdescribesgstagegAgasgagpersongwithoutgsymptomsgofgheartgfailure,gbutgw
ithgprimarygconditionsgassociatedgwithgthegdevelopmentgofgthegdisease.
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7. Thegnursegcaringgforgagpatientgrecoveringgfromgagmyocardialginfarctgwhogisgongremotegtelemetr
ygrecognizesgthegneedgforgaddedginstructiongwhengthegpatientgsays:
a. Igcangambulategingtheghallwaygwithgthisggadgetgon.
b. Igalwaysgtakegoffgthegtelemetrygdevicegwheng Igshower.
c. MygEKGgisgbeinggwatchedgbygonegofgthegnursesg ingCCUgongtheghomegunit.
d. Igamgablegtogsleepgjustgfinegwithgthisgdevicegon.
ANS:gB
Remotegtelemetrygallowsgthegpatientgtogbegongagseparategunit,gbutgbegmonitoredgingagcentralgloca
tion.gThegpatientsgcangbegambulatorygandgcangsleepgwithgthegmonitorgon.gThey
shouldgnotgremovegthegmonitorgtogshower.
8. Thegnursegassessesgpittinggedemagthatgcangbegdepressedgapproximatelyginchgandgrefillsging1
5gseconds.gThegnursegwouldgdocumentgthisgassessmentgas:
a. +1gedema.
b. +2gedema.
c. +3gedema.
d. +4gedema.
ANS:gB
Ag+2gedemagcangbegdocumentedgifgthegskingcangbegdepressedginchgandgrespondgwithing15gseco
nds.
9. Whatgdogdarkgorgcoldgspotsgongagthalliumgscangindicate?
a. Tissuegwithgadequategbloodgsupply
b. Dilatedgvessels
c. Areasgofgneoplasticggrowth
d. Tissuegthatghasginadequategperfusion
ANS:gD
Thalliumgscansgshowgadequategperfusedgareasgbygthegcollectiongofgthallium.gDarkgspotsgorgcoldg
spotsgindicategtissuesgthatghaveginadequategperfusion.
10.Thegnursegrecognizesgthegechocardiogramgreportgthatgshowsgangejectiongfactorgofg42%gasga
ngindicationgof:
a. normalgheartgaction.
b. mildgheartgfailure.
c. moderategheartgfailure.
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ClinicalgGuidelinesgingPrimaryCareg3rdgEditiongTestgbankChapt
erg1gCardiovasculargDisorders
MULTIPLEgCHOICE
1. Thegnursegisgawaregthatgthegmuscleglayergofgthegheart,gwhichgisgresponsiblegforgtheghear
tsgcontraction,gisgthe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS:gD
Thegmyocardiumgisgthegspecializedgmuscleglayergthatgallowsgthegheartgtogcontract.
2. Thegnursegclarifiesgthatgthegmastergpacemakergofgthegheartgisgthe:
a. leftgventricle.
b. atrioventricularg(AV)gnode.
c. sinoatrialg(SA)gnode.
d. bundlegofgHis.
ANS:gC
ThegSAgnodegisgthegmastergpacemakergofgthegheart.
3. Thegnursegisgawaregthatgthegsymptomsgofgangimpendinggmyocardialginfarctiong(MI)gdiffergin
gwomengbecausegacutegchestgpaingisgnotgpresent.gWomengaregfrequentlygmisdiagnosedgasghavin
g:
a. hepatitisgA.
b. indigestion.
c. urinaryginfection.
d. menopausalgcomplications.
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ANS:gB
Indigestion,ggallbladdergattack,ganxietygattack,gandgdepressiongaregfrequentgmisdiagnosesgforgw
omenghavinggangMI.
4. ThegnursegidentifiesgthegLUBBgsoundgofgthegLUBB/DUBBgofgthegcardiacgcyclegasgthegsoundg
ofgthe:
a. AVgvalvesgclosing.
b. closuregofgthegsemilunargvalves.
c. contractiongofgthegpapillarygmuscles.
d. contractiongofgthegventricles.
ANS:gA
ThegLUBBgisgthegfirstgsoundgofgaglowgpitchgheardgwhengthegAVgvalvesgclose.
5. Agpatientgisgadmittedgfromgthegemergencygdepartment.gThegemergencygdepartmentgphysicia
ngnotesgthegpatientghasgagdiagnosisgofgheartgfailuregwithgagNewgYorkgHeartgAssociationg(NY
HA)gclassificationgofgIV.gThisgindicatesgthegpatientsgconditiongas:
a. moderategheartgfailure.
b. severegheartgfailure.
c. congestivegheartgfailure.
d. negligiblegheartgfailure.
ANS:gB
ClassgIV:gSevere;gpatientgunablegtogperformganygphysicalgactivitygwithoutgdiscomfort.gAnginago
rgsymptomsgofgcardiacginefficiencygmaygdevelopgatgrest.
6. Thegnursegassessesgthatgtheghomeghealthgpatientghasgnogsignsgorgsymptomsgofgheartgfailure,gb
utgdoesghavegaghistorygofgrheumaticgfevergandghasgbeengrecentlygdiagnosedgwithgdiabetesgmell
itus.gThegnursegisgawaregthatgusinggthegAmericangCollegegofgCardiologygandgthegAmericangHe
artgAssociationg(ACC/AHA)gstaging,gthisgpatientgwouldgbega:
a. stagegA.
b. stagegB.
c. stagegC.
d. stagegD.
ANS:gA
ThegACC/AHAgstaginggdescribesgstagegAgasgagpersongwithoutgsymptomsgofgheartgfailure,gbutgw
ithgprimarygconditionsgassociatedgwithgthegdevelopmentgofgthegdisease.
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7. Thegnursegcaringgforgagpatientgrecoveringgfromgagmyocardialginfarctgwhogisgongremotegtelemetr
ygrecognizesgthegneedgforgaddedginstructiongwhengthegpatientgsays:
a. Igcangambulategingtheghallwaygwithgthisggadgetgon.
b. Igalwaysgtakegoffgthegtelemetrygdevicegwheng Igshower.
c. MygEKGgisgbeinggwatchedgbygonegofgthegnursesg ingCCUgongtheghomegunit.
d. Igamgablegtogsleepgjustgfinegwithgthisgdevicegon.
ANS:gB
Remotegtelemetrygallowsgthegpatientgtogbegongagseparategunit,gbutgbegmonitoredgingagcentralgloca
tion.gThegpatientsgcangbegambulatorygandgcangsleepgwithgthegmonitorgon.gThey
shouldgnotgremovegthegmonitorgtogshower.
8. Thegnursegassessesgpittinggedemagthatgcangbegdepressedgapproximatelyginchgandgrefillsging1
5gseconds.gThegnursegwouldgdocumentgthisgassessmentgas:
a. +1gedema.
b. +2gedema.
c. +3gedema.
d. +4gedema.
ANS:gB
Ag+2gedemagcangbegdocumentedgifgthegskingcangbegdepressedginchgandgrespondgwithing15gseco
nds.
9. Whatgdogdarkgorgcoldgspotsgongagthalliumgscangindicate?
a. Tissuegwithgadequategbloodgsupply
b. Dilatedgvessels
c. Areasgofgneoplasticggrowth
d. Tissuegthatghasginadequategperfusion
ANS:gD
Thalliumgscansgshowgadequategperfusedgareasgbygthegcollectiongofgthallium.gDarkgspotsgorgcoldg
spotsgindicategtissuesgthatghaveginadequategperfusion.
10.Thegnursegrecognizesgthegechocardiogramgreportgthatgshowsgangejectiongfactorgofg42%gasga
ngindicationgof:
a. normalgheartgaction.
b. mildgheartgfailure.
c. moderategheartgfailure.
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