Test Bank For Clinical Guidelines
in Primary Care, 4th Edition by
FAANP Amelie Hollier
,Chapter 1 Cardiovascular Disorders
MULTIPLE CHOICE
• 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.
• 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.
• 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, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for
women having an MI.
• The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac
cycle as the sound of the:
a.
AV valves closing.
b.
closure of the semilunar valves.
c.
contraction of the papillary muscles.
d.
contraction of the ventricles.
ANS: A
The LUBB is the first sound of a low pitch heard when the AV valves close.
• A patient is admitted from the emergency department. The emergency
department physician notes the patient has a diagnosis of heart failure with a New York
Heart Association (NYHA) classification of IV. This indicates the patients condition as:
a.
moderate heart failure.
b.
severe heart failure.
c.
congestive heart failure.
d.
negligible heart failure.
ANS: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or
symptoms of cardiac inefficiency may develop at rest.
• The nurse assesses that the home health patient has no signs or symptoms
of heart failure, but does have a history of rheumatic fever and has been recently
diagnosed with diabetes mellitus. The nurse is aware that using the American College of
Cardiology and the American Heart Association (ACC/AHA) staging, this patient would
be a:
a.
stage A.
b.
stage B.
, c.
stage C.
d.
stage D.
ANS: A
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but
with primary conditions associated with the development of the disease.
• The nurse caring for a patient recovering from a myocardial infarct who is
on remote telemetry recognizes the need for added instruction when the patient says:
a.
I can ambulate in the hallway with this gadget on.
b.
I always take off the telemetry device when I shower.
c.
My EKG is being watched by one of the nurses in CCU on the home unit.
d.
I am able to sleep just fine with this device on.
ANS: B
Remote telemetry allows the patient to be on a separate unit, but be monitored in a central
location. The patients can be ambulatory and can sleep with the monitor on. They
should not remove the monitor to shower.
• The nurse assesses pitting edema that can be depressed approximately
inch and refills in 15 seconds. The nurse would document this assessment as:
a.
+1 edema.
b.
+2 edema.
c.
+3 edema.
d.
+4 edema.
ANS: B
A +2 edema can be documented if the skin can be depressed inch and respond within 15
seconds.
• What do dark or cold spots on a thallium scan indicate?
a.
Tissue with adequate blood supply
b.
Dilated vessels
in Primary Care, 4th Edition by
FAANP Amelie Hollier
,Chapter 1 Cardiovascular Disorders
MULTIPLE CHOICE
• 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.
• 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.
• 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, gallbladder attack, anxiety attack, and depression are frequent misdiagnoses for
women having an MI.
• The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac
cycle as the sound of the:
a.
AV valves closing.
b.
closure of the semilunar valves.
c.
contraction of the papillary muscles.
d.
contraction of the ventricles.
ANS: A
The LUBB is the first sound of a low pitch heard when the AV valves close.
• A patient is admitted from the emergency department. The emergency
department physician notes the patient has a diagnosis of heart failure with a New York
Heart Association (NYHA) classification of IV. This indicates the patients condition as:
a.
moderate heart failure.
b.
severe heart failure.
c.
congestive heart failure.
d.
negligible heart failure.
ANS: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or
symptoms of cardiac inefficiency may develop at rest.
• The nurse assesses that the home health patient has no signs or symptoms
of heart failure, but does have a history of rheumatic fever and has been recently
diagnosed with diabetes mellitus. The nurse is aware that using the American College of
Cardiology and the American Heart Association (ACC/AHA) staging, this patient would
be a:
a.
stage A.
b.
stage B.
, c.
stage C.
d.
stage D.
ANS: A
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but
with primary conditions associated with the development of the disease.
• The nurse caring for a patient recovering from a myocardial infarct who is
on remote telemetry recognizes the need for added instruction when the patient says:
a.
I can ambulate in the hallway with this gadget on.
b.
I always take off the telemetry device when I shower.
c.
My EKG is being watched by one of the nurses in CCU on the home unit.
d.
I am able to sleep just fine with this device on.
ANS: B
Remote telemetry allows the patient to be on a separate unit, but be monitored in a central
location. The patients can be ambulatory and can sleep with the monitor on. They
should not remove the monitor to shower.
• The nurse assesses pitting edema that can be depressed approximately
inch and refills in 15 seconds. The nurse would document this assessment as:
a.
+1 edema.
b.
+2 edema.
c.
+3 edema.
d.
+4 edema.
ANS: B
A +2 edema can be documented if the skin can be depressed inch and respond within 15
seconds.
• What do dark or cold spots on a thallium scan indicate?
a.
Tissue with adequate blood supply
b.
Dilated vessels
