Test Bank – Clinical Guidelines in Primary Care, 4th Edition by Hollier

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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




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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.




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ANS: B
Indigestion, gallbladder attack, anxiety attack, and depression are frequent
misdiagnoses for women having an MI.
4. 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.
6. 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.
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7. 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.
8. 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.
9. What do dark or cold spots on a thallium scan indicate?

a. Tissue with adequate blood supply
b. Dilated vessels
c. Areas of neoplastic growth
d. Tissue that has inadequate perfusion

ANS: D
Thallium scans show adequate perfused areas by the collection of thallium. Dark
spots or cold spots indicate tissues that have inadequate perfusion.
10. The nurse recognizes the echocardiogram report that shows an ejection factor
of 42% as an indication of:

a. normal heart action.
b. mild heart failure.
c. moderate heart failure.

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