20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier
20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier 2026/02/16
Test Bank For Clinical Guidelines
in Primary Care, 4th Edition by
FAANP Amelie Hollier
Page 1 20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier.docx
,20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier
20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier 2026/02/16
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.
Page 2 20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier.docx
,20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier
20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier 2026/02/16
• 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.
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, 20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier
20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier 2026/02/16
• 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
Page 4 20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier.docx
20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier 2026/02/16
Test Bank For Clinical Guidelines
in Primary Care, 4th Edition by
FAANP Amelie Hollier
Page 1 20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier.docx
,20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier
20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier 2026/02/16
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.
Page 2 20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier.docx
,20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier
20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier 2026/02/16
• 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.
Page 3 20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier.docx
, 20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier
20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier 2026/02/16
• 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
Page 4 20250613171654_684c5d06919de_test_bank_for_clinical_guidelines_in_primary_care_4th_edition_by_hollier.docx
