TESTBANK n
CLINICAL GUIDELINES
n
IN PRIMARY CARE
en n n
4th Edition, Hollier
n n
TESTBANK n
,Clinical e Guidelines e in e Primary e Care e 4th e Edition e Hollier e Test e Bank
Table e of e Contents
Chapter e 1: e Cardiovascular e Disorders
Chapter e 2: e Dermatologic e Disorders
Chapter e 3: e Ear e Nose e & e Throat e Disorders
Chapter e 4: e Endocrine e Disorders
Chapter e 5: e Gastrointestinal e Disorders
Chapter e 6: e Genetic e Disorders
Chapter e 7: e Health e Promotion e - e Pediatric
Chapter e 8: e Hematologic e Disorders
Chapter e 9: e Lactation e and e Breastfeeding
Chapter e 10: e Men’s e Health e Disorders
Chapter e 11: e Neurologic e Disorders
Chapter e 12: e Ophthalmic e Disorders
Chapter e 13: e Orthopedic e Disorders
Chapter e 14: e Pregnancy
Chapter e 15: e Psychiatric e Disorders, e Violence, e Abuse, e Neglect
Chapter e 16: e Pulmonary e Disorders
Chapter e 17: e Sexually e Transmitted e Diseases
Chapter e 18: e Urologic e Disorders
Chapter e 19: e Women’s e Health e Disorders
,Chapter e 1: e Cardiovascular e Disorders
Clinical e Guidelines e in e Primary e Care e 4th e Edition e Test e bank
MULTIPLE e CHOICE
1. The e nurse e is e aware e that e the e muscle e layer e of e the e heart, e which e is
e responsible e for ethe e hearts e contraction, e is e the:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: e D
The e myocardium e is e the e specialized e muscle e layer e that e allows e the e heart e to e contract.
2. The e nurse e clarifies e that e the e master e pacemaker e of e the e heart e is e the:
a. left e ventricle.
b. atrioventricular e (AV) e node.
c. sinoatrial e (SA) e node.
d. bundle e of e His.
ANS: e C
The e SA e node e is e the e master e pacemaker e of e the e heart.
3. The e nurse e is e aware e that e the e symptoms e of e an e impending e myocardial
e infarction e (MI) e differ e in e women e because e acute e chest e pain e is e not e present.
e Women e are e frequently emisdiagnosed e as e having:
a. hepatitis e A.
b. indigestion.
c. urinary e infection.
d. menopausal e complications.
, ANS: e B
Indigestion, e gallbladder e attack, e anxiety e attack, e and e depression e are e frequent
e misdiagnoses efor e women e having e an e MI.
4. The e nurse e identifies e the e LUBB e sound e of e the e LUBB/DUBB e of e the e cardiac
e cycle e as e the esound e of e the:
a. AV e valves e closing.
b. closure e of e the e semilunar e valves.
c. contraction e of e the e papillary e muscles.
d. contraction e of e the e ventricles.
ANS: e A
The e LUBB e is e the e first e sound e of e a e low e pitch e heard e when e the e AV e valves e close.
5. A e patient e is e admitted e from e the e emergency e department. e The e emergency
e department ephysician enotes ethe epatient ehas ea ediagnosis eof eheart efailure ewith ea eNew
eYork eHeart eAssociation e (NYHA) e classification e of e IV. e This e indicates e the
e patients e condition e as:
a. moderate e heart e failure.
b. severe e heart e failure.
c. congestive e heart e failure.
d. negligible e heart e failure.
ANS: e B
Class e IV: e Severe; e patient e unable e to e perform e any e physical e activity e without
e discomfort. eAngina e or e symptoms e of e cardiac e inefficiency e may e develop e at e rest.
6. The e nurse e assesses e that e the e home e health e patient e has e no e signs e or
e symptoms e of e heart efailure, e but e does e have e a e history e of e rheumatic e fever e and
e has e been e recently e diagnosed e with e diabetes e mellitus. e The e nurse e is e aware
e that e using e the e American e College e of e Cardiology e and e the e American e Heart
e Association e (ACC/AHA) e staging, e this e patient ewould e be e a:
a. stage e A.
b. stage e B.
c. stage e C.
d. stage e D.
ANS: e A
The e ACC/AHA e staging e describes e stage e A e as e a e person e without e symptoms e of
e heart e failure, ebut e with e primary e conditions e associated e with e the e development e of
e the e disease.
CLINICAL GUIDELINES
n
IN PRIMARY CARE
en n n
4th Edition, Hollier
n n
TESTBANK n
,Clinical e Guidelines e in e Primary e Care e 4th e Edition e Hollier e Test e Bank
Table e of e Contents
Chapter e 1: e Cardiovascular e Disorders
Chapter e 2: e Dermatologic e Disorders
Chapter e 3: e Ear e Nose e & e Throat e Disorders
Chapter e 4: e Endocrine e Disorders
Chapter e 5: e Gastrointestinal e Disorders
Chapter e 6: e Genetic e Disorders
Chapter e 7: e Health e Promotion e - e Pediatric
Chapter e 8: e Hematologic e Disorders
Chapter e 9: e Lactation e and e Breastfeeding
Chapter e 10: e Men’s e Health e Disorders
Chapter e 11: e Neurologic e Disorders
Chapter e 12: e Ophthalmic e Disorders
Chapter e 13: e Orthopedic e Disorders
Chapter e 14: e Pregnancy
Chapter e 15: e Psychiatric e Disorders, e Violence, e Abuse, e Neglect
Chapter e 16: e Pulmonary e Disorders
Chapter e 17: e Sexually e Transmitted e Diseases
Chapter e 18: e Urologic e Disorders
Chapter e 19: e Women’s e Health e Disorders
,Chapter e 1: e Cardiovascular e Disorders
Clinical e Guidelines e in e Primary e Care e 4th e Edition e Test e bank
MULTIPLE e CHOICE
1. The e nurse e is e aware e that e the e muscle e layer e of e the e heart, e which e is
e responsible e for ethe e hearts e contraction, e is e the:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: e D
The e myocardium e is e the e specialized e muscle e layer e that e allows e the e heart e to e contract.
2. The e nurse e clarifies e that e the e master e pacemaker e of e the e heart e is e the:
a. left e ventricle.
b. atrioventricular e (AV) e node.
c. sinoatrial e (SA) e node.
d. bundle e of e His.
ANS: e C
The e SA e node e is e the e master e pacemaker e of e the e heart.
3. The e nurse e is e aware e that e the e symptoms e of e an e impending e myocardial
e infarction e (MI) e differ e in e women e because e acute e chest e pain e is e not e present.
e Women e are e frequently emisdiagnosed e as e having:
a. hepatitis e A.
b. indigestion.
c. urinary e infection.
d. menopausal e complications.
, ANS: e B
Indigestion, e gallbladder e attack, e anxiety e attack, e and e depression e are e frequent
e misdiagnoses efor e women e having e an e MI.
4. The e nurse e identifies e the e LUBB e sound e of e the e LUBB/DUBB e of e the e cardiac
e cycle e as e the esound e of e the:
a. AV e valves e closing.
b. closure e of e the e semilunar e valves.
c. contraction e of e the e papillary e muscles.
d. contraction e of e the e ventricles.
ANS: e A
The e LUBB e is e the e first e sound e of e a e low e pitch e heard e when e the e AV e valves e close.
5. A e patient e is e admitted e from e the e emergency e department. e The e emergency
e department ephysician enotes ethe epatient ehas ea ediagnosis eof eheart efailure ewith ea eNew
eYork eHeart eAssociation e (NYHA) e classification e of e IV. e This e indicates e the
e patients e condition e as:
a. moderate e heart e failure.
b. severe e heart e failure.
c. congestive e heart e failure.
d. negligible e heart e failure.
ANS: e B
Class e IV: e Severe; e patient e unable e to e perform e any e physical e activity e without
e discomfort. eAngina e or e symptoms e of e cardiac e inefficiency e may e develop e at e rest.
6. The e nurse e assesses e that e the e home e health e patient e has e no e signs e or
e symptoms e of e heart efailure, e but e does e have e a e history e of e rheumatic e fever e and
e has e been e recently e diagnosed e with e diabetes e mellitus. e The e nurse e is e aware
e that e using e the e American e College e of e Cardiology e and e the e American e Heart
e Association e (ACC/AHA) e staging, e this e patient ewould e be e a:
a. stage e A.
b. stage e B.
c. stage e C.
d. stage e D.
ANS: e A
The e ACC/AHA e staging e describes e stage e A e as e a e person e without e symptoms e of
e heart e failure, ebut e with e primary e conditions e associated e with e the e development e of
e the e disease.
