TESTBANK n
GUIDELINESIN PRIMARYCARE, 4TH EDITION
n n n n n
Amelie Hollier
n
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
n n n n n n n n n
Table of Contents
n n
Chapter 1: Cardiovascular Disorders
n n n
Chapter 2: Dermatologic Disorders
n n n
Chapter 3: Ear Nose & Throat Disorders
n n n n n n
Chapter 4: Endocrine Disorders
n n n
Chapter 5: Gastrointestinal Disorders
n n n
Chapter 6: Genetic Disorders
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Chapter 7: Health Promotion - Pediatric
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Chapter 8: Hematologic Disorders
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Chapter 9: Lactation and Breastfeeding
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Chapter 10: Men’s Health Disorders
n n n n
Chapter 11: Neurologic Disorders
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Chapter 12: Ophthalmic Disorders
n n n
Chapter 13: Orthopedic Disorders
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Chapter 14: Pregnancy
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Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
n n n n n n
Chapter 16: Pulmonary Disorders
n n n
Chapter 17: Sexually Transmitted Diseases
n n n n
Chapter 18: Urologic Disorders
n n n
Chapter 19: Women’s Health Disorders
n n n n
,Chapter 1: Cardiovascular Disorders
n n n
Clinical Guidelines in Primary Care 4th Edition Test bank
n n n n n n n n
MULTIPLE CHOICE n
1. The nurse is aware that the muscle layer of the heart, which is responsible for the hearts
n n n n n n n n n n n n n n n n
contraction, is the:
n n n
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D n
The myocardium is the specialized muscle layer that allows the heart to contract.
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2. The nurse clarifies that the master pacemaker of the heart is the:
n n n n n n n n n n n
a. left ventricle. n
b. atrioventricular (AV) node. n n
c. sinoatrial (SA) node. n n
d. bundle of His. n n
ANS: C n
The SA node is the master pacemaker of the heart.
n n n n n n n n n
3. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in
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n women because acute chest pain is not present. Women are frequently misdiagnosed as having:
n n n n n n n n n n n n n
a. hepatitis A. n
b. indigestion.
c. urinary infection. n
d. menopausal complications. n
, ANS: B n
Indigestion, gallbladder attack, anxietyattack, and depression are frequent misdiagnoses for women
n n n n n n n n n n n
having an MI.
n n n
4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound of the:
n n n n n n n n n n n n n n n n n
a. AV valves closing. n n
b. closure of the semilunar valves. n n n n
c. contraction of the papillary muscles. n n n n
d. contraction of the ventricles. n n n
ANS: A n
The LUBB is the first sound of a low pitch heard when the AV valves close.
n n n n n n n n n n n n n n n
5. A patient is admitted from the emergency department. The emergency department physician
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n notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)
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n classification of IV. This indicates the patients condition as: n n n n n n n n
a. moderate heart failure. n n
b. severe heart failure. n n
c. congestive heart failure. n n
d. negligible heart failure. n n
ANS: B n
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or
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symptoms of cardiac inefficiency may develop at rest.
n n n n n n n n
6. The nurse assesses that the home health patient has nosigns or symptoms of heart failure, but does
n n n n n n n n n n n n n n n n n
n have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The
n n n n n n n n n n n n n n
n nurse is aware that using the American College of Cardiology and the American Heart Association
n n n n n n n n n n n n n n
n (ACC/AHA) staging, this patient would be a: n n n n n n
a. stage A. n
b. stage B. n
c. stage C. n
d. stage D. n
ANS: A n
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but with
n n n n n n n n n n n n n n n
primary conditions associated with the development of the disease.
n n n n n n n n n
GUIDELINESIN PRIMARYCARE, 4TH EDITION
n n n n n
Amelie Hollier
n
,Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank
n n n n n n n n n
Table of Contents
n n
Chapter 1: Cardiovascular Disorders
n n n
Chapter 2: Dermatologic Disorders
n n n
Chapter 3: Ear Nose & Throat Disorders
n n n n n n
Chapter 4: Endocrine Disorders
n n n
Chapter 5: Gastrointestinal Disorders
n n n
Chapter 6: Genetic Disorders
n n n
Chapter 7: Health Promotion - Pediatric
n n n n n
Chapter 8: Hematologic Disorders
n n n
Chapter 9: Lactation and Breastfeeding
n n n n
Chapter 10: Men’s Health Disorders
n n n n
Chapter 11: Neurologic Disorders
n n n
Chapter 12: Ophthalmic Disorders
n n n
Chapter 13: Orthopedic Disorders
n n n
Chapter 14: Pregnancy
n n
Chapter 15: Psychiatric Disorders, Violence, Abuse, Neglect
n n n n n n
Chapter 16: Pulmonary Disorders
n n n
Chapter 17: Sexually Transmitted Diseases
n n n n
Chapter 18: Urologic Disorders
n n n
Chapter 19: Women’s Health Disorders
n n n n
,Chapter 1: Cardiovascular Disorders
n n n
Clinical Guidelines in Primary Care 4th Edition Test bank
n n n n n n n n
MULTIPLE CHOICE n
1. The nurse is aware that the muscle layer of the heart, which is responsible for the hearts
n n n n n n n n n n n n n n n n
contraction, is the:
n n n
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS: D n
The myocardium is the specialized muscle layer that allows the heart to contract.
n n n n n n n n n n n n
2. The nurse clarifies that the master pacemaker of the heart is the:
n n n n n n n n n n n
a. left ventricle. n
b. atrioventricular (AV) node. n n
c. sinoatrial (SA) node. n n
d. bundle of His. n n
ANS: C n
The SA node is the master pacemaker of the heart.
n n n n n n n n n
3. The nurse is aware that the symptoms of an impending myocardial infarction (MI) differ in
n n n n n n n n n n n n n n
n women because acute chest pain is not present. Women are frequently misdiagnosed as having:
n n n n n n n n n n n n n
a. hepatitis A. n
b. indigestion.
c. urinary infection. n
d. menopausal complications. n
, ANS: B n
Indigestion, gallbladder attack, anxietyattack, and depression are frequent misdiagnoses for women
n n n n n n n n n n n
having an MI.
n n n
4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle as the sound of the:
n n n n n n n n n n n n n n n n n
a. AV valves closing. n n
b. closure of the semilunar valves. n n n n
c. contraction of the papillary muscles. n n n n
d. contraction of the ventricles. n n n
ANS: A n
The LUBB is the first sound of a low pitch heard when the AV valves close.
n n n n n n n n n n n n n n n
5. A patient is admitted from the emergency department. The emergency department physician
n n n n n n n n n n n
n notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA)
n n n n n n n n n n n n n n n
n classification of IV. This indicates the patients condition as: n n n n n n n n
a. moderate heart failure. n n
b. severe heart failure. n n
c. congestive heart failure. n n
d. negligible heart failure. n n
ANS: B n
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or
n n n n n n n n n n n n n
symptoms of cardiac inefficiency may develop at rest.
n n n n n n n n
6. The nurse assesses that the home health patient has nosigns or symptoms of heart failure, but does
n n n n n n n n n n n n n n n n n
n have a history of rheumatic fever and has been recently diagnosed with diabetes mellitus. The
n n n n n n n n n n n n n n
n nurse is aware that using the American College of Cardiology and the American Heart Association
n n n n n n n n n n n n n n
n (ACC/AHA) staging, this patient would be a: n n n n n n
a. stage A. n
b. stage B. n
c. stage C. n
d. stage D. n
ANS: A n
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but with
n n n n n n n n n n n n n n n
primary conditions associated with the development of the disease.
n n n n n n n n n
