Clinical Guidelines in Primary Care 4th Edition Test Bank – Nursing Exam Prep & Study Guide

,ClinicalkGuidelineskinkPrimaryCarek4thkEditionkTestkbankkChapte
rk1kCardiovascularkDisorders

MULTIPLEkCHOICE
1. Theknursekiskawarekthatkthekmuscleklayerkofkthekheart,kwhichkiskresponsiblekforkthekheartskc
ontraction,kiskthe:

a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.

ANS:kD
Thekmyocardiumkiskthekspecializedkmuscleklayerkthatkallowskthekheartktokcontract.
2. Theknursekclarifieskthatkthekmasterkpacemakerkofkthekheartkiskthe:

a. leftkventricle.
b. atrioventriculark(AV)knode.
c. sinoatrialk(SA)knode.
d. bundlekofkHis.

ANS:kC
ThekSAknodekiskthekmasterkpacemakerkofkthekheart.
3. Theknursekiskawarekthatktheksymptomskofkankimpendingkmyocardialkinfarctionk(MI)kdifferkinkw
omenkbecausekacutekchestkpainkisknotkpresent.kWomenkarekfrequentlykmisdiagnosedkaskhaving:

a. hepatitiskA.
b. indigestion.
c. urinarykinfection.
d. menopausalkcomplications.

,ANS:kB
Indigestion,kgallbladderkattack,kanxietykattack,kandkdepressionkarekfrequentkmisdiagnoseskforkwom
enkhavingkankMI.
4. TheknursekidentifieskthekLUBBksoundkofkthekLUBB/DUBBkofkthekcardiackcyclekasktheksoundkofkt
he:

a. AVkvalveskclosing.
b. closurekofktheksemilunarkvalves.
c. contractionkofkthekpapillarykmuscles.
d. contractionkofkthekventricles.

ANS:kA
ThekLUBBkiskthekfirstksoundkofkaklowkpitchkheardkwhenkthekAVkvalveskclose.
5. Akpatientkiskadmittedkfromkthekemergencykdepartment.kThekemergencykdepartmentkphysiciank
noteskthekpatientkhaskakdiagnosiskofkheartkfailurekwithkakNewkYorkkHeartkAssociationk(NYHA)kc
lassificationkofkIV.kThiskindicateskthekpatientskconditionkas:

a. moderatekheartkfailure.
b. severekheartkfailure.
c. congestivekheartkfailure.
d. negligiblekheartkfailure.

ANS:kB
ClasskIV:kSevere;kpatientkunablektokperformkanykphysicalkactivitykwithoutkdiscomfort.kAnginakorks
ymptomskofkcardiackinefficiencykmaykdevelopkatkrest.
6. Theknursekassesseskthatkthekhomekhealthkpatientkhasknoksignskorksymptomskofkheartkfailure,kbutkd
oeskhavekakhistorykofkrheumatickfeverkandkhaskbeenkrecentlykdiagnosedkwithkdiabeteskmellitus.kT
heknursekiskawarekthatkusingkthekAmericankCollegekofkCardiologykandkthekAmericankHeartkAssoc
iationk(ACC/AHA)kstaging,kthiskpatientkwouldkbeka:

a. stagekA.
b. stagekB.
c. stagekC.
d. stagekD.

ANS:kA
ThekACC/AHAkstagingkdescribeskstagekAkaskakpersonkwithoutksymptomskofkheartkfailure,kbutkwithk
primarykconditionskassociatedkwithkthekdevelopmentkofkthekdisease.

, 7. Theknursekcaringkforkakpatientkrecoveringkfromkakmyocardialkinfarctkwhokiskonkremotektelemetrykr
ecognizeskthekneedkforkaddedkinstructionkwhenkthekpatientksays:

a. Ikcankambulatekinkthekhallwaykwithkthiskgadgetkon.
b. Ikalwaysktakekoffkthektelemetrykdevicekwhenk Ikshower.
c. MykEKGkiskbeingkwatchedkbykonekofktheknursesk inkCCUkonkthekhomekunit.
d. Ikamkablektoksleepkjustkfinekwithkthiskdevicekon.

ANS:kB
Remotektelemetrykallowskthekpatientktokbekonkakseparatekunit,kbutkbekmonitoredkinkakcentralklocatio
n.kThekpatientskcankbekambulatorykandkcanksleepkwithkthekmonitorkon.kThey
shouldknotkremovekthekmonitorktokshower.
8. Theknursekassesseskpittingkedemakthatkcankbekdepressedkapproximatelykinchkandkrefillskink15ks
econds.kTheknursekwouldkdocumentkthiskassessmentkas:

a. +1kedema.
b. +2kedema.
c. +3kedema.
d. +4kedema.

ANS:kB
Ak+2kedemakcankbekdocumentedkifkthekskinkcankbekdepressedkinchkandkrespondkwithink15kseconds.
9. Whatkdokdarkkorkcoldkspotskonkakthalliumkscankindicate?

a. Tissuekwithkadequatekbloodksupply
b. Dilatedkvessels
c. Areaskofkneoplastickgrowth
d. Tissuekthatkhaskinadequatekperfusion

ANS:kD
Thalliumkscanskshowkadequatekperfusedkareaskbykthekcollectionkofkthallium.kDarkkspotskorkcoldkspo
tskindicatektissueskthatkhavekinadequatekperfusion.
10.Theknursekrecognizeskthekechocardiogramkreportkthatkshowskankejectionkfactorkofk42%kaskanki
ndicationkof:

a. normalkheartkaction.
b. mildkheartkfailure.
c. moderatekheartkfailure.