Test Bank For Clinical Guidelines
in Primary Care, 4th Edition by
FAANP Amelie Hollier
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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.
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• 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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