Test Bank for Clinical Guidelines in Primary Care 4th Edition by Hollier

TESTBANK k




GUIDELINES IN PRIMARY CARE, 4TH EDITION
k k k k k



AmeliekHollier

,ClinicalkGuidelineskinkPrimarykCarek4thkEditionkHollierkTestkBank
TablekofkContents
Chapterk1:kCardiovascularkDisorders
Chapterk2:kDermatologickDisorders
Chapterk3:kEarkNosek&kThroatkDisorders
Chapterk4:kEndocrinekDisorders
Chapterk5:kGastrointestinalkDisorders
Chapterk6:kGenetickDisorders
Chapterk7:kHealthkPromotionk-kPediatric
Chapterk8:kHematologickDisorders
Chapterk9:kLactationkandkBreastfeeding
Chapterk10:kMen’skHealthkDisorders
Chapterk11:kNeurologickDisorders
Chapterk12:kOphthalmickDisorders
Chapterk13:kOrthopedickDisorders
Chapterk14:kPregnancy
Chapterk15:kPsychiatrickDisorders,kViolence,kAbuse,kNeglect
Chapterk16:kPulmonarykDisorders
Chapterk17:kSexuallykTransmittedkDiseases
Chapterk18:kUrologickDisorders
Chapterk19:kWomen’skHealthkDisorders

,Chapterk1:kCardiovascularkDisorders
ClinicalkGuidelineskinkPrimarykCarek4thkEditionkTestkbank


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.kTh
eknursekiskawarekthatkusingkthekAmericankCollegekofkCardiologykandkthekAmericankHeartkAssoci
ationk(ACC/AHA)kstaging,kthiskpatientkwouldkbeka:

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

ANS:kA
ThekACC/AHAkstagingkdescribeskstagekAkaskakpersonkwithoutksymptomskofkheartkfailure,kbutkwithk
primarykconditionskassociatedkwithkthekdevelopmentkofkthekdisease.