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[Year]
Test bank for Clinical Guidelines in Primary Care 4th
Edition by Hollier -2023-2024
Chapter 1 Cardiovascular Disorders
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MULTIPLE CHOICE
1.The nurse is aware that the muscle layer of the heart, which is responsible
for the heartscontraction, 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.2.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.
3. Thenurse 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.
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ANS: B
Indigestion, gallbladder attack, anxiety attack, and depression are frequent
misdiagnoses forwomen having an MI.
4. The nurse identifies the LUBB sound of the LUBB/DUBB of the cardiac cycle
as the sound ofthe:
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.
5.A patient is admitted from the emergency department. The emergency
department physician notes the patient has a diagnosis of heart failure with a
New York Heart Association (NYHA) classification of IV. This indicates the
patients condition as:
a. moderate heart failure.
b. severe heart failure.
c. congestive heart failure.
d. negligible heart failure.
ANS: B
Class IV: Severe; patient unable to perform any physical activity without
discomfort. Angina orsymptoms of cardiac inefficiency may develop at rest.
6. The nurse assesses that the home health patient has no signs or symptoms of
heart failure, butdoes have a history of rheumatic fever and has been recently
diagnosed with diabetes mellitus.The nurse is aware that using the American
College of Cardiology and the American Heart Association (ACC/AHA) staging,
this patient would be a:
a. stage A.
b. stage B.
c. stage C.
d. stage D.
ANS: A
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