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Neurologic Disorders Urologic Disorders Sexually Transmitted Diseases Pulmonary DisordersPsychiatric Disorders, Violence, Abuse and Neglect Issues Pregnancy Orthopedic Disorders Ophthalmic Disorders Men’s Health Disorders Cardiovascular Disorders Lactation and Breastfeeding
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Genetic Disorders Gastrointestinal Disorders Endocrine DisordersEar, Nose & Throat Disorders Dermatologic Disorders Women’s Health Disorders Clinical Guidelines in Primary Care 4th Edition Hollier Test Bank 2 / 4
Chapter 1 Cardiovascular Disorders
MULTIPLE CHOICE
1.The nurse is aware that the muscle layer of the heart, which is responsible for the hearts
contraction, is the:
- endocardium.
- pericardium.
- mediastinum.
- 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:
- left ventricle.
- atrioventricular (AV) node.
- sinoatrial (SA) node.
- bundle of His.
ANS: C
The SA node is the master pacemaker of the heart.
- 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:
- hepatitis A.
- indigestion.
- urinary infection.
- menopausal complications. 3 / 4
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:
- AV valves closing.
- closure of the semilunar valves.
- contraction of the papillary muscles.
- 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:
- moderate heart failure.
- severe heart failure.
- congestive heart failure.
- negligible heart failure.
ANS: B
Class IV: Severe; patient unable to perform any physical activity without discomfort. Angina or symptoms of cardiac inefficiency may develop at rest.
- The nurse assesses that the home health patient has no signs or symptoms of heart failure, but
does 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:
- stage A.
- stage B.
- stage C.
- stage D.
ANS: A
The ACC/AHA staging describes stage A as a person without symptoms of heart failure, but with primary conditions associated with the development of the disease.
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