NSG 464 ACTUAL FINAL EXAM PACK
PRACTICE SCRIPT UPDATED 2026 TESTED
SOLUTIONS
⫸ For which of the following patients would a comprehensive health
history be appropriate?
A. A new patient with the chief complaint of "I sprained my ankle"
B. An established patient with the chief complaint of "I have an upper
respiratory infection"
C. A new patient with chief complaint of "I am here to establish care"
D. A new patient with the chief complaint of "I cut my hand" Answer:
C. A new patient with chief complaint of "I am here to establish care"
rationale: this patient is here to establish care, and because she is new to
you, a comprehensive health history is appropriate
⫸ The components of the health history include all of the following
except which one?
A. Review of systems
B. Thorax and Lungs
C. Present Illness
D. Personal and social items Answer: B. Thorax and Lungs
,rationale: the thorax and lungs are part of the physical examination, not
part of the health history. The other answers are all part of a complete
health history
⫸ Is the following information subjective or objective? Mr. M has
shortness of breath that has persisted for the past 10 days, it is worse
with activity, and relieved by rest.
A. Subjective
B. Objective Answer: A. Subjective
Rationale: This is information given by the patient about the
circumstances of his chief complaint. It doesn't represent an objective
observation by the examiner
⫸ Is the following information subjective or objective? Mr. M has a
respiratory rate of 32 and a pulse rate of 120.
A. Subjective
B. Objective Answer: B. Objective
Rationale: This is a measurement obtained by the examiner, so it is
considered objective data. The patient is unlikely to be able to give this
information to the examiner
⫸ The following information is recorded in the health history: "The
patient had had abdominal pain for 1 week. The pain lasts for 30 minutes
at a time, it comes and goes. The severity is 7 to 9 on a scale of 1-10. It
,is accompanied by nausea and vomiting. It is located in the mid-
epigastric area". Which of these categories does it belong to?
A. Chief complaint
B. Present Illness
C. Personal and social history
D. Review of systems Answer: B. Present Illness
Rationale: This info describes the problem of abdominal pain, which is
the present illness. The interviewer has obtained the location, timing,
severity, and associated manifestations of the pain, the setting in which it
occurred, and the factors that aggravate and relieve the pain. You will
notice that it does include portions of the pertinent review of systems,
but because it related directly to the chief complaint, it is included in the
history of present illness.
⫸ The following information is recorded in the health history: "The
patient completed 8th grade. He currently lives with his wife and two
children. He works on old cars on the weekend. He works in a glass
factory during the week. Which category does it belong to?
A. Chief complaint
B. Present illness
C. Personal and social history
D. Review of systems Answer: C. Personal and social history
Rationale: Personal and social history information includes educational
level, family of origin, current household status, personal interest,
employment, religious beliefs, military history, and lifestyle (including
, diet and exercise habits; use of alcohol, tobacco, and drugs; sexual
preferences and history). All of this information is documented in this
example
⫸ The following information is recorded in the health history: "I feel
really tired". Which category does this belong to?
A. Chief complaint
B. Present illness
C. Personal and social history
D. Review of systems Answer: A. Chief complaint
Rationale: The chief complaint is an attempt to quote the patient's own
words, as long as they are suitable to print. It is brief, like a headline,
and further details should be sought in the present illness section. The
above information is a chief complaint
⫸ The following information is recorded in the health history: "Patient
denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal
dyspnea". Which category does this belong to?
A. Chief complaint
B. Present illness
C. Personal and social history
D. Review of Systems Answer: D. Review of systems
PRACTICE SCRIPT UPDATED 2026 TESTED
SOLUTIONS
⫸ For which of the following patients would a comprehensive health
history be appropriate?
A. A new patient with the chief complaint of "I sprained my ankle"
B. An established patient with the chief complaint of "I have an upper
respiratory infection"
C. A new patient with chief complaint of "I am here to establish care"
D. A new patient with the chief complaint of "I cut my hand" Answer:
C. A new patient with chief complaint of "I am here to establish care"
rationale: this patient is here to establish care, and because she is new to
you, a comprehensive health history is appropriate
⫸ The components of the health history include all of the following
except which one?
A. Review of systems
B. Thorax and Lungs
C. Present Illness
D. Personal and social items Answer: B. Thorax and Lungs
,rationale: the thorax and lungs are part of the physical examination, not
part of the health history. The other answers are all part of a complete
health history
⫸ Is the following information subjective or objective? Mr. M has
shortness of breath that has persisted for the past 10 days, it is worse
with activity, and relieved by rest.
A. Subjective
B. Objective Answer: A. Subjective
Rationale: This is information given by the patient about the
circumstances of his chief complaint. It doesn't represent an objective
observation by the examiner
⫸ Is the following information subjective or objective? Mr. M has a
respiratory rate of 32 and a pulse rate of 120.
A. Subjective
B. Objective Answer: B. Objective
Rationale: This is a measurement obtained by the examiner, so it is
considered objective data. The patient is unlikely to be able to give this
information to the examiner
⫸ The following information is recorded in the health history: "The
patient had had abdominal pain for 1 week. The pain lasts for 30 minutes
at a time, it comes and goes. The severity is 7 to 9 on a scale of 1-10. It
,is accompanied by nausea and vomiting. It is located in the mid-
epigastric area". Which of these categories does it belong to?
A. Chief complaint
B. Present Illness
C. Personal and social history
D. Review of systems Answer: B. Present Illness
Rationale: This info describes the problem of abdominal pain, which is
the present illness. The interviewer has obtained the location, timing,
severity, and associated manifestations of the pain, the setting in which it
occurred, and the factors that aggravate and relieve the pain. You will
notice that it does include portions of the pertinent review of systems,
but because it related directly to the chief complaint, it is included in the
history of present illness.
⫸ The following information is recorded in the health history: "The
patient completed 8th grade. He currently lives with his wife and two
children. He works on old cars on the weekend. He works in a glass
factory during the week. Which category does it belong to?
A. Chief complaint
B. Present illness
C. Personal and social history
D. Review of systems Answer: C. Personal and social history
Rationale: Personal and social history information includes educational
level, family of origin, current household status, personal interest,
employment, religious beliefs, military history, and lifestyle (including
, diet and exercise habits; use of alcohol, tobacco, and drugs; sexual
preferences and history). All of this information is documented in this
example
⫸ The following information is recorded in the health history: "I feel
really tired". Which category does this belong to?
A. Chief complaint
B. Present illness
C. Personal and social history
D. Review of systems Answer: A. Chief complaint
Rationale: The chief complaint is an attempt to quote the patient's own
words, as long as they are suitable to print. It is brief, like a headline,
and further details should be sought in the present illness section. The
above information is a chief complaint
⫸ The following information is recorded in the health history: "Patient
denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal
dyspnea". Which category does this belong to?
A. Chief complaint
B. Present illness
C. Personal and social history
D. Review of Systems Answer: D. Review of systems
