NSG 6020 MIDTERM QUESTIONS AND ANSWERS
For which of the following patients would a comprehensive health history be appropriate
- Answers - a new patient with the chief complaint of "I am here to establish care"
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. -
Answers - subjective
is the following information subjective or objective. Mr. M has a respiratory rate of 32
and pulse rate of 120 - Answers - objective
the following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea and paroxysmal nocturnal dyspnea - Answers - Review of
systems
A patient presents for evaluation of a sharp, aching chest pain which increases with
breathing. Which anatomic area would you localize the symptom to - Answers -
Musculoskeletal
a 22 year old advertising copywriter presents for evaluation of joint pain. The pain is
new, located in the wrists and fingers bilaterally, with some subjective fever. The patient
denies a rash; she also denies recent travel or camping activities. She has a family
history significant for rheumatoid arthritis. Based on this information, which of the
following pathological processes would be most correct - Answers - Inflammatory
a 15 year old high school sophomore comes to the clinic for evaluation of a 3 week
history of sneezing; itch, watery eyes; clear nasal discharge; ear pain; and
nonproductive cough. which is most likely pathological process - Answers - allergic
You are seeing an elderly man with multiple complaints. He has chronic arthritis, pain
from an old war injury, and headaches. Today he complains of these pains, as well as
dull chest pain under his sternum. What would the order of priority be for your problem
list? - Answers - Chest pain, headaches, arthritis, war injury pain
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student
preparing to go into the examination room to interview her. Which of the following is the
most logical sequence for the patient-provider interview? - Answers - Greet the patient,
establish rapport, invite the patient's story, establish the agenda, expand and clarify the
patient's story, and negotiate a plan.
Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The
pain is a dull ache, located in the right upper quadrant, that she rates as a 3 at the least
and an 8 at the worst. The pain started a few weeks ago, it lasts for 2 to 3 hours at a
time, it comes and goes, and it seems to be worse a couple of hours after eating. She
, has noticed that it starts after eating greasy foods, so she has cut down on these as
much as she can. Initially it occurred once a week, but now it is occurring every other
day. Nothing makes it better. From this description, which of the seven attributes of a
symptom has been omitted? - Answers - Associated manifestations
A 23-year-old graduate student comes to your clinic for evaluation of a urethral
discharge. As the provider, you need to get a sexual history. Which one of the following
questions is inappropriate for eliciting the information? - Answers - Are you sexually
active?
On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual
visit for her blood pressure. She is on a low-dose diuretic chronically and denies any
side effects. Her blood pressure is 118/78 today, which is well-controlled. As you are
writing her script, she mentions that it is hard not having her husband Bill around
anymore. What would you do next? - Answers - Ask why Bill is not there.
When you enter your patient's examination room, his wife is waiting there with him.
Which of the following is most appropriate? - Answers - Ask if it's okay to carry out the
visit with both people in the room.
You are performing a young woman's first pelvic examination. You make sure to tell her
verbally what is coming next and what to expect. Then you carry out each maneuver of
the examination. You let her know at the outset that if she needs a break or wants to
stop, this is possible. You ask several times during the examination, "How are you
doing, Brittney?" What are you accomplishing with these techniques? - Answers - All of
the above
A 15-year-old high school sophomore and her mother come to your clinic because the
mother is concerned about her daughter's weight. You measure her daughter's height
and weight and obtain a BMI of 19.5 kg/m2. Based on this information, which of the
following is appropriate? - Answers - Reassure the mother that this is a normal body
weight.
A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is
26.0 kg/m2. He is concerned about his weight. Based on this information, what is
appropriate counsel for the patient during the visit? - Answers - Give the patient
information about reduction of fat, cholesterol, and calories because he is overweight
Common or concerning symptoms to inquire about in the General Survey and vital signs
include all of the following except: - Answers - cough
You are beginning the examination of a patient. All of the following areas are important
to observe as part of the General Survey except: - Answers - blood pressure
For which of the following patients would a comprehensive health history be appropriate
- Answers - a new patient with the chief complaint of "I am here to establish care"
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. -
Answers - subjective
is the following information subjective or objective. Mr. M has a respiratory rate of 32
and pulse rate of 120 - Answers - objective
the following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea and paroxysmal nocturnal dyspnea - Answers - Review of
systems
A patient presents for evaluation of a sharp, aching chest pain which increases with
breathing. Which anatomic area would you localize the symptom to - Answers -
Musculoskeletal
a 22 year old advertising copywriter presents for evaluation of joint pain. The pain is
new, located in the wrists and fingers bilaterally, with some subjective fever. The patient
denies a rash; she also denies recent travel or camping activities. She has a family
history significant for rheumatoid arthritis. Based on this information, which of the
following pathological processes would be most correct - Answers - Inflammatory
a 15 year old high school sophomore comes to the clinic for evaluation of a 3 week
history of sneezing; itch, watery eyes; clear nasal discharge; ear pain; and
nonproductive cough. which is most likely pathological process - Answers - allergic
You are seeing an elderly man with multiple complaints. He has chronic arthritis, pain
from an old war injury, and headaches. Today he complains of these pains, as well as
dull chest pain under his sternum. What would the order of priority be for your problem
list? - Answers - Chest pain, headaches, arthritis, war injury pain
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student
preparing to go into the examination room to interview her. Which of the following is the
most logical sequence for the patient-provider interview? - Answers - Greet the patient,
establish rapport, invite the patient's story, establish the agenda, expand and clarify the
patient's story, and negotiate a plan.
Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The
pain is a dull ache, located in the right upper quadrant, that she rates as a 3 at the least
and an 8 at the worst. The pain started a few weeks ago, it lasts for 2 to 3 hours at a
time, it comes and goes, and it seems to be worse a couple of hours after eating. She
, has noticed that it starts after eating greasy foods, so she has cut down on these as
much as she can. Initially it occurred once a week, but now it is occurring every other
day. Nothing makes it better. From this description, which of the seven attributes of a
symptom has been omitted? - Answers - Associated manifestations
A 23-year-old graduate student comes to your clinic for evaluation of a urethral
discharge. As the provider, you need to get a sexual history. Which one of the following
questions is inappropriate for eliciting the information? - Answers - Are you sexually
active?
On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual
visit for her blood pressure. She is on a low-dose diuretic chronically and denies any
side effects. Her blood pressure is 118/78 today, which is well-controlled. As you are
writing her script, she mentions that it is hard not having her husband Bill around
anymore. What would you do next? - Answers - Ask why Bill is not there.
When you enter your patient's examination room, his wife is waiting there with him.
Which of the following is most appropriate? - Answers - Ask if it's okay to carry out the
visit with both people in the room.
You are performing a young woman's first pelvic examination. You make sure to tell her
verbally what is coming next and what to expect. Then you carry out each maneuver of
the examination. You let her know at the outset that if she needs a break or wants to
stop, this is possible. You ask several times during the examination, "How are you
doing, Brittney?" What are you accomplishing with these techniques? - Answers - All of
the above
A 15-year-old high school sophomore and her mother come to your clinic because the
mother is concerned about her daughter's weight. You measure her daughter's height
and weight and obtain a BMI of 19.5 kg/m2. Based on this information, which of the
following is appropriate? - Answers - Reassure the mother that this is a normal body
weight.
A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is
26.0 kg/m2. He is concerned about his weight. Based on this information, what is
appropriate counsel for the patient during the visit? - Answers - Give the patient
information about reduction of fat, cholesterol, and calories because he is overweight
Common or concerning symptoms to inquire about in the General Survey and vital signs
include all of the following except: - Answers - cough
You are beginning the examination of a patient. All of the following areas are important
to observe as part of the General Survey except: - Answers - blood pressure
