1
CMN 552 Module 4 Exam Actual Exam
2026/2027 – Complete Exam-Style Questions with
Detailed Rationales | 100% Verified – Pass
Guaranteed – A+ Graded
Advanced Health Assessment – Comprehensive History Taking
Q1: When a patient presents to the clinic for a routine annual physical exam with no specific
complaints, which type of history is most appropriate?
A. Focused history
B. Comprehensive history
C. Problem-oriented history
D. Emergency history
Correct Answer: B
Rationale: The best answer is a comprehensive history because this is an initial visit for health
maintenance with no specific presenting problem, requiring a full review of systems and
complete history.
Q2: You are documenting the History of Present Illness (HPI) for a patient complaining of
abdominal pain. Which mnemonic helps ensure you capture the quality, severity, and timing of
the pain?
A. SAMPLE
B. OLDCARTS
C. FAST
D. DCAP-BTLS
Correct Answer: B
Rationale: This is correct because OLDCARTS (Onset, Location, Duration, Characteristics,
Aggravating/Alleviating factors, Radiation, Timing, Severity) is the standard mnemonic used in
CMN 552 to structure the HPI effectively.
,2
Q3: A 45-year-old patient reports a history of "heart problems" but cannot remember the specific
diagnosis. What is the most effective follow-up question to clarify their past medical history?
A. "Do you take medication for your heart?"
B. "Have you ever had a heart attack or heart surgery?"
C. "Was your father born with a heart defect?"
D. "Do you have high blood pressure?"
Correct Answer: B
Rationale: This choice is correct because asking specifically about heart attacks or surgeries
helps narrow down the vague "heart problem" description into actionable diagnostic categories
without leading the patient.
Q4: During medication reconciliation, a patient lists a daily baby aspirin, a multivitamin, and an
herbal supplement for sleep. Which critical question must be asked to assess potential bleeding
risks?
A. "How much do the supplements cost?"
B. "Are you taking any blood thinners or NSAIDs?"
C. "Do you have insurance for these medications?"
D. "Do you take the supplements with food?"
Correct Answer: B
Rationale: This is correct because combining aspirin, herbal supplements (like Ginkgo biloba), or
NSAIDs can significantly increase bleeding risk, making it essential to identify all anticoagulant
therapies.
Q5: A patient mentions their father passed away from "stomach cancer" at age 50. In the family
history section, which additional question is most important to assess the patient's risk?
A. "Did he smoke or drink alcohol?"
B. "What type of stomach cancer was it?"
C. "Was anyone else in the family diagnosed with cancer?"
D. "How old was your grandfather when he died?"
Correct Answer: C
, 3
Rationale: This choice is correct because identifying other cases of cancer in the family helps
determine if there is a hereditary cancer syndrome (like Lynch syndrome) versus a sporadic case,
which changes the patient's screening risk profile.
Q6: When assessing functional status in an elderly patient, you notice they have difficulty
managing their finances but can bathe and dress independently. This indicates a deficit in which
category?
A. Activities of Daily Living (ADLs)
B. Instrumental Activities of Daily Living (IADLs)
C. Advanced Directives
D. Physical Mobility
Correct Answer: B
Rationale: This is correct because managing finances is classified as an Instrumental Activity of
Daily Living (IADL), which is often lost before basic ADLs like bathing or dressing in the
progression of cognitive decline.
Q7: A patient presents with a cough. During the Review of Systems (ROS), they also report
occasional heartburn and frequent headaches. How should you document the ROS?
A. Only document the cough as the positive finding.
B. Document the cough and heartburn as positive findings and headaches as negative.
C. Document all three symptoms as positive findings to be thorough.
D. Skip the ROS since the patient only came in for a cough.
Correct Answer: C
Rationale: This is correct because the ROS includes all positive findings reported by the patient,
even if they seem unrelated to the chief complaint, as they may contribute to the differential
diagnosis or overall management.
Q8: You are taking a history from a patient from a cultural background where direct eye contact
with authority figures is considered disrespectful. The patient avoids looking at you. What is the
most appropriate response?
A. "Look at me when I am speaking to you."
CMN 552 Module 4 Exam Actual Exam
2026/2027 – Complete Exam-Style Questions with
Detailed Rationales | 100% Verified – Pass
Guaranteed – A+ Graded
Advanced Health Assessment – Comprehensive History Taking
Q1: When a patient presents to the clinic for a routine annual physical exam with no specific
complaints, which type of history is most appropriate?
A. Focused history
B. Comprehensive history
C. Problem-oriented history
D. Emergency history
Correct Answer: B
Rationale: The best answer is a comprehensive history because this is an initial visit for health
maintenance with no specific presenting problem, requiring a full review of systems and
complete history.
Q2: You are documenting the History of Present Illness (HPI) for a patient complaining of
abdominal pain. Which mnemonic helps ensure you capture the quality, severity, and timing of
the pain?
A. SAMPLE
B. OLDCARTS
C. FAST
D. DCAP-BTLS
Correct Answer: B
Rationale: This is correct because OLDCARTS (Onset, Location, Duration, Characteristics,
Aggravating/Alleviating factors, Radiation, Timing, Severity) is the standard mnemonic used in
CMN 552 to structure the HPI effectively.
,2
Q3: A 45-year-old patient reports a history of "heart problems" but cannot remember the specific
diagnosis. What is the most effective follow-up question to clarify their past medical history?
A. "Do you take medication for your heart?"
B. "Have you ever had a heart attack or heart surgery?"
C. "Was your father born with a heart defect?"
D. "Do you have high blood pressure?"
Correct Answer: B
Rationale: This choice is correct because asking specifically about heart attacks or surgeries
helps narrow down the vague "heart problem" description into actionable diagnostic categories
without leading the patient.
Q4: During medication reconciliation, a patient lists a daily baby aspirin, a multivitamin, and an
herbal supplement for sleep. Which critical question must be asked to assess potential bleeding
risks?
A. "How much do the supplements cost?"
B. "Are you taking any blood thinners or NSAIDs?"
C. "Do you have insurance for these medications?"
D. "Do you take the supplements with food?"
Correct Answer: B
Rationale: This is correct because combining aspirin, herbal supplements (like Ginkgo biloba), or
NSAIDs can significantly increase bleeding risk, making it essential to identify all anticoagulant
therapies.
Q5: A patient mentions their father passed away from "stomach cancer" at age 50. In the family
history section, which additional question is most important to assess the patient's risk?
A. "Did he smoke or drink alcohol?"
B. "What type of stomach cancer was it?"
C. "Was anyone else in the family diagnosed with cancer?"
D. "How old was your grandfather when he died?"
Correct Answer: C
, 3
Rationale: This choice is correct because identifying other cases of cancer in the family helps
determine if there is a hereditary cancer syndrome (like Lynch syndrome) versus a sporadic case,
which changes the patient's screening risk profile.
Q6: When assessing functional status in an elderly patient, you notice they have difficulty
managing their finances but can bathe and dress independently. This indicates a deficit in which
category?
A. Activities of Daily Living (ADLs)
B. Instrumental Activities of Daily Living (IADLs)
C. Advanced Directives
D. Physical Mobility
Correct Answer: B
Rationale: This is correct because managing finances is classified as an Instrumental Activity of
Daily Living (IADL), which is often lost before basic ADLs like bathing or dressing in the
progression of cognitive decline.
Q7: A patient presents with a cough. During the Review of Systems (ROS), they also report
occasional heartburn and frequent headaches. How should you document the ROS?
A. Only document the cough as the positive finding.
B. Document the cough and heartburn as positive findings and headaches as negative.
C. Document all three symptoms as positive findings to be thorough.
D. Skip the ROS since the patient only came in for a cough.
Correct Answer: C
Rationale: This is correct because the ROS includes all positive findings reported by the patient,
even if they seem unrelated to the chief complaint, as they may contribute to the differential
diagnosis or overall management.
Q8: You are taking a history from a patient from a cultural background where direct eye contact
with authority figures is considered disrespectful. The patient avoids looking at you. What is the
most appropriate response?
A. "Look at me when I am speaking to you."
