1|Page
**NSG 6020 WEEK 11 FINAL
**COMPREHENSIVE, HIGH-YIELD QUESTION
BANK**200+ MULTIPLE-CHOICE QUESTIONS
**CORRECT ANSWERS** AND **DETAILED
RATIONALES**.
# Section 1: Advanced Health Assessment & Interviewing (1–20)
**1.** During a health history interview, which question is most likely
to elicit a patient's **chief complaint**?
A) "Do you have any family history of heart disease?"
B) "What brings you in today?" (open-ended)
C) "Have you had a fever?"
D) "When was your last physical exam?"
**Answer:** B
**Rationale:** The chief complaint is best obtained with an open-ended
question that allows the patient to describe their reason for seeking care
in their own words.
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**2.** The **"OLDCARTS" mnemonic** is used to assess which
aspect of a symptom?
A) Family history
B) Pain or symptom characteristics (Onset, Location, Duration,
Character, Aggravating/Relieving factors, Timing, Severity)
C) Social history
D) Past medical history
**Answer:** B
**Rationale:** OLDCARTS is a systematic approach to characterize a
symptom, especially pain. It helps generate differential diagnoses.
**3.** A patient describes chest pain as "pressure" that radiates to the
left arm, worse with exertion, relieved by rest. This description is most
consistent with:
A) Pericarditis
B) Angina pectoris
C) Pleurisy
D) Gastroesophageal reflux
**Answer:** B
**Rationale:** Angina is classically described as substernal
pressure/heaviness radiating to left arm or jaw, precipitated by
exertion/stress, relieved by rest or nitroglycerin.
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**4.** When taking a **past medical history**, the clinician should ask
about:
A) Childhood illnesses, chronic diseases, surgeries, hospitalizations,
injuries
B) Only current medications
C) Only the chief complaint
D) Family income
**Answer:** A
**Rationale:** Past medical history (PMH) includes significant prior
illnesses, surgeries, hospitalizations, trauma, and chronic conditions that
may impact current health.
**5.** A **review of systems (ROS)** is designed to:
A) Diagnose acute illnesses
B) Identify symptoms the patient may not have volunteered, organized
by body system
C) Replace the physical exam
D) Assess only the cardiovascular system
**Answer:** B
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**Rationale:** ROS is a systematic head-to-toe inventory of symptoms,
completed after the HPI, to detect potential problems the patient may
have omitted.
**6.** The **"PQRST" mnemonic** for pain assessment includes:
A) Provocation, Quality, Region, Severity, Time
B) Provocation/Palliation, Quality, Radiation/Region, Severity, Timing
C) Position, Quantity, Rate, Site, Temperature
D) Pressure, Quiet, Rate, Site, Timing
**Answer:** B
**Rationale:** PQRST is widely used for pain assessment:
Provoking/palliating factors, Quality, Region/Radiation, Severity (0-10
scale), Timing (onset, duration, frequency).
**7.** A patient reports a history of **hypertension, type 2 diabetes,
and osteoarthritis**. These should be documented in which section of
the health history?
A) Family history
B) Past medical history
C) Social history
D) Chief complaint
**Answer:** B
**NSG 6020 WEEK 11 FINAL
**COMPREHENSIVE, HIGH-YIELD QUESTION
BANK**200+ MULTIPLE-CHOICE QUESTIONS
**CORRECT ANSWERS** AND **DETAILED
RATIONALES**.
# Section 1: Advanced Health Assessment & Interviewing (1–20)
**1.** During a health history interview, which question is most likely
to elicit a patient's **chief complaint**?
A) "Do you have any family history of heart disease?"
B) "What brings you in today?" (open-ended)
C) "Have you had a fever?"
D) "When was your last physical exam?"
**Answer:** B
**Rationale:** The chief complaint is best obtained with an open-ended
question that allows the patient to describe their reason for seeking care
in their own words.
,2|Page
**2.** The **"OLDCARTS" mnemonic** is used to assess which
aspect of a symptom?
A) Family history
B) Pain or symptom characteristics (Onset, Location, Duration,
Character, Aggravating/Relieving factors, Timing, Severity)
C) Social history
D) Past medical history
**Answer:** B
**Rationale:** OLDCARTS is a systematic approach to characterize a
symptom, especially pain. It helps generate differential diagnoses.
**3.** A patient describes chest pain as "pressure" that radiates to the
left arm, worse with exertion, relieved by rest. This description is most
consistent with:
A) Pericarditis
B) Angina pectoris
C) Pleurisy
D) Gastroesophageal reflux
**Answer:** B
**Rationale:** Angina is classically described as substernal
pressure/heaviness radiating to left arm or jaw, precipitated by
exertion/stress, relieved by rest or nitroglycerin.
,3|Page
**4.** When taking a **past medical history**, the clinician should ask
about:
A) Childhood illnesses, chronic diseases, surgeries, hospitalizations,
injuries
B) Only current medications
C) Only the chief complaint
D) Family income
**Answer:** A
**Rationale:** Past medical history (PMH) includes significant prior
illnesses, surgeries, hospitalizations, trauma, and chronic conditions that
may impact current health.
**5.** A **review of systems (ROS)** is designed to:
A) Diagnose acute illnesses
B) Identify symptoms the patient may not have volunteered, organized
by body system
C) Replace the physical exam
D) Assess only the cardiovascular system
**Answer:** B
, 4|Page
**Rationale:** ROS is a systematic head-to-toe inventory of symptoms,
completed after the HPI, to detect potential problems the patient may
have omitted.
**6.** The **"PQRST" mnemonic** for pain assessment includes:
A) Provocation, Quality, Region, Severity, Time
B) Provocation/Palliation, Quality, Radiation/Region, Severity, Timing
C) Position, Quantity, Rate, Site, Temperature
D) Pressure, Quiet, Rate, Site, Timing
**Answer:** B
**Rationale:** PQRST is widely used for pain assessment:
Provoking/palliating factors, Quality, Region/Radiation, Severity (0-10
scale), Timing (onset, duration, frequency).
**7.** A patient reports a history of **hypertension, type 2 diabetes,
and osteoarthritis**. These should be documented in which section of
the health history?
A) Family history
B) Past medical history
C) Social history
D) Chief complaint
**Answer:** B
