NSG 6020 Midterm Exam Latest Already Graded A+ Health Assessment South University

NSG6020Midterm Exam LatestAlready Graded
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A+ Health Assessment South University
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1. For which of the following patients would a comprehensive health history be
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appropriate?
A) Anewpatient with the chiefcomplaint of ―Isprained my ankle‖
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B) Anestablishedpatientwiththechiefcomplaintof―Ihaveanupperrespiratory
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infection‖
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C) Anewpatientwiththechiefcomplaintof―Iamheretoestablishcare‖
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D) Anewpatientwiththechiefcomplaintof―Icutmyhand‖
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Ans: C
Feedback:
This patient is hereto establish care,and because sheis newto you, a comprehensive health
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history is appropriate.
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2. The components of the health history include all of the following except which one?
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A) Review of systems w1 w1




B) Thorax and lungs w1 w1




C) Presentillness 1
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D) Personal and social items w1 w1 w1




Ans: B
Feedback:
Thethorax and lungs are part of thephysical examination, not part of the health history.
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The others answers are all part of a complete health history.
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3. Is the following information subjective or objective?
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Mr. M. has shortness ofbreath that has persisted for the past 10 days; it is worsewith activity
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and relieved by rest.
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A) Subjective
B) Objective


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,Ans: A
Feedback:
Thisis information given bythepatient about the circumstances of his chief complaint. It
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does not represent an objective observation by the examiner.
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4. Is the following information subjective or objective?
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Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
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A) Subjective
B) Objective
Ans: B
Feedback:
This is a measurement obtained bythe examiner, so it is considered objective data.
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Thepatient is unlikely to be able to give this information to the examiner.
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5. The following information is recorded in the health history: ―The patient has had
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abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes.
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The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It
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is located in the mid-epigastric area.‖
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Which of these categories does it belong to? w1 w1 w1 w1 w1 w1 w1




A) Chief complaint w1




B) Presentillness 1
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C) Personal and social history w1 w1 w1




D) Review of systems w1 w1




Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the present illness.
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The interviewer has obtained the location, timing, severity, and associated
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manifestations of the pain. The interviewer will still need to obtain information
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concerning the quality of the pain, the setting in which it occurred, and the factors that
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aggravate and alleviatethepain. You will noticethatit doesincludeportions of the
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pertinent review of systems, but because it relates directly to the complaint, it is
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included in the history of present illness. w1 w1 w1 w1 w1 w1




6. The followinginformation is recorded in the health history: ―The patient completed 8th
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grade. He currentlylives with his wifeand two children. He works on old cars on the
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weekend. He works in a glass factory during the week.‖
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Which category does it belong to? w1 w1 w1 w1 w1




A) Chief complaint w1




B) Presentillness 1
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,C) Personal and social history w1 w1 w1




D) Review of systems w1 w1




Ans: C
Feedback:
Personal and social history information includes educational level, family of origin,
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current household status, personal interests, employment, religious beliefs, military
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history,and lifestyle(includingdietandexercisehabits;useofalcohol,tobacco, and/ or
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drugs; and sexual preferences and history). All of this information is documented
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in this example.
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7. Thefollowinginformationisrecordedinthehealthhistory:―Ifeelreallytired.‖
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Which category does it belong to? w1 w1 w1 w1 w1




A) Chief complaint w1




B) Presentillness 1
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C) Personal and social history w1 w1 w1




D) Review of systems w1 w1




Ans: A
Feedback:
The chief complaint is an attempt to quote the patient's own words, as long as they are
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suitable to print. It isbrief, likeaheadline, and further details should be sought in the
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present illness section. The above information is a chief complaint.
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8. Thefollowinginformation isrecorded in the health history: ―Patient denies chest pain,
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palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
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Which category does it belong to? w1 w1 w1 w1 w1




A) Chief complaint w1




B) Presentillness 1
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C) Personal and social history w1 w1 w1




D) Review of systems w1 w1




Ans: D
Feedback:
Reviewofsystems documents thepresence or absence of common symptoms related to
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each major body system. The absence of cardiac symptoms is listed in the above
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example.
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9. Thefollowing information is best placed in which category?
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―Thepatienthas had threecesarean sections.‖
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A) Adult illnesses w1




B) Surgeries
C) Obstetrics/gynecology
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, D) Psychiatric
Ans: B
Feedback:
Acesareansection isasurgical procedure.Approximate dates or the age of the patient at
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the time of the surgery should also be recorded.
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10. Thefollowing information is best placed in which category?
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―Thepatienthadastentplacedintheleftanterior descendingartery(LAD)in1999.‖
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A) Adult illnesses w1




B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
The adult illnesses category is reserved for chronic illnesses, significant hospitalizations,
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significantinjuries,andsignificant procedures.Astentisa major procedure but does not
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involve a surgeon.
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11. Thefollowing information is best placed in which category?
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―Thepatientwastreatedforanasthmaexacerbationinthehospitallastyear;the
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patient has never been intubated.‖ w1 w1 w1 w1




A) Adult illnesses w1




B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
This is information about a significant hospitalization and should be placed in the adult
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illnesses section. If the patient is being seen for an asthma exacerbation, you may
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consider placing this information in thepresent illnesssection,becauseit relates
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to the chief complaint at that visit.
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1. Apatient presents for evaluation of a sharp, aching chest pain which increases with
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breathing.Which anatomic area would you localize the symptom to? w
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A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine

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