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NURS 6001 EXAM I
SECTION 1: FOUNDATIONS & DOCUMENTATION (Questions 1–50)
1. During a comprehensive health assessment, which component should the advanced practice
nurse perform FIRST?
A) Percussion
B) Palpation
C) Inspection
D) Auscultation
Answer: C
Inspection is the foundational first step, providing visual baseline data about overall appearance,
skin color, symmetry, and body habitus before any hands-on techniques are performed.
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,2. A 45-year-old male presents with chest pain that started 2 days ago and is located in the
center of his chest. When the NP asks about the location of the pain, which component of OLD
CARTS is being addressed?
A) Onset
B) Location
C) Duration
D) Associated symptoms
Answer: B
OLD CARTS stands for Onset, Location, Duration, Characteristics, Aggravating factors,
Relieving factors, Timing/Treatment, and Severity. The "Location" component identifies the
anatomical source.
3. Which component of a SOAP note includes the patient's chief complaint and history of
present illness (HPI)?
A) Subjective
B) Objective
C) Assessment
D) Plan
Answer: A
The Subjective section captures all information reported by the patient, including the chief
complaint, HPI, symptoms, feelings, and personal history. Objective data are measurable
findings.
4. The mnemonic commonly used to systematically assess pain characteristics is:
A) SOAP
B) OLD CARTS (or PQRST)
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,C) RSVP
D) ROM
Answer: B
OLD CARTS (Onset, Location, Duration, Character, Aggravating factors, Relieving factors,
Timing, Severity) and PQRST (Provocation, Quality, Region, Severity, Timing) are both used.
5. A 32-year-old female with fatigue, weight gain, and cold intolerance has a family history of
thyroid disease. This family history question is part of which component of the health history?
A) Chief complaint
B) History of present illness
C) Past medical history
D) Family history
Answer: D
Family history includes health conditions of blood relatives, helping identify genetic risks and
hereditary conditions. Thyroid disorders often have a genetic component.
6. Which of the following is an example of OBJECTIVE data in a SOAP note?
A) Patient reports headache for 3 days
B) Blood pressure 140/90 mmHg
C) Patient states "I feel nauseous"
D) Patient complains of fatigue
Answer: B
Objective data are factual, measurable observations collected during the physical examination,
such as vital signs, auscultation findings, and laboratory results. Patient reports are subjective.
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, 7. A 28-year-old female reports smoking 1 pack/day for 10 years and drinking wine on
weekends. This information belongs in which section?
A) Past medical history
B) Social history
C) Review of systems
D) History of present illness
Answer: B
Social history includes lifestyle factors such as tobacco use, alcohol consumption, drug use,
occupation, exercise habits, diet, sexual history, and living situation.
8. A 58-year-old male with hypertension, diabetes, and hyperlipidemia takes lisinopril,
metformin, and atorvastatin. This medication list should be documented in which section?
A) Social history
B) Past medical history
C) Review of systems
D) Family history
Answer: B
Past medical history includes chronic illnesses, previous surgeries, hospitalizations, current
medications, and allergies, crucial for understanding overall health status.
9. The "review of systems" (ROS) is designed to:
A) Collect a detailed family history
B) Evaluate past surgical procedures
C) Ask about symptoms that may not be related to the chief complaint
D) Assess the patient's functional status
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