NUR 504 - FINAL EXAM QUESTIONS
AND ANSWERS
Which=of=the=following=is=an=example=of=subjective=data=that=may=be=collected=during
=a=health=assessment?
a.=Height=and=weight
b.=A=patient's=recall=of=his=or=her=past=health=conditions
c.=Results=from=an=abdominal=CT=scan
d.=Complete=blood=count=-=ans--
b.=A=patient's=recall=of=his=or=her=past=health=conditions
1.=Which=of=the=following=is=true=regarding=the=data=taken=in=a=health=history?
a.=Most=health=history=data=are=objective=and=measurable.
b.=Objective=data=are=error-free,=quantifiable=data.
c.=Subjective=data,=being=inherently=less=accurate,=are=of=less=value=than=objective=da
ta.
d.=A=successful=individualized=plan=of=care=must=incorporate=subjective=data.=-=ans--
d.=A=successful=individualized=plan=of=care=must=incorporate=subjective=data.
1.=What=do=Coulehan=and=Block=define=as="listening=to=the=total=communication=.=.=.=a
nd=letting=the=patient=know=that=you=are=really=hearing"?
a.=Cultural=competence
b.=Patience
c.=Empathy
d.=Top-tier=communication=-=ans--c.=Empathy
1.=The=provider=is=preparing=to=take=a=health=history=for=a=new=patient.=He=takes=the=
patient=to=a=private=room=and=asks=the=patient=to=don=a=hospital=gown.=After=stepping
=outside=to=give=the=patient=sufficient=time=to=change,=he=then=comes=back=in=and=ask
s=permission=to=conduct=the=history.=He=sits=next=to=the=patient=at=eye=level,=discreetl
y=observes=the=patient=for=any=sensory=deficits,=and=asks=the=patient=if=he=may=take=b
rief=notes=of=the=conversation.=During=the=conversation,=he=gives=the=patient=time=to=a
nswer=questions=fully.=He=makes=sure=that=his=questions=do=not=contain=technical=ter
ms=and=quietly=observes=the=patient's=nonverbal=behaviors=throughout.=Which=mistake
=did=the=provider=make?
a.=He=should=have=allowed=the=patient=to=remain=fully=clothed=in=their=own=clothing=for
=their=comfort.
b.=He=should=not=have=omitted=technical=terminology.=Patients=like=having=a=chance=t
o=learn.
,c.=He=should=have=seated=-=ans--
a.=He=should=have=allowed=the=patient=to=remain=fully=clothed=in=their=own=clothing=for
=their=comfort.
1.=Which=of=the=following=is=true=of=both=comprehensive=and=focused=health=histories
?
a.=They=both=include=identifying=data.
b.=They=both=include=a=social=history.
c.=They=both=include=a=family=history.
d.=They=are=both=conducted=in=emergency=situations.=-=ans--
a.=They=both=include=identifying=data.
1.=In=the=mnemonic=devise=PQRST,=which=of=the=following=includes=describing=the=loc
ation=of=the=symptoms?
a.=Precipitating=factors
b.=Quality
c.=Radiation
d.=Severity=-=ans--b.=Quality
1.=What=is=the=current=mnemonic=device=for=taking=a=health=history?
a.=PQRST
b.=CLIENT=OUTCOMES
c.=PRACTICE
d.=GOOD=MEDICINE=-=ans--b.=CLIENT=OUTCOMES
1.=When=taking=a=PMI,=which=of=the=following=is=correct?
a.=Do=not=take=the=statement="I'm=allergic=to.=.=.="=at=face=value.
b.=Ask=the=patient=for=a=very=brief=summary=of=their=current=health.
c.=If=a=patient=states=that=they=have=been=vaccinated=with=BCG,=make=sure=to=admini
ster=a=PPD=test.
d.=CAM=documentation=is=no=longer=a=requirement.=-=ans--
a.=Do=not=take=the=statement="I'm=allergic=to.=.=.="=at=face=value.
1.=Which=of=the=following=is=a=first-
degree=relative=to=the=patient=who=has=experienced=premature=onset=of=CVD?
a.=Sister=at=62
b.=Cousin=at=62
c.=Aunt=at=59
d.=Grandfather=at=44=-=ans--a.=Sister=at=62
1.=Recording=the=patient's=occupation=falls=under=which=category?
a.=PHI
b.=FH
c.=SH
d.=ROS=-=ans--c.=SH
,1.=A=focused=ROS:
a.=involves=a=wider=range=and=shallower=level=of=questions=than=a=comprehensive=RO
S.
b.=includes=questions=directed=toward=the=systems=most=likely=to=be=involved=in=the=p
atient's=symptoms.
c.=includes=questions=seeking=significant=positives=to=narrow=down=the=body=systems=
affected.
d.=covers=all=body=systems.=-=ans--
b.=includes=questions=directed=toward=the=systems=most=likely=to=be=involved=in=the=p
atient's=symptoms.
1.=A=patient=comes=to=the=clinic=complaining=of=repeated=headaches=and=lightheaded
ness.=As=the=provider=takes=a=health=history,=he=or=she=should:
a.=perform=a=comprehensive=ROS.
b.=skip=the=social=history=in=order=to=focus=on=the=current=issue.
c.=focus=her=interest=and=questions=on=the=patient's=neurologic=system.
d.=spend=a=good=deal=of=time=assessing=the=reliability=of=the=information=she=is=gettin
g.=-=ans--c.=focus=her=interest=and=questions=on=the=patient's=neurologic=system.
A=patient's=recall=of=his=or=her=current=health=needs=and=past=health=is=subject=to=erro
r=and=is=also=a=critical=component=in=the=caregiving=process?=-=ans--True
Ethnocentrism,=belief=in=the=superiority=of=one's=own=beliefs=and=values,=is=a=major=ba
rrier=to=establishing=effective=patient-provider=relationships?=-=ans--True
A=58-year-
old=man=at=risk=of=diabetes,=with=a=sedentary=lifestyle=and=unhealthy=diet,=is=unwilling=
to=follow=his=provider's=recommendations=to=modify=his=routine.=Because=he=has=not=y
et=experienced=the=negative=health=consequences=of=his=actions,=he=cannot=be=classif
ied=as=resistant?=-=ans--False
1.=When=taking=a=patient's=chief=complaint,=rephrase=the=stated=reason=using=standar
d=medical=terminology=for=clarity.=-=ans--False
Family=history=should=include=both=parents=and=grandparents,=if=information=is=known.
=-=ans--True
Social=history=includes=a=detailed=diet=history,=best=performed=as=a=record=of=food=an
d=beverage=intake=by=the=patient=for=a=typical=week,=that=includes=things=like=use=of=s
alt=and=oil=in=food=preparation=and=methods=of=cooking=-=ans--True
1.=What=are=the=two=main=general=considerations=of=physical=examinations=listed=in=th
e=text?
a.=Preparation=and=sequence
b.=Medical=and=financial
c.=Patient=interaction=and=scope
, d.=Inspection=and=palpation=-=ans--c.=Patient=interaction=and=scope
1.=The=physician=has=begun=her=first=physical=examination=on=a=new=patient=who=has
=come=to=the=clinic=for=a=well-patient=visit.=Which=of=the=following=is=true?
a.=The=first=thing=the=physician=will=do=as=part=of=the=physical=examination=is=perform=
the=history.
b.=This=will=likely=be=a=head-to-toe=examination.
c.=As=a=first=exam,=this=will=likely=be=brief=and=focused.
d.=The=patient,=on=his=first=visit,=will=likely=be=disoriented=and=unaware=of=the=physicia
n's=tone=and=expressions.=-=ans--b.=This=will=likely=be=a=head-to-toe=examination.
1.=The=physician=records=a=sound=as="tympanic."=The=physician=has=just=performed=w
hich=assessment=technique?
a.=Palpation
b.=Auscultation
c.=Percussion
d.=Compression=-=ans--c.=Percussion
1.=A=physician=is=listening=to=a=patient's=heart,=but=something=has=negatively=impacted
=the=sound.=Which=of=the=following=has=most=likely=caused=this?
a.=Indirect=rather=than=direct=percussion
b.=A=double-lumen=stethoscope
c.=Lack=of=palpation
d.=Loose-fitting=ear=tips=-=ans--d.=Loose-fitting=ear=tips
1.=Which=of=the=following=is=included=on=the=list=of=basic=equipment=needed=for=a=phy
sical=examination?
a.=Syringe
b.=Measuring=tape
c.=Occult=blood=testing=materials
d.=Culture=media=-=ans--b.=Measuring=tape
1.=What=does=a=physician=use=the=Weber=and/or=Rinne=tests=for?
a.=Assessing=the=lungs
b.=Performing=an=abdominal=fluid=wave=text
c.=Testing=hearing
d.=Observing=posture=and=balance=-=ans--c.=Testing=hearing
1.=The=red=reflex=is=a=test=of:
a.=the=abdomen.
b.=the=spine.
c.=the=eyes.
d.=the=mouth.=-=ans--c.=the=eyes.
1.=If=the=physician=is=evaluating=thoracic=expansion,=percussing=the=kidneys,=and=insp
ecting=the=skin=for=lesions,=the=patient=is=in=which=position?
AND ANSWERS
Which=of=the=following=is=an=example=of=subjective=data=that=may=be=collected=during
=a=health=assessment?
a.=Height=and=weight
b.=A=patient's=recall=of=his=or=her=past=health=conditions
c.=Results=from=an=abdominal=CT=scan
d.=Complete=blood=count=-=ans--
b.=A=patient's=recall=of=his=or=her=past=health=conditions
1.=Which=of=the=following=is=true=regarding=the=data=taken=in=a=health=history?
a.=Most=health=history=data=are=objective=and=measurable.
b.=Objective=data=are=error-free,=quantifiable=data.
c.=Subjective=data,=being=inherently=less=accurate,=are=of=less=value=than=objective=da
ta.
d.=A=successful=individualized=plan=of=care=must=incorporate=subjective=data.=-=ans--
d.=A=successful=individualized=plan=of=care=must=incorporate=subjective=data.
1.=What=do=Coulehan=and=Block=define=as="listening=to=the=total=communication=.=.=.=a
nd=letting=the=patient=know=that=you=are=really=hearing"?
a.=Cultural=competence
b.=Patience
c.=Empathy
d.=Top-tier=communication=-=ans--c.=Empathy
1.=The=provider=is=preparing=to=take=a=health=history=for=a=new=patient.=He=takes=the=
patient=to=a=private=room=and=asks=the=patient=to=don=a=hospital=gown.=After=stepping
=outside=to=give=the=patient=sufficient=time=to=change,=he=then=comes=back=in=and=ask
s=permission=to=conduct=the=history.=He=sits=next=to=the=patient=at=eye=level,=discreetl
y=observes=the=patient=for=any=sensory=deficits,=and=asks=the=patient=if=he=may=take=b
rief=notes=of=the=conversation.=During=the=conversation,=he=gives=the=patient=time=to=a
nswer=questions=fully.=He=makes=sure=that=his=questions=do=not=contain=technical=ter
ms=and=quietly=observes=the=patient's=nonverbal=behaviors=throughout.=Which=mistake
=did=the=provider=make?
a.=He=should=have=allowed=the=patient=to=remain=fully=clothed=in=their=own=clothing=for
=their=comfort.
b.=He=should=not=have=omitted=technical=terminology.=Patients=like=having=a=chance=t
o=learn.
,c.=He=should=have=seated=-=ans--
a.=He=should=have=allowed=the=patient=to=remain=fully=clothed=in=their=own=clothing=for
=their=comfort.
1.=Which=of=the=following=is=true=of=both=comprehensive=and=focused=health=histories
?
a.=They=both=include=identifying=data.
b.=They=both=include=a=social=history.
c.=They=both=include=a=family=history.
d.=They=are=both=conducted=in=emergency=situations.=-=ans--
a.=They=both=include=identifying=data.
1.=In=the=mnemonic=devise=PQRST,=which=of=the=following=includes=describing=the=loc
ation=of=the=symptoms?
a.=Precipitating=factors
b.=Quality
c.=Radiation
d.=Severity=-=ans--b.=Quality
1.=What=is=the=current=mnemonic=device=for=taking=a=health=history?
a.=PQRST
b.=CLIENT=OUTCOMES
c.=PRACTICE
d.=GOOD=MEDICINE=-=ans--b.=CLIENT=OUTCOMES
1.=When=taking=a=PMI,=which=of=the=following=is=correct?
a.=Do=not=take=the=statement="I'm=allergic=to.=.=.="=at=face=value.
b.=Ask=the=patient=for=a=very=brief=summary=of=their=current=health.
c.=If=a=patient=states=that=they=have=been=vaccinated=with=BCG,=make=sure=to=admini
ster=a=PPD=test.
d.=CAM=documentation=is=no=longer=a=requirement.=-=ans--
a.=Do=not=take=the=statement="I'm=allergic=to.=.=.="=at=face=value.
1.=Which=of=the=following=is=a=first-
degree=relative=to=the=patient=who=has=experienced=premature=onset=of=CVD?
a.=Sister=at=62
b.=Cousin=at=62
c.=Aunt=at=59
d.=Grandfather=at=44=-=ans--a.=Sister=at=62
1.=Recording=the=patient's=occupation=falls=under=which=category?
a.=PHI
b.=FH
c.=SH
d.=ROS=-=ans--c.=SH
,1.=A=focused=ROS:
a.=involves=a=wider=range=and=shallower=level=of=questions=than=a=comprehensive=RO
S.
b.=includes=questions=directed=toward=the=systems=most=likely=to=be=involved=in=the=p
atient's=symptoms.
c.=includes=questions=seeking=significant=positives=to=narrow=down=the=body=systems=
affected.
d.=covers=all=body=systems.=-=ans--
b.=includes=questions=directed=toward=the=systems=most=likely=to=be=involved=in=the=p
atient's=symptoms.
1.=A=patient=comes=to=the=clinic=complaining=of=repeated=headaches=and=lightheaded
ness.=As=the=provider=takes=a=health=history,=he=or=she=should:
a.=perform=a=comprehensive=ROS.
b.=skip=the=social=history=in=order=to=focus=on=the=current=issue.
c.=focus=her=interest=and=questions=on=the=patient's=neurologic=system.
d.=spend=a=good=deal=of=time=assessing=the=reliability=of=the=information=she=is=gettin
g.=-=ans--c.=focus=her=interest=and=questions=on=the=patient's=neurologic=system.
A=patient's=recall=of=his=or=her=current=health=needs=and=past=health=is=subject=to=erro
r=and=is=also=a=critical=component=in=the=caregiving=process?=-=ans--True
Ethnocentrism,=belief=in=the=superiority=of=one's=own=beliefs=and=values,=is=a=major=ba
rrier=to=establishing=effective=patient-provider=relationships?=-=ans--True
A=58-year-
old=man=at=risk=of=diabetes,=with=a=sedentary=lifestyle=and=unhealthy=diet,=is=unwilling=
to=follow=his=provider's=recommendations=to=modify=his=routine.=Because=he=has=not=y
et=experienced=the=negative=health=consequences=of=his=actions,=he=cannot=be=classif
ied=as=resistant?=-=ans--False
1.=When=taking=a=patient's=chief=complaint,=rephrase=the=stated=reason=using=standar
d=medical=terminology=for=clarity.=-=ans--False
Family=history=should=include=both=parents=and=grandparents,=if=information=is=known.
=-=ans--True
Social=history=includes=a=detailed=diet=history,=best=performed=as=a=record=of=food=an
d=beverage=intake=by=the=patient=for=a=typical=week,=that=includes=things=like=use=of=s
alt=and=oil=in=food=preparation=and=methods=of=cooking=-=ans--True
1.=What=are=the=two=main=general=considerations=of=physical=examinations=listed=in=th
e=text?
a.=Preparation=and=sequence
b.=Medical=and=financial
c.=Patient=interaction=and=scope
, d.=Inspection=and=palpation=-=ans--c.=Patient=interaction=and=scope
1.=The=physician=has=begun=her=first=physical=examination=on=a=new=patient=who=has
=come=to=the=clinic=for=a=well-patient=visit.=Which=of=the=following=is=true?
a.=The=first=thing=the=physician=will=do=as=part=of=the=physical=examination=is=perform=
the=history.
b.=This=will=likely=be=a=head-to-toe=examination.
c.=As=a=first=exam,=this=will=likely=be=brief=and=focused.
d.=The=patient,=on=his=first=visit,=will=likely=be=disoriented=and=unaware=of=the=physicia
n's=tone=and=expressions.=-=ans--b.=This=will=likely=be=a=head-to-toe=examination.
1.=The=physician=records=a=sound=as="tympanic."=The=physician=has=just=performed=w
hich=assessment=technique?
a.=Palpation
b.=Auscultation
c.=Percussion
d.=Compression=-=ans--c.=Percussion
1.=A=physician=is=listening=to=a=patient's=heart,=but=something=has=negatively=impacted
=the=sound.=Which=of=the=following=has=most=likely=caused=this?
a.=Indirect=rather=than=direct=percussion
b.=A=double-lumen=stethoscope
c.=Lack=of=palpation
d.=Loose-fitting=ear=tips=-=ans--d.=Loose-fitting=ear=tips
1.=Which=of=the=following=is=included=on=the=list=of=basic=equipment=needed=for=a=phy
sical=examination?
a.=Syringe
b.=Measuring=tape
c.=Occult=blood=testing=materials
d.=Culture=media=-=ans--b.=Measuring=tape
1.=What=does=a=physician=use=the=Weber=and/or=Rinne=tests=for?
a.=Assessing=the=lungs
b.=Performing=an=abdominal=fluid=wave=text
c.=Testing=hearing
d.=Observing=posture=and=balance=-=ans--c.=Testing=hearing
1.=The=red=reflex=is=a=test=of:
a.=the=abdomen.
b.=the=spine.
c.=the=eyes.
d.=the=mouth.=-=ans--c.=the=eyes.
1.=If=the=physician=is=evaluating=thoracic=expansion,=percussing=the=kidneys,=and=insp
ecting=the=skin=for=lesions,=the=patient=is=in=which=position?
