MSN 572 QUIZ 1 - Physical Assessment LATEST 2022
QUIZ 1: Physical Assessment
1. What is the primary purpose of interviewing a patient?
a. To allow the patient to become acquainted with the nurse
b. To teach preventive health care methods to the patient
c. To get the patient’s health history and current health status
d. To correlate the patient’s complaints with objective signs
2. A young college student experience is tachycardia after a night of heavy drinking. She is
advised to undergo a stress EKG. As she exercises, the recently calibrated pulse
oximeter records a heart rate ranging from 25 bpm at rest to 50 bpm to while jogging.
The test is stopped and restarted twice, and each time the pulse ox immature yields a
resting heart rate of 25 and a jogging rate of 50. Which aspects of this instrument does
the EKG technician question?
a. Specificity
b. Sensitivity
c. Predictive value
d. Validity
e. Prevalence
3. The NP is interviewing a lesbian. Which strategy should the nurse implement for
effective communication?
a. Follow a special question format for the patient
b. Use the opposite-gender interpreter for the patient
c. Use the term partner or “spouse” instead of husband or wife until the patient tells
you their preference
d. Ask the patient’s partner to site beside the patient during the interview
4. Select the answer that is false regarding US Preventative Service Task Force ratings for
implications for practice
a. Grade B: the USPSTF recommends the service. There is high certainty that the net
benefit is moderate or there is moderate certainty that the net benefit is moderate
to substantial
b. Grade A: The USPSTF recommends the service. There is high certainty that the net
benefit is substantial
c. Grade C: The USPSTF recommends the service. There is moderate or high certainty
that the service has no net benefit or that the harms outweigh the benefits
d. Grade I: The USPSTF concludes that the current evidence is insufficient to assess the
balance of benefits and harms of the service. Evidence is lacking poor quality or
conflicting and the balance of benefits and harms cannot be determined.
5. The positive predictive value of a test is calculated as the number of true positives
identified by the test divided by the total positives found by the test. If a novel test for
strep throat yielded 150 true positive results and 150 false positive results, what is the
positive predictive value of this test?
,MSN 572 QUIZ 1 - Physical Assessment LATEST 2022
1. What is the primary purpose of interviewing a patient?
a. To get the patient’s health history and current health status
2. How should NP document a patient’s reason for seeking care?
a. Record the symptoms in the patient’s word in the chief complaint.
3. Beside the abdomen the approach for examination of the body should follow a pattern
(choose one)
A. Inspection, palpation, percussion, Auscultation
4. A mother brings her eight-year-old daughter to the clinic because she found a tick in the
girl hair and would like her daughter to be tested for Lyme disease. The nurse
practitioners explains that the enzyme linked to immunosorbent assay (ELISA) is a test
for Lyme disease. She explains it is effective in finding early cases of Lyme disease but
can also give positive results in some people who do not have the Lyme disease, making
additional testing necessary. This means that the Elisa test has which of the following:
a. High sensitivity and low specificity
5. What are some components should the NP include in the history of present illness
section?
a. Severity, location and onset of pain
,MSN 572 QUIZ 1 - Physical Assessment LATEST 2022
a. 10%
b. 75%
c. 100%
d. 50%
6. The positive predictive value (PPV) is best defined as
a. The probability that a person with a negative test does not have disease
b. The same thing as the likelihood ratio
c. A highly specific test
d. The probability that a person with a positive test has disease
7. A random patient submits urine for testing and one lab technician is reviewing the tests.
Three strips from container X show abnormally low pH levels in the urine. However,
three strips from container Y which were purchased more recently, consistently indicate
that the pH of the patient’s urine is normal. Which of the following is a true statement
about the test strips?
a. The test strips demonstrate high sensitivity
b. The test strips demonstrate high inter-observer reliability
c. The test strips demonstrate high intra-observer reliability
d. The test strips demonstrate low intra-observer reliability
e. The test strips demonstrate high specificity
8. The NP is caring for a patient who has acute bronchitis. The nurse asks the patient when
did the symptoms first appear? Under which section of the health history will the nurse
record the patient’s response?
a. Biographic data
b. Review of systems
c. History of present illness
d. Medication reconciliation
9. Sequence of examination is important to conduct a thorough and accurate physical
examination. Choose the one that is not a goal of sequence of examination.
a. Maximize the patient’s comfort
b. Avoid unnecessary changes in position
c. Enhance clinical efficiency
d. Use fewer medical supplies
10. Besides the abdomen the approach for examination of the body should follow the
pattern (choose one):
a. Percussion palpation auscultation inspection
b. Inspection percussion auscultation palpation
c.picture was cut-off
d.picture was cut-off
THE ANSWER SHOULD BE: Inspection, Palpation, Percussion, Auscultation
, MSN 572 QUIZ 1 - Physical Assessment LATEST 2022
11. A 38 year old female presents with a complain of abdominal pain, diarrhea, and
vomiting. You have asked the patient about the date and manner of onsert. Your next
question should elicit which of the following?
a. Are your symptoms interfering with your daily routine?
b. Is there anything that makes your symptoms better or worse?
c. Did you eat ice cream?
d. How much do your smoke?
12. How should the NP document a patient’s reason for seeking care?
a. Use the North American Diagnosis Association (NANDA) list
b. Write the symptoms without quotations in the HPI
c. Record the symptoms in the patient’s words in the chief complaint section
d. List of the complaints of the patient in the ID section
13. A 26-year old female athlete presents to a new care provider with chronic menstrual
complaints. She remarks to the medical assistant that in the past she has experienced a
dismissal of her complaints because of her high level of physical fitness and
conditioning. She is seeking a care provider who will explore the issue in more details
and work with her particular concerns. Which of the following is the description of the
patient centered care that this patient seeks?
A. Dismissive and concrete with open ended questions
B. Validating and empathetic with open ended questions
C. Factual and structured with active listening
D. Affirming and reassuring with close-ended questions
E. Structured and clinician centered with open ended questions
14. Select the choice that is not true of selection bias.
a. Occurs when comparison groups have systematic differences in their baseline
characteristics that can affect the outcome of the study
b. Blinding subjects and providers to the intervention is the best approach to
minimizing this bias
c. Creates problems in interpreting observed differences in outcomes because they
could result from the interventions or the baseline differences between groups
d. Randomly allocating subject to the intervention is the best approach to minimizing
this bias
15. The provider is caring for a patient from a different culture. Which action is
appropriate?
a. Explain expected behaviors for patients in the US healthcare system
b. Include the family members in all decision-making processes
c. Assess the patient’s beliefs practices and ideas about health care
d. Avoid discussion of subjects that may be uncomfortable for the patient
16. The nurse practitioner is assessing a patient who presented with a sore throat. Which of
the following would be considered subjective date from this clinic visit?
QUIZ 1: Physical Assessment
1. What is the primary purpose of interviewing a patient?
a. To allow the patient to become acquainted with the nurse
b. To teach preventive health care methods to the patient
c. To get the patient’s health history and current health status
d. To correlate the patient’s complaints with objective signs
2. A young college student experience is tachycardia after a night of heavy drinking. She is
advised to undergo a stress EKG. As she exercises, the recently calibrated pulse
oximeter records a heart rate ranging from 25 bpm at rest to 50 bpm to while jogging.
The test is stopped and restarted twice, and each time the pulse ox immature yields a
resting heart rate of 25 and a jogging rate of 50. Which aspects of this instrument does
the EKG technician question?
a. Specificity
b. Sensitivity
c. Predictive value
d. Validity
e. Prevalence
3. The NP is interviewing a lesbian. Which strategy should the nurse implement for
effective communication?
a. Follow a special question format for the patient
b. Use the opposite-gender interpreter for the patient
c. Use the term partner or “spouse” instead of husband or wife until the patient tells
you their preference
d. Ask the patient’s partner to site beside the patient during the interview
4. Select the answer that is false regarding US Preventative Service Task Force ratings for
implications for practice
a. Grade B: the USPSTF recommends the service. There is high certainty that the net
benefit is moderate or there is moderate certainty that the net benefit is moderate
to substantial
b. Grade A: The USPSTF recommends the service. There is high certainty that the net
benefit is substantial
c. Grade C: The USPSTF recommends the service. There is moderate or high certainty
that the service has no net benefit or that the harms outweigh the benefits
d. Grade I: The USPSTF concludes that the current evidence is insufficient to assess the
balance of benefits and harms of the service. Evidence is lacking poor quality or
conflicting and the balance of benefits and harms cannot be determined.
5. The positive predictive value of a test is calculated as the number of true positives
identified by the test divided by the total positives found by the test. If a novel test for
strep throat yielded 150 true positive results and 150 false positive results, what is the
positive predictive value of this test?
,MSN 572 QUIZ 1 - Physical Assessment LATEST 2022
1. What is the primary purpose of interviewing a patient?
a. To get the patient’s health history and current health status
2. How should NP document a patient’s reason for seeking care?
a. Record the symptoms in the patient’s word in the chief complaint.
3. Beside the abdomen the approach for examination of the body should follow a pattern
(choose one)
A. Inspection, palpation, percussion, Auscultation
4. A mother brings her eight-year-old daughter to the clinic because she found a tick in the
girl hair and would like her daughter to be tested for Lyme disease. The nurse
practitioners explains that the enzyme linked to immunosorbent assay (ELISA) is a test
for Lyme disease. She explains it is effective in finding early cases of Lyme disease but
can also give positive results in some people who do not have the Lyme disease, making
additional testing necessary. This means that the Elisa test has which of the following:
a. High sensitivity and low specificity
5. What are some components should the NP include in the history of present illness
section?
a. Severity, location and onset of pain
,MSN 572 QUIZ 1 - Physical Assessment LATEST 2022
a. 10%
b. 75%
c. 100%
d. 50%
6. The positive predictive value (PPV) is best defined as
a. The probability that a person with a negative test does not have disease
b. The same thing as the likelihood ratio
c. A highly specific test
d. The probability that a person with a positive test has disease
7. A random patient submits urine for testing and one lab technician is reviewing the tests.
Three strips from container X show abnormally low pH levels in the urine. However,
three strips from container Y which were purchased more recently, consistently indicate
that the pH of the patient’s urine is normal. Which of the following is a true statement
about the test strips?
a. The test strips demonstrate high sensitivity
b. The test strips demonstrate high inter-observer reliability
c. The test strips demonstrate high intra-observer reliability
d. The test strips demonstrate low intra-observer reliability
e. The test strips demonstrate high specificity
8. The NP is caring for a patient who has acute bronchitis. The nurse asks the patient when
did the symptoms first appear? Under which section of the health history will the nurse
record the patient’s response?
a. Biographic data
b. Review of systems
c. History of present illness
d. Medication reconciliation
9. Sequence of examination is important to conduct a thorough and accurate physical
examination. Choose the one that is not a goal of sequence of examination.
a. Maximize the patient’s comfort
b. Avoid unnecessary changes in position
c. Enhance clinical efficiency
d. Use fewer medical supplies
10. Besides the abdomen the approach for examination of the body should follow the
pattern (choose one):
a. Percussion palpation auscultation inspection
b. Inspection percussion auscultation palpation
c.picture was cut-off
d.picture was cut-off
THE ANSWER SHOULD BE: Inspection, Palpation, Percussion, Auscultation
, MSN 572 QUIZ 1 - Physical Assessment LATEST 2022
11. A 38 year old female presents with a complain of abdominal pain, diarrhea, and
vomiting. You have asked the patient about the date and manner of onsert. Your next
question should elicit which of the following?
a. Are your symptoms interfering with your daily routine?
b. Is there anything that makes your symptoms better or worse?
c. Did you eat ice cream?
d. How much do your smoke?
12. How should the NP document a patient’s reason for seeking care?
a. Use the North American Diagnosis Association (NANDA) list
b. Write the symptoms without quotations in the HPI
c. Record the symptoms in the patient’s words in the chief complaint section
d. List of the complaints of the patient in the ID section
13. A 26-year old female athlete presents to a new care provider with chronic menstrual
complaints. She remarks to the medical assistant that in the past she has experienced a
dismissal of her complaints because of her high level of physical fitness and
conditioning. She is seeking a care provider who will explore the issue in more details
and work with her particular concerns. Which of the following is the description of the
patient centered care that this patient seeks?
A. Dismissive and concrete with open ended questions
B. Validating and empathetic with open ended questions
C. Factual and structured with active listening
D. Affirming and reassuring with close-ended questions
E. Structured and clinician centered with open ended questions
14. Select the choice that is not true of selection bias.
a. Occurs when comparison groups have systematic differences in their baseline
characteristics that can affect the outcome of the study
b. Blinding subjects and providers to the intervention is the best approach to
minimizing this bias
c. Creates problems in interpreting observed differences in outcomes because they
could result from the interventions or the baseline differences between groups
d. Randomly allocating subject to the intervention is the best approach to minimizing
this bias
15. The provider is caring for a patient from a different culture. Which action is
appropriate?
a. Explain expected behaviors for patients in the US healthcare system
b. Include the family members in all decision-making processes
c. Assess the patient’s beliefs practices and ideas about health care
d. Avoid discussion of subjects that may be uncomfortable for the patient
16. The nurse practitioner is assessing a patient who presented with a sore throat. Which of
the following would be considered subjective date from this clinic visit?
