NSG 6020 Midterm Exam 2022
1. For which of the following patients would a comprehensive health
history beappropriate?
A) A new patient with the chief complaint of “I sprained my ankle”
B) An established patient with the chief complaint of “I have an upper
respiratoryinfection”
C) A new patient with the chief complaint of “I am here to establish care”
D) A new patient with the chief complaint of “I cut my hand”
2. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse
withactivity and relieved by rest.
A) Subjective
B) Objective
3. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
4. The following information is recorded in the health history: “Patient denies
chest pain,palpitations, orthopnea, and paroxysmal nocturnal dyspnea.”
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
5. A patient presents for evaluation of a sharp, aching chest pain which
increases withbreathing. Which anatomic area would you localize the
symptom to?
A) Musculoskeletal
, B) Reproductive
C) Urinary
D) Endocrine
6. A 22-year-old advertising copywriter presents for evaluation of joint pain. The
pain is new, located in the wrists and fingers bilaterally, with some subjective
fever. The patientdenies a rash; she also denies recent travel or camping
activities. She has a family history significant for rheumatoid arthritis. Based on
this information, which of the following pathologic processes would be the
most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
7. A 15-year-old high school sophomore comes to the clinic for evaluation of a
3-weekhistory of sneezing; itchy, watery eyes; clear nasal discharge; ear
pain; and nonproductive cough. Which is the most likely pathologic
process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular
8. You are seeing an elderly man with multiple complaints. He has chronic
arthritis, pain from an old war injury, and headaches. Today he complains of
these pains, as well as dull chest pain under his sternum. What would the
order of priority be for your problemlist?
A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain
, 9. Suzanne, a 25 year old, comes to your clinic to establish care. You are the
student preparing to go into the examination room to interview her. Which of
the following isthe most logical sequence for the patient–provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the
patient'sstory.
B) Invite the patient's story, negotiate a plan, establish the agenda, and
establishrapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the
agenda,expand and clarify the patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and
establishrapport.
10. Alexandra is a 28-year-old editor who presents to the clinic with abdominal
pain. The pain is a dull ache, located in the right upper quadrant, that she rates
as a 3 at the least and an 8 at the worst. The pain started a few weeks ago, it
lasts for 2 to 3 hours at a time, it comes and goes, and it seems to be worse a
couple of hours after eating. She hasnoticed that it starts after eating greasy
foods, so she has cut down on these as much as she can. Initially it occurred
once a week, but now it is occurring every other day. Nothing makes it better.
From this description, which of the seven attributes of a symptom has been
omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
D) Timing
11. A 23-year-old graduate student comes to your clinic for evaluation of a
urethral discharge. As the provider, you need to get a sexual history. Which
one of the followingquestions is inappropriate for eliciting the information?
A) Are you sexually active?
B) When was the last time you had intimate physical contact with someone,
and didthat contact include sexual intercourse?
C) Do you have sex with men, women, or both?
D) How many sexual partners have you had in the last 6 months?
, 12. On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for
her usualvisit for her blood pressure. She is on a low-dose diuretic chronically
and denies any side effects. Her blood pressure is 118/78 today, which is well-
controlled. As you are writing her script, she mentions that it is hard not having
her husband Bill around anymore. What would you do next?
A) Hand her the script and make sure she has a 3-month follow-up
appointment.
B) Make sure she understands the script.
C) Ask why Bill is not there.
D) Explain that you will have more time at the next visit to discuss this.
13. When you enter your patient's examination room, his wife is waiting there
with him.Which of the following is most appropriate?
A) Ask if it's okay to carry out the visit with both people in the room.
B) Carry on as you would ordinarily. The permission is implied because his
wife is inthe room with him.
C) Ask his wife to leave the room for reasons of confidentiality.
D) First ask his wife what she thinks is going on.
14. You are performing a young woman's first pelvic examination. You make sure
to tell her verbally what is coming next and what to expect. Then you carry
out each maneuver of the examination. You let her know at the outset that if
she needs a break orwants to stop, this is possible. You ask several times during
the examination, “How areyou doing, Brittney?” What are you accomplishing
with these techniques?
A) Increasing the patient's sense of control
B) Increasing the patient's trust in you as a caregiver
C) Decreasing her sense of vulnerability
D) All of the above
15. A 15-year-old high school sophomore and her mother come to your clinic
because the mother is concerned about her daughter's weight. You measure her
daughter's height andweight and obtain a BMI of 19.5 kg/m2. Based on this
information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is
anorexic.
1. For which of the following patients would a comprehensive health
history beappropriate?
A) A new patient with the chief complaint of “I sprained my ankle”
B) An established patient with the chief complaint of “I have an upper
respiratoryinfection”
C) A new patient with the chief complaint of “I am here to establish care”
D) A new patient with the chief complaint of “I cut my hand”
2. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse
withactivity and relieved by rest.
A) Subjective
B) Objective
3. Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
4. The following information is recorded in the health history: “Patient denies
chest pain,palpitations, orthopnea, and paroxysmal nocturnal dyspnea.”
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
5. A patient presents for evaluation of a sharp, aching chest pain which
increases withbreathing. Which anatomic area would you localize the
symptom to?
A) Musculoskeletal
, B) Reproductive
C) Urinary
D) Endocrine
6. A 22-year-old advertising copywriter presents for evaluation of joint pain. The
pain is new, located in the wrists and fingers bilaterally, with some subjective
fever. The patientdenies a rash; she also denies recent travel or camping
activities. She has a family history significant for rheumatoid arthritis. Based on
this information, which of the following pathologic processes would be the
most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
7. A 15-year-old high school sophomore comes to the clinic for evaluation of a
3-weekhistory of sneezing; itchy, watery eyes; clear nasal discharge; ear
pain; and nonproductive cough. Which is the most likely pathologic
process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular
8. You are seeing an elderly man with multiple complaints. He has chronic
arthritis, pain from an old war injury, and headaches. Today he complains of
these pains, as well as dull chest pain under his sternum. What would the
order of priority be for your problemlist?
A) Arthritis, war injury pain, headaches, chest pain
B) War injury pain, arthritis, headaches, chest pain
C) Headaches, arthritis, war injury pain, chest pain
D) Chest pain, headaches, arthritis, war injury pain
, 9. Suzanne, a 25 year old, comes to your clinic to establish care. You are the
student preparing to go into the examination room to interview her. Which of
the following isthe most logical sequence for the patient–provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the
patient'sstory.
B) Invite the patient's story, negotiate a plan, establish the agenda, and
establishrapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the
agenda,expand and clarify the patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and
establishrapport.
10. Alexandra is a 28-year-old editor who presents to the clinic with abdominal
pain. The pain is a dull ache, located in the right upper quadrant, that she rates
as a 3 at the least and an 8 at the worst. The pain started a few weeks ago, it
lasts for 2 to 3 hours at a time, it comes and goes, and it seems to be worse a
couple of hours after eating. She hasnoticed that it starts after eating greasy
foods, so she has cut down on these as much as she can. Initially it occurred
once a week, but now it is occurring every other day. Nothing makes it better.
From this description, which of the seven attributes of a symptom has been
omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
D) Timing
11. A 23-year-old graduate student comes to your clinic for evaluation of a
urethral discharge. As the provider, you need to get a sexual history. Which
one of the followingquestions is inappropriate for eliciting the information?
A) Are you sexually active?
B) When was the last time you had intimate physical contact with someone,
and didthat contact include sexual intercourse?
C) Do you have sex with men, women, or both?
D) How many sexual partners have you had in the last 6 months?
, 12. On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for
her usualvisit for her blood pressure. She is on a low-dose diuretic chronically
and denies any side effects. Her blood pressure is 118/78 today, which is well-
controlled. As you are writing her script, she mentions that it is hard not having
her husband Bill around anymore. What would you do next?
A) Hand her the script and make sure she has a 3-month follow-up
appointment.
B) Make sure she understands the script.
C) Ask why Bill is not there.
D) Explain that you will have more time at the next visit to discuss this.
13. When you enter your patient's examination room, his wife is waiting there
with him.Which of the following is most appropriate?
A) Ask if it's okay to carry out the visit with both people in the room.
B) Carry on as you would ordinarily. The permission is implied because his
wife is inthe room with him.
C) Ask his wife to leave the room for reasons of confidentiality.
D) First ask his wife what she thinks is going on.
14. You are performing a young woman's first pelvic examination. You make sure
to tell her verbally what is coming next and what to expect. Then you carry
out each maneuver of the examination. You let her know at the outset that if
she needs a break orwants to stop, this is possible. You ask several times during
the examination, “How areyou doing, Brittney?” What are you accomplishing
with these techniques?
A) Increasing the patient's sense of control
B) Increasing the patient's trust in you as a caregiver
C) Decreasing her sense of vulnerability
D) All of the above
15. A 15-year-old high school sophomore and her mother come to your clinic
because the mother is concerned about her daughter's weight. You measure her
daughter's height andweight and obtain a BMI of 19.5 kg/m2. Based on this
information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is
anorexic.
