NU 518 EXAM 1 WITH 100% VERIFIED ANSWERS
Question 1
1..32 pts
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you
localize the symptom to?
Musculoskeletal
Reproductive
Urinary
Endocrine
Question 2
1..32 pts
A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new, located in the wrists and fingers bilaterally.
The patient denies a rash and 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?
Infectious
Inflammatory
Hematologic
Traumatic
IncorrectQuestion 3
.32 pts
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in a sales office to support his family. Recently
he has injured his back and you are thinking he would benefit from physical therapy, three times a week, for an hour per session. What
would be your next step?
Write the physical therapy prescription.
Have your office staff explain directions to the physical therapy center.
Discuss the plan with Mr. Larson.
Tell Mr. Larson that he will be going to physical therapy three times a week.
Question 4
1..32 pts
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 problem list?
Arthritis, war injury pain, headaches, chest pain
War injury pain, arthritis, headaches, chest pain
Headaches, arthritis, war injury pain, chest pain
Chest pain, headaches, arthritis, war injury pain
Question 5
1..32 pts
A 37-year-old nurse comes for evaluation of constant right upper quadrant abdominal pain. The pain is worse 1 to 2 hours after eating
greasy foods and is associated with nausea and vomiting. Which one of the following physical examination descriptions would be
, NU 518 EXAM 1 WITH 100% VERIFIED ANSWERS
most consistent with the diagnosis of acute cholecystitis?
Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses.
Abdomen is soft and slightly tender to palpation in the left lower quadrant, without rebound or guarding.
Abdomen is soft and tender to palpation in the right upper quadrant with positive Murphy sign.
Abdomen is soft and slightly tender to palpation in the left flank area.
Question 6
1..32 pts
A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week history of sneezing, itchy watery eyes, clear nasal
discharge, and nonproductive cough. Which is the most likely pathologic process?
Infection
Inflammation
Allergic
Vascular
IncorrectQuestion 7
.32 pts
You have just seen a 5-year-old girl who wheezes when exposed to cats. The patient's family history is positive for asthma. You think
the child possibly has asthma, but is uncertain if asthma is actual cause of child's symptom. What have you just accomplished?
, NU 518 EXAM 1 WITH 100% VERIFIED ANSWERS
You have tested your hypothesis.
You have developed a plan.
You have established a working diagnosis.
You have generated a hypothesis and differential diagnosis.
Question 8
1..32 pts
You are generating a problem list that summarizes the patient's problems. How should you list the problem?
List the most active and serious problems last, and record their date of onset.
List the most active and serious problems first, and record their date of onset.
List the most inactive problems first, and record their date of onset.
Randomly list the most active and inactive problems, and record their last episode.
Question 9
1..32 pts
You have established a working diagnosis and plan after assessing a patient. Your next appropriate step before finalizing the plan
should be:
Seek out patient's opinions, concerns, and willingness to proceed with plan.
Discuss plan with patient's family members.
Specify to the patient the need to proceed with plan, and schedule further testing.
Inform the nurse to schedule diagnostics and provide instructions to the patient.
Question 10
1..32 pts
For which of the following patients would a comprehensive health history be appropriate?
A new patient with the chief complaint of “I sprained my ankle"
An established patient with the chief complaint of "I have an upper respiratory infection”
A new patient with the chief complaint of "I am here to establish care”
A new patient with the chief complaint of "I cut my hand”
Question 11
1..32 pts
The components of the health history include all of the following except which one?
Review of systems
Physical examination
Present illness
Personal and social items
Question 12
1..32 pts
Is the following information subjective or objective? Mr. Johnson reports shortness of breath that has persisted for the past 10 days and
is worse with activity and relieved by rest.
Subjective
Objective
Question 13
1..32 pts
The following information is recorded in the health history: The patient has been experiencing abdominal pain with onset 1 week ago.
The pain comes and goes and lasts for 30 minutes with each episode. Patient describes pain as sharp. The severity of pain is 7 to 9 on a
scale of 1 to 10. It is accompanied by nausea and vomiting. Food tends to aggravate symptoms. Location of pain is mid-epigastric
area. Patient believes symptoms suggest a stomach ulcer. Which category does it belong to?
Chief complaint
Present illness
Personal and social history
Review of systems
Question 14
1..32 pts
Question 1
1..32 pts
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you
localize the symptom to?
Musculoskeletal
Reproductive
Urinary
Endocrine
Question 2
1..32 pts
A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new, located in the wrists and fingers bilaterally.
The patient denies a rash and 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?
Infectious
Inflammatory
Hematologic
Traumatic
IncorrectQuestion 3
.32 pts
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in a sales office to support his family. Recently
he has injured his back and you are thinking he would benefit from physical therapy, three times a week, for an hour per session. What
would be your next step?
Write the physical therapy prescription.
Have your office staff explain directions to the physical therapy center.
Discuss the plan with Mr. Larson.
Tell Mr. Larson that he will be going to physical therapy three times a week.
Question 4
1..32 pts
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 problem list?
Arthritis, war injury pain, headaches, chest pain
War injury pain, arthritis, headaches, chest pain
Headaches, arthritis, war injury pain, chest pain
Chest pain, headaches, arthritis, war injury pain
Question 5
1..32 pts
A 37-year-old nurse comes for evaluation of constant right upper quadrant abdominal pain. The pain is worse 1 to 2 hours after eating
greasy foods and is associated with nausea and vomiting. Which one of the following physical examination descriptions would be
, NU 518 EXAM 1 WITH 100% VERIFIED ANSWERS
most consistent with the diagnosis of acute cholecystitis?
Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses.
Abdomen is soft and slightly tender to palpation in the left lower quadrant, without rebound or guarding.
Abdomen is soft and tender to palpation in the right upper quadrant with positive Murphy sign.
Abdomen is soft and slightly tender to palpation in the left flank area.
Question 6
1..32 pts
A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week history of sneezing, itchy watery eyes, clear nasal
discharge, and nonproductive cough. Which is the most likely pathologic process?
Infection
Inflammation
Allergic
Vascular
IncorrectQuestion 7
.32 pts
You have just seen a 5-year-old girl who wheezes when exposed to cats. The patient's family history is positive for asthma. You think
the child possibly has asthma, but is uncertain if asthma is actual cause of child's symptom. What have you just accomplished?
, NU 518 EXAM 1 WITH 100% VERIFIED ANSWERS
You have tested your hypothesis.
You have developed a plan.
You have established a working diagnosis.
You have generated a hypothesis and differential diagnosis.
Question 8
1..32 pts
You are generating a problem list that summarizes the patient's problems. How should you list the problem?
List the most active and serious problems last, and record their date of onset.
List the most active and serious problems first, and record their date of onset.
List the most inactive problems first, and record their date of onset.
Randomly list the most active and inactive problems, and record their last episode.
Question 9
1..32 pts
You have established a working diagnosis and plan after assessing a patient. Your next appropriate step before finalizing the plan
should be:
Seek out patient's opinions, concerns, and willingness to proceed with plan.
Discuss plan with patient's family members.
Specify to the patient the need to proceed with plan, and schedule further testing.
Inform the nurse to schedule diagnostics and provide instructions to the patient.
Question 10
1..32 pts
For which of the following patients would a comprehensive health history be appropriate?
A new patient with the chief complaint of “I sprained my ankle"
An established patient with the chief complaint of "I have an upper respiratory infection”
A new patient with the chief complaint of "I am here to establish care”
A new patient with the chief complaint of "I cut my hand”
Question 11
1..32 pts
The components of the health history include all of the following except which one?
Review of systems
Physical examination
Present illness
Personal and social items
Question 12
1..32 pts
Is the following information subjective or objective? Mr. Johnson reports shortness of breath that has persisted for the past 10 days and
is worse with activity and relieved by rest.
Subjective
Objective
Question 13
1..32 pts
The following information is recorded in the health history: The patient has been experiencing abdominal pain with onset 1 week ago.
The pain comes and goes and lasts for 30 minutes with each episode. Patient describes pain as sharp. The severity of pain is 7 to 9 on a
scale of 1 to 10. It is accompanied by nausea and vomiting. Food tends to aggravate symptoms. Location of pain is mid-epigastric
area. Patient believes symptoms suggest a stomach ulcer. Which category does it belong to?
Chief complaint
Present illness
Personal and social history
Review of systems
Question 14
1..32 pts
