NSG 6020 Midterm Exam Latest
Already Graded A Health
Assessment South University
1. For which of the following patients would a comprehensive health
history be
appropriate?
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
respiratory
infection”
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”
Ans: C
Feedback:
This patient is here to establish care, and because she is new to you, a
comprehensive
health history is appropriate.
2. The components of the health history include all of the following except
which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Feedback:
The thorax and lungs are part of the physical examination, not part of
the health
history. The others answers are all part of a complete health history.
3. Is the following information subjective or objective?
, Mr. M. has shortness of breath that has persisted for the past 10 days; it
is worse with activity and relieved by rest.
A) Subjective
B) Objective
Ans: A
Feedback:
This is information given by the patient about the circumstances of his
chief
complaint. It does not represent an objective observation by the
examiner.
4. 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
Ans: B
Feedback:
This is a measurement obtained by the examiner, so it is considered
objective data.
The patient is unlikely to be able to give this information to the examiner.
5. The following information is recorded in the health history: “The
patient has had abdominal pain for 1 week. The pain lasts for 30
minutes at a time; it comes and goes. The severity is 7 to 9 on a
scale of 1 to 10. It is accompanied by nausea and vomiting. It is
located in the mid-epigastric area.”
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is
, the present illness. The interviewer has obtained the location, timing,
severity, and associated manifestations of the pain. The interviewer
will still need to obtain information concerning the quality of the pain,
the setting in which it occurred, and the factors that aggravate and
alleviate the pain. You will notice that it does include portions of the
pertinent review of systems, but because it relates directly to the
complaint, it is
included in the history of present illness.
6. The following information is recorded in the health history: “The
patient completed 8th grade. He currently lives with his wife and two
children. He works on old cars on the weekend. He works in a glass
factory during the week.”
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: C
Feedback:
Personal and social history information includes educational level,
family of origin, current household status, personal interests,
employment, religious beliefs, military history, and lifestyle
(including diet and exercise habits; use of alcohol, tobacco, and/ or
drugs; and sexual preferences and history). All of this information is
documented
in this example.
7. The following information is recorded in the health history: “I feel really
tired.”
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: A
, Feedback:
The chief complaint is an attempt to quote the patient's own words, as
long as they are suitable to print. It is brief, like a headline, and further
details should be sought in
the present illness section. The above information is a chief complaint.
8. 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
Ans: D
Feedback:
Review of systems documents the presence or absence of common
symptoms related to each major body system. The absence of cardiac
symptoms is listed in the above
example.
9. The following information is best placed in which category?
“The patient has had three cesarean sections.”
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B
Feedback:
A cesarean section is a surgical procedure. Approximate dates or the age
of the
patient at the time of the surgery should also be recorded.
10. The following information is best placed in which category?
“The patient had a stent placed in the left anterior descending artery
(LAD) in 1999.”
A) Adult illnesses
Already Graded A Health
Assessment South University
1. For which of the following patients would a comprehensive health
history be
appropriate?
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
respiratory
infection”
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”
Ans: C
Feedback:
This patient is here to establish care, and because she is new to you, a
comprehensive
health history is appropriate.
2. The components of the health history include all of the following except
which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Feedback:
The thorax and lungs are part of the physical examination, not part of
the health
history. The others answers are all part of a complete health history.
3. Is the following information subjective or objective?
, Mr. M. has shortness of breath that has persisted for the past 10 days; it
is worse with activity and relieved by rest.
A) Subjective
B) Objective
Ans: A
Feedback:
This is information given by the patient about the circumstances of his
chief
complaint. It does not represent an objective observation by the
examiner.
4. 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
Ans: B
Feedback:
This is a measurement obtained by the examiner, so it is considered
objective data.
The patient is unlikely to be able to give this information to the examiner.
5. The following information is recorded in the health history: “The
patient has had abdominal pain for 1 week. The pain lasts for 30
minutes at a time; it comes and goes. The severity is 7 to 9 on a
scale of 1 to 10. It is accompanied by nausea and vomiting. It is
located in the mid-epigastric area.”
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is
, the present illness. The interviewer has obtained the location, timing,
severity, and associated manifestations of the pain. The interviewer
will still need to obtain information concerning the quality of the pain,
the setting in which it occurred, and the factors that aggravate and
alleviate the pain. You will notice that it does include portions of the
pertinent review of systems, but because it relates directly to the
complaint, it is
included in the history of present illness.
6. The following information is recorded in the health history: “The
patient completed 8th grade. He currently lives with his wife and two
children. He works on old cars on the weekend. He works in a glass
factory during the week.”
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: C
Feedback:
Personal and social history information includes educational level,
family of origin, current household status, personal interests,
employment, religious beliefs, military history, and lifestyle
(including diet and exercise habits; use of alcohol, tobacco, and/ or
drugs; and sexual preferences and history). All of this information is
documented
in this example.
7. The following information is recorded in the health history: “I feel really
tired.”
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: A
, Feedback:
The chief complaint is an attempt to quote the patient's own words, as
long as they are suitable to print. It is brief, like a headline, and further
details should be sought in
the present illness section. The above information is a chief complaint.
8. 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
Ans: D
Feedback:
Review of systems documents the presence or absence of common
symptoms related to each major body system. The absence of cardiac
symptoms is listed in the above
example.
9. The following information is best placed in which category?
“The patient has had three cesarean sections.”
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B
Feedback:
A cesarean section is a surgical procedure. Approximate dates or the age
of the
patient at the time of the surgery should also be recorded.
10. The following information is best placed in which category?
“The patient had a stent placed in the left anterior descending artery
(LAD) in 1999.”
A) Adult illnesses
