,
,
,
, a How2 does2 your2 family2react2 to2 your2 pain?
.
b The2 pain2 must2 be2 terrible.2You2 probably2 pinched2 a2 nerve.
.
c Ive2 had2 back2 pain2 myself,2 and2 it2 can2 be2excruciating.
.
d How2 would2 you2 say2 the2 pain2 affects2 your2 ability2to2 do2 your2 daily2activities?
.
ANSWER:2 D
The2 symptom2 of2pain2 is2difficult2 to2 quantify2because2 of2 individual2 interpretation.2 With2 pain,2adjecti
ves2 should2 be2 avoided2and2 the2 patient2 should2 be2 asked2 how2 the2 pain2 affects2 his2 or2 her2 daily2activitie
s.2The2other2responses2are2not2appropriate.
DIF:2 Cognitive2 Level:2 Applying2 (Application)2 REF:2 dm.2 50
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
6. In2 recording2 the2 childhood2 illnesses2 of2 a2 patient2 who2 denies2 having2 had2 any,2 which2 note2 by2 the2n
urse2would2be2most2accurate?
a Patient2 denies2 usual2 childhood2 illnesses.
.
b Patient2 states2 he2 was2a2 very2 healthy2child.
.
c Patient2 states2 his2 sister2 had2 measles,2 but2 he2 didnt.
.
d Patient2 denies2 measles,2 mumps,2 rubella,2 chickenpox,2 pertussis,2 and2 strep2 throat.
.
ANSWER:2 D
Childhood2 illnesses2 include2 measles,2 mumps,2 rubella,2 chickenpox,2 pertussis,2 and2 strep2 throat.2Avoi
d2 recording2 usual2 childhood2 illnesses2 because2 an2 illness2 common2 in2 the2 persons2 childhood2may2be2
unusual2today2(e.g.,2measles).
DIF:2 Cognitive2 Level:2 Remembering2 (Knowledge)2 REF:2 dm.2 51
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
7. A2 female2 patient2 tells2 the2nurse2 that2 she2 has2 had2 six2pregnancies,2 with2 four2 live2 births2 at2 term2a
nd2 two2 spontaneous2abortions.2 Her2 four2 children2 are2 still2 living.2 How2 would2 the2 nurse2 record2this
2information?
a P-6,2 B-4,2 (S)Ab-2
.
, b Grav2 6,2 Term2 4,2 (S)Ab-2,2Living2 4
.
c Patient2 has2 had2 four2 living2 babies.
.
d Patient2 has2 been2 pregnant2six2 times.
.
ANSWER:2 B
Obstetric2 history2 includes2 the2 number2 of2 pregnancies2 (gravidity),2 number2 of2 deliveries2 in2 which2t
he2 fetus2 reached2 term2 (term),2 number2 of2 preterm2 pregnancies2 (preterm),2 number2 of2 incomplete2p
regnancies2 (abortions),2 and2 number2 of2 children2 living2 (living).2 This2 is2 recorded:2 Grav22
2Term Preterm Ab Living
.2For2 any2incomplete2 pregnancies,2the2duration2 is2 recorded2 and2 whether2 the2 pregnanc
y2resulted2 in2 a2 spontaneous2 (S)2 or2 an2 induced2 (I)2abortion.
DIF:2 Cognitive2 Level:2 Applying2 (Application)2 REF:2 dm.2 51
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
8. A2 patient2 tells2 the2 nurse2 that2 he2is2allergic2 to2 penicillin.2 What2 would2 be2the2 nurses2 best2r
esponse2to2this2information?
a Are2 you2 allergic2 to2 any2other2 drugs?
.
b How2 often2 have2 you2 received2 penicillin?
.
c Ill2 write2 your2 allergy2on2 your2 chart2 so2 you2 wont2 receive2 any2penicillin.
.
d Describe2 what2 happens2to2you2 when2 you2 take2 penicillin.
.
ANSWER:2 D
Note2 both2the2 allergen2 (medication,2 food,2 or2 contact2 agent,2 such2 as2 fabric2 or2environmental2agent)
2 and2 the2 reaction2 (rash,2 itching,2 runny2 nose,2 watery2 eyes,2 or2 difficulty2 breathing).2 With2 a2drug,2thi
s2symptom2should2not2be2a2side2effect2but2a2true2allergic2reaction.
DIF:2 Cognitive2 Level:2 Understanding2 (Comprehension)2 REF:2 dm.2 52
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
9. The2 nurse2 is2 taking2 a2 family2 history.2 Important2 diseases2 or2 problems2 about2 which2 the2 patient2s
hould2be2specifically2asked2include:
a Emphysema.
.
,
,
, a How2 does2 your2 family2react2 to2 your2 pain?
.
b The2 pain2 must2 be2 terrible.2You2 probably2 pinched2 a2 nerve.
.
c Ive2 had2 back2 pain2 myself,2 and2 it2 can2 be2excruciating.
.
d How2 would2 you2 say2 the2 pain2 affects2 your2 ability2to2 do2 your2 daily2activities?
.
ANSWER:2 D
The2 symptom2 of2pain2 is2difficult2 to2 quantify2because2 of2 individual2 interpretation.2 With2 pain,2adjecti
ves2 should2 be2 avoided2and2 the2 patient2 should2 be2 asked2 how2 the2 pain2 affects2 his2 or2 her2 daily2activitie
s.2The2other2responses2are2not2appropriate.
DIF:2 Cognitive2 Level:2 Applying2 (Application)2 REF:2 dm.2 50
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
6. In2 recording2 the2 childhood2 illnesses2 of2 a2 patient2 who2 denies2 having2 had2 any,2 which2 note2 by2 the2n
urse2would2be2most2accurate?
a Patient2 denies2 usual2 childhood2 illnesses.
.
b Patient2 states2 he2 was2a2 very2 healthy2child.
.
c Patient2 states2 his2 sister2 had2 measles,2 but2 he2 didnt.
.
d Patient2 denies2 measles,2 mumps,2 rubella,2 chickenpox,2 pertussis,2 and2 strep2 throat.
.
ANSWER:2 D
Childhood2 illnesses2 include2 measles,2 mumps,2 rubella,2 chickenpox,2 pertussis,2 and2 strep2 throat.2Avoi
d2 recording2 usual2 childhood2 illnesses2 because2 an2 illness2 common2 in2 the2 persons2 childhood2may2be2
unusual2today2(e.g.,2measles).
DIF:2 Cognitive2 Level:2 Remembering2 (Knowledge)2 REF:2 dm.2 51
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
7. A2 female2 patient2 tells2 the2nurse2 that2 she2 has2 had2 six2pregnancies,2 with2 four2 live2 births2 at2 term2a
nd2 two2 spontaneous2abortions.2 Her2 four2 children2 are2 still2 living.2 How2 would2 the2 nurse2 record2this
2information?
a P-6,2 B-4,2 (S)Ab-2
.
, b Grav2 6,2 Term2 4,2 (S)Ab-2,2Living2 4
.
c Patient2 has2 had2 four2 living2 babies.
.
d Patient2 has2 been2 pregnant2six2 times.
.
ANSWER:2 B
Obstetric2 history2 includes2 the2 number2 of2 pregnancies2 (gravidity),2 number2 of2 deliveries2 in2 which2t
he2 fetus2 reached2 term2 (term),2 number2 of2 preterm2 pregnancies2 (preterm),2 number2 of2 incomplete2p
regnancies2 (abortions),2 and2 number2 of2 children2 living2 (living).2 This2 is2 recorded:2 Grav22
2Term Preterm Ab Living
.2For2 any2incomplete2 pregnancies,2the2duration2 is2 recorded2 and2 whether2 the2 pregnanc
y2resulted2 in2 a2 spontaneous2 (S)2 or2 an2 induced2 (I)2abortion.
DIF:2 Cognitive2 Level:2 Applying2 (Application)2 REF:2 dm.2 51
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
8. A2 patient2 tells2 the2 nurse2 that2 he2is2allergic2 to2 penicillin.2 What2 would2 be2the2 nurses2 best2r
esponse2to2this2information?
a Are2 you2 allergic2 to2 any2other2 drugs?
.
b How2 often2 have2 you2 received2 penicillin?
.
c Ill2 write2 your2 allergy2on2 your2 chart2 so2 you2 wont2 receive2 any2penicillin.
.
d Describe2 what2 happens2to2you2 when2 you2 take2 penicillin.
.
ANSWER:2 D
Note2 both2the2 allergen2 (medication,2 food,2 or2 contact2 agent,2 such2 as2 fabric2 or2environmental2agent)
2 and2 the2 reaction2 (rash,2 itching,2 runny2 nose,2 watery2 eyes,2 or2 difficulty2 breathing).2 With2 a2drug,2thi
s2symptom2should2not2be2a2side2effect2but2a2true2allergic2reaction.
DIF:2 Cognitive2 Level:2 Understanding2 (Comprehension)2 REF:2 dm.2 52
MSC:2 Client2 Needs:2 Safe2 and2 Effective2 Care2 Environment:2 Management2 of2 Care
9. The2 nurse2 is2 taking2 a2 family2 history.2 Important2 diseases2 or2 problems2 about2 which2 the2 patient2s
hould2be2specifically2asked2include:
a Emphysema.
.
