NUR 550 Drexel Health Assessment
What are the seven attributes of every symptom? - ANS-1).Location
2).Quality
3).Quantity or severity
4).Timing: including onset, duration, and frequency
5).Setting in which it occurs
6).Aggravating and relieving factors
7).Associated manifestation
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.Subjective
The following information is recorded in the health history: "I feel really tired." Which
category does it belong to?
A. Present illness
B. Review of systems
C. Personal and social history
D. Chief complaint - ANS-D. Chief complaint
The following information is best placed in which category? "The patient has had three
cesarean sections."
A. Surgeries
B. Obstetrics/gynecology
C. Psychiatric
D. Adult illnesses - ANS-A. Surgeries
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 patient
denies 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. Traumatic
B. Hematologic
C. Inflammatory
D. Infectious - ANS-C. Inflammatory
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?
A. Write the physical therapy prescription.
B. Discuss the plan with Mr. Larson.
C. Have your office staff explain directions to the physical therapy center.
D. Tell Mr. Larson that he will be going to physical therapy three times a week. - ANS-B.
Discuss the plan with Mr. Larson.
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 in the
room with him.
C. First ask his wife what she thinks is going on.
D. Ask his wife to leave the room for reasons of confidentiality. - ANS-A. Ask if it's okay
to carry out the visit with both people in the room.
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
has noticed 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. Quality
C. Associated manifestations
D. Timing - ANS-C. Associated manifestations
, A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is
26.0 kg/m2. He is concerned about his weight. Based on this information, what is
appropriate counsel for the patient during the visit?
A. Give the patient information about reduction of fat and cholesterol because he is
obese.
B. Give the patient information about reduction of fat, cholesterol, and calories because
he is overweight.
C. Reassure the patient that he has a normal body weight.
D. Refer the patient to a nutritionist because he is anorexic. - ANS-B. Give the patient
information about reduction of fat, cholesterol, and calories because he is overweight.
Mr. Garcia comes to your office for a rash on his chest associated with a burning pain.
Even a light touch causes this burning sensation to worsen. On examination, you note a
rash with small blisters (vesicles) on a background of reddened skin. The rash overlies
an entire rib on his right side. What type of pain is this?
A. Neuropathic pain
B. Idiopathic pain
C. Nociceptive or somatic pain
D. Psychogenic pain - ANS-A. Neuropathic pain
The components of the health history include all of the following except which one?
A. Physical Examination of the Thorax and lungs
B. Review of systems
C. Present illness
D. Personal and social items - ANS-A. Physical Examination of the Thorax and lungs
You are performing a thorough cardiac examination. Which of the following chambers of
the heart can you assess by palpation?
A. Right atrium
B. Right ventricle
C. Left atrium
D. Sinus node - ANS-B. Right ventricle
What is responsible for the inspiratory splitting of S2?
What are the seven attributes of every symptom? - ANS-1).Location
2).Quality
3).Quantity or severity
4).Timing: including onset, duration, and frequency
5).Setting in which it occurs
6).Aggravating and relieving factors
7).Associated manifestation
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.Subjective
The following information is recorded in the health history: "I feel really tired." Which
category does it belong to?
A. Present illness
B. Review of systems
C. Personal and social history
D. Chief complaint - ANS-D. Chief complaint
The following information is best placed in which category? "The patient has had three
cesarean sections."
A. Surgeries
B. Obstetrics/gynecology
C. Psychiatric
D. Adult illnesses - ANS-A. Surgeries
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 patient
denies 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. Traumatic
B. Hematologic
C. Inflammatory
D. Infectious - ANS-C. Inflammatory
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?
A. Write the physical therapy prescription.
B. Discuss the plan with Mr. Larson.
C. Have your office staff explain directions to the physical therapy center.
D. Tell Mr. Larson that he will be going to physical therapy three times a week. - ANS-B.
Discuss the plan with Mr. Larson.
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 in the
room with him.
C. First ask his wife what she thinks is going on.
D. Ask his wife to leave the room for reasons of confidentiality. - ANS-A. Ask if it's okay
to carry out the visit with both people in the room.
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
has noticed 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. Quality
C. Associated manifestations
D. Timing - ANS-C. Associated manifestations
, A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is
26.0 kg/m2. He is concerned about his weight. Based on this information, what is
appropriate counsel for the patient during the visit?
A. Give the patient information about reduction of fat and cholesterol because he is
obese.
B. Give the patient information about reduction of fat, cholesterol, and calories because
he is overweight.
C. Reassure the patient that he has a normal body weight.
D. Refer the patient to a nutritionist because he is anorexic. - ANS-B. Give the patient
information about reduction of fat, cholesterol, and calories because he is overweight.
Mr. Garcia comes to your office for a rash on his chest associated with a burning pain.
Even a light touch causes this burning sensation to worsen. On examination, you note a
rash with small blisters (vesicles) on a background of reddened skin. The rash overlies
an entire rib on his right side. What type of pain is this?
A. Neuropathic pain
B. Idiopathic pain
C. Nociceptive or somatic pain
D. Psychogenic pain - ANS-A. Neuropathic pain
The components of the health history include all of the following except which one?
A. Physical Examination of the Thorax and lungs
B. Review of systems
C. Present illness
D. Personal and social items - ANS-A. Physical Examination of the Thorax and lungs
You are performing a thorough cardiac examination. Which of the following chambers of
the heart can you assess by palpation?
A. Right atrium
B. Right ventricle
C. Left atrium
D. Sinus node - ANS-B. Right ventricle
What is responsible for the inspiratory splitting of S2?
