NURS 5220 ADVANCED PHYSICAL ASSESSMENT EXAM 1 MODULE 1 :
CHAPTER 1,2, 3, 5, 6, 8 LATEST 200 ACTUAL EXAM QUESTIONS AND
CORRECT EXPLAINED ANSWERS
During an initial interview with your patient, you ask the patient, "Can you describe that for
me?" Which statement best describes the question?
A. It is the most risky type of question because the patient can say anything.
B. The question is asking for specific information.
C. The patient has discretion about the extent of the answer.
D. The answer can lead the interviewer away from the purpose of the interview.
C: The open-ended question gives the patient discretion about the extent of an answer. This is an
example of a question carefully formulated to illicit an enhanced patient response.
The answer can lead the interviewer away from the purpose of the interview.
Culture includes which factor?
Entertainment or Travel
Entertainment
Which of the following questions may lead to an inaccurate response?
A. "Where do you feel the pain?"
B. "How does this situation make you feel?"
C. "What happened after you noticed your injury?"
D. "That was a horrible experience, wasn't it?"
D: Answer d is an example of a leading question. The leading question is the most risky because
it may limit the information provided to what the patient thinks you want to know. Questions a,
b, and c are examples of direct and open-ended questions.
Ms. Carol Turner, a 38-year-old woman, brings her 1-year-old son in for health care. Which of
the following requests made would be most appropriate at the beginning of an interview?
A. "Mom, please place your son in your lap."
B. "Carol, please place your son in your lap."
C. "Ms. Turner, please place your son in your lap."
D. "Sweetie, please place your son in your lap."
C: Answer c best displays courtesy and respect for the parent. Initially, the examiner should
address the patient or caregiver properly (e.g., as Mr., Miss, Mrs., Ms., or the manner of address
preferred by the patient) and repeat the patient's name at appropriate times. Do not use a
,surrogate term for a person's name; for example, when the patient is a child, do not address the
parent as "Mother" or "Father."
During an interview, a patient describes abdominal pain that often awakens him at night. Which
of the following responses by the interviewer would facilitate the interviewing process?
A. "Constipation can cause abdominal pain."
B. "Do you need a sleeping medication?"
C. "Pain is always worse at night, isn't it?"
D. "Tell me what you mean by 'often.'"
D: Answer d is an example of clarifying or seeking additional information by using the open-
ended question. Answers a, b, and c are examples of yes or no or leading questions.
When you repeat a patient's answer, you are:
A. testing the patient's knowledge.
B. teaching the patient new medical terms.
C. discouraging an emotional outburst.
D. encouraging more detail.
D: When you repeat a patient's answer, you are engaging in reflecting. Reflecting encourages
patients to provide more detail.
While interviewing an angry patient, you start to become annoyed and are beginning to dislike
the patient. The best way to resolve this is to:
A. spend the least amount of time possible with the patient.
B. displace your annoyance toward the patient on an inanimate object.
C. ignore the feelings and remain neutral in your interactions.
D. express concern and explore the problem with the patient.
D: When dealing with the angry patient, it is appropriate to confront or acknowledge the anger
and explore the potential issue. Answer d is the best example in the scenario given.
Which of the following behaviors is most important in establishing a connection with the
patient?
A. Documenting data from the history using direct patient quotes
B. Phrasing questions so that they are clear and explicit
C. Avoiding the trap of giving advice during an interview
D. Listening intently while observing nonverbal cues
D: Establishing a connection with the patient is essential to good communication. Being a skilled
listener and being alert to patients' nonverbal communication help establish meaningful
connection.
,During an interview, the patient describes problems associated with an illness and begins to cry.
The best action in this situation is to:
A. stop the interview and reschedule for another time.
B. allow the patient to cry, then resume when the patient is ready.
C. change the topic to something less upsetting.
D. continue the interview while the patient cries in order to get through it quickly.
B: People will cry. Let the emotion proceed at the patient's pace. Resume your questioning only
when the patient is ready. If you suspect a patient is holding back, give permission. Offer a tissue
or simply say, "It seems like you're feeling bad. It's okay to cry." Name the emotion. Be direct
about such a tender circumstance, but gently, not too aggressively or insistently.
Which statement best describes the chief complaint?
A. General health and illness
B. The reason the individual is seeking care
C. Information to make the diagnosis
D. Concerns about confidentiality and trust
B: The chief complaint is the main reason the person is seeking care or the chief concern. The
other answers are parts of the history and physical or review of symptoms.
A woman presents to a women's health clinic stating that she has had a positive home pregnancy
test and desires prenatal care. You would conduct a(n):
A. complete history.
B. focused history.
C. problem-oriented history.
D. interim history.
A: The examiner would conduct a complete history because the complete history allows the
examiner to become thoroughly familiar with the patient. Most often, this history is recorded the
first time you see the patient. The other answers are used when something is already known
about the patient or an established relationship exists.
You are responding to a patient who has behaved toward you in a seductive manner. Which of
the following is most appropriate?
A. Respond in a manner that acknowledges that the patient is embarrassed.
B. Remain calm, firm, and direct regarding the professional nature of the relationship.
C. Be courteous.
D. Ignore the patient's behavior.
B: This type of patient is seeking additional attention. Avert it courteously and firmly, delivering
the immediate message that the relationship is and will remain professional. It takes skill to do
, this while maintaining the patient's dignity, but there is no room for sexual misconduct in the
relationship, and there can be no tolerance for exploitation of the patient in this regard.
Which interviewer behavior would least contribute to decreasing tension in an anxious patient?
A. Avoid information overload.
B. Slow the conversation.
C. Maintain a calm demeanor.
D. Finish the interview promptly.
D: Answer d is the inappropriate response and may increase the patient's level of anxiety. The
examiner helps decrease anxiety by avoiding an overload of information, pacing the
conversation, and presenting a calm demeanor.
In issues surrounding ethical decision making, beneficence refers to the:
need to do good
Vital signs are an example of which type of data?
Objective
The chief complaint is an example of which type of data?
Subjective
Family history should include how many generations
3
A pedigree diagram is drafted for the purpose of obtaining:
Genetic and familial health problems
Because an adolescent is often reluctant to talk during an interview, it is best to:
A. tell the patient that you must have straight answers to your questions.
B. ensure confidentiality regarding the information discussed.
C. inform the patient that adolescents have trouble expressing their feelings.
D. obtain the history from a parent or other family member.
C: Adolescents may be reluctant to talk and have a clear need for confidentiality. All adolescent
patients should be given the opportunity to discuss their concerns with you privately. It is wise to
let parents or other caregivers know you will be asking them to step out of the room to provide
this important opportunity for the adolescent.
CHAPTER 1,2, 3, 5, 6, 8 LATEST 200 ACTUAL EXAM QUESTIONS AND
CORRECT EXPLAINED ANSWERS
During an initial interview with your patient, you ask the patient, "Can you describe that for
me?" Which statement best describes the question?
A. It is the most risky type of question because the patient can say anything.
B. The question is asking for specific information.
C. The patient has discretion about the extent of the answer.
D. The answer can lead the interviewer away from the purpose of the interview.
C: The open-ended question gives the patient discretion about the extent of an answer. This is an
example of a question carefully formulated to illicit an enhanced patient response.
The answer can lead the interviewer away from the purpose of the interview.
Culture includes which factor?
Entertainment or Travel
Entertainment
Which of the following questions may lead to an inaccurate response?
A. "Where do you feel the pain?"
B. "How does this situation make you feel?"
C. "What happened after you noticed your injury?"
D. "That was a horrible experience, wasn't it?"
D: Answer d is an example of a leading question. The leading question is the most risky because
it may limit the information provided to what the patient thinks you want to know. Questions a,
b, and c are examples of direct and open-ended questions.
Ms. Carol Turner, a 38-year-old woman, brings her 1-year-old son in for health care. Which of
the following requests made would be most appropriate at the beginning of an interview?
A. "Mom, please place your son in your lap."
B. "Carol, please place your son in your lap."
C. "Ms. Turner, please place your son in your lap."
D. "Sweetie, please place your son in your lap."
C: Answer c best displays courtesy and respect for the parent. Initially, the examiner should
address the patient or caregiver properly (e.g., as Mr., Miss, Mrs., Ms., or the manner of address
preferred by the patient) and repeat the patient's name at appropriate times. Do not use a
,surrogate term for a person's name; for example, when the patient is a child, do not address the
parent as "Mother" or "Father."
During an interview, a patient describes abdominal pain that often awakens him at night. Which
of the following responses by the interviewer would facilitate the interviewing process?
A. "Constipation can cause abdominal pain."
B. "Do you need a sleeping medication?"
C. "Pain is always worse at night, isn't it?"
D. "Tell me what you mean by 'often.'"
D: Answer d is an example of clarifying or seeking additional information by using the open-
ended question. Answers a, b, and c are examples of yes or no or leading questions.
When you repeat a patient's answer, you are:
A. testing the patient's knowledge.
B. teaching the patient new medical terms.
C. discouraging an emotional outburst.
D. encouraging more detail.
D: When you repeat a patient's answer, you are engaging in reflecting. Reflecting encourages
patients to provide more detail.
While interviewing an angry patient, you start to become annoyed and are beginning to dislike
the patient. The best way to resolve this is to:
A. spend the least amount of time possible with the patient.
B. displace your annoyance toward the patient on an inanimate object.
C. ignore the feelings and remain neutral in your interactions.
D. express concern and explore the problem with the patient.
D: When dealing with the angry patient, it is appropriate to confront or acknowledge the anger
and explore the potential issue. Answer d is the best example in the scenario given.
Which of the following behaviors is most important in establishing a connection with the
patient?
A. Documenting data from the history using direct patient quotes
B. Phrasing questions so that they are clear and explicit
C. Avoiding the trap of giving advice during an interview
D. Listening intently while observing nonverbal cues
D: Establishing a connection with the patient is essential to good communication. Being a skilled
listener and being alert to patients' nonverbal communication help establish meaningful
connection.
,During an interview, the patient describes problems associated with an illness and begins to cry.
The best action in this situation is to:
A. stop the interview and reschedule for another time.
B. allow the patient to cry, then resume when the patient is ready.
C. change the topic to something less upsetting.
D. continue the interview while the patient cries in order to get through it quickly.
B: People will cry. Let the emotion proceed at the patient's pace. Resume your questioning only
when the patient is ready. If you suspect a patient is holding back, give permission. Offer a tissue
or simply say, "It seems like you're feeling bad. It's okay to cry." Name the emotion. Be direct
about such a tender circumstance, but gently, not too aggressively or insistently.
Which statement best describes the chief complaint?
A. General health and illness
B. The reason the individual is seeking care
C. Information to make the diagnosis
D. Concerns about confidentiality and trust
B: The chief complaint is the main reason the person is seeking care or the chief concern. The
other answers are parts of the history and physical or review of symptoms.
A woman presents to a women's health clinic stating that she has had a positive home pregnancy
test and desires prenatal care. You would conduct a(n):
A. complete history.
B. focused history.
C. problem-oriented history.
D. interim history.
A: The examiner would conduct a complete history because the complete history allows the
examiner to become thoroughly familiar with the patient. Most often, this history is recorded the
first time you see the patient. The other answers are used when something is already known
about the patient or an established relationship exists.
You are responding to a patient who has behaved toward you in a seductive manner. Which of
the following is most appropriate?
A. Respond in a manner that acknowledges that the patient is embarrassed.
B. Remain calm, firm, and direct regarding the professional nature of the relationship.
C. Be courteous.
D. Ignore the patient's behavior.
B: This type of patient is seeking additional attention. Avert it courteously and firmly, delivering
the immediate message that the relationship is and will remain professional. It takes skill to do
, this while maintaining the patient's dignity, but there is no room for sexual misconduct in the
relationship, and there can be no tolerance for exploitation of the patient in this regard.
Which interviewer behavior would least contribute to decreasing tension in an anxious patient?
A. Avoid information overload.
B. Slow the conversation.
C. Maintain a calm demeanor.
D. Finish the interview promptly.
D: Answer d is the inappropriate response and may increase the patient's level of anxiety. The
examiner helps decrease anxiety by avoiding an overload of information, pacing the
conversation, and presenting a calm demeanor.
In issues surrounding ethical decision making, beneficence refers to the:
need to do good
Vital signs are an example of which type of data?
Objective
The chief complaint is an example of which type of data?
Subjective
Family history should include how many generations
3
A pedigree diagram is drafted for the purpose of obtaining:
Genetic and familial health problems
Because an adolescent is often reluctant to talk during an interview, it is best to:
A. tell the patient that you must have straight answers to your questions.
B. ensure confidentiality regarding the information discussed.
C. inform the patient that adolescents have trouble expressing their feelings.
D. obtain the history from a parent or other family member.
C: Adolescents may be reluctant to talk and have a clear need for confidentiality. All adolescent
patients should be given the opportunity to discuss their concerns with you privately. It is wise to
let parents or other caregivers know you will be asking them to step out of the room to provide
this important opportunity for the adolescent.
