NURS 5220 EXAM #2: MODULE 4, 7, 17,
18, 19, 20 EXAM QUESTIONS ANSWERS
KEY EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
UNLESS A LIFE -THREATENING SITUATION EXISTS , THE BEST GUIDE TO
DETERMINING THE PRIORITY FOR THE PATIENT 'S CONDITION SHOULD BE BASED
ON:
A. INTUITION .
B. PROBABILITY AND UTILITY .
C. THE USE OF ALGORITHMS .
D. THE EXAMINER' S INITIAL FAVORITE HYPOTHESIS . - CORRECT-ANSWERSB
PROBABILITY AND UTILITY SHOULD ALWAYS BE YOUR GUIDES TO SEQUENCING
YOUR ACTIONS , UNLESS A LIFE- THREATENING SITUATION EXISTS .
WHICH OF THE FOLLOWING SHOULD BE CONSIDERED WHEN DETERMINING A
NEED FOR ADDITIONAL EXAMINATION , TESTING , OR PROCEDURES?
A. THESE SHOULD BE DONE TO OBTAIN AS MUCH DATA AS POSSIBLE .
B. THESE SHOULD BE DONE TO ATTEMPT TO GET DATA THAT MIGHT BE
ASSOCIATED WITH MULTIPLE PROBLEMS.
C. THESE SHOULD BE DONE ONLY WHEN IT IS ABSOLUTELY NECESSARY .
D. THESE SHOULD BE DONE IF THEY RELATE TO THE EXAMINER' S HYPOTHESIS . -
CORRECT-ANSWERSD: C LINICAL REASONING DOES NOT REQUIRE A
COMPULSIVE LISTING OF ALL OF THE POSSIBLE OPTIONS IN DIAGNOSIS AND
MANAGEMENT . RATHER, IT IS DOMINATED BY HYPOTHESIS DEVELOPMENT ;
ASKING WHETHER A PARTICULAR DIAGNOSIS SHOULD BE MADE DEPENDING ON
ITS PROBABILITY ; AND WHETHER A TEST MAY BE INDICATED , DEPENDING ON
THE LIKELIHOOD SUGGESTED BY ITS SENSITIVITY AND SPECIFICITY
,MR. SHAKEN IS A 46-YEAR-OLD PATIENT WHO PRESENTS FOR A ROUTINE
PHYSICAL EXAMINATION . AFTER YOU HAVE IDENTIFIED AND CONFIRMED A
PROBLEM , THE NEXT STEP IS TO :
A. ASSESS THE DATA COLLECTED .
B. FORMULATE A CLINICAL OPINION .
C. CONDUCT FURTHER ASSESSMENT .
D. DETERMINE THE MANAGEMENT PLAN . - CORRECT-ANSWERSD: C LINICAL
REASONING IS THE PROCESS BY WHICH THE INFORMATION GATHERED FROM THE
HISTORY AND PHYSICAL EXAMINATION IS MERGED WITH CLINICAL KNOWLEDGE ,
EXPERIENCE , AND THE CURRENT BEST EVIDENCE TO FORMULATE THE NEXT
STEPS IN PATIENT CARE— DEVELOPMENT OF THE DIAGNOSTIC AND MANAGEMENT
PLANS .
THE USE OF A COMPUTER COULD POTENTIALLY BE DETRIMENTAL TO THE
EXAMINER BECAUSE :
A. IT MAY BECOME A SUBSTITUTE FOR CRITICAL THINKING .
B. COMPUTER DYSFUNCTION MAKES IT UNRELIABLE .
C. THE COMPUTER IS LIMITED IN THE AMOUNT OF DATA IT CAN INTERPRET .
D. THE LEVEL OF SKILL NEEDED TO RUN A DIAGNOSTIC COMPUTER PROGRAM IS
BEYOND THE COMPUTER SKILLS OF MOST EXAMINERS. - CORRECT-
ANSWERSA: THERE IS AN UNACCEPTABLE TEMPTATION AT TIMES TO
SUBSTITUTE ELECTRONIC SUPPORT FOR CRITICAL THINKING AND JUDGMENT . IT
IS YOUR RESPONSIBILITY TO ARTFULLY MERGE SUBJECTIVE AND OBJECTIVE DATA
WITH BEST EVIDENCE AND YOUR KNOWLEDGE AND EXPERIENCE TO MAKE A
CLINICAL JUDGMENT .
THE ETHICAL PRINCIPLE OF UTILITARIANISM IS INVOLVED :
A. WHEN THE DUTIES OF HEALTH CARE PROVIDERS ARE ESTABLISHED BY
TRADITION AND CULTURAL CONTEXT .
,B. WHEN HEALTH CARE PROVIDERS "DO NO HARM."
C. WHEN DECISIONS REGARDING HEALTH CARE INCLUDE APPROPRIATE USE OF
RESOURCES FOR THE GOOD OF THE COMMUNITY . CORRECT
D. WHEN THE INTERVIEW IS CONDUCTED APPROPRIATELY . - CORRECT-
ANSWERSC: U TILITARIANISM MEANS YOU SHOULD CONSIDER APPROPRIATE
USE OF RESOURCES WITH CONCERN FOR THE GREATER GOOD OF THE LARGER
COMMUNITY .
WHICH IS A GUIDELINE TO SOUND DECISION MAKING?
A. THE UNDERLYING PROBLEM IS ALWAYS RELATED TO THE CHIEF COMPLAINT .
B RARE PROBLEMS TEND TO HAVE UNUSUAL PRESENTATIONS .
C. COMMON PROBLEMS OCCUR COMMONLY , WHEREAS RARE ONES DO NOT.
D. A DIAGNOSIS SHOULD BE MADE QUICKLY TO ENHANCE PATIENT CONFIDENCE .
- CORRECT-ANSWERSC: R EMEMBER THAT COMMON PROBLEMS OCCUR
COMMONLY , AND RARE ONES DO NOT. COMMON PROBLEMS CAN HAVE UNUSUAL
PRESENTATIONS AND RARE ONES MAY HAVE A SEEMINGLY COMMON COMPLAINT .
LABORATORY TESTS SHOULD BE USED TO:
A. CONFIRM A PRESUMED DIAGNOSIS .
B. DEVELOP A LIST OF POTENTIAL PROBLEMS.
C. RULE OUT ALL POSSIBLE CAUSES OF SYMPTOMS AND CLINICAL FINDINGS .
D. ASSIST THE EXAMINER ONLY WHEN THE DATA DO NOT POINT TO A SPECIFIC
PROBLEM . - CORRECT-ANSWERSA: A FTER A MATCH BETWEEN THE DATA
(BOTH SUBJECTIVE AND OBJECTIVE ) AND A PRESUMED DIAGNOSIS IS MADE,
CONSIDER THE APPROPRIATE LABORATORY OR RADIOLOGIC STUDIES TO CONFIRM
THE DIAGNOSIS .
A PROBLEM IS BEST IDENTIFIED AS :
A. SOMETHING THAT BOTHERS THE PATIENT .
, B. SOMETHING THAT IS OUT OF THE ORDINARY .
C. SOMETHING THAT IS UNEXPLAINABLE .
D. SOMETHING THAT WILL NEED FURTHER EVALUATION AND / OR ATTENTION. -
CORRECT-ANSWERSD: A PROBLEM MAY BE DEFINED AS ANYTHING THAT
WILL NEED FURTHER EVALUATION AND /OR ATTENTION .
ONCE A CLOSE MATCH BETWEEN THE DATA AND DIAGNOSIS IS MADE , THE NEXT
STEP IN THE PROCESS IS TO :
A. RETURN TO THE PHYSICAL EXAMINATION AND REPEAT CERTAIN PARTS TO
VALIDATE THE PRESENCE OF SPECIFIC SIGNS .
B. CONSIDER LABORATORY TESTS / CONSULTATIONS NECESSARY FOR FURTHER
EVALUATION .
C. CONFIRM THE PRESUMPTIVE DIAGNOSIS WITH PATIENT .
D. REANALYZE HISTORY DATA TO DETERMINE WHERE MORE INFORMATION IS
NEEDED . - CORRECT-ANSWERSB: A FTER A MATCH BETWEEN THE DATA
(BOTH SUBJECTIVE AND OBJECTIVE ) AND A PRESUMED DIAGNOSIS IS MADE,
CONSIDER THE APPROPRIATE LABORATORY OR RADIOLOGIC STUDIES TO CONFIRM
THE DIAGNOSIS .
MECHANISTIC THINKING IS GOVERNED BY THE PREMISE THAT:
A. KNOWLEDGE IS RELEVANT AND INFLUENCED BY OUR THOUGHTS , VALUES ,
AND IDEAS .
B. KNOWLEDGE IS PATTERNED IN A WAY THAT TRUTH WILL EVENTUALLY EVOLVE
AND FACILITATE OUR SUCCESS .
C. KNOWLEDGE MUST BE CERTAIN AND NOT SUBJECT TO ANY BELIEFS , VALUES ,
AND ATTITUDES OF THE EXAMINER AND /OR PATIENT .
18, 19, 20 EXAM QUESTIONS ANSWERS
KEY EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
UNLESS A LIFE -THREATENING SITUATION EXISTS , THE BEST GUIDE TO
DETERMINING THE PRIORITY FOR THE PATIENT 'S CONDITION SHOULD BE BASED
ON:
A. INTUITION .
B. PROBABILITY AND UTILITY .
C. THE USE OF ALGORITHMS .
D. THE EXAMINER' S INITIAL FAVORITE HYPOTHESIS . - CORRECT-ANSWERSB
PROBABILITY AND UTILITY SHOULD ALWAYS BE YOUR GUIDES TO SEQUENCING
YOUR ACTIONS , UNLESS A LIFE- THREATENING SITUATION EXISTS .
WHICH OF THE FOLLOWING SHOULD BE CONSIDERED WHEN DETERMINING A
NEED FOR ADDITIONAL EXAMINATION , TESTING , OR PROCEDURES?
A. THESE SHOULD BE DONE TO OBTAIN AS MUCH DATA AS POSSIBLE .
B. THESE SHOULD BE DONE TO ATTEMPT TO GET DATA THAT MIGHT BE
ASSOCIATED WITH MULTIPLE PROBLEMS.
C. THESE SHOULD BE DONE ONLY WHEN IT IS ABSOLUTELY NECESSARY .
D. THESE SHOULD BE DONE IF THEY RELATE TO THE EXAMINER' S HYPOTHESIS . -
CORRECT-ANSWERSD: C LINICAL REASONING DOES NOT REQUIRE A
COMPULSIVE LISTING OF ALL OF THE POSSIBLE OPTIONS IN DIAGNOSIS AND
MANAGEMENT . RATHER, IT IS DOMINATED BY HYPOTHESIS DEVELOPMENT ;
ASKING WHETHER A PARTICULAR DIAGNOSIS SHOULD BE MADE DEPENDING ON
ITS PROBABILITY ; AND WHETHER A TEST MAY BE INDICATED , DEPENDING ON
THE LIKELIHOOD SUGGESTED BY ITS SENSITIVITY AND SPECIFICITY
,MR. SHAKEN IS A 46-YEAR-OLD PATIENT WHO PRESENTS FOR A ROUTINE
PHYSICAL EXAMINATION . AFTER YOU HAVE IDENTIFIED AND CONFIRMED A
PROBLEM , THE NEXT STEP IS TO :
A. ASSESS THE DATA COLLECTED .
B. FORMULATE A CLINICAL OPINION .
C. CONDUCT FURTHER ASSESSMENT .
D. DETERMINE THE MANAGEMENT PLAN . - CORRECT-ANSWERSD: C LINICAL
REASONING IS THE PROCESS BY WHICH THE INFORMATION GATHERED FROM THE
HISTORY AND PHYSICAL EXAMINATION IS MERGED WITH CLINICAL KNOWLEDGE ,
EXPERIENCE , AND THE CURRENT BEST EVIDENCE TO FORMULATE THE NEXT
STEPS IN PATIENT CARE— DEVELOPMENT OF THE DIAGNOSTIC AND MANAGEMENT
PLANS .
THE USE OF A COMPUTER COULD POTENTIALLY BE DETRIMENTAL TO THE
EXAMINER BECAUSE :
A. IT MAY BECOME A SUBSTITUTE FOR CRITICAL THINKING .
B. COMPUTER DYSFUNCTION MAKES IT UNRELIABLE .
C. THE COMPUTER IS LIMITED IN THE AMOUNT OF DATA IT CAN INTERPRET .
D. THE LEVEL OF SKILL NEEDED TO RUN A DIAGNOSTIC COMPUTER PROGRAM IS
BEYOND THE COMPUTER SKILLS OF MOST EXAMINERS. - CORRECT-
ANSWERSA: THERE IS AN UNACCEPTABLE TEMPTATION AT TIMES TO
SUBSTITUTE ELECTRONIC SUPPORT FOR CRITICAL THINKING AND JUDGMENT . IT
IS YOUR RESPONSIBILITY TO ARTFULLY MERGE SUBJECTIVE AND OBJECTIVE DATA
WITH BEST EVIDENCE AND YOUR KNOWLEDGE AND EXPERIENCE TO MAKE A
CLINICAL JUDGMENT .
THE ETHICAL PRINCIPLE OF UTILITARIANISM IS INVOLVED :
A. WHEN THE DUTIES OF HEALTH CARE PROVIDERS ARE ESTABLISHED BY
TRADITION AND CULTURAL CONTEXT .
,B. WHEN HEALTH CARE PROVIDERS "DO NO HARM."
C. WHEN DECISIONS REGARDING HEALTH CARE INCLUDE APPROPRIATE USE OF
RESOURCES FOR THE GOOD OF THE COMMUNITY . CORRECT
D. WHEN THE INTERVIEW IS CONDUCTED APPROPRIATELY . - CORRECT-
ANSWERSC: U TILITARIANISM MEANS YOU SHOULD CONSIDER APPROPRIATE
USE OF RESOURCES WITH CONCERN FOR THE GREATER GOOD OF THE LARGER
COMMUNITY .
WHICH IS A GUIDELINE TO SOUND DECISION MAKING?
A. THE UNDERLYING PROBLEM IS ALWAYS RELATED TO THE CHIEF COMPLAINT .
B RARE PROBLEMS TEND TO HAVE UNUSUAL PRESENTATIONS .
C. COMMON PROBLEMS OCCUR COMMONLY , WHEREAS RARE ONES DO NOT.
D. A DIAGNOSIS SHOULD BE MADE QUICKLY TO ENHANCE PATIENT CONFIDENCE .
- CORRECT-ANSWERSC: R EMEMBER THAT COMMON PROBLEMS OCCUR
COMMONLY , AND RARE ONES DO NOT. COMMON PROBLEMS CAN HAVE UNUSUAL
PRESENTATIONS AND RARE ONES MAY HAVE A SEEMINGLY COMMON COMPLAINT .
LABORATORY TESTS SHOULD BE USED TO:
A. CONFIRM A PRESUMED DIAGNOSIS .
B. DEVELOP A LIST OF POTENTIAL PROBLEMS.
C. RULE OUT ALL POSSIBLE CAUSES OF SYMPTOMS AND CLINICAL FINDINGS .
D. ASSIST THE EXAMINER ONLY WHEN THE DATA DO NOT POINT TO A SPECIFIC
PROBLEM . - CORRECT-ANSWERSA: A FTER A MATCH BETWEEN THE DATA
(BOTH SUBJECTIVE AND OBJECTIVE ) AND A PRESUMED DIAGNOSIS IS MADE,
CONSIDER THE APPROPRIATE LABORATORY OR RADIOLOGIC STUDIES TO CONFIRM
THE DIAGNOSIS .
A PROBLEM IS BEST IDENTIFIED AS :
A. SOMETHING THAT BOTHERS THE PATIENT .
, B. SOMETHING THAT IS OUT OF THE ORDINARY .
C. SOMETHING THAT IS UNEXPLAINABLE .
D. SOMETHING THAT WILL NEED FURTHER EVALUATION AND / OR ATTENTION. -
CORRECT-ANSWERSD: A PROBLEM MAY BE DEFINED AS ANYTHING THAT
WILL NEED FURTHER EVALUATION AND /OR ATTENTION .
ONCE A CLOSE MATCH BETWEEN THE DATA AND DIAGNOSIS IS MADE , THE NEXT
STEP IN THE PROCESS IS TO :
A. RETURN TO THE PHYSICAL EXAMINATION AND REPEAT CERTAIN PARTS TO
VALIDATE THE PRESENCE OF SPECIFIC SIGNS .
B. CONSIDER LABORATORY TESTS / CONSULTATIONS NECESSARY FOR FURTHER
EVALUATION .
C. CONFIRM THE PRESUMPTIVE DIAGNOSIS WITH PATIENT .
D. REANALYZE HISTORY DATA TO DETERMINE WHERE MORE INFORMATION IS
NEEDED . - CORRECT-ANSWERSB: A FTER A MATCH BETWEEN THE DATA
(BOTH SUBJECTIVE AND OBJECTIVE ) AND A PRESUMED DIAGNOSIS IS MADE,
CONSIDER THE APPROPRIATE LABORATORY OR RADIOLOGIC STUDIES TO CONFIRM
THE DIAGNOSIS .
MECHANISTIC THINKING IS GOVERNED BY THE PREMISE THAT:
A. KNOWLEDGE IS RELEVANT AND INFLUENCED BY OUR THOUGHTS , VALUES ,
AND IDEAS .
B. KNOWLEDGE IS PATTERNED IN A WAY THAT TRUTH WILL EVENTUALLY EVOLVE
AND FACILITATE OUR SUCCESS .
C. KNOWLEDGE MUST BE CERTAIN AND NOT SUBJECT TO ANY BELIEFS , VALUES ,
AND ATTITUDES OF THE EXAMINER AND /OR PATIENT .
