NSG 464 Physical Assessment for
Advanced Practice Midterm Exam
Questions With Correct Answers
A |19 |y/o |college |student, |Todd, |is |brought |to |your |clinic |by |his |mother. |She |is |concerned |that |
there |is |something |seriously |wrong |with |him. |She |states |for |the |past |6 |months |his |behavior |
has |become |peculiar |and |he |has |flunked |out |of |college. |Todd |denies |any |recent |illness |or |
injuries. |His |past |medical |history |is |remarkable |only |for |a |broken |foot. |His |parents |are |both |
healthy. |He |has |a |paternal |uncle |who |had |similar |symptoms |in |college. |The |patient |admits |to |
smoking |cigarettes |and |drinking |alcohol. |He |also |admits |to |marijuana |use |but |none |in |the |last |
week. |He |denies |using |any |other |substances. |He |denies |any |feelings |of |depression |or |anxiety. |
While |speaking |with |Todd |and |his |mother |you |do |a |complete |physical |examination, |which |is |
essentially |normal. |When |you |question |him |on |how |he |is |feeling, |he |says |that |he |is |very |
worried |that |Microsoft |has |stolen |his |software |for |creating |a |better |browser. |He |tells |you |he |
has |seen |a |- |CORRECT |ANSWER✔✔-D. |Schizophrenia |
Rationale: |Schizophrenia |generally |occurs |in |the |late |teens |to |early |20s. |It |often |is |seen |in |
other |family |members, |as |in |this |case. |Symptoms |must |be |present |for |at |least |6 |months |and |
must |have |at |least |two |features |of |1. |delusions |(e.g. |Microsoft |is |after |his |programs); |2. |
hallucinations |(e.g. |technicians |sending |telepathic |signals); |3. |disorganized |speech, |4. |
disorganized |behavior, |and |5. |negative |symptoms |such |as |flat |affect
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 |chief |complaint |of |"I |am |here |to |establish |care"
D. |A |new |patient |with |the |chief |complaint |of |"I |cut |my |hand" |- |CORRECT |ANSWER✔✔-C. |A |
new |patient |with |chief |complaint |of |"I |am |here |to |establish |care"
,rationale: |this |patient |is |here |to |establish |care, |and |because |she |is |new |to |you, |a |
comprehensive |health |history |is |appropriate
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 |- |CORRECT |ANSWER✔✔-B. |Thorax |and |Lungs |
rationale: |the |thorax |and |lungs |are |part |of |the |physical |examination, |not |part |of |the |health |
history. |The |other |answers |are |all |part |of |a |complete |health |history
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 |- |CORRECT |ANSWER✔✔-A. |Subjective |
Rationale: |This |is |information |given |by |the |patient |about |the |circumstances |of |his |chief |
complaint. |It |doesn't |represent |an |objective |observation |by |the |examiner
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 |- |CORRECT |ANSWER✔✔-B. |Objective |
Rationale: |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
,The |following |information |is |recorded |in |the |health |history: |"The |patient |had |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 |1-10. |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 |- |CORRECT |ANSWER✔✔-B. |Present |Illness |
Rationale: |This |info |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 |setting |in |which |it |occurred, |and |the |factors |that |aggravate |and |relieve |the |pain. |You |
will |notice |that |it |does |include |portions |of |the |pertinent |review |of |systems, |but |because |it |
related |directly |to |the |chief |complaint, |it |is |included |in |the |history |of |present |illness.
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 |- |CORRECT |ANSWER✔✔-C. |Personal |and |social |history |
Rationale: |Personal |and |social |history |information |includes |educational |level, |family |of |origin, |
current |household |status, |personal |interest, |employment, |religious |beliefs, |military |history, |
and |lifestyle |(including |diet |and |exercise |habits; |use |of |alcohol, |tobacco, |and |drugs; |sexual |
preferences |and |history). |All |of |this |information |is |documented |in |this |example
The |following |information |is |recorded |in |the |health |history: |"I |feel |really |tired". |Which |
category |does |this |belong |to?
, A. |Chief |complaint |
B. |Present |illness
C. |Personal |and |social |history |
D. |Review |of |systems |- |CORRECT |ANSWER✔✔-A. |Chief |complaint |
Rationale: |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
The |following |information |is |recorded |in |the |health |history: |"Patient |denies |chest |pain, |
palpitations, |orthopnea, |and |paroxysmal |nocturnal |dyspnea". |Which |category |does |this |belong
|to?
A. |Chief |complaint |
B. |Present |illness |
C. |Personal |and |social |history |
D. |Review |of |Systems |- |CORRECT |ANSWER✔✔-D. |Review |of |systems |
Rationale: |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
The |following |information |is |best |placed |in |which |category? |"The |patient |has |had |3 |Cesarean |
sections". |
A. |Adult |illnesses
B. |Surgeries |
C. |Obstetrics/Gynecologic |
D. |Psychiatric |- |CORRECT |ANSWER✔✔-B. |Surgeries |
Advanced Practice Midterm Exam
Questions With Correct Answers
A |19 |y/o |college |student, |Todd, |is |brought |to |your |clinic |by |his |mother. |She |is |concerned |that |
there |is |something |seriously |wrong |with |him. |She |states |for |the |past |6 |months |his |behavior |
has |become |peculiar |and |he |has |flunked |out |of |college. |Todd |denies |any |recent |illness |or |
injuries. |His |past |medical |history |is |remarkable |only |for |a |broken |foot. |His |parents |are |both |
healthy. |He |has |a |paternal |uncle |who |had |similar |symptoms |in |college. |The |patient |admits |to |
smoking |cigarettes |and |drinking |alcohol. |He |also |admits |to |marijuana |use |but |none |in |the |last |
week. |He |denies |using |any |other |substances. |He |denies |any |feelings |of |depression |or |anxiety. |
While |speaking |with |Todd |and |his |mother |you |do |a |complete |physical |examination, |which |is |
essentially |normal. |When |you |question |him |on |how |he |is |feeling, |he |says |that |he |is |very |
worried |that |Microsoft |has |stolen |his |software |for |creating |a |better |browser. |He |tells |you |he |
has |seen |a |- |CORRECT |ANSWER✔✔-D. |Schizophrenia |
Rationale: |Schizophrenia |generally |occurs |in |the |late |teens |to |early |20s. |It |often |is |seen |in |
other |family |members, |as |in |this |case. |Symptoms |must |be |present |for |at |least |6 |months |and |
must |have |at |least |two |features |of |1. |delusions |(e.g. |Microsoft |is |after |his |programs); |2. |
hallucinations |(e.g. |technicians |sending |telepathic |signals); |3. |disorganized |speech, |4. |
disorganized |behavior, |and |5. |negative |symptoms |such |as |flat |affect
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 |chief |complaint |of |"I |am |here |to |establish |care"
D. |A |new |patient |with |the |chief |complaint |of |"I |cut |my |hand" |- |CORRECT |ANSWER✔✔-C. |A |
new |patient |with |chief |complaint |of |"I |am |here |to |establish |care"
,rationale: |this |patient |is |here |to |establish |care, |and |because |she |is |new |to |you, |a |
comprehensive |health |history |is |appropriate
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 |- |CORRECT |ANSWER✔✔-B. |Thorax |and |Lungs |
rationale: |the |thorax |and |lungs |are |part |of |the |physical |examination, |not |part |of |the |health |
history. |The |other |answers |are |all |part |of |a |complete |health |history
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 |- |CORRECT |ANSWER✔✔-A. |Subjective |
Rationale: |This |is |information |given |by |the |patient |about |the |circumstances |of |his |chief |
complaint. |It |doesn't |represent |an |objective |observation |by |the |examiner
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 |- |CORRECT |ANSWER✔✔-B. |Objective |
Rationale: |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
,The |following |information |is |recorded |in |the |health |history: |"The |patient |had |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 |1-10. |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 |- |CORRECT |ANSWER✔✔-B. |Present |Illness |
Rationale: |This |info |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 |setting |in |which |it |occurred, |and |the |factors |that |aggravate |and |relieve |the |pain. |You |
will |notice |that |it |does |include |portions |of |the |pertinent |review |of |systems, |but |because |it |
related |directly |to |the |chief |complaint, |it |is |included |in |the |history |of |present |illness.
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 |- |CORRECT |ANSWER✔✔-C. |Personal |and |social |history |
Rationale: |Personal |and |social |history |information |includes |educational |level, |family |of |origin, |
current |household |status, |personal |interest, |employment, |religious |beliefs, |military |history, |
and |lifestyle |(including |diet |and |exercise |habits; |use |of |alcohol, |tobacco, |and |drugs; |sexual |
preferences |and |history). |All |of |this |information |is |documented |in |this |example
The |following |information |is |recorded |in |the |health |history: |"I |feel |really |tired". |Which |
category |does |this |belong |to?
, A. |Chief |complaint |
B. |Present |illness
C. |Personal |and |social |history |
D. |Review |of |systems |- |CORRECT |ANSWER✔✔-A. |Chief |complaint |
Rationale: |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
The |following |information |is |recorded |in |the |health |history: |"Patient |denies |chest |pain, |
palpitations, |orthopnea, |and |paroxysmal |nocturnal |dyspnea". |Which |category |does |this |belong
|to?
A. |Chief |complaint |
B. |Present |illness |
C. |Personal |and |social |history |
D. |Review |of |Systems |- |CORRECT |ANSWER✔✔-D. |Review |of |systems |
Rationale: |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
The |following |information |is |best |placed |in |which |category? |"The |patient |has |had |3 |Cesarean |
sections". |
A. |Adult |illnesses
B. |Surgeries |
C. |Obstetrics/Gynecologic |
D. |Psychiatric |- |CORRECT |ANSWER✔✔-B. |Surgeries |
