Stuvia.com - The Marketplace to Buy and Sell your Study Material xx xx xx xx xx xx xx xx xx xx
NSG 6020 Midterm Exam Latest Already Graded
A+ Health Assessment South University
1. For which of the following patients would acomprehensive health history be
xx xx xx xx xx xx xx xx xx xx xx
appropriate?
A) Anewpatientwith thechiefcomplaint of —Isprainedmyankle‖
x x xx xx xx x xx xx x xx xx
B) Anestablishedpatientwiththechiefcomplaintof—Ihaveanupperrespiratory
x x x x x x x x x x x x
infection‖
xx
C) Anewpatientwiththechiefcomplaintof—Iamheretoestablishcare‖
x x x x x x x x x x x x x
D) Anewpatientwiththechiefcomplaintof—Icutmyhand‖
x x x x x x x x x x x
Ans: C
Feedback:
Thispatientis hereto establish care,and because sheis newto you, acomprehensive health
xx xx xx x xx xx xx xx xx x xx xx xx xx xx xx
history is appropriate.
xx xx xx
2. Thecomponents of the health historyinclude all of the following except which one?
xx xx xx xx xx xx xx xx xx xx xx xx xx
A) Reviewof systems xx xx
B) Thorax and lungs xx xx
C) Presentillness x
D) Personal and social items xx xx xx
Ans: B
Feedback:
Thethorax and lungs are partofthephysical examination, not partofthe health history.
x xx xx xx xx xx xx x xx xx xx xx xx xx xx
The others answers are all part of a complete health history.
x x xx xx xx xx xx xx xx xx xx xx
3. Is thefollowing information subjective or objective?
xx xx xx xx xx xx
Mr. M. hasshortness ofbreath thathaspersisted forthepast10days; it isworsewith activity
xx xx xx xx x xx xx xx xx xx xx xx xx xx xx xx x xx
and relieved by rest.
xx xx xx xx
A) Subjective
B) Objective
P a g e 1 | 218
xx xx xx x x xx xx
Downloaded by: Prose1 | xx xx xx xx Want to earn $1.236 xx xx xx
Distribution of this document is illegal xx xx xx xx xx extra per year? xx xx
, Stuvia.com - The Marketplace to Buy and Sell your Study Material xx xx xx xx xx xx xx xx xx xx
Ans: A
Feedback:
Thisis informationgiven bythepatientaboutthe circumstances ofhischief complaint. It
x xx xx xx x xx xx xx xx xx xx xx xx x x
does not represent an objective observation by the examiner.
xx xx xx xx xx xx xx xx xx
4. Is thefollowing information subjective or objective?
xx xx xx xx xx xx
Mr. M. has a respiratory rate of 32 and apulse rate of 120.
xx xx xx xx xx xx xx xx xx xx xx xx xx
A) Subjective
B) Objective
Ans: B
Feedback:
Thisisameasurement obtained bytheexaminer, so it is considered objective data.
xx xx xx xx xx x xx xx xx xx xx xx xx
Thepatient is unlikely to beable to givethis information to the examiner.
x xx xx xx xx xx xx xx xx xx xx xx xx
5. The following information is recorded in the health history: —The patient has had
xx x xx xx xx xx x xx xx xx x x
abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
is located in the mid-epigastric area.‖
xx xx xx xx xx xx
Whichof these categories does it belong to? xx xx xx xx xx xx xx
A) Chiefcomplaint xx
B) Presentillness x
C) Personal and social history xx xx xx
D) Reviewof systems xx xx
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the present illness.
xx xx xx xx xx xx xx xx xx xx xx xx
The interviewer has obtained the location, timing, severity, and associated
xx xx xx xx xx xx xx xx xx xx
manifestations of the pain. The interviewer will still need to obtain information
xx xx xx xx xx xx xx xx xx xx xx xx
concerning the quality of the pain, the setting in which it occurred, and the factors that
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
aggravateandalleviatethepain. Youwillnoticethatitdoesincludeportions of the
x xx xx x x x x xx xx x x xx xx x xx xx
pertinent review of systems, but because it relates directly to the complaint, it is
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
included in the historyof present illness. xx xx xx xx xx xx
6. Thefollowinginformationisrecordedin thehealthhistory:—Thepatientcompleted 8th
xx xx xx xx xx xx xx xx xx xx xx xx
grade.He currentlylives with his wifeand two children. Heworks on old carson the weekend.
xx xx xx x xx xx xx x xx xx xx xx xx xx xx xx xx xx
He works in a glass factory during the week.‖
xx xx xx xx xx xx xx xx xx
Whichcategory does it belong to? xx xx xx xx xx
A) Chiefcomplaint xx
B) Presentillness x
P a g e 2 | 218
xx xx xx x x xx xx
Downloaded by: Prose1 | xx xx xx xx Want to earn $1.236 xx xx xx
Distribution of this document is illegal xx xx xx xx xx extra per year? xx xx
, Stuvia.com - The Marketplace to Buy and Sell your Study Materialxx xx xx xx xx xx xx xx xx xx
C) Personal and social history xx xx xx
D) Reviewof systems xx xx
Ans: C
Feedback:
Personal and social history information includes educational level, family of origin,
xx xx xx xx xx xx xx xx xx xx
current household status, personal interests, employment, religious beliefs, military
xx xx xx xx xx xx xx xx xx
history,andlifestyle(includingdietandexercisehabits;useofalcohol,tobacco,and/ or
xx x xx x x x x x x x x x x xx
drugs; and sexual preferences and history).All of this information is documented
xx xx xx xx xx xx xx xx xx xx xx xx
in this example.
xx xx
7. Thefollowinginformationisrecordedinthehealthhistory:—Ifeelreallytired.‖
x x x x x x x x x x x x
Whichcategory does it belong to? xx xx xx xx xx
A) Chiefcomplaint xx
B) Presentillness x
C) Personal and social history xx xx xx
D) Reviewof systems xx xx
Ans: A
Feedback:
The chief complaint is an attempt to quote the patient's own words, as long as they are
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
suitabletoprint. Itisbrief,likeaheadline, and furtherdetails should besoughtin the present
x xx xx xx xx xx xx x x xx xx xx xx xx xx xx xx xx
illness section. The above information is a chief complaint.
xx xx xx xx xx xx xx xx xx
8. Thefollowinginformationisrecordedinthehealthhistory:—Patientdenieschest pain,
x x x x x x x x x x x xx
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
xx xx xx xx xx xx
Whichcategory does it belong to? xx xx xx xx xx
A) Chiefcomplaint xx
B) Presentillness x
C) Personal and social history xx xx xx
D) Reviewof systems xx xx
Ans: D
Feedback:
Reviewofsystems documentsthepresenceorabsenceofcommonsymptomsrelated to
x x xx xx x xx xx xx xx xx xx xx
each major body system. The absence of cardiac symptoms is listed in the above
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
example.
xx
9. Thefollowing information is best placed in which category?
x xx xx xx xx xx xx xx
—The patient has had three cesarean sections.‖
xx xx x x x x xx xx
A) Adult illnesses xx
B) Surgeries
C) Obstetrics/gynecology
P a g e 3 | 218
xx xx xx x x xx xx
Downloaded by: Prose1 | xx xx xx xx Want to earn $1.236 xx xx xx
Distribution of this document is illegal xx xx xx xx xx extra per year? xx xx
, Stuvia.com - The Marketplace to Buy and Sell your Study Material xx xx xx xx xx xx xx xx xx xx
D) Psychiatric
Ans: B
Feedback:
Acesareansectionisasurgicalprocedure.Approximatedatesortheageof the patient at
x x xx xx x xx x xx xx xx xx xx xx xx xx
the time of the surgery should also be recorded.
xx xx xx xx xx xx xx xx xx
10. Thefollowing information is best placed in which category?
x xx xx xx xx xx xx xx
—Thepatienthadastentplacedintheleftanterior descendingartery(LAD) in1999.‖
x x xx x x xx x x xx xx x x xx x
A) Adult illnesses xx
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
The adult illnesses category is reserved for chronic illnesses, significant hospitalizations,
xx xx xx xx xx xx xx xx xx xx
significantinjuries,andsignificantprocedures.Astentisamajor procedure but does not
x x x x xx x x x x xx xx xx xx xx
involve a surgeon.
xx xx xx
11. Thefollowing information is best placed in which category?
x xx xx xx xx xx xx xx
—Thepatientwastreatedforanasthmaexacerbationinthehospitallastyear;the
x x x xx x x x x x x x xx x
patient has never been intubated.‖ xx xx xx xx
A) Adult illnesses xx
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
This is information about a significant hospitalization and should be placed in the adult
xx xx xx xx xx xx xx xx xx xx xx xx xx
illnesses section. If the patient is being seen for an asthma exacerbation, you may
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
considerplacingthis informationinthepresent illnesssection,becauseit relates
x xx xx xx xx xx x xx x x x xx
to thechief complaint at that visit.
xx xx xx xx xx xx
1. Apatientpresents for evaluation of asharp, aching chest pain which increases with
x xx xx xx xx xx xx xx xx xx xx xx xx
breathing.Which anatomic areawould you localize thesymptom to? x xx xx xx xx xx xx xx xx
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
P a g e 4 | 218
xx xx xx x x xx xx
Downloaded by: Prose1 | xx xx xx xx Want to earn $1.236xx xx xx
Distribution of this document is illegal xx xx xx xx xx extra per year? xx xx
NSG 6020 Midterm Exam Latest Already Graded
A+ Health Assessment South University
1. For which of the following patients would acomprehensive health history be
xx xx xx xx xx xx xx xx xx xx xx
appropriate?
A) Anewpatientwith thechiefcomplaint of —Isprainedmyankle‖
x x xx xx xx x xx xx x xx xx
B) Anestablishedpatientwiththechiefcomplaintof—Ihaveanupperrespiratory
x x x x x x x x x x x x
infection‖
xx
C) Anewpatientwiththechiefcomplaintof—Iamheretoestablishcare‖
x x x x x x x x x x x x x
D) Anewpatientwiththechiefcomplaintof—Icutmyhand‖
x x x x x x x x x x x
Ans: C
Feedback:
Thispatientis hereto establish care,and because sheis newto you, acomprehensive health
xx xx xx x xx xx xx xx xx x xx xx xx xx xx xx
history is appropriate.
xx xx xx
2. Thecomponents of the health historyinclude all of the following except which one?
xx xx xx xx xx xx xx xx xx xx xx xx xx
A) Reviewof systems xx xx
B) Thorax and lungs xx xx
C) Presentillness x
D) Personal and social items xx xx xx
Ans: B
Feedback:
Thethorax and lungs are partofthephysical examination, not partofthe health history.
x xx xx xx xx xx xx x xx xx xx xx xx xx xx
The others answers are all part of a complete health history.
x x xx xx xx xx xx xx xx xx xx xx
3. Is thefollowing information subjective or objective?
xx xx xx xx xx xx
Mr. M. hasshortness ofbreath thathaspersisted forthepast10days; it isworsewith activity
xx xx xx xx x xx xx xx xx xx xx xx xx xx xx xx x xx
and relieved by rest.
xx xx xx xx
A) Subjective
B) Objective
P a g e 1 | 218
xx xx xx x x xx xx
Downloaded by: Prose1 | xx xx xx xx Want to earn $1.236 xx xx xx
Distribution of this document is illegal xx xx xx xx xx extra per year? xx xx
, Stuvia.com - The Marketplace to Buy and Sell your Study Material xx xx xx xx xx xx xx xx xx xx
Ans: A
Feedback:
Thisis informationgiven bythepatientaboutthe circumstances ofhischief complaint. It
x xx xx xx x xx xx xx xx xx xx xx xx x x
does not represent an objective observation by the examiner.
xx xx xx xx xx xx xx xx xx
4. Is thefollowing information subjective or objective?
xx xx xx xx xx xx
Mr. M. has a respiratory rate of 32 and apulse rate of 120.
xx xx xx xx xx xx xx xx xx xx xx xx xx
A) Subjective
B) Objective
Ans: B
Feedback:
Thisisameasurement obtained bytheexaminer, so it is considered objective data.
xx xx xx xx xx x xx xx xx xx xx xx xx
Thepatient is unlikely to beable to givethis information to the examiner.
x xx xx xx xx xx xx xx xx xx xx xx xx
5. The following information is recorded in the health history: —The patient has had
xx x xx xx xx xx x xx xx xx x x
abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
is located in the mid-epigastric area.‖
xx xx xx xx xx xx
Whichof these categories does it belong to? xx xx xx xx xx xx xx
A) Chiefcomplaint xx
B) Presentillness x
C) Personal and social history xx xx xx
D) Reviewof systems xx xx
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the present illness.
xx xx xx xx xx xx xx xx xx xx xx xx
The interviewer has obtained the location, timing, severity, and associated
xx xx xx xx xx xx xx xx xx xx
manifestations of the pain. The interviewer will still need to obtain information
xx xx xx xx xx xx xx xx xx xx xx xx
concerning the quality of the pain, the setting in which it occurred, and the factors that
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
aggravateandalleviatethepain. Youwillnoticethatitdoesincludeportions of the
x xx xx x x x x xx xx x x xx xx x xx xx
pertinent review of systems, but because it relates directly to the complaint, it is
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
included in the historyof present illness. xx xx xx xx xx xx
6. Thefollowinginformationisrecordedin thehealthhistory:—Thepatientcompleted 8th
xx xx xx xx xx xx xx xx xx xx xx xx
grade.He currentlylives with his wifeand two children. Heworks on old carson the weekend.
xx xx xx x xx xx xx x xx xx xx xx xx xx xx xx xx xx
He works in a glass factory during the week.‖
xx xx xx xx xx xx xx xx xx
Whichcategory does it belong to? xx xx xx xx xx
A) Chiefcomplaint xx
B) Presentillness x
P a g e 2 | 218
xx xx xx x x xx xx
Downloaded by: Prose1 | xx xx xx xx Want to earn $1.236 xx xx xx
Distribution of this document is illegal xx xx xx xx xx extra per year? xx xx
, Stuvia.com - The Marketplace to Buy and Sell your Study Materialxx xx xx xx xx xx xx xx xx xx
C) Personal and social history xx xx xx
D) Reviewof systems xx xx
Ans: C
Feedback:
Personal and social history information includes educational level, family of origin,
xx xx xx xx xx xx xx xx xx xx
current household status, personal interests, employment, religious beliefs, military
xx xx xx xx xx xx xx xx xx
history,andlifestyle(includingdietandexercisehabits;useofalcohol,tobacco,and/ or
xx x xx x x x x x x x x x x xx
drugs; and sexual preferences and history).All of this information is documented
xx xx xx xx xx xx xx xx xx xx xx xx
in this example.
xx xx
7. Thefollowinginformationisrecordedinthehealthhistory:—Ifeelreallytired.‖
x x x x x x x x x x x x
Whichcategory does it belong to? xx xx xx xx xx
A) Chiefcomplaint xx
B) Presentillness x
C) Personal and social history xx xx xx
D) Reviewof systems xx xx
Ans: A
Feedback:
The chief complaint is an attempt to quote the patient's own words, as long as they are
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
suitabletoprint. Itisbrief,likeaheadline, and furtherdetails should besoughtin the present
x xx xx xx xx xx xx x x xx xx xx xx xx xx xx xx xx
illness section. The above information is a chief complaint.
xx xx xx xx xx xx xx xx xx
8. Thefollowinginformationisrecordedinthehealthhistory:—Patientdenieschest pain,
x x x x x x x x x x x xx
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
xx xx xx xx xx xx
Whichcategory does it belong to? xx xx xx xx xx
A) Chiefcomplaint xx
B) Presentillness x
C) Personal and social history xx xx xx
D) Reviewof systems xx xx
Ans: D
Feedback:
Reviewofsystems documentsthepresenceorabsenceofcommonsymptomsrelated to
x x xx xx x xx xx xx xx xx xx xx
each major body system. The absence of cardiac symptoms is listed in the above
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
example.
xx
9. Thefollowing information is best placed in which category?
x xx xx xx xx xx xx xx
—The patient has had three cesarean sections.‖
xx xx x x x x xx xx
A) Adult illnesses xx
B) Surgeries
C) Obstetrics/gynecology
P a g e 3 | 218
xx xx xx x x xx xx
Downloaded by: Prose1 | xx xx xx xx Want to earn $1.236 xx xx xx
Distribution of this document is illegal xx xx xx xx xx extra per year? xx xx
, Stuvia.com - The Marketplace to Buy and Sell your Study Material xx xx xx xx xx xx xx xx xx xx
D) Psychiatric
Ans: B
Feedback:
Acesareansectionisasurgicalprocedure.Approximatedatesortheageof the patient at
x x xx xx x xx x xx xx xx xx xx xx xx xx
the time of the surgery should also be recorded.
xx xx xx xx xx xx xx xx xx
10. Thefollowing information is best placed in which category?
x xx xx xx xx xx xx xx
—Thepatienthadastentplacedintheleftanterior descendingartery(LAD) in1999.‖
x x xx x x xx x x xx xx x x xx x
A) Adult illnesses xx
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
The adult illnesses category is reserved for chronic illnesses, significant hospitalizations,
xx xx xx xx xx xx xx xx xx xx
significantinjuries,andsignificantprocedures.Astentisamajor procedure but does not
x x x x xx x x x x xx xx xx xx xx
involve a surgeon.
xx xx xx
11. Thefollowing information is best placed in which category?
x xx xx xx xx xx xx xx
—Thepatientwastreatedforanasthmaexacerbationinthehospitallastyear;the
x x x xx x x x x x x x xx x
patient has never been intubated.‖ xx xx xx xx
A) Adult illnesses xx
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
This is information about a significant hospitalization and should be placed in the adult
xx xx xx xx xx xx xx xx xx xx xx xx xx
illnesses section. If the patient is being seen for an asthma exacerbation, you may
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
considerplacingthis informationinthepresent illnesssection,becauseit relates
x xx xx xx xx xx x xx x x x xx
to thechief complaint at that visit.
xx xx xx xx xx xx
1. Apatientpresents for evaluation of asharp, aching chest pain which increases with
x xx xx xx xx xx xx xx xx xx xx xx xx
breathing.Which anatomic areawould you localize thesymptom to? x xx xx xx xx xx xx xx xx
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
P a g e 4 | 218
xx xx xx x x xx xx
Downloaded by: Prose1 | xx xx xx xx Want to earn $1.236xx xx xx
Distribution of this document is illegal xx xx xx xx xx extra per year? xx xx
