NSG6020 Week 2 Quiz 1 (2026)
Questions and Answers
South University - Advanced Health Assessment for Nurse Practitioners
Section 1: Comprehensive Health History and Interviewing Techniques (Q1-Q8)
Section 2: General Survey, Vital Signs, and Pain Assessment (Q9-Q13)
Section 3: Integumentary and HEENT Assessment (Q14-Q19)
Section 4: Documentation, Clinical Reasoning, and Ethical Considerations (Q20-Q25)
NSG6020 Week 2 Quiz 1 (2026) South University | Page 1
, NSG6020 Week 2 Quiz 1 South University
Section 1: Comprehensive Health History and Interviewing Techniques
HPI, OLDCARTS, PMH, FH, SH, and ROS
Q1: A 52-year-old female presents with headaches. Using OLDCARTS, which component is assessed when the NP
asks, 'What makes the headache better or worse?'
A. Onset
B. Timing
C. Aggravating and Alleviating factors [CORRECT]
D. Severity
Correct Answer: C
Rationale: Aggravating and Alleviating factors specifically address what worsens or improves the symptom. Onset assesses when it
started, Timing assesses when it occurs, and Severity uses a 0-10 scale. These factors narrow the differential diagnosis and guide
intervention planning.
Q2: A 40-year-old male patient's father died of MI at 48 and mother has type 2 diabetes. Which tool best documents
this systematically?
A. A body systems review checklist
B. A three-generation genogram [CORRECT]
C. A functional assessment scale
D. A pain assessment flow sheet
Correct Answer: B
Rationale: A three-generation genogram systematically documents family health history including cardiovascular disease and diabetes
across three generations. Checklists and flow sheets serve different purposes (system review and pain tracking), and functional scales
assess ADLs, not familial disease patterns.
Q3: A patient reports unintentional 15-pound weight loss over two months, night sweats, and fatigue. Which ROS
category captures these findings?
A. Skin, Respiratory, and Cardiovascular
B. GI, GU, and Musculoskeletal
C. General: weight change, fatigue, night sweats [CORRECT]
D. Psych, Neuro, and Endocrine
Correct Answer: C
Rationale: The General ROS category includes weight changes, fatigue, fever, chills, and night sweats as systemic symptoms. These do
not localize to a single organ system and often signal malignancy, infection, or endocrine disorders requiring further investigation.
Q4: A patient reports drinking 'a couple of beers' daily and smoking 'a few cigarettes' on weekends. What is the best
approach for accurate documentation?
A. Document the vague descriptions exactly as stated
B. Use validated tools: AUDIT-C for alcohol and pack-year calculation for tobacco [CORRECT]
C. Assume minimization and document higher estimates
D. Skip substance use details to maintain rapport
Correct Answer: B
NSG6020 Week 2 Quiz 1 (2026) South University | Page 2
Questions and Answers
South University - Advanced Health Assessment for Nurse Practitioners
Section 1: Comprehensive Health History and Interviewing Techniques (Q1-Q8)
Section 2: General Survey, Vital Signs, and Pain Assessment (Q9-Q13)
Section 3: Integumentary and HEENT Assessment (Q14-Q19)
Section 4: Documentation, Clinical Reasoning, and Ethical Considerations (Q20-Q25)
NSG6020 Week 2 Quiz 1 (2026) South University | Page 1
, NSG6020 Week 2 Quiz 1 South University
Section 1: Comprehensive Health History and Interviewing Techniques
HPI, OLDCARTS, PMH, FH, SH, and ROS
Q1: A 52-year-old female presents with headaches. Using OLDCARTS, which component is assessed when the NP
asks, 'What makes the headache better or worse?'
A. Onset
B. Timing
C. Aggravating and Alleviating factors [CORRECT]
D. Severity
Correct Answer: C
Rationale: Aggravating and Alleviating factors specifically address what worsens or improves the symptom. Onset assesses when it
started, Timing assesses when it occurs, and Severity uses a 0-10 scale. These factors narrow the differential diagnosis and guide
intervention planning.
Q2: A 40-year-old male patient's father died of MI at 48 and mother has type 2 diabetes. Which tool best documents
this systematically?
A. A body systems review checklist
B. A three-generation genogram [CORRECT]
C. A functional assessment scale
D. A pain assessment flow sheet
Correct Answer: B
Rationale: A three-generation genogram systematically documents family health history including cardiovascular disease and diabetes
across three generations. Checklists and flow sheets serve different purposes (system review and pain tracking), and functional scales
assess ADLs, not familial disease patterns.
Q3: A patient reports unintentional 15-pound weight loss over two months, night sweats, and fatigue. Which ROS
category captures these findings?
A. Skin, Respiratory, and Cardiovascular
B. GI, GU, and Musculoskeletal
C. General: weight change, fatigue, night sweats [CORRECT]
D. Psych, Neuro, and Endocrine
Correct Answer: C
Rationale: The General ROS category includes weight changes, fatigue, fever, chills, and night sweats as systemic symptoms. These do
not localize to a single organ system and often signal malignancy, infection, or endocrine disorders requiring further investigation.
Q4: A patient reports drinking 'a couple of beers' daily and smoking 'a few cigarettes' on weekends. What is the best
approach for accurate documentation?
A. Document the vague descriptions exactly as stated
B. Use validated tools: AUDIT-C for alcohol and pack-year calculation for tobacco [CORRECT]
C. Assume minimization and document higher estimates
D. Skip substance use details to maintain rapport
Correct Answer: B
NSG6020 Week 2 Quiz 1 (2026) South University | Page 2
