History – 2026/2027 Edition – Actual Questions
with 100% Verified Correct Answers
Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
OVERVIEW:
NSG 6020 Quiz 1 - Building a Comprehensive Health History – 2026/2027 covers
POMR documentation, infant fontanel assessment, subjective pain recording,
adolescent confidentiality, focused history selection, complementary therapies,
personal/social history placement, beneficence and deontologic ethics, landmark-
based physical exam documentation, mental status, ADL vs IADL, constitutional
ROS, interpreter use, allergy history, therapeutic communication including
silence, crying, leading questions, and chief complaint definition.
Answers are in bold Green, with rationales after.
Question 1: When recording assessments during the construction of the problem-
oriented medical record, the examiner should:
A) List all assessments in chronological order
B) Make an assessment for each unique problem after the problem list is
constructed
C) Record only subjective data
D) Combine all problems into one assessment
Rationale: Once the examiner has a list of problems constructed, then an assessment
is made for each unique problem.
, Question 2: What finding is unique to the documentation of a physical examination of
an infant?
A) Liver span
B) Prostate size
C) Size & characteristic of the fontanel
D) Thyroid position and visual acuity
Rationale: The size & characteristic of the fontanel are unique & important in the
assessment of an infant. Data on liver span, prostate size, thyroid position, & visual
acuity are adult assessment findings.
Question 3: The quality of a symptom, such as pain, is subjective information that
should be:
A) Recorded by the examiner's observation
B) Measured with lab tests
C) Recorded in the patient's own words using a 1-to-10 scale – only patient can
rate severity
D) Ignored if vital signs are normal
Rationale: Pain is subjective & only the patient can rate the perceived severity. Pain,
therefore, should be recorded in the history using a 1-to-10 scale.
Question 4: When communicating with older children & teenagers, you should be
sensitive to their:
A) Need for constant parental presence
B) Need for confidentiality and reluctance to talk
C) Need for detailed medical terminology
D) Need for immediate physical exam
Rationale: Adolescents are usually reluctant to talk; therefore, the provider should
clearly communicate a respect for their confidentiality.