Week 4 NR 509 Midterm exam prep a review of
250 questions and correct answers with
rationales/ NR509 Midterm exam preparation
test bank/ NR 509 midterm exam *2026-2027*
bates
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 - ANSWER-C) Personal and social history.
Personal and social history information includes educational level, family of
origin, current household status, personal interests, employment, religious beliefs,
military history, and lifestyle (including diet and exercise habits; use of alcohol,
tobacco, and/or drugs; and sexual preferences and history).
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
1
,C) Personal and social history
D) Review of systems - ANSWER-A) Chief complaint
The chief complaint is an attempt to quote the patient's own words. It is brief, like
a headline, and further details should be sought in the present illness section.
The following information is recorded in the health history: "Patient denies chest
pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - ANSWER-D) Review of systems
Review of systems documents the presence or absence of common symptoms
related to each major body system.
The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - ANSWER-B) Surgeries
2
,A cesarean section is a surgical procedure. Approximate dates or the age of the
patient at the time of the surgery should also be recorded.
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in
1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - ANSWER-A) Adult illnesses
The adult illnesses category is reserved for chronic illnesses, significant
hospitalizations, significant injuries, and significant procedures. A stent is a major
procedure but does not involve a surgery.
An obese 55-year-old woman went through menarche at age 16 and menopause 2
years ago. She is concerned because an aunt had severe osteoporosis. Which of the
following is a risk factor for osteoporosis?
A) Obesity
B) Late menopause
C) Having an aunt with osteoporosis
D) Delayed menarche - ANSWER-D) Delayed menarche
3
, Obesity and late menopause are not associated with osteoporosis. Having a first-
degree relative with osteoporosis is a risk factor, but an aunt is a second-degree
relative.
Delayed menarche is the only choice which is a known risk factor for osteoporosis.
A 38-year-old woman comes to you and has multiple small joints involved with
pain, swelling, and stiffness. Which of the following is the most likely
explanation?
A) Rheumatoid arthritis
B) Septic arthritis
C) Gout
D) Trauma - ANSWER-A) Rheumatoid arthritis
Rheumatoid arthritis is a systemic disease and accounts for multiple symmetrically
involved joints. Septic arthritis is usually monoarticular, as are gout and trauma-
related joint pain.
Mrs. Fletcher comes to your office with unilateral pain during chewing, which is
chronic.
She does not have facial tenderness or tenderness of the scalp. Which of the
following is the
most likely cause of her pain?
A) Trigeminal neuralgia
B) Temporomandibular joint syndrome
C) Temporal arteritis
D) Tumor of the mandible - ANSWER-B) Temporomandibular joint syndrome
4
250 questions and correct answers with
rationales/ NR509 Midterm exam preparation
test bank/ NR 509 midterm exam *2026-2027*
bates
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 - ANSWER-C) Personal and social history.
Personal and social history information includes educational level, family of
origin, current household status, personal interests, employment, religious beliefs,
military history, and lifestyle (including diet and exercise habits; use of alcohol,
tobacco, and/or drugs; and sexual preferences and history).
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
1
,C) Personal and social history
D) Review of systems - ANSWER-A) Chief complaint
The chief complaint is an attempt to quote the patient's own words. It is brief, like
a headline, and further details should be sought in the present illness section.
The following information is recorded in the health history: "Patient denies chest
pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - ANSWER-D) Review of systems
Review of systems documents the presence or absence of common symptoms
related to each major body system.
The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - ANSWER-B) Surgeries
2
,A cesarean section is a surgical procedure. Approximate dates or the age of the
patient at the time of the surgery should also be recorded.
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in
1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - ANSWER-A) Adult illnesses
The adult illnesses category is reserved for chronic illnesses, significant
hospitalizations, significant injuries, and significant procedures. A stent is a major
procedure but does not involve a surgery.
An obese 55-year-old woman went through menarche at age 16 and menopause 2
years ago. She is concerned because an aunt had severe osteoporosis. Which of the
following is a risk factor for osteoporosis?
A) Obesity
B) Late menopause
C) Having an aunt with osteoporosis
D) Delayed menarche - ANSWER-D) Delayed menarche
3
, Obesity and late menopause are not associated with osteoporosis. Having a first-
degree relative with osteoporosis is a risk factor, but an aunt is a second-degree
relative.
Delayed menarche is the only choice which is a known risk factor for osteoporosis.
A 38-year-old woman comes to you and has multiple small joints involved with
pain, swelling, and stiffness. Which of the following is the most likely
explanation?
A) Rheumatoid arthritis
B) Septic arthritis
C) Gout
D) Trauma - ANSWER-A) Rheumatoid arthritis
Rheumatoid arthritis is a systemic disease and accounts for multiple symmetrically
involved joints. Septic arthritis is usually monoarticular, as are gout and trauma-
related joint pain.
Mrs. Fletcher comes to your office with unilateral pain during chewing, which is
chronic.
She does not have facial tenderness or tenderness of the scalp. Which of the
following is the
most likely cause of her pain?
A) Trigeminal neuralgia
B) Temporomandibular joint syndrome
C) Temporal arteritis
D) Tumor of the mandible - ANSWER-B) Temporomandibular joint syndrome
4
