TXST NURS 5210 Advanced Health Assessment Practicum:
Practice Test 1 (Units 1-7) - Questions with Correct Answers
100 questions
1. The OLDCARTS mnemonic guides assessment of the:
A. Family history
B. History of present illness
C. Review of systems only
D. Physical exam
Correct Answer: B. History of present illness
Rationale: Symptom analysis.
2. The 'S' in SOAP includes:
A. Vital signs
B. Chief complaint, HPI, ROS and pertinent history
C. Lab results
D. Diagnosis
Correct Answer: B. Chief complaint, HPI, ROS and pertinent history
Rationale: Subjective.
3. Deliberate, analytical diagnostic reasoning is called:
A. System 1 thinking
B. System 2 thinking
C. Heuristics
D. Anchoring
Correct Answer: B. System 2 thinking
Rationale: Slower.
4. Documentation should be:
A. Vague
B. Judgmental
C. Delayed
D. Objective, specific and timely
Correct Answer: D. Objective, specific and timely
Rationale: Medicolegal.
5. In OLDCARTS, 'R' stands for:
A. Relief only
B. Risk
C. Rate
D. Radiation
Correct Answer: D. Radiation
Rationale: Spread of pain.
6. A differential diagnosis is:
A. The final diagnosis only
B. A lab test
C. A list of possible conditions that could explain the presentation, ranked by likelihood
D. A treatment plan
Correct Answer: C. A list of possible conditions that could explain the presentation, ranked
by likelihood
Rationale: Reasoning.
,7. Reviewing 'can't miss' diagnoses helps clinicians:
A. Increase cost
B. Avoid missing life-threatening conditions
C. Reduce exam time
D. Order fewer tests always
Correct Answer: B. Avoid missing life-threatening conditions
Rationale: Safety net.
8. A patient smoking 1.5 packs per day for 20 years has:
A. 20 pack-years
B. 30 pack-years
C. 15 pack-years
D. 60 pack-years
Correct Answer: B. 30 pack-years
Rationale: 1.5 x 20.
9. Open-ended questions are best used:
A. Early in the interview to let the patient tell their story
B. Only at the end
C. Never
D. To confirm yes/no facts
Correct Answer: A. Early in the interview to let the patient tell their story
Rationale: Narrative.
10. Diagnostic reasoning in which the clinician recognizes patterns quickly is called:
A. System 2 (analytical) thinking
B. System 1 (intuitive) thinking
C. Random guessing
D. Deduction only
Correct Answer: B. System 1 (intuitive) thinking
Rationale: Dual process.
11. A pertinent negative is:
A. An absent symptom or sign that helps narrow the differential
B. A positive finding
C. A lab error
D. An unrelated finding
Correct Answer: A. An absent symptom or sign that helps narrow the differential
Rationale: e.g., denies chest pain.
12. A positive PHQ-2 should be followed by:
A. No action
B. The PHQ-9
C. A CAGE screen
D. A MoCA
Correct Answer: B. The PHQ-9
Rationale: Further evaluation.
, 13. Cultural humility in assessment involves:
A. Assuming beliefs based on ethnicity
B. Ignoring culture
C. Self-reflection and openness to the patient's beliefs
D. Stereotyping
Correct Answer: C. Self-reflection and openness to the patient's beliefs
Rationale: Respect.
14. Pretest probability is influenced primarily by:
A. The test's color
B. The lab's location
C. The cost
D. The history, risk factors and prevalence
Correct Answer: D. The history, risk factors and prevalence
Rationale: Bayesian reasoning.
15. Motivational interviewing techniques include:
A. Lecturing
B. Confrontation
C. Closed questions only
D. Open questions, affirmations, reflective listening and summaries (OARS)
Correct Answer: D. Open questions, affirmations, reflective listening and summaries (OARS)
Rationale: Behavior change.
16. Spider angiomas are associated with:
A. Kidney stones
B. Diabetes only
C. Liver disease and pregnancy
D. Anemia
Correct Answer: C. Liver disease and pregnancy
Rationale: Estrogen.
17. Skin turgor in older adults is less reliable because of:
A. Increased elasticity
B. Dehydration always
C. Obesity
D. Decreased skin elasticity with aging
Correct Answer: D. Decreased skin elasticity with aging
Rationale: Aging.
18. Rosacea is characterized by:
A. Central facial erythema, flushing, telangiectasias and papules without comedones
B. Comedones on the back
C. Silvery plaques
D. Vesicles
Correct Answer: A. Central facial erythema, flushing, telangiectasias and papules without
comedones
Rationale: Adult facial.
Practice Test 1 (Units 1-7) - Questions with Correct Answers
100 questions
1. The OLDCARTS mnemonic guides assessment of the:
A. Family history
B. History of present illness
C. Review of systems only
D. Physical exam
Correct Answer: B. History of present illness
Rationale: Symptom analysis.
2. The 'S' in SOAP includes:
A. Vital signs
B. Chief complaint, HPI, ROS and pertinent history
C. Lab results
D. Diagnosis
Correct Answer: B. Chief complaint, HPI, ROS and pertinent history
Rationale: Subjective.
3. Deliberate, analytical diagnostic reasoning is called:
A. System 1 thinking
B. System 2 thinking
C. Heuristics
D. Anchoring
Correct Answer: B. System 2 thinking
Rationale: Slower.
4. Documentation should be:
A. Vague
B. Judgmental
C. Delayed
D. Objective, specific and timely
Correct Answer: D. Objective, specific and timely
Rationale: Medicolegal.
5. In OLDCARTS, 'R' stands for:
A. Relief only
B. Risk
C. Rate
D. Radiation
Correct Answer: D. Radiation
Rationale: Spread of pain.
6. A differential diagnosis is:
A. The final diagnosis only
B. A lab test
C. A list of possible conditions that could explain the presentation, ranked by likelihood
D. A treatment plan
Correct Answer: C. A list of possible conditions that could explain the presentation, ranked
by likelihood
Rationale: Reasoning.
,7. Reviewing 'can't miss' diagnoses helps clinicians:
A. Increase cost
B. Avoid missing life-threatening conditions
C. Reduce exam time
D. Order fewer tests always
Correct Answer: B. Avoid missing life-threatening conditions
Rationale: Safety net.
8. A patient smoking 1.5 packs per day for 20 years has:
A. 20 pack-years
B. 30 pack-years
C. 15 pack-years
D. 60 pack-years
Correct Answer: B. 30 pack-years
Rationale: 1.5 x 20.
9. Open-ended questions are best used:
A. Early in the interview to let the patient tell their story
B. Only at the end
C. Never
D. To confirm yes/no facts
Correct Answer: A. Early in the interview to let the patient tell their story
Rationale: Narrative.
10. Diagnostic reasoning in which the clinician recognizes patterns quickly is called:
A. System 2 (analytical) thinking
B. System 1 (intuitive) thinking
C. Random guessing
D. Deduction only
Correct Answer: B. System 1 (intuitive) thinking
Rationale: Dual process.
11. A pertinent negative is:
A. An absent symptom or sign that helps narrow the differential
B. A positive finding
C. A lab error
D. An unrelated finding
Correct Answer: A. An absent symptom or sign that helps narrow the differential
Rationale: e.g., denies chest pain.
12. A positive PHQ-2 should be followed by:
A. No action
B. The PHQ-9
C. A CAGE screen
D. A MoCA
Correct Answer: B. The PHQ-9
Rationale: Further evaluation.
, 13. Cultural humility in assessment involves:
A. Assuming beliefs based on ethnicity
B. Ignoring culture
C. Self-reflection and openness to the patient's beliefs
D. Stereotyping
Correct Answer: C. Self-reflection and openness to the patient's beliefs
Rationale: Respect.
14. Pretest probability is influenced primarily by:
A. The test's color
B. The lab's location
C. The cost
D. The history, risk factors and prevalence
Correct Answer: D. The history, risk factors and prevalence
Rationale: Bayesian reasoning.
15. Motivational interviewing techniques include:
A. Lecturing
B. Confrontation
C. Closed questions only
D. Open questions, affirmations, reflective listening and summaries (OARS)
Correct Answer: D. Open questions, affirmations, reflective listening and summaries (OARS)
Rationale: Behavior change.
16. Spider angiomas are associated with:
A. Kidney stones
B. Diabetes only
C. Liver disease and pregnancy
D. Anemia
Correct Answer: C. Liver disease and pregnancy
Rationale: Estrogen.
17. Skin turgor in older adults is less reliable because of:
A. Increased elasticity
B. Dehydration always
C. Obesity
D. Decreased skin elasticity with aging
Correct Answer: D. Decreased skin elasticity with aging
Rationale: Aging.
18. Rosacea is characterized by:
A. Central facial erythema, flushing, telangiectasias and papules without comedones
B. Comedones on the back
C. Silvery plaques
D. Vesicles
Correct Answer: A. Central facial erythema, flushing, telangiectasias and papules without
comedones
Rationale: Adult facial.
