NUR 504 - Final UPDATED ACTUAL
Exam Questions and CORRECT Answers
Which of the following is an example of subjective data that may be collected during a health
assessment?
a. Height and weight
b. A patient's recall of his or her past health conditions
c. Results from an abdominal CT scan
d. Complete blood count - CORRECT ANSWER - b. A patient's recall of his or her past
health conditions
1. Which of the following is true regarding the data taken in a health history?
a. Most health history data are objective and measurable.
b. Objective data are error-free, quantifiable data.
c. Subjective data, being inherently less accurate, are of less value than objective data.
d. A successful individualized plan of care must incorporate subjective data. - CORRECT
ANSWER - d. A successful individualized plan of care must incorporate subjective data.
1. What do Coulehan and Block define as "listening to the total communication . . . and letting
the patient know that you are really hearing"?
a. Cultural competence
b. Patience
c. Empathy
d. Top-tier communication - CORRECT ANSWER - c. Empathy
1. The provider is preparing to take a health history for a new patient. He takes the patient to a
private room and asks the patient to don a hospital gown. After stepping outside to give the
patient sufficient time to change, he then comes back in and asks permission to conduct the
history. He sits next to the patient at eye level, discreetly observes the patient for any sensory
deficits, and asks the patient if he may take brief notes of the conversation. During the
conversation, he gives the patient time to answer questions fully. He makes sure that his
,questions do not contain technical terms and quietly observes the patient's nonverbal behaviors
throughout. Which mistake did the provider make?
a. He should have allowed the patient to remain fully clothed in their own clothing for their
comfort.
b. He should not have omitted technical terminology. Patients like having a chance to learn.
c. He should have seated - CORRECT ANSWER - a. He should have allowed the patient
to remain fully clothed in their own clothing for their comfort.
1. Which of the following is true of both comprehensive and focused health histories?
a. They both include identifying data.
b. They both include a social history.
c. They both include a family history.
d. They are both conducted in emergency situations. - CORRECT ANSWER - a. They
both include identifying data.
1. In the mnemonic devise PQRST, which of the following includes describing the location of
the symptoms?
a. Precipitating factors
b. Quality
c. Radiation
d. Severity - CORRECT ANSWER - b. Quality
1. What is the current mnemonic device for taking a health history?
a. PQRST
b. CLIENT OUTCOMES
c. PRACTICE
d. GOOD MEDICINE - CORRECT ANSWER - b. CLIENT OUTCOMES
1. When taking a PMI, which of the following is correct?
a. Do not take the statement "I'm allergic to. . . " at face value.
,b. Ask the patient for a very brief summary of their current health.
c. If a patient states that they have been vaccinated with BCG, make sure to administer a PPD
test.
d. CAM documentation is no longer a requirement. - CORRECT ANSWER - a. Do not
take the statement "I'm allergic to. . . " at face value.
1. Which of the following is a first-degree relative to the patient who has experienced premature
onset of CVD?
a. Sister at 62
b. Cousin at 62
c. Aunt at 59
d. Grandfather at 44 - CORRECT ANSWER - a. Sister at 62
1. Recording the patient's occupation falls under which category?
a. PHI
b. FH
c. SH
d. ROS - CORRECT ANSWER - c. SH
1. A focused ROS:
a. involves a wider range and shallower level of questions than a comprehensive ROS.
b. includes questions directed toward the systems most likely to be involved in the patient's
symptoms.
c. includes questions seeking significant positives to narrow down the body systems affected.
d. covers all body systems. - CORRECT ANSWER - b. includes questions directed toward
the systems most likely to be involved in the patient's symptoms.
1. A patient comes to the clinic complaining of repeated headaches and lightheadedness. As the
provider takes a health history, he or she should:
a. perform a comprehensive ROS.
, b. skip the social history in order to focus on the current issue.
c. focus her interest and questions on the patient's neurologic system.
d. spend a good deal of time assessing the reliability of the information she is getting. -
CORRECT ANSWER - c. focus her interest and questions on the patient's neurologic
system.
A patient's recall of his or her current health needs and past health is subject to error and is also a
critical component in the caregiving process? - CORRECT ANSWER - True
Ethnocentrism, belief in the superiority of one's own beliefs and values, is a major barrier to
establishing effective patient-provider relationships? - CORRECT ANSWER - True
A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhealthy diet, is unwilling
to follow his provider's recommendations to modify his routine. Because he has not yet
experienced the negative health consequences of his actions, he cannot be classified as resistant?
- CORRECT ANSWER - False
1. When taking a patient's chief complaint, rephrase the stated reason using standard medical
terminology for clarity. - CORRECT ANSWER - False
Family history should include both parents and grandparents, if information is known. -
CORRECT ANSWER - True
Social history includes a detailed diet history, best performed as a record of food and beverage
intake by the patient for a typical week, that includes things like use of salt and oil in food
preparation and methods of cooking - CORRECT ANSWER - True
1. What are the two main general considerations of physical examinations listed in the text?
a. Preparation and sequence
b. Medical and financial
c. Patient interaction and scope
Exam Questions and CORRECT Answers
Which of the following is an example of subjective data that may be collected during a health
assessment?
a. Height and weight
b. A patient's recall of his or her past health conditions
c. Results from an abdominal CT scan
d. Complete blood count - CORRECT ANSWER - b. A patient's recall of his or her past
health conditions
1. Which of the following is true regarding the data taken in a health history?
a. Most health history data are objective and measurable.
b. Objective data are error-free, quantifiable data.
c. Subjective data, being inherently less accurate, are of less value than objective data.
d. A successful individualized plan of care must incorporate subjective data. - CORRECT
ANSWER - d. A successful individualized plan of care must incorporate subjective data.
1. What do Coulehan and Block define as "listening to the total communication . . . and letting
the patient know that you are really hearing"?
a. Cultural competence
b. Patience
c. Empathy
d. Top-tier communication - CORRECT ANSWER - c. Empathy
1. The provider is preparing to take a health history for a new patient. He takes the patient to a
private room and asks the patient to don a hospital gown. After stepping outside to give the
patient sufficient time to change, he then comes back in and asks permission to conduct the
history. He sits next to the patient at eye level, discreetly observes the patient for any sensory
deficits, and asks the patient if he may take brief notes of the conversation. During the
conversation, he gives the patient time to answer questions fully. He makes sure that his
,questions do not contain technical terms and quietly observes the patient's nonverbal behaviors
throughout. Which mistake did the provider make?
a. He should have allowed the patient to remain fully clothed in their own clothing for their
comfort.
b. He should not have omitted technical terminology. Patients like having a chance to learn.
c. He should have seated - CORRECT ANSWER - a. He should have allowed the patient
to remain fully clothed in their own clothing for their comfort.
1. Which of the following is true of both comprehensive and focused health histories?
a. They both include identifying data.
b. They both include a social history.
c. They both include a family history.
d. They are both conducted in emergency situations. - CORRECT ANSWER - a. They
both include identifying data.
1. In the mnemonic devise PQRST, which of the following includes describing the location of
the symptoms?
a. Precipitating factors
b. Quality
c. Radiation
d. Severity - CORRECT ANSWER - b. Quality
1. What is the current mnemonic device for taking a health history?
a. PQRST
b. CLIENT OUTCOMES
c. PRACTICE
d. GOOD MEDICINE - CORRECT ANSWER - b. CLIENT OUTCOMES
1. When taking a PMI, which of the following is correct?
a. Do not take the statement "I'm allergic to. . . " at face value.
,b. Ask the patient for a very brief summary of their current health.
c. If a patient states that they have been vaccinated with BCG, make sure to administer a PPD
test.
d. CAM documentation is no longer a requirement. - CORRECT ANSWER - a. Do not
take the statement "I'm allergic to. . . " at face value.
1. Which of the following is a first-degree relative to the patient who has experienced premature
onset of CVD?
a. Sister at 62
b. Cousin at 62
c. Aunt at 59
d. Grandfather at 44 - CORRECT ANSWER - a. Sister at 62
1. Recording the patient's occupation falls under which category?
a. PHI
b. FH
c. SH
d. ROS - CORRECT ANSWER - c. SH
1. A focused ROS:
a. involves a wider range and shallower level of questions than a comprehensive ROS.
b. includes questions directed toward the systems most likely to be involved in the patient's
symptoms.
c. includes questions seeking significant positives to narrow down the body systems affected.
d. covers all body systems. - CORRECT ANSWER - b. includes questions directed toward
the systems most likely to be involved in the patient's symptoms.
1. A patient comes to the clinic complaining of repeated headaches and lightheadedness. As the
provider takes a health history, he or she should:
a. perform a comprehensive ROS.
, b. skip the social history in order to focus on the current issue.
c. focus her interest and questions on the patient's neurologic system.
d. spend a good deal of time assessing the reliability of the information she is getting. -
CORRECT ANSWER - c. focus her interest and questions on the patient's neurologic
system.
A patient's recall of his or her current health needs and past health is subject to error and is also a
critical component in the caregiving process? - CORRECT ANSWER - True
Ethnocentrism, belief in the superiority of one's own beliefs and values, is a major barrier to
establishing effective patient-provider relationships? - CORRECT ANSWER - True
A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhealthy diet, is unwilling
to follow his provider's recommendations to modify his routine. Because he has not yet
experienced the negative health consequences of his actions, he cannot be classified as resistant?
- CORRECT ANSWER - False
1. When taking a patient's chief complaint, rephrase the stated reason using standard medical
terminology for clarity. - CORRECT ANSWER - False
Family history should include both parents and grandparents, if information is known. -
CORRECT ANSWER - True
Social history includes a detailed diet history, best performed as a record of food and beverage
intake by the patient for a typical week, that includes things like use of salt and oil in food
preparation and methods of cooking - CORRECT ANSWER - True
1. What are the two main general considerations of physical examinations listed in the text?
a. Preparation and sequence
b. Medical and financial
c. Patient interaction and scope
