History Taking 3rd Edition Beth Hogan-Quigl
, lOMoAR cPSD| 22896205lO MoARc PS D| 9312656
Bates' Nursing Guide To Physical Examination And History Taking / Edition 2
Testbank
Chapter 1 Introduction To Health Assessment Multiple
Choice
1. For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of “i sprained my ankle”
B) An established patient with the chief complaint of “i have an upper respiratory infection”
C) A new patient with the chief complaint of “i am here to establish care”
D) A new patient with the chief complaint of “i cut my hand”
Correct Answer: c
Chapter: 01
Page and header: 4, patient assessment: comprehensive or focused
Feedback: this patient is here to establish care, and because she is new to you, a comprehensive
health history is appropriate.
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Correct Answer: b
Chapter: 01
Feedback: the thorax and lungs are part of the physical examination, not part of the health
history. The others answers are all part of a complete health history.
3. Is the following information subjective or objective?
Mr. M. Has shortness of breath that has persisted for the past 10 days; it is worse with activity
and relieved by rest.
A) Subjective
B) Objective
Correct Answer: a
Chapter: 01
Feedback: this is information given by the patient about the circumstances of his chief complaint.
It does not represent an objective observation by the examiner.
pg. 2
,3
4. Is the following information subjective or objective?
Mr. M. Has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
Correct Answer: b
Chapter: 01
Feedback: this is a measurement obtained by the examiner, so it is considered objective data. The
patient is unlikely to be able to give this information to the examiner.
5. The following information is recorded in the health history: “the patient has had abdominal
pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9
on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid- epigastric
area.”
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Correct Answer: b
Chapter: 01
Feedback: this information describes the problem of abdominal pain, which is the present illness.
The interviewer has obtained the location, timing, severity, and associated manifestations of the
pain. The interviewer will still need to obtain information concerning the quality of the pain, the
setting in which it occurred, and the factors that aggravate and alleviate the pain. You will notice
that it does include portions of the pertinent review of systems, but because it relates directly to
the complaint, it is included in the history of present illness.
6. 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
Correct Answer: c
Chapter: 01
pg. 3
, lOMoAR cPSD| 22896205lO MoARc PS D| 9312656
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Feedback: 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). All of this information is documented in this example.
7. 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
C) Personal and social history
D) Review of systems
Correct Answer: a
Chapter: 01
Feedback: the chief complaint is an attempt to quote the patient's own words, as long as they are
suitable to print. It is brief, like a headline, and further details should be sought in the present
illness section. The above information is a chief complaint.
8. 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
Correct Answer: d
Chapter: 01
Feedback: review of systems documents the presence or absence of common symptoms related
to each major body system. The absence of cardiac symptoms is listed in the above example.
9. The following information is best placed in which category?
“the patient has had three cesarean sections.”
A) Adult illnesses
B) Surgeries
pg. 4