CMN 548 MODULE 1 STUDY QUESTIONS WITH
CORRECT ANSWERS
1. The nurse is conducting a patient interview. Which statement made by the patient should the
nurse more fully explore during the interview?
A I sleep like a baby.
B I have no health problems.
C I never did too good in school.
D I am not currently taking any medications.
ANS: C✔✔
2. A patient is admitted to the unit after an automobile accident. The nurse begins the mental
status examination and finds that the patient has dysarthric speech and is lethargic. The nurses
best approach regarding this examination is to:
a Plan to defer the rest of the mental status examination.
B Skip the language portion of the examination, and proceed onto assessing mood
and affect.
C Conduct an in-depth speech evaluation, and defer the mental status examination
to another time.
D Proceed with the examination, and assess the patient for suicidal thoughts
because dysarthria is often accompanied by severe depression.
ANS: A✔✔
3. A 19-year-old woman comes to the clinic at the insistence of her brother. She is wearing black
combat boots and a black lace nightgown over the top of her other clothes. Her hair is dyed
pink
,with black streaks throughout. She has several pierced holes in her nares and ears and is
wearing
an earring through her eyebrow and heavy black makeup. The nurse concludes that:
a She probably does not have any problems.
B She is only trying to shock people and that her dress should be ignored.
C She has a manic syndrome because of her abnormal dress and grooming.
D More information should be gathered to decide whether her dress is appropriate.
ANS: D✔✔
4. A patient has been in the intensive care unit for 10 days. He has just been moved to the
medical-surgical unit, and the admitting nurse is planning to perform a mental status
examination. During the tests of cognitive function, the nurse would expect that he:
a May display some disruption in thought content.
B Will state, I am so relieved to be out of intensive care.
C Will be oriented to place and person, but the patient may not be certain of the
date.
d May show evidence of some clouding of his level of consciousness.
ANS: C✔✔
5. During a mental status examination, the nurse wants to assess a patients affect. The nurse
should ask the patient which question?
A How do you feel today?
B Would you please repeat the following words?
C Have these medications had any effect on your pain?
D Has this pain affected your ability to get dressed by yourself?
ANS: A✔✔
,Bickley Chapter 1 12th edition✔✔
For which of the following patients would a comprehensive health history be important?
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"✔✔C. A new patient with the chief
complaint of "I am here to establish care"
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✔✔B. Thorax and lungs
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✔✔A. Subjective
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✔✔B. Objective
, 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 midepigastric
area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems✔✔B. Present Illness
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✔✔C. Personal and social 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
C) Personal and social history
D) Review of systems✔✔A. Chief Complaint
The following information is recorded in the health history: "Patient denies chest pain,
CORRECT ANSWERS
1. The nurse is conducting a patient interview. Which statement made by the patient should the
nurse more fully explore during the interview?
A I sleep like a baby.
B I have no health problems.
C I never did too good in school.
D I am not currently taking any medications.
ANS: C✔✔
2. A patient is admitted to the unit after an automobile accident. The nurse begins the mental
status examination and finds that the patient has dysarthric speech and is lethargic. The nurses
best approach regarding this examination is to:
a Plan to defer the rest of the mental status examination.
B Skip the language portion of the examination, and proceed onto assessing mood
and affect.
C Conduct an in-depth speech evaluation, and defer the mental status examination
to another time.
D Proceed with the examination, and assess the patient for suicidal thoughts
because dysarthria is often accompanied by severe depression.
ANS: A✔✔
3. A 19-year-old woman comes to the clinic at the insistence of her brother. She is wearing black
combat boots and a black lace nightgown over the top of her other clothes. Her hair is dyed
pink
,with black streaks throughout. She has several pierced holes in her nares and ears and is
wearing
an earring through her eyebrow and heavy black makeup. The nurse concludes that:
a She probably does not have any problems.
B She is only trying to shock people and that her dress should be ignored.
C She has a manic syndrome because of her abnormal dress and grooming.
D More information should be gathered to decide whether her dress is appropriate.
ANS: D✔✔
4. A patient has been in the intensive care unit for 10 days. He has just been moved to the
medical-surgical unit, and the admitting nurse is planning to perform a mental status
examination. During the tests of cognitive function, the nurse would expect that he:
a May display some disruption in thought content.
B Will state, I am so relieved to be out of intensive care.
C Will be oriented to place and person, but the patient may not be certain of the
date.
d May show evidence of some clouding of his level of consciousness.
ANS: C✔✔
5. During a mental status examination, the nurse wants to assess a patients affect. The nurse
should ask the patient which question?
A How do you feel today?
B Would you please repeat the following words?
C Have these medications had any effect on your pain?
D Has this pain affected your ability to get dressed by yourself?
ANS: A✔✔
,Bickley Chapter 1 12th edition✔✔
For which of the following patients would a comprehensive health history be important?
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"✔✔C. A new patient with the chief
complaint of "I am here to establish care"
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✔✔B. Thorax and lungs
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✔✔A. Subjective
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✔✔B. Objective
, 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 midepigastric
area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems✔✔B. Present Illness
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✔✔C. Personal and social 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
C) Personal and social history
D) Review of systems✔✔A. Chief Complaint
The following information is recorded in the health history: "Patient denies chest pain,
