NSG 6020 MIDTERM EXAM
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTION
1. For which of the following patients would a comprehensive health history be
kz kz kz kz kz kz kz kz kz kz kz
appropriate?
A) Anew patient with the chief complaint of “I sprained my ankle”
kz kz kz kz kz kz kz kz kz kz kz
B) An established patient with the chief complaint of “I have an upper
kz kz kz kz kz kz kz kz kz kz kz
respiratory
kz
infection”
C) Anew patient with the chief complaint of “I am here to establish care”
kz kz kz kz kz kz kz kz kz kz kz kz kz
D) Anew patient with the chief complaint of “I cut my hand”
kz kz kz kz kz kz kz kz kz kz kz
Ans: C
Feedback:
This patient is here to establish care, and because she is new to you, a
kz kz kz kz kz kz kz kz kz kz kz kz kz kz
comprehensive
kz
health history is appropriate. kz kz kz
2. The components of the health history include all of the following except which
kz kz kz kz kz kz kz kz kz kz kz kz
kz one?
A) Review of systems kz kz
B) Thorax and lungs kz kz
C) Present illness kz
D) Personal and social items kz kz kz
Ans: B
Feedback:
The thorax and lungs are part of the physical examination, not part of the health
kz kz kz kz kz kz kz kz kz kz kz kz kz kz
mailto:https://www.stuvia.com/user/Wisdoms
, history. The others answers are all part of a complete health history.
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3. Is the following information subjective or objective?
kz kz kz kz kz kz
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
withactivity and relieved by rest.
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A) Subjective
B) Objective
Ans: A
Feedback:
This is information given by the patient about the circumstances of his chief
kz kz kz kz kz kz kz kz kz kz kz kz
complaint. It does not represent an objective observation by the examiner.
k z kz kz kz kz kz kz kz kz kz
4. Is the following information subjective or objective?
kz kz kz kz kz kz
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
kz kz kz kz kz kz kz kz kz kz kz kz kz
A) Subjective
B) Objective
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, This is a measurement obtained by the examiner, so it is considered objective
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data.
kz
The patient is unlikely to be able to give this information to the examiner.
kz kz kz kz kz kz kz kz kz kz kz kz kz
5. The following information is recorded in the health history: “The patient
kz kz kz kz kz kz kz kz kz kz
kz has hadabdominal pain for 1 week. The pain lasts for 30 minutes at a time;
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
kz it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
kz accompanied by nausea and vomiting. It is located in the mid-epigastric kz kz kz kz kz kz kz kz kz kz
kz area.”
Which of these categories does it belong to? kz kz kz kz kz kz kz
A) Chief complaint kz
B) Present illness kz
C) Personal and social history kz kz kz
D) Review of systems kz kz
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the
kz kz kz kz kz kz kz kz kz kz
kz present illness. The interviewer has obtained the location, timing, severity,
kz kz kz kz kz kz kz kz kz
kz and associated manifestations of the pain. The interviewer will still need to
kz kz kz kz kz kz kz kz kz kz kz
kz obtain information concerning the quality of the pain, the setting in which it
kz kz kz kz kz kz kz kz kz kz kz kz
kz occurred, and the factors that aggravate and alleviate the pain. You will kz kz kz kz kz kz kz kz kz k z kz
notice that it does include portions ofthe pertinent review of systems, but
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because it relates directly to the complaint, it is
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included in the history of present illness. kz kz kz kz kz kz
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, 6. The following information is recorded in the health history: “The patient
kz kz kz kz kz kz kz kz kz kz
kz completed 8th grade. He currently lives with his wife and two children. He
kz kz kz kz kz kz kz kz kz kz kz kz
kz works on old cars onthe weekend. He works in a glass factory during the
kz kz kz kz kz kz kz kz kz kz kz kz kz kz
kz week.”
Which category does it belong to?
kz kz kz kz kz
A) Chief complaint kz
B) Present illness kz
C) Personal and social history kz kz kz
D) Review of systems kz kz
Ans: C
Feedback:
Personal and social history information includes educational level, family of
kz kz kz kz kz kz kz kz kz
kz origin, current household status, personal interests, employment, religious
kz kz kz kz kz kz kz
kz beliefs, military history, and lifestyle (including diet and exercise habits; use of
kz kz kz kz kz kz kz kz kz kz kz
alcohol, tobacco, and/or drugs; and sexual preferences and history).All of this
kz kz kz kz kz kz kz kz kz kz kz kz kz
kz information is documented kz kz
in this example.
kz kz
7. The following information is recorded in the health history: “I feel really tired.”
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Which category does it belong to?
kz kz kz kz kz
mailto:https://www.stuvia.com/user/Wisdoms
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTION
1. For which of the following patients would a comprehensive health history be
kz kz kz kz kz kz kz kz kz kz kz
appropriate?
A) Anew patient with the chief complaint of “I sprained my ankle”
kz kz kz kz kz kz kz kz kz kz kz
B) An established patient with the chief complaint of “I have an upper
kz kz kz kz kz kz kz kz kz kz kz
respiratory
kz
infection”
C) Anew patient with the chief complaint of “I am here to establish care”
kz kz kz kz kz kz kz kz kz kz kz kz kz
D) Anew patient with the chief complaint of “I cut my hand”
kz kz kz kz kz kz kz kz kz kz kz
Ans: C
Feedback:
This patient is here to establish care, and because she is new to you, a
kz kz kz kz kz kz kz kz kz kz kz kz kz kz
comprehensive
kz
health history is appropriate. kz kz kz
2. The components of the health history include all of the following except which
kz kz kz kz kz kz kz kz kz kz kz kz
kz one?
A) Review of systems kz kz
B) Thorax and lungs kz kz
C) Present illness kz
D) Personal and social items kz kz kz
Ans: B
Feedback:
The thorax and lungs are part of the physical examination, not part of the health
kz kz kz kz kz kz kz kz kz kz kz kz kz kz
mailto:https://www.stuvia.com/user/Wisdoms
, history. The others answers are all part of a complete health history.
k z kz kz kz kz kz kz kz kz kz kz
3. Is the following information subjective or objective?
kz kz kz kz kz kz
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
withactivity and relieved by rest.
kz kz kz kz kz kz
A) Subjective
B) Objective
Ans: A
Feedback:
This is information given by the patient about the circumstances of his chief
kz kz kz kz kz kz kz kz kz kz kz kz
complaint. It does not represent an objective observation by the examiner.
k z kz kz kz kz kz kz kz kz kz
4. Is the following information subjective or objective?
kz kz kz kz kz kz
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
kz kz kz kz kz kz kz kz kz kz kz kz kz
A) Subjective
B) Objective
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, This is a measurement obtained by the examiner, so it is considered objective
kz kz kz kz kz kz kz kz kz kz kz kz
data.
kz
The patient is unlikely to be able to give this information to the examiner.
kz kz kz kz kz kz kz kz kz kz kz kz kz
5. The following information is recorded in the health history: “The patient
kz kz kz kz kz kz kz kz kz kz
kz has hadabdominal pain for 1 week. The pain lasts for 30 minutes at a time;
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
kz it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz
kz accompanied by nausea and vomiting. It is located in the mid-epigastric kz kz kz kz kz kz kz kz kz kz
kz area.”
Which of these categories does it belong to? kz kz kz kz kz kz kz
A) Chief complaint kz
B) Present illness kz
C) Personal and social history kz kz kz
D) Review of systems kz kz
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the
kz kz kz kz kz kz kz kz kz kz
kz present illness. The interviewer has obtained the location, timing, severity,
kz kz kz kz kz kz kz kz kz
kz and associated manifestations of the pain. The interviewer will still need to
kz kz kz kz kz kz kz kz kz kz kz
kz obtain information concerning the quality of the pain, the setting in which it
kz kz kz kz kz kz kz kz kz kz kz kz
kz occurred, and the factors that aggravate and alleviate the pain. You will kz kz kz kz kz kz kz kz kz k z kz
notice that it does include portions ofthe pertinent review of systems, but
kz kz kz kz kz kz kz kz kz kz kz kz kz
because it relates directly to the complaint, it is
kz kz kz kz kz kz kz kz kz
included in the history of present illness. kz kz kz kz kz kz
mailto:https://www.stuvia.com/user/Wisdoms
, 6. The following information is recorded in the health history: “The patient
kz kz kz kz kz kz kz kz kz kz
kz completed 8th grade. He currently lives with his wife and two children. He
kz kz kz kz kz kz kz kz kz kz kz kz
kz works on old cars onthe weekend. He works in a glass factory during the
kz kz kz kz kz kz kz kz kz kz kz kz kz kz
kz week.”
Which category does it belong to?
kz kz kz kz kz
A) Chief complaint kz
B) Present illness kz
C) Personal and social history kz kz kz
D) Review of systems kz kz
Ans: C
Feedback:
Personal and social history information includes educational level, family of
kz kz kz kz kz kz kz kz kz
kz origin, current household status, personal interests, employment, religious
kz kz kz kz kz kz kz
kz beliefs, military history, and lifestyle (including diet and exercise habits; use of
kz kz kz kz kz kz kz kz kz kz kz
alcohol, tobacco, and/or drugs; and sexual preferences and history).All of this
kz kz kz kz kz kz kz kz kz kz kz kz kz
kz information is documented kz kz
in this example.
kz kz
7. The following information is recorded in the health history: “I feel really tired.”
kz kz kz kz kz kz kz kz kz kz kz kz
Which category does it belong to?
kz kz kz kz kz
mailto:https://www.stuvia.com/user/Wisdoms
