NR 509 TEST CHAPTER 8 EXAM PREPARATION
PACK 2026 KEY CONCEPTS AND REVISION
NOTES
◉ You have recently returned from a medical missions trip to sub-
Saharan Africa, where you
learned a great deal about malaria. You decide to use some of the
same questions and
maneuvers in your "routine" when examining patients in the
midwestern United States. You
are disappointed to find that despite getting some positive answers
and findings, on further
workup, none of your patients has malaria except one, who recently
emigrated from Ghana. How should you next approach these
questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients..
Answer: A) Continue asking these questions in a more selective way.
,The predictive value of a positive finding depends upon the
prevalence of a given
disease in a population. The prevalence of malaria in the Midwest is
almost zero, except in people immigrating from areas of high
prevalence. You will waste time and resources applying
these questions and maneuvers to all patients. It would be wise to
continue applying what you
learned to those who are from areas of high prevalence of a given
disease. You will learn to tailor your examination to the population
you
are serving.
◉ 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"..
Answer: C) A new patient with the chief complaint of "I am here to
establish care".
,This patient is here to establish care, and because she is new to you,
a
comprehensive health history is appropriate.
◉ 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.
Answer: B) Thorax and lungs
The thorax and lungs are part of the physical examination, not part
of the health
history.
◉ 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.
Answer: A) Subjective
This is information given by the patient about the circumstances of
his chief
complaint. It does not represent an objective observation by the
examiner.
◉ 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.
Answer: B) Objective
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.
◉ 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
PACK 2026 KEY CONCEPTS AND REVISION
NOTES
◉ You have recently returned from a medical missions trip to sub-
Saharan Africa, where you
learned a great deal about malaria. You decide to use some of the
same questions and
maneuvers in your "routine" when examining patients in the
midwestern United States. You
are disappointed to find that despite getting some positive answers
and findings, on further
workup, none of your patients has malaria except one, who recently
emigrated from Ghana. How should you next approach these
questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients..
Answer: A) Continue asking these questions in a more selective way.
,The predictive value of a positive finding depends upon the
prevalence of a given
disease in a population. The prevalence of malaria in the Midwest is
almost zero, except in people immigrating from areas of high
prevalence. You will waste time and resources applying
these questions and maneuvers to all patients. It would be wise to
continue applying what you
learned to those who are from areas of high prevalence of a given
disease. You will learn to tailor your examination to the population
you
are serving.
◉ 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"..
Answer: C) A new patient with the chief complaint of "I am here to
establish care".
,This patient is here to establish care, and because she is new to you,
a
comprehensive health history is appropriate.
◉ 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.
Answer: B) Thorax and lungs
The thorax and lungs are part of the physical examination, not part
of the health
history.
◉ 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.
Answer: A) Subjective
This is information given by the patient about the circumstances of
his chief
complaint. It does not represent an objective observation by the
examiner.
◉ 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.
Answer: B) Objective
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.
◉ 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
