NU 518 EXAM 1 – ADVANCED HEALTH ASSESSMENT &
PATHOPHYSIOLOGY 380 QUESTIONS WITH CORRECT ANSWERS
COVERING THE MOST TESTED QUESTIONS ALREADY GRADED A+
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
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
Mrs. |T. |comes |for |her |regular |visit |to |the |clinic. |She |is |on |your |schedule |because |her |regular
provider |is |on |vacation |and |she |wanted |to |be |seen. |You |have |heard |about |her |many |times
|
from |your |colleague |and |are |aware |that |she |is |a |very |talkative |person. |Which |of |the |following
|
is |a |helpful |technique |to |improve |the |quality |of |the |interview |for |both |the |provider |and |the
|
patient?
|
A) Allow |the |patient |to |speak |uninterrupted |for |the |duration |of |the |appointment.
B) Briefly |summarize |what |you |heard |from |the |patient |in |the |first |5 |minutes |and |then
try |to |have |her |focus |on |one |aspect |of |what |she |told |you.
|
C) Set |the |time |limit |at |the |beginning |of |the |interview |and |stick |with |it, |no |matter |what
occurs |in |the |course |of |the |interview.
|
,D) Allow |your |impatience |to |show |so |that |the |patient |picks |up |on |your |nonverbal |cue |that
the |appointment |needs |to |end. |-CORRECT |ANSWER-B
|
Mrs. |H. |comes |to |your |clinic, |wanting |antibiotics |for |a |sinus |infection. |When |you |enter |the
room, |she |appears |to |be |very |angry. |She |has |a |raised |tone |of |voice |and |states |that |she |has
|
been |waiting |for |the |past |hour |and |has |to |get |back |to |work. |She |states |that |she |is
|
unimpressed |by |the |reception |staff, |the |nurse, |and |the |clinic |in |general |and |wants |to |know
|
why |the |office |wouldn't |call |in |an |antibiotic |for |her. |Which |of |the |following |techniques |is
|
not |useful |in |helping |to |calm |this |patient?
|
A) Avoiding |admission |that |you |had |a |part |in |provoking |her |anger |because |you |were |late
B) Accepting |angry |feelings |from |the |patient |and |trying |not |to |get |angry |in |return
C) Staying |calm
D) Keeping |your |posture |relaxed |-CORRECT |ANSWER-A
A |23-year-old |graduate |student |comes |to |your |clinic |for |evaluation |of |a |urethral
discharge. |As |the |provider, |you |need |to |get |a |sexual |history. |Which |one |of |the |following
|
questions |is |inappropriate |for |eliciting |the |information?
|
A) Are |you |sexually |active?
B) When |was |the |last |time |you |had |intimate |physical |contact |with |someone, |and |did |that
|contact |include |sexual |intercourse?
C) Do |you |have |sex |with |men, |women, |or |both?
D) How |many |sexual |partners |have |you |had |in |the |last |6 |months? |-CORRECT |ANSWER-A
Mr. |Q. |is |a |45-year-old |salesman |who |comes |to |your |office |for |evaluation |of |fatigue. |He |has
come |to |the |office |many |times |in |the |past |with |a |variety |of |injuries, |and |you |suspect |that |he
|has |a |problem |with |alcohol. |Which |one |of |the |following |questions |will |be |most |helpful |in
|diagnosing
this |problem?
A) You |are |an |alcoholic, |aren't |you?
B) When |was |your |last |drink?
C) Do |you |drink |2 |to |3 |beers |every |weekend?
D) Do |you |drink |alcohol |when |you |are |supposed |to |be |working? |-CORRECT |ANSWER-B
,On |a |very |busy |day |in |the |office, |Mrs. |Donelan, |who |is |81 |years |old, |comes |for |her |usual
| visit |for |her |blood |pressure. |She |is |on |a |low-dose |diuretic |chronically |and |denies |any
side |effects. |Her |blood |pressure |is |118/78 |today, |which |is |well-controlled. |As |you |are
|
writing |her
|
script, |she |mentions |that |it |is |hard |not |having |her |husband |Bill |around |anymore. |What |would |you
|do |next?
A) Hand |her |the |script |and |make |sure |she |has |a |3-month |follow-up |appointment.
B) Make |sure |she |understands |the |script.
C) Ask |why |Bill |is |not |there.
D) Explain |that |you |will |have |more |time |at |the |next |visit |to |discuss |this. |-CORRECT |ANSWER-C
A |patient |is |describing |a |very |personal |part |of |her |history |very |quickly |and |in |great |detail.
| How |should |you |react |to |this?
A) Write |down |as |much |as |you |can, |as |quickly |as |possible.
B) Ask |her |to |repeat |key |phrases |or |to |pause |at |regular |intervals, |so |you |can |get |almost
| every |word.
C) Tell |her |that |she |can |go |over |the |notes |later |to |make |sure |they |are |accurate.
D) Push |away |from |the |keyboard |or |put |down |your |pen |and |listen. |-CORRECT |ANSWER-D
You |arrive |at |the |bedside |of |an |elderly |woman |who |has |had |a |stroke, |affecting |her |entire
| right |side. |She |cannot |speak |(aphasia). |You |are |supposed |to |examine |her. |You |notice |that
| the
last |examiner |left |her |socks |at |the |bottom |of |the |bed, |and |although |sensitive |areas |are |covered
| by |a |sheet, |the |blanket |is |heaped |by |her |feet |at |the |bottom |of |the |bed. |What |would |you |do
| next?
A) Carry |out |your |examination, |focusing |on |the |neurologic |portion, |and |then |cover |her |properly.
B) Carry |out |your |examination |and |let |the |nurse |assigned |to |her |"put |her |back |together."
C) Put |her |socks |back |on |and |cover |her |completely |before |beginning |the |evaluation.
D) Apologize |for |the |last |examiner |but |let |the |next |examiner |dress |and |cover |her. |-CORRECT
ANSWER-C
When |you |enter |your |patient's |examination |room, |his |wife |is |waiting |there |with |him.
| Which |of |the |following |is |most |appropriate?
, A) Ask |if |it's |okay |to |carry |out |the |visit |with |both |people |in |the |room.
B) Carry |on |as |you |would |ordinarily. |The |permission |is |implied |because |his |wife |is |in |the
room |with |him.
|
C) Ask |his |wife |to |leave |the |room |for |reasons |of |confidentiality.
D) First |ask |his |wife |what |she |thinks |is |going |on. |-CORRECT |ANSWER-A
A |patient |complains |of |knee |pain |on |your |arrival |in |the |room. |What |should |your |first
sentence |be |after |greeting |the |patient?
|
A) How |much |pain |are |you |having?
B) Have |you |injured |this |knee |in |the |past?
C) When |did |this |first |occur?
D) Could |you |please |describe |what |happened? |-CORRECT |ANSWER-D
You |have |just |asked |a |patient |how |he |feels |about |his |emphysema. |He |becomes |silent,
folds |his |arms |across |his |chest |and |leans |back |in |his |chair, |and |then |replies, |"It |is |what |it
|
is." |How |should |you |respond?
|
A) "You |seem |bothered |by |this |question."
B) "Next, |I |would |like |to |talk |with |you |about |your |smoking |habit."
C) "Okay, |let's |move |on |to |your |other |problems."
D) "You |have |adopted |a |practical |attitude |toward |your |problem." |-CORRECT |ANSWER-A
. |A |patient |tells |you |about |her |experience |with |prolonged |therapy |for |her |breast |cancer. |You
comment, |"That |must |have |been |a |very |trying |time |for |you." |What |is |this |an |example |of?
|
A) Reassurance
B) Empathy
C) Summarization
D) Validation |-CORRECT |ANSWER-D
You |are |performing |a |young |woman's |first |pelvic |examination. |You |make |sure |to |tell |her
verbally |what |is |coming |next |and |what |to |expect. |Then |you |carry |out |each |maneuver |of
|
the
|
PATHOPHYSIOLOGY 380 QUESTIONS WITH CORRECT ANSWERS
COVERING THE MOST TESTED QUESTIONS ALREADY GRADED A+
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
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
Mrs. |T. |comes |for |her |regular |visit |to |the |clinic. |She |is |on |your |schedule |because |her |regular
provider |is |on |vacation |and |she |wanted |to |be |seen. |You |have |heard |about |her |many |times
|
from |your |colleague |and |are |aware |that |she |is |a |very |talkative |person. |Which |of |the |following
|
is |a |helpful |technique |to |improve |the |quality |of |the |interview |for |both |the |provider |and |the
|
patient?
|
A) Allow |the |patient |to |speak |uninterrupted |for |the |duration |of |the |appointment.
B) Briefly |summarize |what |you |heard |from |the |patient |in |the |first |5 |minutes |and |then
try |to |have |her |focus |on |one |aspect |of |what |she |told |you.
|
C) Set |the |time |limit |at |the |beginning |of |the |interview |and |stick |with |it, |no |matter |what
occurs |in |the |course |of |the |interview.
|
,D) Allow |your |impatience |to |show |so |that |the |patient |picks |up |on |your |nonverbal |cue |that
the |appointment |needs |to |end. |-CORRECT |ANSWER-B
|
Mrs. |H. |comes |to |your |clinic, |wanting |antibiotics |for |a |sinus |infection. |When |you |enter |the
room, |she |appears |to |be |very |angry. |She |has |a |raised |tone |of |voice |and |states |that |she |has
|
been |waiting |for |the |past |hour |and |has |to |get |back |to |work. |She |states |that |she |is
|
unimpressed |by |the |reception |staff, |the |nurse, |and |the |clinic |in |general |and |wants |to |know
|
why |the |office |wouldn't |call |in |an |antibiotic |for |her. |Which |of |the |following |techniques |is
|
not |useful |in |helping |to |calm |this |patient?
|
A) Avoiding |admission |that |you |had |a |part |in |provoking |her |anger |because |you |were |late
B) Accepting |angry |feelings |from |the |patient |and |trying |not |to |get |angry |in |return
C) Staying |calm
D) Keeping |your |posture |relaxed |-CORRECT |ANSWER-A
A |23-year-old |graduate |student |comes |to |your |clinic |for |evaluation |of |a |urethral
discharge. |As |the |provider, |you |need |to |get |a |sexual |history. |Which |one |of |the |following
|
questions |is |inappropriate |for |eliciting |the |information?
|
A) Are |you |sexually |active?
B) When |was |the |last |time |you |had |intimate |physical |contact |with |someone, |and |did |that
|contact |include |sexual |intercourse?
C) Do |you |have |sex |with |men, |women, |or |both?
D) How |many |sexual |partners |have |you |had |in |the |last |6 |months? |-CORRECT |ANSWER-A
Mr. |Q. |is |a |45-year-old |salesman |who |comes |to |your |office |for |evaluation |of |fatigue. |He |has
come |to |the |office |many |times |in |the |past |with |a |variety |of |injuries, |and |you |suspect |that |he
|has |a |problem |with |alcohol. |Which |one |of |the |following |questions |will |be |most |helpful |in
|diagnosing
this |problem?
A) You |are |an |alcoholic, |aren't |you?
B) When |was |your |last |drink?
C) Do |you |drink |2 |to |3 |beers |every |weekend?
D) Do |you |drink |alcohol |when |you |are |supposed |to |be |working? |-CORRECT |ANSWER-B
,On |a |very |busy |day |in |the |office, |Mrs. |Donelan, |who |is |81 |years |old, |comes |for |her |usual
| visit |for |her |blood |pressure. |She |is |on |a |low-dose |diuretic |chronically |and |denies |any
side |effects. |Her |blood |pressure |is |118/78 |today, |which |is |well-controlled. |As |you |are
|
writing |her
|
script, |she |mentions |that |it |is |hard |not |having |her |husband |Bill |around |anymore. |What |would |you
|do |next?
A) Hand |her |the |script |and |make |sure |she |has |a |3-month |follow-up |appointment.
B) Make |sure |she |understands |the |script.
C) Ask |why |Bill |is |not |there.
D) Explain |that |you |will |have |more |time |at |the |next |visit |to |discuss |this. |-CORRECT |ANSWER-C
A |patient |is |describing |a |very |personal |part |of |her |history |very |quickly |and |in |great |detail.
| How |should |you |react |to |this?
A) Write |down |as |much |as |you |can, |as |quickly |as |possible.
B) Ask |her |to |repeat |key |phrases |or |to |pause |at |regular |intervals, |so |you |can |get |almost
| every |word.
C) Tell |her |that |she |can |go |over |the |notes |later |to |make |sure |they |are |accurate.
D) Push |away |from |the |keyboard |or |put |down |your |pen |and |listen. |-CORRECT |ANSWER-D
You |arrive |at |the |bedside |of |an |elderly |woman |who |has |had |a |stroke, |affecting |her |entire
| right |side. |She |cannot |speak |(aphasia). |You |are |supposed |to |examine |her. |You |notice |that
| the
last |examiner |left |her |socks |at |the |bottom |of |the |bed, |and |although |sensitive |areas |are |covered
| by |a |sheet, |the |blanket |is |heaped |by |her |feet |at |the |bottom |of |the |bed. |What |would |you |do
| next?
A) Carry |out |your |examination, |focusing |on |the |neurologic |portion, |and |then |cover |her |properly.
B) Carry |out |your |examination |and |let |the |nurse |assigned |to |her |"put |her |back |together."
C) Put |her |socks |back |on |and |cover |her |completely |before |beginning |the |evaluation.
D) Apologize |for |the |last |examiner |but |let |the |next |examiner |dress |and |cover |her. |-CORRECT
ANSWER-C
When |you |enter |your |patient's |examination |room, |his |wife |is |waiting |there |with |him.
| Which |of |the |following |is |most |appropriate?
, A) Ask |if |it's |okay |to |carry |out |the |visit |with |both |people |in |the |room.
B) Carry |on |as |you |would |ordinarily. |The |permission |is |implied |because |his |wife |is |in |the
room |with |him.
|
C) Ask |his |wife |to |leave |the |room |for |reasons |of |confidentiality.
D) First |ask |his |wife |what |she |thinks |is |going |on. |-CORRECT |ANSWER-A
A |patient |complains |of |knee |pain |on |your |arrival |in |the |room. |What |should |your |first
sentence |be |after |greeting |the |patient?
|
A) How |much |pain |are |you |having?
B) Have |you |injured |this |knee |in |the |past?
C) When |did |this |first |occur?
D) Could |you |please |describe |what |happened? |-CORRECT |ANSWER-D
You |have |just |asked |a |patient |how |he |feels |about |his |emphysema. |He |becomes |silent,
folds |his |arms |across |his |chest |and |leans |back |in |his |chair, |and |then |replies, |"It |is |what |it
|
is." |How |should |you |respond?
|
A) "You |seem |bothered |by |this |question."
B) "Next, |I |would |like |to |talk |with |you |about |your |smoking |habit."
C) "Okay, |let's |move |on |to |your |other |problems."
D) "You |have |adopted |a |practical |attitude |toward |your |problem." |-CORRECT |ANSWER-A
. |A |patient |tells |you |about |her |experience |with |prolonged |therapy |for |her |breast |cancer. |You
comment, |"That |must |have |been |a |very |trying |time |for |you." |What |is |this |an |example |of?
|
A) Reassurance
B) Empathy
C) Summarization
D) Validation |-CORRECT |ANSWER-D
You |are |performing |a |young |woman's |first |pelvic |examination. |You |make |sure |to |tell |her
verbally |what |is |coming |next |and |what |to |expect. |Then |you |carry |out |each |maneuver |of
|
the
|
