NUR 504 - FINAL EXAM QUESTIONS AND
ANSWERS WITH VERIFIED SOLUTION
2026
. Which of the following is a first-degree relative to the patient who has experienced
premature onset of CVD?
a. Sister at 62
b. Cousin at 62
c. Aunt at 59
d. Grandfather at 44 -CORRECT ANSWERSa. Sister at 62
1. Recording the patient's occupation falls under which category?
a. PHI
b. FH
c. SH
d. ROS -CORRECT ANSWERSc. SH
1. A focused ROS:
a. involves a wider range and shallower level of questions than a comprehensive ROS.
b. includes questions directed toward the systems most likely to be involved in the
patient's symptoms.
c. includes questions seeking significant positives to narrow down the body systems
affected.
d. covers all body systems. -CORRECT ANSWERSb. includes questions directed
toward the systems most likely to be involved in the patient's symptoms.
1. A patient comes to the clinic complaining of repeated headaches and
lightheadedness. As the provider takes a health history, he or she should:
a. perform a comprehensive ROS.
b. skip the social history in order to focus on the current issue.
c. focus her interest and questions on the patient's neurologic system.
d. spend a good deal of time assessing the reliability of the information she is getting. -
CORRECT ANSWERSc. focus her interest and questions on the patient's neurologic
system.
A patient's recall of his or her current health needs and past health is subject to error
and is also a critical component in the caregiving process? -CORRECT ANSWERSTrue
Ethnocentrism, belief in the superiority of one's own beliefs and values, is a major
barrier to establishing effective patient-provider relationships? -CORRECT
ANSWERSTrue
,A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhealthy diet, is
unwilling to follow his provider's recommendations to modify his routine. Because he
has not yet experienced the negative health consequences of his actions, he cannot be
classified as resistant? -CORRECT ANSWERSFalse
1. When taking a patient's chief complaint, rephrase the stated reason using standard
medical terminology for clarity. -CORRECT ANSWERSFalse
Family history should include both parents and grandparents, if information is known. -
CORRECT ANSWERSTrue
Social history includes a detailed diet history, best performed as a record of food and
beverage intake by the patient for a typical week, that includes things like use of salt
and oil in food preparation and methods of cooking -CORRECT ANSWERSTrue
1. What are the two main general considerations of physical examinations listed in the
text?
a. Preparation and sequence
b. Medical and financial
c. Patient interaction and scope
d. Inspection and palpation -CORRECT ANSWERSc. Patient interaction and scope
1. The physician has begun her first physical examination on a new patient who has
come to the clinic for a well-patient visit. Which of the following is true?
a. The first thing the physician will do as part of the physical examination is perform the
history.
b. This will likely be a head-to-toe examination.
c. As a first exam, this will likely be brief and focused.
d. The patient, on his first visit, will likely be disoriented and unaware of the physician's
tone and expressions. -CORRECT ANSWERSb. This will likely be a head-to-toe
examination.
1. The physician records a sound as "tympanic." The physician has just performed
which assessment technique?
a. Palpation
b. Auscultation
c. Percussion
d. Compression -CORRECT ANSWERSc. Percussion
1. A physician is listening to a patient's heart, but something has negatively impacted
the sound. Which of the following has most likely caused this?
a. Indirect rather than direct percussion
b. A double-lumen stethoscope
c. Lack of palpation
d. Loose-fitting ear tips -CORRECT ANSWERSd. Loose-fitting ear tips
,1. Which of the following is included on the list of basic equipment needed for a physical
examination?
a. Syringe
b. Measuring tape
c. Occult blood testing materials
d. Culture media -CORRECT ANSWERSb. Measuring tape
1. What does a physician use the Weber and/or Rinne tests for?
a. Assessing the lungs
b. Performing an abdominal fluid wave text
c. Testing hearing
d. Observing posture and balance -CORRECT ANSWERSc. Testing hearing
1. The red reflex is a test of:
a. the abdomen.
b. the spine.
c. the eyes.
d. the mouth. -CORRECT ANSWERSc. the eyes.
1. If the physician is evaluating thoracic expansion, percussing the kidneys, and
inspecting the skin for lesions, the patient is in which position?
a. Patient seated and facing examiner
b. Patient seated and facing away from examiner with back exposed
c. Patient standing
d. Patient supine with chest exposed -CORRECT ANSWERSb. Patient seated and
facing away from examiner with back exposed
1. Which position is only performed on female patients?
a. Reclining 45 degrees
b. Lithotomy position
c. Leaning forward reaching for toes
d. Supine with abdomen exposed -CORRECT ANSWERSb. Lithotomy position
1. Which part of the body of a neonate should be studied first?
a. Abdomen
b. Chest
c. Hands and feet
d. Head -CORRECT ANSWERSd. Head
1. Which of the following assessments is specific to the geriatric patient?
a. Functional
b. General
c. Physical
d. Developmental -CORRECT ANSWERSa. Functional
, A functional assessment includes which of the following components?
a. Abdominal assessment
b. Visual assessment
c. Assessment of flaccidity, tension, and spasticity
d. Assessment of mental status and mood impairment -CORRECT ANSWERSd.
Assessment of mental status and mood impairment
The history should be performed separately from the physical examination -CORRECT
ANSWERSFalse
When the patient is already under the ongoing care of the clinician and presents with a
specific problem-oriented complaint, the physician performs a focused physical
examination. -CORRECT ANSWERSTrue
Indirect percussion involves touch by instrument or object and requires no physical
contact between the physician and patient. -CORRECT ANSWERSFalse
The physical exam begins as the patient enters the room. -CORRECT ANSWERSTrue
Jugular venous pressure is measured when the patient is reclining 45 degrees. -
CORRECT ANSWERSTrue
The kidneys should be examined both while the patient is supine and while the patient
is seated facing away from the examiner. -CORRECT ANSWERSTrue
1. Which of the following statements represents a typical change that aging brings to a
geriatric patient?
a. Patients are more adept at identifying and verbalizing their feelings.
b. Patient is taking multiple medications for multiple diseases, complicating assessment
of mental status.
c. In younger years, patient was charming and cheerful; now presents as abrasive and
disillusioned.
d. Patient is more willing to ask questions about items not understood. -CORRECT
ANSWERSb. Patient is taking multiple medications for multiple diseases, complicating
assessment of mental status.
Observing a patient's facial tone and facial muscle strength can give initial clues to the
condition of their cranial nerves. -CORRECT ANSWERSTrue
A patient showing four symptoms of SIGECAPS and anhedonia over the past 10 days
may be diagnosed as having major depression. -CORRECT ANSWERSFalse
Delirium sets in rapidly, whereas dementia takes time and increases slowly. -CORRECT
ANSWERSTrue
ANSWERS WITH VERIFIED SOLUTION
2026
. Which of the following is a first-degree relative to the patient who has experienced
premature onset of CVD?
a. Sister at 62
b. Cousin at 62
c. Aunt at 59
d. Grandfather at 44 -CORRECT ANSWERSa. Sister at 62
1. Recording the patient's occupation falls under which category?
a. PHI
b. FH
c. SH
d. ROS -CORRECT ANSWERSc. SH
1. A focused ROS:
a. involves a wider range and shallower level of questions than a comprehensive ROS.
b. includes questions directed toward the systems most likely to be involved in the
patient's symptoms.
c. includes questions seeking significant positives to narrow down the body systems
affected.
d. covers all body systems. -CORRECT ANSWERSb. includes questions directed
toward the systems most likely to be involved in the patient's symptoms.
1. A patient comes to the clinic complaining of repeated headaches and
lightheadedness. As the provider takes a health history, he or she should:
a. perform a comprehensive ROS.
b. skip the social history in order to focus on the current issue.
c. focus her interest and questions on the patient's neurologic system.
d. spend a good deal of time assessing the reliability of the information she is getting. -
CORRECT ANSWERSc. focus her interest and questions on the patient's neurologic
system.
A patient's recall of his or her current health needs and past health is subject to error
and is also a critical component in the caregiving process? -CORRECT ANSWERSTrue
Ethnocentrism, belief in the superiority of one's own beliefs and values, is a major
barrier to establishing effective patient-provider relationships? -CORRECT
ANSWERSTrue
,A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhealthy diet, is
unwilling to follow his provider's recommendations to modify his routine. Because he
has not yet experienced the negative health consequences of his actions, he cannot be
classified as resistant? -CORRECT ANSWERSFalse
1. When taking a patient's chief complaint, rephrase the stated reason using standard
medical terminology for clarity. -CORRECT ANSWERSFalse
Family history should include both parents and grandparents, if information is known. -
CORRECT ANSWERSTrue
Social history includes a detailed diet history, best performed as a record of food and
beverage intake by the patient for a typical week, that includes things like use of salt
and oil in food preparation and methods of cooking -CORRECT ANSWERSTrue
1. What are the two main general considerations of physical examinations listed in the
text?
a. Preparation and sequence
b. Medical and financial
c. Patient interaction and scope
d. Inspection and palpation -CORRECT ANSWERSc. Patient interaction and scope
1. The physician has begun her first physical examination on a new patient who has
come to the clinic for a well-patient visit. Which of the following is true?
a. The first thing the physician will do as part of the physical examination is perform the
history.
b. This will likely be a head-to-toe examination.
c. As a first exam, this will likely be brief and focused.
d. The patient, on his first visit, will likely be disoriented and unaware of the physician's
tone and expressions. -CORRECT ANSWERSb. This will likely be a head-to-toe
examination.
1. The physician records a sound as "tympanic." The physician has just performed
which assessment technique?
a. Palpation
b. Auscultation
c. Percussion
d. Compression -CORRECT ANSWERSc. Percussion
1. A physician is listening to a patient's heart, but something has negatively impacted
the sound. Which of the following has most likely caused this?
a. Indirect rather than direct percussion
b. A double-lumen stethoscope
c. Lack of palpation
d. Loose-fitting ear tips -CORRECT ANSWERSd. Loose-fitting ear tips
,1. Which of the following is included on the list of basic equipment needed for a physical
examination?
a. Syringe
b. Measuring tape
c. Occult blood testing materials
d. Culture media -CORRECT ANSWERSb. Measuring tape
1. What does a physician use the Weber and/or Rinne tests for?
a. Assessing the lungs
b. Performing an abdominal fluid wave text
c. Testing hearing
d. Observing posture and balance -CORRECT ANSWERSc. Testing hearing
1. The red reflex is a test of:
a. the abdomen.
b. the spine.
c. the eyes.
d. the mouth. -CORRECT ANSWERSc. the eyes.
1. If the physician is evaluating thoracic expansion, percussing the kidneys, and
inspecting the skin for lesions, the patient is in which position?
a. Patient seated and facing examiner
b. Patient seated and facing away from examiner with back exposed
c. Patient standing
d. Patient supine with chest exposed -CORRECT ANSWERSb. Patient seated and
facing away from examiner with back exposed
1. Which position is only performed on female patients?
a. Reclining 45 degrees
b. Lithotomy position
c. Leaning forward reaching for toes
d. Supine with abdomen exposed -CORRECT ANSWERSb. Lithotomy position
1. Which part of the body of a neonate should be studied first?
a. Abdomen
b. Chest
c. Hands and feet
d. Head -CORRECT ANSWERSd. Head
1. Which of the following assessments is specific to the geriatric patient?
a. Functional
b. General
c. Physical
d. Developmental -CORRECT ANSWERSa. Functional
, A functional assessment includes which of the following components?
a. Abdominal assessment
b. Visual assessment
c. Assessment of flaccidity, tension, and spasticity
d. Assessment of mental status and mood impairment -CORRECT ANSWERSd.
Assessment of mental status and mood impairment
The history should be performed separately from the physical examination -CORRECT
ANSWERSFalse
When the patient is already under the ongoing care of the clinician and presents with a
specific problem-oriented complaint, the physician performs a focused physical
examination. -CORRECT ANSWERSTrue
Indirect percussion involves touch by instrument or object and requires no physical
contact between the physician and patient. -CORRECT ANSWERSFalse
The physical exam begins as the patient enters the room. -CORRECT ANSWERSTrue
Jugular venous pressure is measured when the patient is reclining 45 degrees. -
CORRECT ANSWERSTrue
The kidneys should be examined both while the patient is supine and while the patient
is seated facing away from the examiner. -CORRECT ANSWERSTrue
1. Which of the following statements represents a typical change that aging brings to a
geriatric patient?
a. Patients are more adept at identifying and verbalizing their feelings.
b. Patient is taking multiple medications for multiple diseases, complicating assessment
of mental status.
c. In younger years, patient was charming and cheerful; now presents as abrasive and
disillusioned.
d. Patient is more willing to ask questions about items not understood. -CORRECT
ANSWERSb. Patient is taking multiple medications for multiple diseases, complicating
assessment of mental status.
Observing a patient's facial tone and facial muscle strength can give initial clues to the
condition of their cranial nerves. -CORRECT ANSWERSTrue
A patient showing four symptoms of SIGECAPS and anhedonia over the past 10 days
may be diagnosed as having major depression. -CORRECT ANSWERSFalse
Delirium sets in rapidly, whereas dementia takes time and increases slowly. -CORRECT
ANSWERSTrue
