HNG 515: Quiz 1 Questions With
Answers 100% Correct
A patient complains of pelvic pain, having trouble sleeping, and thinking of
leaving her job. What should you do next?
A. Perform pelvic exam
B. Prescribe sleeping pill
C. Give emotional support
D. Obtain more detailed history - ANSWER D. Obtain more detailed history
rationale: you want to get the most information you can in order to guide your
assessment, next steps and plan; yes you can perform a pelvic exam, prescribe
a sleeping pill and give emotional support, however, that is not getting to the
root of what is causing the patients problems; you want to make sure those are
the appropriate decisions before doing so
The same patient with pelvic pain and trouble sleeping reported that she has
experienced a dismissal of her complaints because of her high level of physical
fitness and conditioning. What should you do next?
A. Show empathy and ask open ended questions
B. Reassure her and ask close-ended questions
C. Be factual and use active listening skills - ANSWER C. Be factual and use
active listening skills
Rationale: active listening is extrememly important in order to communicate that
you are aware of the patients emotional state and using verbals and nonverbals
to make them comfortable; you would never ask close ended questions; and yes
you could show empathy and ask open ended quesitons but that is skimming
over the patients statement; ensure you are actively listening
A young homeless male with a history of drug abuse, hepatitis B, bipolar
disorder, and active cigarette smoking came to the clinic c/o an abscess in his
, forearm at a heroin injection site. He is new to the practice. How should you
approach?
A. A problem-focused health history
B. A comprehensive health history
C. A review of systems (ROS) only - ANSWER B. A comprehensive health history
rationale: the patient is new to the practice so you must establish somewhat of a
baseline before considering going to a problem-focused health history or a
review of systems
A 63-year-old unemployed female c/o feeling tired and hungry despite getting
sufficient rest and having sufficient food presents to the clinical. Despite the
warm weather outside, she is wearing thermal socks because her feet are
always cold. With which body system should the clinician begin the
examination?
A. Head and Neck
B. Lower Extremity
C. Nervous system
D. Abdomen - ANSWER A. Head and Neck
Rationale: in a head to toe assessment you begin with head and neck; neuro is
either at the end or throughout the whole assessment
A 48-year-old male visits the clinic because of recurrent abdominal pain. N/V/D.
Which of the following systems or regions should be examined in the clinician's
focused assessment?
A. Nervous system
B. GI system
C. GU system
D. Cardiovascular system - ANSWER B. GI system
Rationale: cardiovascular and respiratory are always included in a focused
exam; however, the patient is mainly c/o GI upset symptoms so it is MOST
important to examine the GI system
A 42-year-old presents to the clinic c/o intense substernal chest pain and
nausea. He appears pale and sweaty. The practitioner questions the patient in
detail about his nausea and eatinghabits. Which of the following steps of clinical
reasoning has the provider failed to follow?
A. Information about the patients family history of digestive disorders
B. Information about the patients gastrointestinal system
C. Give special consideration to potentially life threatening problems - ANSWER
C. Give special consideration to potentially life threatening problems
Answers 100% Correct
A patient complains of pelvic pain, having trouble sleeping, and thinking of
leaving her job. What should you do next?
A. Perform pelvic exam
B. Prescribe sleeping pill
C. Give emotional support
D. Obtain more detailed history - ANSWER D. Obtain more detailed history
rationale: you want to get the most information you can in order to guide your
assessment, next steps and plan; yes you can perform a pelvic exam, prescribe
a sleeping pill and give emotional support, however, that is not getting to the
root of what is causing the patients problems; you want to make sure those are
the appropriate decisions before doing so
The same patient with pelvic pain and trouble sleeping reported that she has
experienced a dismissal of her complaints because of her high level of physical
fitness and conditioning. What should you do next?
A. Show empathy and ask open ended questions
B. Reassure her and ask close-ended questions
C. Be factual and use active listening skills - ANSWER C. Be factual and use
active listening skills
Rationale: active listening is extrememly important in order to communicate that
you are aware of the patients emotional state and using verbals and nonverbals
to make them comfortable; you would never ask close ended questions; and yes
you could show empathy and ask open ended quesitons but that is skimming
over the patients statement; ensure you are actively listening
A young homeless male with a history of drug abuse, hepatitis B, bipolar
disorder, and active cigarette smoking came to the clinic c/o an abscess in his
, forearm at a heroin injection site. He is new to the practice. How should you
approach?
A. A problem-focused health history
B. A comprehensive health history
C. A review of systems (ROS) only - ANSWER B. A comprehensive health history
rationale: the patient is new to the practice so you must establish somewhat of a
baseline before considering going to a problem-focused health history or a
review of systems
A 63-year-old unemployed female c/o feeling tired and hungry despite getting
sufficient rest and having sufficient food presents to the clinical. Despite the
warm weather outside, she is wearing thermal socks because her feet are
always cold. With which body system should the clinician begin the
examination?
A. Head and Neck
B. Lower Extremity
C. Nervous system
D. Abdomen - ANSWER A. Head and Neck
Rationale: in a head to toe assessment you begin with head and neck; neuro is
either at the end or throughout the whole assessment
A 48-year-old male visits the clinic because of recurrent abdominal pain. N/V/D.
Which of the following systems or regions should be examined in the clinician's
focused assessment?
A. Nervous system
B. GI system
C. GU system
D. Cardiovascular system - ANSWER B. GI system
Rationale: cardiovascular and respiratory are always included in a focused
exam; however, the patient is mainly c/o GI upset symptoms so it is MOST
important to examine the GI system
A 42-year-old presents to the clinic c/o intense substernal chest pain and
nausea. He appears pale and sweaty. The practitioner questions the patient in
detail about his nausea and eatinghabits. Which of the following steps of clinical
reasoning has the provider failed to follow?
A. Information about the patients family history of digestive disorders
B. Information about the patients gastrointestinal system
C. Give special consideration to potentially life threatening problems - ANSWER
C. Give special consideration to potentially life threatening problems
