University of North Carolina
LANIF · 613 GSN
School of Nursing
UNC
EST. 1789
LUX LIBERTAS — LIGHT AND LIBERTY
NSG-316 Final Exam — University of North Carolina
H E A LT H A SS E SS M E N T AC R O SS T H E L I F E S PA N
INSTITUTION University of North Carolina at COURSE CODE NSG-316
Chapel Hill
PROGRAM Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE NSG-316 Final Exam — University TOTAL QUESTIONS 154 Questions
of North Carolina
COURSE TITLE Health Assessment Across the FORMAT Multiple Choice — Select the
Lifespan Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ Health assessment techniques, musculoskeletal examination, mental status, and reproductive health
are all testable content.
▸ Age-related changes, developmental considerations, and screening tools are emphasized.
▸ Correct answers and rationales appear below each question for review purposes.
▸ All content reflects the NSG-316 Health Assessment curriculum.
, SECTION I — HEALTH ASSESSMENT: REPRODUCTIVE,
Questions 1 – 154
MUSCULOSKELETAL & MENTAL HEALTH
1. When obtaining a menopause history, what should the nurse ask about?
A. Have your periods slowed down or stopped? Associated symptoms? Treatment? Feelings
about going through this change?
B. Only ask about hot flashes
C. Only ask about mood swings
D. Only ask about vaginal dryness
CORRECT ANSWER A — Have your periods slowed down or stopped? Associated symptoms?
Treatment? Feelings about going through this change?
RATIONALE A comprehensive menopause history includes asking about changes in menstrual
patterns, associated symptoms (hot flashes, night sweats, mood swings, vaginal
dryness), treatment (prescription or OTC), and the patient's feelings about going
through this life transition.
2. What should the nurse ask about when obtaining a urinary symptom history?
A. Problems with urinating, frequency/urge, burning/pain, nocturia, presence of blood,
color/odor, control problems, loss of urine with activities
B. Only ask about frequency
C. Only ask about pain
D. Only ask about color
CORRECT ANSWER A — Problems with urinating, frequency/urge, burning/pain, nocturia,
presence of blood, color/odor, control problems, loss of urine with
activities
RATIONALE A comprehensive urinary symptom history includes asking about problems with
urinating, frequency/urge, burning/pain, nocturia, presence of blood, color/odor,
control problems, and loss of urine associated with activities such as sneezing,
laughing, coughing, or bearing down.
,3. What should the nurse ask about when obtaining a vaginal discharge history?
A. Type, amount, color, odor, onset; associated itching/rash/pain; medications; family
history; menstrual cycle; douching; clothing; treatment and response
B. Only ask about color
C. Only ask about odor
D. Only ask about itching
CORRECT ANSWER A — Type, amount, color, odor, onset; associated itching/rash/pain;
medications; family history; menstrual cycle; douching; clothing; treatment
and response
RATIONALE A comprehensive vaginal discharge history includes type, amount, color, odor,
onset, associated symptoms (itching, rash, pain), medications (prescription and
OTC), family history of diabetes, menstrual cycle timing, douching practices,
clothing choices, and treatment and response to therapy.
4. What should the nurse ask about when obtaining a sexual activity history?
A. Are you in a relationship involving sex now? Is sex satisfactory? How do you communicate
about sex? Are you satisfied with your sexual response? Do you have more than one
partner? What is your sexual preference?
B. Only ask about number of partners
C. Only ask about satisfaction
D. Only ask about sexual preference
CORRECT ANSWER A — Are you in a relationship involving sex now? Is sex satisfactory? How do
you communicate about sex? Are you satisfied with your sexual response?
Do you have more than one partner? What is your sexual preference?
RATIONALE A comprehensive sexual activity history includes relationship status, satisfaction
with sexual relationship, communication about sex, satisfaction with sexual
response, number of partners, and sexual preference. This provides a complete
picture of sexual health.
, 5. What should the nurse ask about regarding contraceptive use?
A. Planning pregnancy or avoiding? Current contraceptive method? Satisfaction? Questions
about methods? Past methods? Discussed children? Problems becoming pregnant?
B. Only ask about current method
C. Only ask about satisfaction
D. Only ask about past methods
CORRECT ANSWER A — Planning pregnancy or avoiding? Current contraceptive method?
Satisfaction? Questions about methods? Past methods? Discussed
children? Problems becoming pregnant?
RATIONALE A comprehensive contraceptive history includes current pregnancy plans, current
contraceptive use, satisfaction with method, questions about methods, past
methods used, discussions about children, and any history of problems becoming
pregnant.
6. What should the nurse ask about regarding STI contact?
A. Any sexual contact with a partner who has STI? Occurrence and treatment?
Complications? Precautions taken to reduce incidence?
B. Only ask about occurrence
C. Only ask about treatment
D. Only ask about precautions
CORRECT ANSWER A — Any sexual contact with a partner who has STI? Occurrence and
treatment? Complications? Precautions taken to reduce incidence?
RATIONALE A comprehensive STI history includes contact with partners who have STIs,
occurrence and treatment history, complications, and precautions taken to
reduce incidence such as condom use.
LANIF · 613 GSN
School of Nursing
UNC
EST. 1789
LUX LIBERTAS — LIGHT AND LIBERTY
NSG-316 Final Exam — University of North Carolina
H E A LT H A SS E SS M E N T AC R O SS T H E L I F E S PA N
INSTITUTION University of North Carolina at COURSE CODE NSG-316
Chapel Hill
PROGRAM Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE NSG-316 Final Exam — University TOTAL QUESTIONS 154 Questions
of North Carolina
COURSE TITLE Health Assessment Across the FORMAT Multiple Choice — Select the
Lifespan Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ Health assessment techniques, musculoskeletal examination, mental status, and reproductive health
are all testable content.
▸ Age-related changes, developmental considerations, and screening tools are emphasized.
▸ Correct answers and rationales appear below each question for review purposes.
▸ All content reflects the NSG-316 Health Assessment curriculum.
, SECTION I — HEALTH ASSESSMENT: REPRODUCTIVE,
Questions 1 – 154
MUSCULOSKELETAL & MENTAL HEALTH
1. When obtaining a menopause history, what should the nurse ask about?
A. Have your periods slowed down or stopped? Associated symptoms? Treatment? Feelings
about going through this change?
B. Only ask about hot flashes
C. Only ask about mood swings
D. Only ask about vaginal dryness
CORRECT ANSWER A — Have your periods slowed down or stopped? Associated symptoms?
Treatment? Feelings about going through this change?
RATIONALE A comprehensive menopause history includes asking about changes in menstrual
patterns, associated symptoms (hot flashes, night sweats, mood swings, vaginal
dryness), treatment (prescription or OTC), and the patient's feelings about going
through this life transition.
2. What should the nurse ask about when obtaining a urinary symptom history?
A. Problems with urinating, frequency/urge, burning/pain, nocturia, presence of blood,
color/odor, control problems, loss of urine with activities
B. Only ask about frequency
C. Only ask about pain
D. Only ask about color
CORRECT ANSWER A — Problems with urinating, frequency/urge, burning/pain, nocturia,
presence of blood, color/odor, control problems, loss of urine with
activities
RATIONALE A comprehensive urinary symptom history includes asking about problems with
urinating, frequency/urge, burning/pain, nocturia, presence of blood, color/odor,
control problems, and loss of urine associated with activities such as sneezing,
laughing, coughing, or bearing down.
,3. What should the nurse ask about when obtaining a vaginal discharge history?
A. Type, amount, color, odor, onset; associated itching/rash/pain; medications; family
history; menstrual cycle; douching; clothing; treatment and response
B. Only ask about color
C. Only ask about odor
D. Only ask about itching
CORRECT ANSWER A — Type, amount, color, odor, onset; associated itching/rash/pain;
medications; family history; menstrual cycle; douching; clothing; treatment
and response
RATIONALE A comprehensive vaginal discharge history includes type, amount, color, odor,
onset, associated symptoms (itching, rash, pain), medications (prescription and
OTC), family history of diabetes, menstrual cycle timing, douching practices,
clothing choices, and treatment and response to therapy.
4. What should the nurse ask about when obtaining a sexual activity history?
A. Are you in a relationship involving sex now? Is sex satisfactory? How do you communicate
about sex? Are you satisfied with your sexual response? Do you have more than one
partner? What is your sexual preference?
B. Only ask about number of partners
C. Only ask about satisfaction
D. Only ask about sexual preference
CORRECT ANSWER A — Are you in a relationship involving sex now? Is sex satisfactory? How do
you communicate about sex? Are you satisfied with your sexual response?
Do you have more than one partner? What is your sexual preference?
RATIONALE A comprehensive sexual activity history includes relationship status, satisfaction
with sexual relationship, communication about sex, satisfaction with sexual
response, number of partners, and sexual preference. This provides a complete
picture of sexual health.
, 5. What should the nurse ask about regarding contraceptive use?
A. Planning pregnancy or avoiding? Current contraceptive method? Satisfaction? Questions
about methods? Past methods? Discussed children? Problems becoming pregnant?
B. Only ask about current method
C. Only ask about satisfaction
D. Only ask about past methods
CORRECT ANSWER A — Planning pregnancy or avoiding? Current contraceptive method?
Satisfaction? Questions about methods? Past methods? Discussed
children? Problems becoming pregnant?
RATIONALE A comprehensive contraceptive history includes current pregnancy plans, current
contraceptive use, satisfaction with method, questions about methods, past
methods used, discussions about children, and any history of problems becoming
pregnant.
6. What should the nurse ask about regarding STI contact?
A. Any sexual contact with a partner who has STI? Occurrence and treatment?
Complications? Precautions taken to reduce incidence?
B. Only ask about occurrence
C. Only ask about treatment
D. Only ask about precautions
CORRECT ANSWER A — Any sexual contact with a partner who has STI? Occurrence and
treatment? Complications? Precautions taken to reduce incidence?
RATIONALE A comprehensive STI history includes contact with partners who have STIs,
occurrence and treatment history, complications, and precautions taken to
reduce incidence such as condom use.
