NU 518 EXAM WITH WELL-VERIFIED
QUESTIONS AND ANSWERS|| GUARANTEED
PASS|| ALREADY GRADED A+
Section I: Comprehensive Health History & Interviewing
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"
Answer: C. A new patient establishing care requires a comprehensive health
history to develop a baseline and identify all health risks .
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
Answer: B. Thorax and lungs are part of the physical examination, not the
health history .
3. A 59-year-old patient tells the nurse practitioner he thinks he must have
ulcerative colitis because he has had "black stools" for the last 24 hours.
How would the NP best document THE FACTS for his reason for seeking
care?
A) JM is a 59-year-old male here for having "black stools" for the past 24 hours.
B) JM came into the clinic complaining of black stools for the past 24 hours.
C) JM is a 59-year-old male here for "ulcerative colitis."
D) JM, a 59-year-old male, states he has ulcerative colitis and wants it checked.
Answer: A. The chief complaint should quote the patient's own words and state
the facts, not the patient's diagnosis .
,4. A patient tells the NP that she has had abdominal pain for the past week.
What would be the best response by the NP?
A) "We'll talk more about that later in the interview."
B) "Have you ever had any children?"
C) "What have you had to eat in the last 4 hours?"
D) "Can you point to where it hurts?"
Answer: D. Asking the patient to point to the pain helps characterize the
location and is a focused, open-ended follow-up .
5. During a comprehensive health history, the NP asks a 60-year-old male
about his past medical history. The patient states, "I had some heart
surgery a few years ago but I don't remember the name." Which is the
BEST approach?
A) Document the patient's statement verbatim and proceed
B) Ask the patient if he has a copy of his medical records or if you can contact
his previous provider
C) Skip the cardiac history since the patient cannot recall the details
D) Explain that his inability to recall is concerning and may indicate cognitive
decline
Answer: B. Obtaining records from previous providers ensures accuracy of the
medical history .
6. A 45-year-old female presents with episodes of severe right-sided
headache, nausea, and photophobia occurring twice monthly for 6 months.
When documenting the HPI, which element is MOST important using
OLDCARTS?
A) The patient's childhood vaccination history
B) The timing, severity, and associated symptoms of each headache episode
C) The patient's family medical history regarding cardiovascular disease
D) The patient's dietary habits and daily caffeine intake
Answer: B. OLDCARTS (Onset, Location, Duration, Character, Aggravating,
Relieving, Timing, Severity) guides a thorough HPI focused on the current
complaint .
7. The PQRSTU mnemonic is used to systematically document which
component of the SOAP note?
A) Objective
B) History of Present Illness (Subjective)
C) Past Medical History
D) Plan
Answer: B. PQRSTU (Provocative/Palliative, Quality/Quantity,
,Region/Radiation, Severity, Timing, Understand patient's perception) is used in
the Subjective section .
8. A patient's past medical history, including childhood illnesses, surgeries,
and hospitalizations, is documented in which SOAP section?
A) Objective
B) Assessment
C) Plan
D) Subjective
Answer: D. Past medical history is part of the health history and is documented
in the Subjective section .
9. Which of the following is NOT one of the seven attributes of a symptom?
A) Location
B) Duration
C) Genetic predisposition
D) Severity
Answer: C. Genetic predisposition is not one of the seven attributes (Location,
Quality, Quantity/Severity, Timing, Setting, Aggravating/Relieving factors,
Associated manifestations) .
10. A patient reports a headache that starts after eating greasy foods and
has increased from once a week to every other day. Nothing makes it
better. Which attribute of the symptom has been omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
D) Timing
Answer: B. Associated manifestations (other symptoms that occur with the
headache) have not been described .
Section II: Physical Examination Techniques & General Survey
11. The nurse is preparing to perform a physical assessment. The correct
action by the nurse is reflected by which statement?
A) Performs the examination from the left side of the bed
B) Examines tender or painful areas first to help relieve the patient's anxiety
C) Follows the same examination sequence, regardless of the patient's age or
condition
D) Organizes the assessment to ensure that the patient does not change positions
too often
, Answer: D. Organizing the assessment by position minimizes patient
discomfort and improves efficiency .
12. A man is at the clinic for a physical examination. He states that he is
very anxious about the examination. What steps can the nurse take to make
him more comfortable?
A) Appear unhurried and confident when examining him
B) Stay in the room when he undresses in case he needs assistance
C) Ask him to change into an examining gown and to take off his
undergarments
D) Defer measuring vital signs until the end of the examination
Answer: A. Appearing unhurried and confident helps reduce patient anxiety .
13. When performing a physical examination, safety must be considered.
Which statement describes the most appropriate action regarding infection
control?
A) Washing one's hands after removing gloves is not necessary if the gloves are
intact
B) Hands are washed before and after every physical patient encounter
C) Hands are washed before the examination of each body system
D) Gloves are worn throughout the entire examination
Answer: B. Hand hygiene before and after every patient encounter is standard
practice .
14. The nurse is examining a patient's lower leg and notices a draining
ulceration. Which action is most appropriate?
A) Washing hands, and contacting the physician
B) Continuing to examine the ulceration, and then washing hands
C) Washing hands, putting on gloves, and continuing with the examination of
the ulceration
D) Washing hands, proceeding with rest of the physical examination, and then
examining the leg ulceration
Answer: C. Standard precautions require gloves for contact with draining
lesions .
15. Which of the following is a component of the general survey?
A) Observing the patient's body stature and nutritional status
B) Interpreting the subjective information the patient has reported
C) Measuring the patient's temperature, pulse, respirations, and blood pressure
D) Observing specific body systems while performing the physical assessment
Answer: A. The general survey includes observation of body stature, nutritional
status, and overall appearance .
QUESTIONS AND ANSWERS|| GUARANTEED
PASS|| ALREADY GRADED A+
Section I: Comprehensive Health History & Interviewing
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"
Answer: C. A new patient establishing care requires a comprehensive health
history to develop a baseline and identify all health risks .
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
Answer: B. Thorax and lungs are part of the physical examination, not the
health history .
3. A 59-year-old patient tells the nurse practitioner he thinks he must have
ulcerative colitis because he has had "black stools" for the last 24 hours.
How would the NP best document THE FACTS for his reason for seeking
care?
A) JM is a 59-year-old male here for having "black stools" for the past 24 hours.
B) JM came into the clinic complaining of black stools for the past 24 hours.
C) JM is a 59-year-old male here for "ulcerative colitis."
D) JM, a 59-year-old male, states he has ulcerative colitis and wants it checked.
Answer: A. The chief complaint should quote the patient's own words and state
the facts, not the patient's diagnosis .
,4. A patient tells the NP that she has had abdominal pain for the past week.
What would be the best response by the NP?
A) "We'll talk more about that later in the interview."
B) "Have you ever had any children?"
C) "What have you had to eat in the last 4 hours?"
D) "Can you point to where it hurts?"
Answer: D. Asking the patient to point to the pain helps characterize the
location and is a focused, open-ended follow-up .
5. During a comprehensive health history, the NP asks a 60-year-old male
about his past medical history. The patient states, "I had some heart
surgery a few years ago but I don't remember the name." Which is the
BEST approach?
A) Document the patient's statement verbatim and proceed
B) Ask the patient if he has a copy of his medical records or if you can contact
his previous provider
C) Skip the cardiac history since the patient cannot recall the details
D) Explain that his inability to recall is concerning and may indicate cognitive
decline
Answer: B. Obtaining records from previous providers ensures accuracy of the
medical history .
6. A 45-year-old female presents with episodes of severe right-sided
headache, nausea, and photophobia occurring twice monthly for 6 months.
When documenting the HPI, which element is MOST important using
OLDCARTS?
A) The patient's childhood vaccination history
B) The timing, severity, and associated symptoms of each headache episode
C) The patient's family medical history regarding cardiovascular disease
D) The patient's dietary habits and daily caffeine intake
Answer: B. OLDCARTS (Onset, Location, Duration, Character, Aggravating,
Relieving, Timing, Severity) guides a thorough HPI focused on the current
complaint .
7. The PQRSTU mnemonic is used to systematically document which
component of the SOAP note?
A) Objective
B) History of Present Illness (Subjective)
C) Past Medical History
D) Plan
Answer: B. PQRSTU (Provocative/Palliative, Quality/Quantity,
,Region/Radiation, Severity, Timing, Understand patient's perception) is used in
the Subjective section .
8. A patient's past medical history, including childhood illnesses, surgeries,
and hospitalizations, is documented in which SOAP section?
A) Objective
B) Assessment
C) Plan
D) Subjective
Answer: D. Past medical history is part of the health history and is documented
in the Subjective section .
9. Which of the following is NOT one of the seven attributes of a symptom?
A) Location
B) Duration
C) Genetic predisposition
D) Severity
Answer: C. Genetic predisposition is not one of the seven attributes (Location,
Quality, Quantity/Severity, Timing, Setting, Aggravating/Relieving factors,
Associated manifestations) .
10. A patient reports a headache that starts after eating greasy foods and
has increased from once a week to every other day. Nothing makes it
better. Which attribute of the symptom has been omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
D) Timing
Answer: B. Associated manifestations (other symptoms that occur with the
headache) have not been described .
Section II: Physical Examination Techniques & General Survey
11. The nurse is preparing to perform a physical assessment. The correct
action by the nurse is reflected by which statement?
A) Performs the examination from the left side of the bed
B) Examines tender or painful areas first to help relieve the patient's anxiety
C) Follows the same examination sequence, regardless of the patient's age or
condition
D) Organizes the assessment to ensure that the patient does not change positions
too often
, Answer: D. Organizing the assessment by position minimizes patient
discomfort and improves efficiency .
12. A man is at the clinic for a physical examination. He states that he is
very anxious about the examination. What steps can the nurse take to make
him more comfortable?
A) Appear unhurried and confident when examining him
B) Stay in the room when he undresses in case he needs assistance
C) Ask him to change into an examining gown and to take off his
undergarments
D) Defer measuring vital signs until the end of the examination
Answer: A. Appearing unhurried and confident helps reduce patient anxiety .
13. When performing a physical examination, safety must be considered.
Which statement describes the most appropriate action regarding infection
control?
A) Washing one's hands after removing gloves is not necessary if the gloves are
intact
B) Hands are washed before and after every physical patient encounter
C) Hands are washed before the examination of each body system
D) Gloves are worn throughout the entire examination
Answer: B. Hand hygiene before and after every patient encounter is standard
practice .
14. The nurse is examining a patient's lower leg and notices a draining
ulceration. Which action is most appropriate?
A) Washing hands, and contacting the physician
B) Continuing to examine the ulceration, and then washing hands
C) Washing hands, putting on gloves, and continuing with the examination of
the ulceration
D) Washing hands, proceeding with rest of the physical examination, and then
examining the leg ulceration
Answer: C. Standard precautions require gloves for contact with draining
lesions .
15. Which of the following is a component of the general survey?
A) Observing the patient's body stature and nutritional status
B) Interpreting the subjective information the patient has reported
C) Measuring the patient's temperature, pulse, respirations, and blood pressure
D) Observing specific body systems while performing the physical assessment
Answer: A. The general survey includes observation of body stature, nutritional
status, and overall appearance .
