NUR 614: MODULE 1-3 EXAM UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NUR 614: MODULE 1-3 EXAM UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS

Question:
1. One way that a health history for an infant differs from that of an adult is the inclusion of what?
Answer:
Prenatal information.

Question:
2. Mr. Blakely is a 59-year-old man requiring a routine physical examination. He will be having his visual
acuity tested. What equipment is needed for this specific exam?
Answer:
Snellen eye chart.

Question:
3. Which technique will most likely facilitate the examination of a small frightened girl?
Answer:
Tell the child a story in order to distract her.

Question:
4. Your patient presents to the office with a chief complaint of shoulder pain that he reports as stabbing. In
using the mnemonic OLDCARTS, this is noted as?
Answer:
Character.

Question:
5. When meeting a patient for the first time make sure to do what?
Answer:
Introduce yourself (first and last name). ~Acute care nurse practitioner student.~

Question:
6. Head to Toe exam includes what areas? H&P (8)
Answer:
CHARMING
1. Cardiac and Neck.
2. HEENT.
3. Abdomen.
4. Respiratory.
5. Musculoskeletal.
6. Integumentary.
7. Neuro.
8. General inspection.

Question:
7. Why is the SOAP note important?

,Answer:
Consistency between all providers.

Question:
8. What is included in the SOAP note?
Answer:
S. Subjective data. What the pt. tell you. CC, All history, ROS. O. Objective data. What I observe. Direct
observation. Vitals, physical exam, includes ICD-9 and 10, labs, data from other sources/letter/results.
A. Assessment. List of possible diagnoses (active, temporary and inactive). P. Plan.

Question:
9. What is included in the Subjective Data? Order is important!
Answer:
Chief Complaint (CC) History of present illness (HPI) Past Medical History (PMH) Family History (FH)
Social History (SH) Review of Systems (ROS). Document pertinent positives, must say denies problems
with...

Question:
10. What part of the subjective data is always in quotes?
Answer:
Chief Complaint.

Question:
11. This is the story of what brought them to you.
Answer:
History of Present Illness (HPI).

Question:
12. Always begin HPI how?
Answer:
With the age of the patient and their gender, occupation along with their CC and beginning of history of
present illness.

Question:
13. This is in chronological order, written in paragraph form in short, concise statements?
Answer:
HPI. Always the 1st paragraph.

Question:
14. What variables comprise an History of Present Illness (HPI)? Characteristics of the CURRENT
symptoms.

, Answer:
OLD CARTS
1. Onset (Timing, when did it start, constant or comes and goes).
2. Location.
3. Duration.
4. Character (quality)
5. Aggravating/Alleviating Factors (modifying factors)
6. Region/Radiation (associated s/s)
7. Timing.
8. Severity/Scale (1-10)

Question:
15. What is included in the past medical history?
Answer:
Prenatal information. Immunization status. Previous illnesses and injuries. Surgeries and hospitalizations.

Question:
16. A concise statement that describes the reason the patient presents to the clinic?
Answer:
CC. In quotes.

Question:
17. Any system that pertains to the patient's chief complaint should be in the HPI. If in HPI, just note in
ROS, "see HPI. What should be assessed on every focused SOAP NOTE ROS?
Answer:
Cardiovascular, Respiratory and Neuro systems regardless of chief complaint.

Question:
18. Example of ROS. Patient states, I have a head cold." What would you document in ROS? Where will
the HEENT be documented?
Answer:
In ROS: See HPI. HEENT would be documented in HPI. Respiratory: See HPI.

Question:
19. During the physical examination (objective), document what?
Answer:
Specific abnormal and relevant negative findings.

Question:
20. My objective review of systems (ROS) should include?