NURS 5220 (Exam 1 & 2) Advanced Health
Assessment - UTA - (PDF)
1. A 72-year-old patient is asked about past medical
history and reports “a touch of sugar” and “a little bit of
high blood.” What is the best response by the nurse
practitioner?
a) “Please use the correct medical terms for your
conditions.”
b) “Tell me more about what you call ‘sugar’ and ‘high
blood.’”
c) “So you have diabetes mellitus and hypertension?”
d) “When were you diagnosed with these conditions?”
Answer: b
Rationale: The clinician should use the patient’s own
language initially to build rapport and clarify
understanding. Asking the patient to elaborate (“tell me
more”) avoids making assumptions (e.g., “sugar” could be
hypoglycemia, though usually diabetes).
1
,2. Which interviewing technique is most effective for
obtaining a detailed description of a patient’s chest pain?
a) Direct questioning: “Did the pain start suddenly?”
b) Leading question: “The pain is crushing, right?”
c) Open-ended question: “Tell me exactly what you felt.”
d) Yes/no question: “Does the pain radiate to your arm?”
Answer: c
Rationale: Open-ended questions allow the patient to
describe symptoms in their own words without bias,
yielding richer, more accurate data.
3. A patient becomes tearful while discussing a recent
cancer diagnosis. What is the most appropriate response?
a) “Don’t cry, we will get through this.”
b) “I see this is difficult. Would you like to take a
moment?”
c) “Let’s change the subject to your medication list.”
d) “You need to stay positive for your family.”
Answer: b
2
,Rationale: Acknowledging the patient’s emotion and
offering a pause validates their feelings and maintains
therapeutic communication without dismissing the emotion.
4. According to the mnemonic PQRSTU for symptom
analysis, what does “U” stand for?
a) Underlying cause
b) Understanding the patient
c) You (impact on daily life)
d) Urgent intervention
Answer: c
Rationale: “U” represents “You” or “How does this affect
you?” — assessing the impact on activities of daily living,
work, and relationships.
5. The “OLDCARTS” mnemonic is used for pain assessment.
What does “C” represent?
a) Cause
b) Character
c) Color
3
, d) Comorbidities
j6 Answer:b j6
Rationale: C = Character (e.g., sharp, dull, burning, aching).
j6 j6 j6 j6 j6 j6 j6 j6
j6 OLDCARTS stands for Onset, Location, Duration, Character,
j6 j6 j6 j6 j6 j6
Aggravating/Alleviatingfactors,Radiation, Timing,
j6 j6 j6 j6
Severity.
j6
6. Apatientreportstaking“waterpills”forblood
j6 j6 j6 j6 j6 j6 j6
j6 pressure but cannot name the medication. What is the
j6 j6 j6 j6 j6 j6 j6 j6
j6 best documentation?
j6
a) “Patient is non-compliant with medication regimen.”
j6 j6 j6 j6 j6
b) “Patient takes a diuretic for hypertension, name
j6 j6 j6 j6 j6 j6
j6 unknown.”
c) “Patient probably takes hydrochlorothiazide.”
j 6 j 6 j 6
d) “Patient refuses to provide medication names.”
j6 j6 j6 j6 j6
j6 Answer:b j6
Rationale: Document exactly what the patient reports. Do
j6 j6 j6 j6 j6 j6 j6
j6 not assume a specific drug or label the patient negatively.
j6 j6 j6 j6 j6 j6 j6 j6 j6
j6 The provider can verifywith the pharmacy later.
j6 j6 j6 j6 j6 j6 j6
4
Assessment - UTA - (PDF)
1. A 72-year-old patient is asked about past medical
history and reports “a touch of sugar” and “a little bit of
high blood.” What is the best response by the nurse
practitioner?
a) “Please use the correct medical terms for your
conditions.”
b) “Tell me more about what you call ‘sugar’ and ‘high
blood.’”
c) “So you have diabetes mellitus and hypertension?”
d) “When were you diagnosed with these conditions?”
Answer: b
Rationale: The clinician should use the patient’s own
language initially to build rapport and clarify
understanding. Asking the patient to elaborate (“tell me
more”) avoids making assumptions (e.g., “sugar” could be
hypoglycemia, though usually diabetes).
1
,2. Which interviewing technique is most effective for
obtaining a detailed description of a patient’s chest pain?
a) Direct questioning: “Did the pain start suddenly?”
b) Leading question: “The pain is crushing, right?”
c) Open-ended question: “Tell me exactly what you felt.”
d) Yes/no question: “Does the pain radiate to your arm?”
Answer: c
Rationale: Open-ended questions allow the patient to
describe symptoms in their own words without bias,
yielding richer, more accurate data.
3. A patient becomes tearful while discussing a recent
cancer diagnosis. What is the most appropriate response?
a) “Don’t cry, we will get through this.”
b) “I see this is difficult. Would you like to take a
moment?”
c) “Let’s change the subject to your medication list.”
d) “You need to stay positive for your family.”
Answer: b
2
,Rationale: Acknowledging the patient’s emotion and
offering a pause validates their feelings and maintains
therapeutic communication without dismissing the emotion.
4. According to the mnemonic PQRSTU for symptom
analysis, what does “U” stand for?
a) Underlying cause
b) Understanding the patient
c) You (impact on daily life)
d) Urgent intervention
Answer: c
Rationale: “U” represents “You” or “How does this affect
you?” — assessing the impact on activities of daily living,
work, and relationships.
5. The “OLDCARTS” mnemonic is used for pain assessment.
What does “C” represent?
a) Cause
b) Character
c) Color
3
, d) Comorbidities
j6 Answer:b j6
Rationale: C = Character (e.g., sharp, dull, burning, aching).
j6 j6 j6 j6 j6 j6 j6 j6
j6 OLDCARTS stands for Onset, Location, Duration, Character,
j6 j6 j6 j6 j6 j6
Aggravating/Alleviatingfactors,Radiation, Timing,
j6 j6 j6 j6
Severity.
j6
6. Apatientreportstaking“waterpills”forblood
j6 j6 j6 j6 j6 j6 j6
j6 pressure but cannot name the medication. What is the
j6 j6 j6 j6 j6 j6 j6 j6
j6 best documentation?
j6
a) “Patient is non-compliant with medication regimen.”
j6 j6 j6 j6 j6
b) “Patient takes a diuretic for hypertension, name
j6 j6 j6 j6 j6 j6
j6 unknown.”
c) “Patient probably takes hydrochlorothiazide.”
j 6 j 6 j 6
d) “Patient refuses to provide medication names.”
j6 j6 j6 j6 j6
j6 Answer:b j6
Rationale: Document exactly what the patient reports. Do
j6 j6 j6 j6 j6 j6 j6
j6 not assume a specific drug or label the patient negatively.
j6 j6 j6 j6 j6 j6 j6 j6 j6
j6 The provider can verifywith the pharmacy later.
j6 j6 j6 j6 j6 j6 j6
4
