TXST NURS 5210 Advanced Health Assessment Practicum:
Midterm Exam (Units 1-7) - Questions with Correct Answers
100 questions
1. The review of systems (ROS) is:
A. The physical exam
B. A list of labs
C. A subjective inventory of symptoms by body system
D. The assessment
Correct Answer: C. A subjective inventory of symptoms by body system
Rationale: Subjective.
2. Electronic health record templates may introduce risk of:
A. Perfect accuracy
B. Fewer details
C. Copy-forward errors and inaccurate documentation
D. Better reasoning always
Correct Answer: C. Copy-forward errors and inaccurate documentation
Rationale: Note bloat.
3. In a SOAP note, physical exam findings belong in:
A. Objective
B. Subjective
C. Assessment
D. Plan
Correct Answer: A. Objective
Rationale: Observed data.
4. Inspection, palpation, percussion and auscultation is the standard exam order except for the:
A. Lungs
B. Heart
C. Thyroid
D. Abdomen, where auscultation precedes percussion and palpation
Correct Answer: D. Abdomen, where auscultation precedes percussion and palpation
Rationale: Avoid altering bowel sounds.
5. A positive likelihood ratio greater than 10:
A. Has no effect
B. Substantially increases the probability of disease
C. Rules out disease
D. Decreases probability
Correct Answer: B. Substantially increases the probability of disease
Rationale: Strong evidence.
6. A 'review of systems' question about the respiratory system is:
A. "What is your address?"
B. "Have you had a cough or shortness of breath?"
C. "Do you have a rash?"
D. "How is your appetite?"
Correct Answer: B. "Have you had a cough or shortness of breath?"
Rationale: System-specific.
,7. When documenting an allergy, the clinician should record:
A. Only the agent
B. Only 'NKDA'
C. The agent and the specific reaction
D. The pharmacy name
Correct Answer: C. The agent and the specific reaction
Rationale: True allergy vs intolerance.
8. In a SOAP note, the 'A' section contains:
A. The assessment, including diagnosis and differential diagnoses
B. Vital signs
C. Patient's quotes
D. Medication list
Correct Answer: A. The assessment, including diagnosis and differential diagnoses
Rationale: Clinical reasoning.
9. The chief complaint should be documented:
A. As a confirmed diagnosis
B. In the patient's own words
C. Only as ICD-10 codes
D. By the family only
Correct Answer: B. In the patient's own words
Rationale: Patient voice.
10. Pack-years are calculated as:
A. Cigarettes per week
B. Packs per day multiplied by years smoked
C. Years since quitting
D. Packs per year divided by age
Correct Answer: B. Packs per day multiplied by years smoked
Rationale: Tobacco exposure.
11. The SBAR format is used for:
A. Physical exam documentation
B. Structured communication and handoff
C. Billing
D. Family history
Correct Answer: B. Structured communication and handoff
Rationale: Communication.
12. Red flag symptoms are those that:
A. Are always benign
B. Suggest serious conditions requiring urgent evaluation
C. Only matter in children
D. Indicate allergy
Correct Answer: B. Suggest serious conditions requiring urgent evaluation
Rationale: Danger signs.
, 13. Intimate partner violence screening should be done:
A. With the partner in the room
B. Only if bruises are seen
C. Never
D. Privately, without the partner present
Correct Answer: D. Privately, without the partner present
Rationale: Safety.
14. Medication history should include:
A. Only prescriptions
B. Prescription, OTC, herbal supplements and adherence
C. Only allergies
D. Only doses
Correct Answer: B. Prescription, OTC, herbal supplements and adherence
Rationale: Complete list.
15. Functional status assessment evaluates:
A. Ability to perform daily activities
B. Blood tests
C. Imaging
D. Vital signs
Correct Answer: A. Ability to perform daily activities
Rationale: ADLs/IADLs.
16. A bulla is:
A. A fluid-filled lesion greater than 1 cm
B. A small papule
C. A wheal
D. A macule
Correct Answer: A. A fluid-filled lesion greater than 1 cm
Rationale: Large blister.
17. Alopecia areata presents as:
A. Diffuse thinning
B. Scarring with scale
C. Broken hairs from pulling only
D. Well-demarcated round patches of hair loss
Correct Answer: D. Well-demarcated round patches of hair loss
Rationale: Autoimmune.
18. A Wood's lamp examination can help identify:
A. Melanoma depth
B. Bacterial cellulitis
C. Certain fungal infections and pigmentary changes
D. Psoriasis
Correct Answer: C. Certain fungal infections and pigmentary changes
Rationale: Fluorescence.
Midterm Exam (Units 1-7) - Questions with Correct Answers
100 questions
1. The review of systems (ROS) is:
A. The physical exam
B. A list of labs
C. A subjective inventory of symptoms by body system
D. The assessment
Correct Answer: C. A subjective inventory of symptoms by body system
Rationale: Subjective.
2. Electronic health record templates may introduce risk of:
A. Perfect accuracy
B. Fewer details
C. Copy-forward errors and inaccurate documentation
D. Better reasoning always
Correct Answer: C. Copy-forward errors and inaccurate documentation
Rationale: Note bloat.
3. In a SOAP note, physical exam findings belong in:
A. Objective
B. Subjective
C. Assessment
D. Plan
Correct Answer: A. Objective
Rationale: Observed data.
4. Inspection, palpation, percussion and auscultation is the standard exam order except for the:
A. Lungs
B. Heart
C. Thyroid
D. Abdomen, where auscultation precedes percussion and palpation
Correct Answer: D. Abdomen, where auscultation precedes percussion and palpation
Rationale: Avoid altering bowel sounds.
5. A positive likelihood ratio greater than 10:
A. Has no effect
B. Substantially increases the probability of disease
C. Rules out disease
D. Decreases probability
Correct Answer: B. Substantially increases the probability of disease
Rationale: Strong evidence.
6. A 'review of systems' question about the respiratory system is:
A. "What is your address?"
B. "Have you had a cough or shortness of breath?"
C. "Do you have a rash?"
D. "How is your appetite?"
Correct Answer: B. "Have you had a cough or shortness of breath?"
Rationale: System-specific.
,7. When documenting an allergy, the clinician should record:
A. Only the agent
B. Only 'NKDA'
C. The agent and the specific reaction
D. The pharmacy name
Correct Answer: C. The agent and the specific reaction
Rationale: True allergy vs intolerance.
8. In a SOAP note, the 'A' section contains:
A. The assessment, including diagnosis and differential diagnoses
B. Vital signs
C. Patient's quotes
D. Medication list
Correct Answer: A. The assessment, including diagnosis and differential diagnoses
Rationale: Clinical reasoning.
9. The chief complaint should be documented:
A. As a confirmed diagnosis
B. In the patient's own words
C. Only as ICD-10 codes
D. By the family only
Correct Answer: B. In the patient's own words
Rationale: Patient voice.
10. Pack-years are calculated as:
A. Cigarettes per week
B. Packs per day multiplied by years smoked
C. Years since quitting
D. Packs per year divided by age
Correct Answer: B. Packs per day multiplied by years smoked
Rationale: Tobacco exposure.
11. The SBAR format is used for:
A. Physical exam documentation
B. Structured communication and handoff
C. Billing
D. Family history
Correct Answer: B. Structured communication and handoff
Rationale: Communication.
12. Red flag symptoms are those that:
A. Are always benign
B. Suggest serious conditions requiring urgent evaluation
C. Only matter in children
D. Indicate allergy
Correct Answer: B. Suggest serious conditions requiring urgent evaluation
Rationale: Danger signs.
, 13. Intimate partner violence screening should be done:
A. With the partner in the room
B. Only if bruises are seen
C. Never
D. Privately, without the partner present
Correct Answer: D. Privately, without the partner present
Rationale: Safety.
14. Medication history should include:
A. Only prescriptions
B. Prescription, OTC, herbal supplements and adherence
C. Only allergies
D. Only doses
Correct Answer: B. Prescription, OTC, herbal supplements and adherence
Rationale: Complete list.
15. Functional status assessment evaluates:
A. Ability to perform daily activities
B. Blood tests
C. Imaging
D. Vital signs
Correct Answer: A. Ability to perform daily activities
Rationale: ADLs/IADLs.
16. A bulla is:
A. A fluid-filled lesion greater than 1 cm
B. A small papule
C. A wheal
D. A macule
Correct Answer: A. A fluid-filled lesion greater than 1 cm
Rationale: Large blister.
17. Alopecia areata presents as:
A. Diffuse thinning
B. Scarring with scale
C. Broken hairs from pulling only
D. Well-demarcated round patches of hair loss
Correct Answer: D. Well-demarcated round patches of hair loss
Rationale: Autoimmune.
18. A Wood's lamp examination can help identify:
A. Melanoma depth
B. Bacterial cellulitis
C. Certain fungal infections and pigmentary changes
D. Psoriasis
Correct Answer: C. Certain fungal infections and pigmentary changes
Rationale: Fluorescence.
