Nurs 740 Study Guide With
Complete Solution
For which of the following patients would a comprehensive health history be
appropriate? - ANSWER A new patient with the chief complaint of "I am here
to establish care"
The components of the health history include all of the following *except*
which one? - ANSWER Thorax and lung examination
The following information is recorded in the health history: "The patient has
had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it
comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied
by nausea and vomiting. It is located in the mid-epigastric area."Which of
these categories does it belong to? - ANSWER History of Present illness
The following information is recorded in the health history: "The patient
completed 8th grade. He currently lives with his wife and two children. He
works on old cars on the weekend. He works in a glass factory during the
week."Which category does it belong to? - ANSWER Personal and social
history
The following information is best placed in which category?"The patient was
treated for an asthma exacerbation in the hospital last year; the patient has
never been intubated." - ANSWER Past Medical History: Adult illnesses
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11.
He works in a sales office to support his family. Recently he has injured his
back and you are thinking he would benefit from physical therapy, three
,times a week, for an hour per session. What would be your next step? -
ANSWER Discuss the plan with Mr. Larson.
You are seeing an elderly man with multiple complaints. He has chronic
arthritis, pain from an old war injury, and headaches. Today he complains of
these pains, as well as dull chest pain under his sternum. What would the
order of priority be for your problem list? - ANSWER Chest pain, headaches,
arthritis, war injury pain
A patient complains of knee pain on your arrival in the room. What should
your first sentence be after greeting the patient? - ANSWER Could you please
describe what happened?
A "review of systems" is ALWAYS: - ANSWER Subjective: part of the history
Joel is a nurse practitioner in a busy family practice clinic. He is charting on
his patient, Deborah, who appears to have a skin rash on her face. He charts
the following: no fevers, no new lotions or soaps, no new medications, no
recent sun exposure, no itching. His documentation is an example of charting
- ANSWER Pertinent negatives
When considering how to phrase your documentation all of the following are
examples of acceptable phrasing EXCEPT - ANSWER lungs auscultated
Jane is an NP who observes a raised rash on the backs of her patient's knees
covering an area greater than 1 cm. She charts these solid bumps as -
ANSWER papules
A 35-year-old archaeologist comes to your office (located in Phoenix,
Arizona) for a regular skin check-up. She has just returned from her annual
dig site in Greece. She has fair skin and reddish-blonde hair. She has a family
history of melanoma. She has many freckles scattered across her skin. From
, this description, which of the following is not a risk factor for melanoma in
this patient? - ANSWER female
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation
after being in the hospital for 6 weeks. She was treated for sepsis and
respiratory failure and had to be on the ventilator for 3 weeks. You are
completing your initial assessment and are evaluating her skin condition. On
her sacrum there is full-thickness skin loss that is 5 cm in diameter, with
damage to the subcutaneous tissue. The underlying muscle is not affected.
You diagnose this as a pressure ulcer. What is the stage of this ulcer? -
ANSWER stage 3
A 58-year-old gardener comes to your office for evaluation of a new lesion
on her upper chest. The lesion appears to be stuck on, and is oval, brown,
and slightly elevated with a flat surface. It has a rough, wartlike (verrucous)
texture on palpation. What type of skin lesion does this description most
likely resemble? - ANSWER Seborrheic keratosis
Rhonda is seeing a patient that just came back from the beach for spring
break and has a rash on her thighs. Started after the last day while she was
laying in the sun. A cursory exam of her thigh and the rash looks like a hand
print. All of the following are important questions to ask, EXCEPT: - ANSWER
Did you see any sand fleas?
You are examining an unconscious patient from another region and notice
Beau's lines, a transverse groove across all of her nails, about 1 cm from the
proximal nail fold. What would you do next? - ANSWER Look for information
from family and records regarding any problems which occurred 3 months
ago.
Complete Solution
For which of the following patients would a comprehensive health history be
appropriate? - ANSWER A new patient with the chief complaint of "I am here
to establish care"
The components of the health history include all of the following *except*
which one? - ANSWER Thorax and lung examination
The following information is recorded in the health history: "The patient has
had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it
comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied
by nausea and vomiting. It is located in the mid-epigastric area."Which of
these categories does it belong to? - ANSWER History of Present illness
The following information is recorded in the health history: "The patient
completed 8th grade. He currently lives with his wife and two children. He
works on old cars on the weekend. He works in a glass factory during the
week."Which category does it belong to? - ANSWER Personal and social
history
The following information is best placed in which category?"The patient was
treated for an asthma exacerbation in the hospital last year; the patient has
never been intubated." - ANSWER Past Medical History: Adult illnesses
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11.
He works in a sales office to support his family. Recently he has injured his
back and you are thinking he would benefit from physical therapy, three
,times a week, for an hour per session. What would be your next step? -
ANSWER Discuss the plan with Mr. Larson.
You are seeing an elderly man with multiple complaints. He has chronic
arthritis, pain from an old war injury, and headaches. Today he complains of
these pains, as well as dull chest pain under his sternum. What would the
order of priority be for your problem list? - ANSWER Chest pain, headaches,
arthritis, war injury pain
A patient complains of knee pain on your arrival in the room. What should
your first sentence be after greeting the patient? - ANSWER Could you please
describe what happened?
A "review of systems" is ALWAYS: - ANSWER Subjective: part of the history
Joel is a nurse practitioner in a busy family practice clinic. He is charting on
his patient, Deborah, who appears to have a skin rash on her face. He charts
the following: no fevers, no new lotions or soaps, no new medications, no
recent sun exposure, no itching. His documentation is an example of charting
- ANSWER Pertinent negatives
When considering how to phrase your documentation all of the following are
examples of acceptable phrasing EXCEPT - ANSWER lungs auscultated
Jane is an NP who observes a raised rash on the backs of her patient's knees
covering an area greater than 1 cm. She charts these solid bumps as -
ANSWER papules
A 35-year-old archaeologist comes to your office (located in Phoenix,
Arizona) for a regular skin check-up. She has just returned from her annual
dig site in Greece. She has fair skin and reddish-blonde hair. She has a family
history of melanoma. She has many freckles scattered across her skin. From
, this description, which of the following is not a risk factor for melanoma in
this patient? - ANSWER female
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation
after being in the hospital for 6 weeks. She was treated for sepsis and
respiratory failure and had to be on the ventilator for 3 weeks. You are
completing your initial assessment and are evaluating her skin condition. On
her sacrum there is full-thickness skin loss that is 5 cm in diameter, with
damage to the subcutaneous tissue. The underlying muscle is not affected.
You diagnose this as a pressure ulcer. What is the stage of this ulcer? -
ANSWER stage 3
A 58-year-old gardener comes to your office for evaluation of a new lesion
on her upper chest. The lesion appears to be stuck on, and is oval, brown,
and slightly elevated with a flat surface. It has a rough, wartlike (verrucous)
texture on palpation. What type of skin lesion does this description most
likely resemble? - ANSWER Seborrheic keratosis
Rhonda is seeing a patient that just came back from the beach for spring
break and has a rash on her thighs. Started after the last day while she was
laying in the sun. A cursory exam of her thigh and the rash looks like a hand
print. All of the following are important questions to ask, EXCEPT: - ANSWER
Did you see any sand fleas?
You are examining an unconscious patient from another region and notice
Beau's lines, a transverse groove across all of her nails, about 1 cm from the
proximal nail fold. What would you do next? - ANSWER Look for information
from family and records regarding any problems which occurred 3 months
ago.
