NU 518 Exam 1 Study Questions with solutions
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" - C
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 - B
Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
and relieved by rest.
A) Subjective
B) Objective - A
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective - B
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 midepigastric
area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - B
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?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - C
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - A
The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
,A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - D
The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - B
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - A
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."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - A
After completing an initial assessment of a patient, the nurse has charted that his respirations
, are eupneic and his pulse is 58 beats per minute. These types of data would be:
A Objective.
B Reflective.
C Subjective.
D Introspective. - A
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
a Objective.
B Reflective.
C Subjective.
D Introspective. - C
The patients record, laboratory studies, objective data, and subjective data combine to form
the:
a Data base.
B Admitting data.
C Financial statement.
D Discharge summary. - A
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
a Immediately notify the patients physician.
B Document the sound exactly as it was heard.
C Validate the data by asking a coworker to listen to the breath sounds.
D Assess again in 20 minutes to note whether the sound is still present. - C
The nurse is conducting a class for new graduate nurses. During the teaching session, the
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" - C
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 - B
Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
and relieved by rest.
A) Subjective
B) Objective - A
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective - B
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 midepigastric
area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - B
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?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - C
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - A
The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
,A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - D
The following information is best placed in which category?
"The patient has had three cesarean sections."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - B
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - A
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."
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric - A
After completing an initial assessment of a patient, the nurse has charted that his respirations
, are eupneic and his pulse is 58 beats per minute. These types of data would be:
A Objective.
B Reflective.
C Subjective.
D Introspective. - A
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
a Objective.
B Reflective.
C Subjective.
D Introspective. - C
The patients record, laboratory studies, objective data, and subjective data combine to form
the:
a Data base.
B Admitting data.
C Financial statement.
D Discharge summary. - A
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
a Immediately notify the patients physician.
B Document the sound exactly as it was heard.
C Validate the data by asking a coworker to listen to the breath sounds.
D Assess again in 20 minutes to note whether the sound is still present. - C
The nurse is conducting a class for new graduate nurses. During the teaching session, the
