Advanced Assessment Final NRSG 5480
With Questions And Correct Answers
Which cquestion cwould cbe cconsidered ca c"leading cquestion"?
c
○ c"What cdo cyou cthink cis ccausing cyour cheadaches."
○ c"You cdon't cget cheadaches coften, cdo cyou?"
○ c"On ca cscale cof c1 cto c10 chow cwould cyou crate cthe cseverity cof cyour cheadaches?"
○ c"At cwhat ctime cof cthe cday care cyour cheadaches cthe cmost csevere?" c- cCORRECT
cANS✔✔○ c"You cdon't cget cheadaches coften, cdo cyou?"
When cyou care cquestioning ca cpatient cregarding calcohol cintake, cshe ctells cyou cthat
cshe cis c"only ca csocial cdrinker." cWhich cinitial cresponse cis cappropriate?
c
○ c"I'm cglad cthat cyou care ca cresponsible cdrinker."
c
○ c"Do cthe cother cpeople cin cyour chousehold cconsume calcohol?"
○ c"What camount cand cwhat ckind cof calcohol cdo cyou cdrink cin ca cweek?"
○ c"If cyou conly cdrink csocially, cyou cwon't cneed cto cworry cabout calways chaving ca
cdesignated cdriver." c- cCORRECT cANS✔✔○ c"What camount cand cwhat ckind cof
calcohol cdo cyou cdrink cin ca cweek?"
You care ccollecting ca chistory cfrom can c11-year-old cgirl. cHer cmother cis csitting cnext cto
cher cin cthe cexamination croom. cWhen ccollecting chistory cfrom colder cchildren cor
cadolescents, cthey cshould cbe:
○ cgiven cthe copportunity cto cbe cinterviewed cwithout cthe cparent cat csome cpoint cduring
cthe cinterview.
○ cmailed ca cquestionnaire cin cadvance cto cavoid cthe cneed cfor cthem cto ctalk.
c
○ cignored cwhile cyou caddress call cthe cquestions cto cthe cparent.
,○ callowed cto cdirect cthe cflow cof cthe cinterview. c- cCORRECT cANS✔✔○ cgiven cthe
copportunity cto cbe cinterviewed cwithout cthe cparent cat csome cpoint cduring cthe
cinterview.
A cbrief cstatement cof cthe creason cthe cpatient cis cseeking chealth ccare cis ccalled cthe:
c
○ cmedical chistory.
○ cchief ccomplaint.
c
○ cassessment.
c
○ cdiagnosis. c- cCORRECT cANS✔✔○ cchief ccomplaint.
Mr. cD. ccomplains cof ca cheadache. cDuring cthe chistory, che cmentions chis cuse cof
calcohol cand cillicit cdrugs. cThis cinformation cwould cmost clikely cbelong cin cthe:
c
○ cchief ccomplaint.
○ cpast cmedical chistory.
○ cpersonal cand csocial chistory.
c
○ creview cof csystems. c- cCORRECT cANS✔✔○ cpersonal cand csocial chistory.
When cyou center cthe cexamination croom cof ca c3-year-old cgirl, cyou cfind cher csitting con
cher cfather's clap. cShe cturns caway cfrom cyou cwhen cyou cgreet cher. cInitially, cyour
cbest cresponse cis cto:
○ cleave cthe cchild csitting cin cthe cfather's clap cwhile cyou ctalk cwith cthe cfather.
○ cask cthe cchild cto cbe cseated con cthe cexamination ctable cso cthat cyou ccan ctalk cto
cher cfather.
○ cexplain cto cthe cchild cthat cyou cwill cnot churt cher cand cthat cshe cwill chave cto ctrust
cyou.
○ cask cthe cfather cto cpersuade cthe cchild cto ccooperate cwith cyou. c- cCORRECT
cANS✔✔○ cleave cthe cchild csitting cin cthe cfather's clap cwhile cyou ctalk cwith cthe cfather.
When cyou csuspect cthat cyour c81-year-old cpatient chas cshort-term cmemory closs
cbecause che ccannot cremember cwhat che chad cfor cbreakfast, cyou cshould cfirst:
c
○ corder ca cneurology cconsult.
○ cstop call cof chis cmedications.
○ cvalidate cthe cconcern cwith chis cfamily cor ccaregivers.
,○ cdismiss cthe cfindings cas cnormal cage-related cchange. c- cCORRECT cANS✔✔○
cvalidate cthe cconcern cwith chis cfamily cor ccaregivers.
A ccomprehensive cexam cincludes call cthe celements cof cthe chealth chistory cand cthe
ccomplete cphysical cexamination. c
True cOR cFalse c- cCORRECT cANS✔✔TRUE
A ccomprehensive cexam cwill cinclude call caspects cof cthe chistory cand cphysical cexam.
cA cfocused cexam cis cone cthat caddresses cproblems cthat care cspecific cto curgent ccare
cconcerns.
Subjective cinformation cis...? c
○ cWhat cthe cpatient ctells cyou. c
○ cAll cphysical cexam cfindings. c
○ cLaboratory cfindings.
○ cDiagnostic ctest cresults. c- cCORRECT cANS✔✔○ cWhat cthe cpatient ctells cyou.
The ccomponents cof cthe ccomprehensive chealth chistory cinclude cwhich cof cthe
cfollowing? c
Mark call cthat capply. c
○ cReview cof csystems
○ cChief ccomplaints(s)
○ cPresent cillness
○ cPast cHistory c- cCORRECT cANS✔✔ALL
○ cReview cof csystems
○ cChief ccomplaints(s)
○ cPresent cillness
○ cPast cHistory
The clast cpart cof cthe chistory cwould cbe cto:
○ cReview cwith cthe cpatient cquestions cabout ceach cbody csystem
c
○ cComplete cthe c24 chour cdiet crecall
, c
○ cAdd cup cthe c24 chour ccalories cfor cthe cpatient
c
○ cTell cthem cwhat ctheir cdiagnosis cis c- cCORRECT cANS✔✔○ cReview cwith cthe
cpatient cquestions cabout ceach cbody csystem
Feed cBack: cThis cis ccalled ca cReview cof csystems cand cis csubjective cinformation
cabout ceach csystem.
A cpatient cpresents cwith cthe cfollowing ccomplaint: c"Since clast cweek cI chave cnot cfeel
cright; cnow cI chave ca cheadache cand cfell clike cI cmight cthrow cup." cWhich cof cthe
cfollowing cis cthe cmost cappropriate cdocumentation cof cthe cchief ccomplaint?
c
○ cFlu-like cillness
c
○ cGI cdistress
○ cNausea, cHeadache, cnot c"feeling cright" cx c1 cweek
c
○ cNausea, cheadache c- cCORRECT cANS✔✔○ cNausea, cHeadache, cnot c"feeling
cright" cx c1 cweek
Feedback: cThe cchief ccomplaint cneeds cto cbe cas cspecific cas cpossible cand cinclude
conset cand cduration.
Several cquestions cthat cwould cbe cimportant cto cask cduring cthe cReview cof cSystems
cfor crespiratory cdisorders cwould cbe:
c
○ cHobbies, cExercise cTolerance, cImmunizations
c
○ cEmployment, cHome cEnvironment
○ cCough, csputum cproduction, cSOB
c
○ cNutritional cstatus, cTravel c- cCORRECT cANS✔✔○ cCough, csputum cproduction,
cSOB
Feedback: cThe creview cof csystems cis csubjective cinformation cabout ca cspecific cbody
csystem cand cnot cabout clifestyle, chobbies, cor cfamily chistory.
Eliciting cin cchronological corder cthe cstate cof chealth cbefore conset cof cpresent cproblem
cwould cbe cthe:
c
○ cFamily chistory
○ cPast cmedical chistory
c
○ cGenetic cbackground cof cclient
c
○ cThe cphysical cexam c- cCORRECT cANS✔✔○ cPast cmedical chistory
With Questions And Correct Answers
Which cquestion cwould cbe cconsidered ca c"leading cquestion"?
c
○ c"What cdo cyou cthink cis ccausing cyour cheadaches."
○ c"You cdon't cget cheadaches coften, cdo cyou?"
○ c"On ca cscale cof c1 cto c10 chow cwould cyou crate cthe cseverity cof cyour cheadaches?"
○ c"At cwhat ctime cof cthe cday care cyour cheadaches cthe cmost csevere?" c- cCORRECT
cANS✔✔○ c"You cdon't cget cheadaches coften, cdo cyou?"
When cyou care cquestioning ca cpatient cregarding calcohol cintake, cshe ctells cyou cthat
cshe cis c"only ca csocial cdrinker." cWhich cinitial cresponse cis cappropriate?
c
○ c"I'm cglad cthat cyou care ca cresponsible cdrinker."
c
○ c"Do cthe cother cpeople cin cyour chousehold cconsume calcohol?"
○ c"What camount cand cwhat ckind cof calcohol cdo cyou cdrink cin ca cweek?"
○ c"If cyou conly cdrink csocially, cyou cwon't cneed cto cworry cabout calways chaving ca
cdesignated cdriver." c- cCORRECT cANS✔✔○ c"What camount cand cwhat ckind cof
calcohol cdo cyou cdrink cin ca cweek?"
You care ccollecting ca chistory cfrom can c11-year-old cgirl. cHer cmother cis csitting cnext cto
cher cin cthe cexamination croom. cWhen ccollecting chistory cfrom colder cchildren cor
cadolescents, cthey cshould cbe:
○ cgiven cthe copportunity cto cbe cinterviewed cwithout cthe cparent cat csome cpoint cduring
cthe cinterview.
○ cmailed ca cquestionnaire cin cadvance cto cavoid cthe cneed cfor cthem cto ctalk.
c
○ cignored cwhile cyou caddress call cthe cquestions cto cthe cparent.
,○ callowed cto cdirect cthe cflow cof cthe cinterview. c- cCORRECT cANS✔✔○ cgiven cthe
copportunity cto cbe cinterviewed cwithout cthe cparent cat csome cpoint cduring cthe
cinterview.
A cbrief cstatement cof cthe creason cthe cpatient cis cseeking chealth ccare cis ccalled cthe:
c
○ cmedical chistory.
○ cchief ccomplaint.
c
○ cassessment.
c
○ cdiagnosis. c- cCORRECT cANS✔✔○ cchief ccomplaint.
Mr. cD. ccomplains cof ca cheadache. cDuring cthe chistory, che cmentions chis cuse cof
calcohol cand cillicit cdrugs. cThis cinformation cwould cmost clikely cbelong cin cthe:
c
○ cchief ccomplaint.
○ cpast cmedical chistory.
○ cpersonal cand csocial chistory.
c
○ creview cof csystems. c- cCORRECT cANS✔✔○ cpersonal cand csocial chistory.
When cyou center cthe cexamination croom cof ca c3-year-old cgirl, cyou cfind cher csitting con
cher cfather's clap. cShe cturns caway cfrom cyou cwhen cyou cgreet cher. cInitially, cyour
cbest cresponse cis cto:
○ cleave cthe cchild csitting cin cthe cfather's clap cwhile cyou ctalk cwith cthe cfather.
○ cask cthe cchild cto cbe cseated con cthe cexamination ctable cso cthat cyou ccan ctalk cto
cher cfather.
○ cexplain cto cthe cchild cthat cyou cwill cnot churt cher cand cthat cshe cwill chave cto ctrust
cyou.
○ cask cthe cfather cto cpersuade cthe cchild cto ccooperate cwith cyou. c- cCORRECT
cANS✔✔○ cleave cthe cchild csitting cin cthe cfather's clap cwhile cyou ctalk cwith cthe cfather.
When cyou csuspect cthat cyour c81-year-old cpatient chas cshort-term cmemory closs
cbecause che ccannot cremember cwhat che chad cfor cbreakfast, cyou cshould cfirst:
c
○ corder ca cneurology cconsult.
○ cstop call cof chis cmedications.
○ cvalidate cthe cconcern cwith chis cfamily cor ccaregivers.
,○ cdismiss cthe cfindings cas cnormal cage-related cchange. c- cCORRECT cANS✔✔○
cvalidate cthe cconcern cwith chis cfamily cor ccaregivers.
A ccomprehensive cexam cincludes call cthe celements cof cthe chealth chistory cand cthe
ccomplete cphysical cexamination. c
True cOR cFalse c- cCORRECT cANS✔✔TRUE
A ccomprehensive cexam cwill cinclude call caspects cof cthe chistory cand cphysical cexam.
cA cfocused cexam cis cone cthat caddresses cproblems cthat care cspecific cto curgent ccare
cconcerns.
Subjective cinformation cis...? c
○ cWhat cthe cpatient ctells cyou. c
○ cAll cphysical cexam cfindings. c
○ cLaboratory cfindings.
○ cDiagnostic ctest cresults. c- cCORRECT cANS✔✔○ cWhat cthe cpatient ctells cyou.
The ccomponents cof cthe ccomprehensive chealth chistory cinclude cwhich cof cthe
cfollowing? c
Mark call cthat capply. c
○ cReview cof csystems
○ cChief ccomplaints(s)
○ cPresent cillness
○ cPast cHistory c- cCORRECT cANS✔✔ALL
○ cReview cof csystems
○ cChief ccomplaints(s)
○ cPresent cillness
○ cPast cHistory
The clast cpart cof cthe chistory cwould cbe cto:
○ cReview cwith cthe cpatient cquestions cabout ceach cbody csystem
c
○ cComplete cthe c24 chour cdiet crecall
, c
○ cAdd cup cthe c24 chour ccalories cfor cthe cpatient
c
○ cTell cthem cwhat ctheir cdiagnosis cis c- cCORRECT cANS✔✔○ cReview cwith cthe
cpatient cquestions cabout ceach cbody csystem
Feed cBack: cThis cis ccalled ca cReview cof csystems cand cis csubjective cinformation
cabout ceach csystem.
A cpatient cpresents cwith cthe cfollowing ccomplaint: c"Since clast cweek cI chave cnot cfeel
cright; cnow cI chave ca cheadache cand cfell clike cI cmight cthrow cup." cWhich cof cthe
cfollowing cis cthe cmost cappropriate cdocumentation cof cthe cchief ccomplaint?
c
○ cFlu-like cillness
c
○ cGI cdistress
○ cNausea, cHeadache, cnot c"feeling cright" cx c1 cweek
c
○ cNausea, cheadache c- cCORRECT cANS✔✔○ cNausea, cHeadache, cnot c"feeling
cright" cx c1 cweek
Feedback: cThe cchief ccomplaint cneeds cto cbe cas cspecific cas cpossible cand cinclude
conset cand cduration.
Several cquestions cthat cwould cbe cimportant cto cask cduring cthe cReview cof cSystems
cfor crespiratory cdisorders cwould cbe:
c
○ cHobbies, cExercise cTolerance, cImmunizations
c
○ cEmployment, cHome cEnvironment
○ cCough, csputum cproduction, cSOB
c
○ cNutritional cstatus, cTravel c- cCORRECT cANS✔✔○ cCough, csputum cproduction,
cSOB
Feedback: cThe creview cof csystems cis csubjective cinformation cabout ca cspecific cbody
csystem cand cnot cabout clifestyle, chobbies, cor cfamily chistory.
Eliciting cin cchronological corder cthe cstate cof chealth cbefore conset cof cpresent cproblem
cwould cbe cthe:
c
○ cFamily chistory
○ cPast cmedical chistory
c
○ cGenetic cbackground cof cclient
c
○ cThe cphysical cexam c- cCORRECT cANS✔✔○ cPast cmedical chistory
