NSG6020 MIDTERM EXAM WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS
RATED A+
Suzanne, a 25 year old, comes to your clinic to establish care.
You are the student preparing to go into the examination room to
interview her. Which of the following is the most logical sequence
for the patient-provider interview? Correct Answer Greet the
patient, establish rapport, invite the patient's story, establish the
agenda, expand and clarify the patient's story, and negotiate a
plan.
Alexandra is a 28-year-old editor who presents to the clinic with
abdominal pain. The pain is a dull ache, located in the right upper
quadrant, that she rates as a 3 at the least and an 8 at the worst.
The pain started a few weeks ago, it lasts for 2 to 3 hours at a
time, it comes and goes, and it seems to be worse a couple of
hours after eating. She has noticed that it starts after eating
greasy foods, so she has cut down on these as much as she can.
Initially it occurred once a week, but now it is occurring every
other day. Nothing makes it better. From this description, which of
the seven attributes of a symptom has been omitted? Correct
Answer Associated manifestations
,A 23-year-old graduate student comes to your clinic for evaluation
of a urethral discharge. As the provider, you need to get a sexual
history. Which one of the following questions is inappropriate for
eliciting the information? Correct Answer Are you sexually active?
On a very busy day in the office, Mrs. Donelan, who is 81 years
old, comes for her usual visit for her blood pressure. She is on a
low-dose diuretic chronically and denies any side effects. Her
blood pressure is 118/78 today, which is well-controlled. As you
are writing her script, she mentions that it is hard not having her
husband Bill around anymore. What would you do next? Correct
Answer Ask why Bill is not there.
When you enter your patient's examination room, his wife is
waiting there with him. Which of the following is most appropriate?
Correct Answer Ask if it's okay to carry out the visit with both
people in the room.
You are performing a young woman's first pelvic examination. You
make sure to tell her verbally what is coming next and what to
expect. Then you carry out each maneuver of the examination.
You let her know at the outset that if she needs a break or wants
to stop, this is possible. You ask several times during the
examination, "How are you doing, Brittney?" What are you
accomplishing with these techniques? Correct Answer All of the
above
,A 15-year-old high school sophomore and her mother come to
your clinic because the mother is concerned about her daughter's
weight. You measure her daughter's height and weight and obtain
a BMI of 19.5 kg/m2. Based on this information, which of the
following is appropriate? Correct Answer Reassure the mother
that this is a normal body weight.
A 25-year-old radio announcer comes to the clinic for an annual
examination. His BMI is 26.0 kg/m2. He is concerned about his
weight. Based on this information, what is appropriate counsel for
the patient during the visit? Correct Answer Give the patient
information about reduction of fat, cholesterol, and calories
because he is overweight
Common or concerning symptoms to inquire about in the General
Survey and vital signs include all of the following except: Correct
Answer cough
You are beginning the examination of a patient. All of the following
areas are important to observe as part of the General Survey
except: Correct Answer blood pressure
Mrs. Lenzo weighs herself every day with a very accurate
balance-type scale. She has noticed that over the past 2 days she
has gained 4 pounds. How would you best explain this? Correct
Answer Attribute this to body fluid.
, You are seeing an older patient who has not had medical care for
many years. Her vital signs taken by your office staff are: T 37.2,
HR 78, BP 118/92, and RR 14, and she denies pain. You notice
that she has some hypertensive changes in her retinas and you
find mild proteinuria on a urine test in your office. You expected
the BP to be higher. She is not on any medications. What do you
think is causing this BP reading, which doesn't correlate with the
other findings? Correct Answer It is caused by an "auscultatory
gap."
Mr. Garcia comes to your office for a rash on his chest associated
with a burning pain. Even a light touch causes this burning
sensation to worsen. On examination, you note a rash with small
blisters (vesicles) on a background of reddened skin. The rash
overlies an entire rib on his right side. What type of pain is this?
Correct Answer Neuropathic pain
A mother brings her 11 month old to you because her mother-in-
law and others have told her that her baby is jaundiced. She is
eating and growing well and performing the developmental
milestones she should for her age. On examination you indeed
notice a yellow tone to her skin from head to toe. Her sclerae are
white. To which area should your next questions be related?
Correct Answer diet
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
QUESTIONS AND CORRECT ANSWERS
RATED A+
Suzanne, a 25 year old, comes to your clinic to establish care.
You are the student preparing to go into the examination room to
interview her. Which of the following is the most logical sequence
for the patient-provider interview? Correct Answer Greet the
patient, establish rapport, invite the patient's story, establish the
agenda, expand and clarify the patient's story, and negotiate a
plan.
Alexandra is a 28-year-old editor who presents to the clinic with
abdominal pain. The pain is a dull ache, located in the right upper
quadrant, that she rates as a 3 at the least and an 8 at the worst.
The pain started a few weeks ago, it lasts for 2 to 3 hours at a
time, it comes and goes, and it seems to be worse a couple of
hours after eating. She has noticed that it starts after eating
greasy foods, so she has cut down on these as much as she can.
Initially it occurred once a week, but now it is occurring every
other day. Nothing makes it better. From this description, which of
the seven attributes of a symptom has been omitted? Correct
Answer Associated manifestations
,A 23-year-old graduate student comes to your clinic for evaluation
of a urethral discharge. As the provider, you need to get a sexual
history. Which one of the following questions is inappropriate for
eliciting the information? Correct Answer Are you sexually active?
On a very busy day in the office, Mrs. Donelan, who is 81 years
old, comes for her usual visit for her blood pressure. She is on a
low-dose diuretic chronically and denies any side effects. Her
blood pressure is 118/78 today, which is well-controlled. As you
are writing her script, she mentions that it is hard not having her
husband Bill around anymore. What would you do next? Correct
Answer Ask why Bill is not there.
When you enter your patient's examination room, his wife is
waiting there with him. Which of the following is most appropriate?
Correct Answer Ask if it's okay to carry out the visit with both
people in the room.
You are performing a young woman's first pelvic examination. You
make sure to tell her verbally what is coming next and what to
expect. Then you carry out each maneuver of the examination.
You let her know at the outset that if she needs a break or wants
to stop, this is possible. You ask several times during the
examination, "How are you doing, Brittney?" What are you
accomplishing with these techniques? Correct Answer All of the
above
,A 15-year-old high school sophomore and her mother come to
your clinic because the mother is concerned about her daughter's
weight. You measure her daughter's height and weight and obtain
a BMI of 19.5 kg/m2. Based on this information, which of the
following is appropriate? Correct Answer Reassure the mother
that this is a normal body weight.
A 25-year-old radio announcer comes to the clinic for an annual
examination. His BMI is 26.0 kg/m2. He is concerned about his
weight. Based on this information, what is appropriate counsel for
the patient during the visit? Correct Answer Give the patient
information about reduction of fat, cholesterol, and calories
because he is overweight
Common or concerning symptoms to inquire about in the General
Survey and vital signs include all of the following except: Correct
Answer cough
You are beginning the examination of a patient. All of the following
areas are important to observe as part of the General Survey
except: Correct Answer blood pressure
Mrs. Lenzo weighs herself every day with a very accurate
balance-type scale. She has noticed that over the past 2 days she
has gained 4 pounds. How would you best explain this? Correct
Answer Attribute this to body fluid.
, You are seeing an older patient who has not had medical care for
many years. Her vital signs taken by your office staff are: T 37.2,
HR 78, BP 118/92, and RR 14, and she denies pain. You notice
that she has some hypertensive changes in her retinas and you
find mild proteinuria on a urine test in your office. You expected
the BP to be higher. She is not on any medications. What do you
think is causing this BP reading, which doesn't correlate with the
other findings? Correct Answer It is caused by an "auscultatory
gap."
Mr. Garcia comes to your office for a rash on his chest associated
with a burning pain. Even a light touch causes this burning
sensation to worsen. On examination, you note a rash with small
blisters (vesicles) on a background of reddened skin. The rash
overlies an entire rib on his right side. What type of pain is this?
Correct Answer Neuropathic pain
A mother brings her 11 month old to you because her mother-in-
law and others have told her that her baby is jaundiced. She is
eating and growing well and performing the developmental
milestones she should for her age. On examination you indeed
notice a yellow tone to her skin from head to toe. Her sclerae are
white. To which area should your next questions be related?
Correct Answer diet
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
