End Term Exam
NR 509 Bates Midterm - Complete Questions
& Answers - Verified & Accurate
Time allowed:
A+
* J 2 5 7 0 1 *
INSTRUCTIONS
• Write your answer to each question in the space provided. If you need extra space use the
lined pages at the end of this booklet. The question numbers must be clearly shown.
• Answer all the questions.
• Where appropriate, your answer should be supported with working. Marks might be given
for using a correct method, even if your answer is wrong.
ADVICE
• Read each question carefully before you start your answer.
© OCR 2025/26 [EXAM/T/YD]) 6895596/3
Turn over
,This information describes the problem of abdominal pain, which is the present
illness. The interviewer has obtained the location, timing, severity, and associated manifestations
of the pain. The interviewer will still need to obtain information concerning the quality of the
pain, the setting in which it occurred, and the factors that aggravate and alleviate the pain.
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) Personal and social history.
Personal and social history information includes educational level, family of origin,
current household status, personal interests, employment, religious beliefs, military history, and
lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
preferences and history).
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) Chief complaint
The chief complaint is an attempt to quote the patient's own words. It is brief, like a headline, and further details should
be sought in the present illness section.
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) Review of systems
Review of systems documents the presence or absence of common symptoms related to each major body system.
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) Surgeries
A cesarean section is a surgical procedure. Approximate dates or the age of the
patient at the time of the surgery should also be recorded.
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) Adult illnesses
The adult illnesses category is reserved for chronic illnesses, significant
hospitalizations, significant injuries, and significant procedures. A stent is a major procedure but does not involve a
surgery.
, 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) Adult illnesses
This is information about a significant hospitalization and should be placed in the adult illnesses section. If the patient is
being seen for an asthma exacerbation, you may consider placing this info in the present illness section, because it
relates to the chief
complaint at that visit.
You are running late after your quarterly quality improvement meeting at the hospital and
have just gotten paged from the nurses' station because a family member of one of your patients
wants to talk with you about that patient's care. You have clinic this afternoon and are
double-booked for the first appointment time; three other patients also have arrived and are
sitting in the waiting room. Which of the following demeanors is a behavior consistent with
skilled interviewing when you walk into the examination room to speak with your first clinic
patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm - ✔✔D) Calm
The appearance of calmness and patience, even when time is limited, is the hallmark of a skilled interviewer.
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