Wilkes NSG500 Exam 1 /NSG 500 Advanced
Health Assessment Exam 1 Newest
2025/2026 With Complete Questions And
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A patient comes in with the complaint, "My stomach hurts." Which of the following is the best
next thing to ask or say to the patient to obtain an accurate and efficient history?
"Does the pain radiate?"
"You haven't had any new strange foods, have you?"
"Tell me more about your stomach pain."
"Is the pain in your left lower quadrant?"
"That's usually no big deal. Don't worry." - Answer ✓✓"Tell me more about your stomach pain."
Which of the following recommendations is the most appropriate when starting to take a new
patient's history?
Always give a gentle pat on the knee or hug to the patient so they feel welcomed.
Introduce yourself positively and confidently.
Avoid making eye contact so you don't appear forward or overbearing.
Start immediately with the chief complaint to maintain efficiency and keep things strictly
professional.
Ask the patient why they are there. - Answer ✓✓Introduce yourself positively and confidently.
In a survey of internal medicine faculty and residents, what aspect of a patient-doctor interaction
did most believe was of greatest importance in making an accurate diagnosis?
History
Imaging studies
Body language
Physical examination
Laboratory tests - Answer ✓✓History
A 16-year-old girl complains of a thick yellow malodorous vaginal discharge over the past 2
weeks. It is accompanied by itching and burning on urination. Which of the following questions is
most appropriate in obtaining an accurate and efficient history?
"Don't you know to always use condoms?"
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"You're certainly not sexually active yet, are you?"
"It started 2 weeks ago, I see. Have you ever had symptoms like this before and do you have any
fevers or rashes?"
"Are you sexually active?"
"Does your boyfriend have similar symptoms?" - Answer ✓✓"Are you sexually active?"
A newly single 36-year-old woman presents to your office for evaluation. After you introduce
yourself and ask what brings her to your clinic today, she responds "I feel a lot more tired than
usual." What is the next best response?
"Tell me more about that feeling."
"Are you depressed?"
"Do you drink alcohol?"
"How many hours are you sleeping at night, and what time do you usually go to bed and wake up
in the mornings?"
"Are you worried it's cancer?" - Answer ✓✓"Tell me more about that feeling."
How should the chief complaint be documented in the patient's history?
By prompting the patient with medical terminology
In the patient's own words
Previous records from the hospital
From the attender of the patient - Answer ✓✓In the patient's own words
Which of the following questions would NOT be useful during the psychiatric interrogation of the
present illness?
"Are you having problems with your sleep or appetite?"
"Have you heard strange sounds or voices, or seen things that aren't there?"
"Has something like this happened to you before?"
"What's your day like when these things aren't bothering you?"
"Has anyone in your family been diagnosed with cancer?" - Answer ✓✓"Has anyone in your
family been diagnosed with cancer?"
During the psychiatric interrogation, which of the following points would provide the MOST
RELEVANT information regarding past substance abuse?
Preferred substances, frequency of intoxication, withdrawals, and quitting attempts
Previous surgeries
Suicide attempts when clean
Recent history of travel
Evidence of secondary gain - Answer ✓✓Preferred substances, frequency of intoxication,
withdrawals, and quitting attempts
What would yield the LEAST relevant information about past medical/surgical history when
interrogating a psychiatric patient?
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Head injury/concussion
Suicide attempts in the family
HIV/AIDS
Traumatic brain injury
Seizures - Answer ✓✓Suicide attempts in the family
Which of the following elements is distinctive about the psychiatric history?
Social history
Substance abuse history
Past surgical history
Family history
Past medical history - Answer ✓✓Social history
When taking a history about sensitive material such as substance use or history of violence,
which is the most appropriate approach?
Ask the patient to fill up a consent form to provide accurate information.
Continuously persuade the patient to answer quickly to obtain the most reliable version of the
events.
Ask open-ended questions indirectly.
Ask open and direct questions.
Request the patient to select among multiple options prepared on a form. - Answer ✓✓Ask
open and direct questions.
Which of the following answers best defines "ethnicity"?
A group of people who share similar physical characteristics
A group of people who are most genetically similar to one another
A group of people who all live in the same neighborhood
A social group characterized by distinctive social and cultural tradition maintained from
generation to generation
A group of people who share the same skin tone - Answer ✓✓A social group characterized by
distinctive social and cultural tradition maintained from generation to generation
Which of the following regarding the term "race" is MOST ACCURATE?
It has a strong scientific basis.
It is a reflection of a distinct way of life shared among a group of people.
It is a reflection of the core beliefs of an individual.
It is identified as a pattern that guides thinking and action of a group of people.
It is a vague term for a group of genetically related people - Answer ✓✓It is a vague term for a
group of genetically related people
Which of the following statements regarding the ethnic life expectancy in the United States is
MOST ACCURATE?
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The life expectancy gap between African Americans and White Americans has shrunk over the
years.
Non-Hispanic White men have a longer life expectancy than Hispanic women.
White American men have a longer life expectancy than White American women.
African American women have a longer life expectancy than White American women. - Answer
✓✓The life expectancy gap between African Americans and White Americans has shrunk over
the years.
Which of the following statements is incorrect?
The risk of having adverse health issues is the same for transgender population and the general
population.
Transgender patients are at higher risk than the general population for sexual assault.
Transgender patients are at higher risk than the general population for HIV infection.
Transgender patients are at higher risk than the general population for violence.
Transgender patients are at higher risk than the general population for human trafficking. -
Answer ✓✓The risk of having adverse health issues is the same for transgender population and
the general population.
You are deciding on a treatment plan for a patient of a different socioeconomic background than
yours. Which of the following is the final appropriate step in management at this point in time?
Mandating treatments because they do not have the medical training you do
Assuring that they are only using traditional western medicine that you are familiar with
Making sure they know you are more educated than they are
Negotiating a plan of care
Avoiding documenting the treatment plan in the patients record if they decline your
recommendations - Answer ✓✓Negotiating a plan of care
Which of the following populations have the highest rate of mortality from cardiovascular
events?
Hispanic Whites
Non-Hispanic Whites
Blacks
Asians - Answer ✓✓Blacks
According to the study presented in the lecture, which group is least likely to receive early
percutaneous intervention for an acute myocardial event?
Black women
White men
Black men
White women - Answer ✓✓black men
All of the following are major social determinants of health except which of the following?
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