NUR 634 MIDTERM EXAM (2025-2026)
ACTUAL QUESTIONS AND ANSWERS
GRADED A+ LATEST!! GCU
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"
ANS: C
Feedback: This patient is here to establish care, and because she is new to you, a
comprehensive health history is appropriate.
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
ANS: C
Feedback: 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). All of
this information is documented in this example
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
A. It is likely to be related to her lupus.
B. It is likely to be related to an exposure to a chemical.
C. It is likely to be related to an allergic reaction.
D. It should not cause any problems.
ANS: A
,Feedback: A “palpable purpura” is usually associated with a vasculitis. This is an
inflammatory condition of the blood vessels often associated with systemic
rheumatic disease. It can cut off circulation to any portion of the body and can
mimic many other diseases in this manner. While allergic and chemical exposures
may be a possible cause of the rash, this patient's SLE should make you consider
vasculitis
Two weeks ago, Mary started a job which requires carrying 40-pound buckets. She
presents with elbow pain worse on the right. On examination, it hurts her elbows to
dorsiflex her hands against resistance when her palms face the floor. What
condition does she have?
A. Medial epicondylitis (golfer's elbow)
B. Olecranon bursitis
C. Lateral epicondylitis (tennis elbow)
D. Supracondylar fracture
ANS: C
Feedback: Mary’s injury probably occurred by lifting heavy buckets with her
palms down (toward the bucket). This caused her chronic overuse injury at the
lateral epicondyle. Medial epicondylitis has reproducible pain when palmar flexion
against resistance is performed and also features tenderness over the involved
epicondyle. Olecranon bursitis produces erythema and swelling over the olecranon
process. A supracondylar fracture of the humerus is a major injury and would
present more acutely.
, Mrs. T. comes for her regular visit to the clinic. She is on your schedule because
her regular provider is on vacation, and she wanted to be seen. You have heard
about her many times from your colleague and are aware that she is a very
talkative person. Which of the following is a helpful technique to improve the
quality of the interview for both the provider and the patient?
A. Allow the patient to speak uninterrupted for the duration of the appointment.
B. Briefly summarize what you heard from the patient in the first 5 minutes and
then try to have her focus on one aspect of what she told you.
C. Set the time limit at the beginning of the interview and stick with it, no matter
what occurs in the course of the interview.
D. Allow your impatience to show so that the patient picks up on your nonverbal
cue that the appointment needs to end.
ANS: B
Feedback: You can also say, “I want to make sure I take good care of this problem
because it is very important. We may need to talk about the others at the next
appointment. Is that okay with you?” This is a technique that can help you to
change the subject but, at the same time, validate the patient's concerns; it also can
provide more structure to the interview
See an expert-written answer!
ACTUAL QUESTIONS AND ANSWERS
GRADED A+ LATEST!! GCU
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"
ANS: C
Feedback: This patient is here to establish care, and because she is new to you, a
comprehensive health history is appropriate.
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
ANS: C
Feedback: 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). All of
this information is documented in this example
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
A. It is likely to be related to her lupus.
B. It is likely to be related to an exposure to a chemical.
C. It is likely to be related to an allergic reaction.
D. It should not cause any problems.
ANS: A
,Feedback: A “palpable purpura” is usually associated with a vasculitis. This is an
inflammatory condition of the blood vessels often associated with systemic
rheumatic disease. It can cut off circulation to any portion of the body and can
mimic many other diseases in this manner. While allergic and chemical exposures
may be a possible cause of the rash, this patient's SLE should make you consider
vasculitis
Two weeks ago, Mary started a job which requires carrying 40-pound buckets. She
presents with elbow pain worse on the right. On examination, it hurts her elbows to
dorsiflex her hands against resistance when her palms face the floor. What
condition does she have?
A. Medial epicondylitis (golfer's elbow)
B. Olecranon bursitis
C. Lateral epicondylitis (tennis elbow)
D. Supracondylar fracture
ANS: C
Feedback: Mary’s injury probably occurred by lifting heavy buckets with her
palms down (toward the bucket). This caused her chronic overuse injury at the
lateral epicondyle. Medial epicondylitis has reproducible pain when palmar flexion
against resistance is performed and also features tenderness over the involved
epicondyle. Olecranon bursitis produces erythema and swelling over the olecranon
process. A supracondylar fracture of the humerus is a major injury and would
present more acutely.
, Mrs. T. comes for her regular visit to the clinic. She is on your schedule because
her regular provider is on vacation, and she wanted to be seen. You have heard
about her many times from your colleague and are aware that she is a very
talkative person. Which of the following is a helpful technique to improve the
quality of the interview for both the provider and the patient?
A. Allow the patient to speak uninterrupted for the duration of the appointment.
B. Briefly summarize what you heard from the patient in the first 5 minutes and
then try to have her focus on one aspect of what she told you.
C. Set the time limit at the beginning of the interview and stick with it, no matter
what occurs in the course of the interview.
D. Allow your impatience to show so that the patient picks up on your nonverbal
cue that the appointment needs to end.
ANS: B
Feedback: You can also say, “I want to make sure I take good care of this problem
because it is very important. We may need to talk about the others at the next
appointment. Is that okay with you?” This is a technique that can help you to
change the subject but, at the same time, validate the patient's concerns; it also can
provide more structure to the interview
See an expert-written answer!
