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NSG 550 – Diagnostic Reasoning
Graduate Practice Exam 2 (Original)
Wilkes University–Style Review (Original Content)
Instructions: Choose the single best answer for each question.
1. Which component of the patient encounter contributes most to establishing an accurate
diagnosis?
A. Physical examination alone
B. Laboratory testing
C. A comprehensive history
D. Diagnostic imaging
Answer: C
, Rationale: Approximately 70–80% of diagnoses can be established through a thorough patient
history before laboratory testing is obtained.
2. A patient's chief complaint should be documented as:
A. The clinician's diagnosis
B. The patient's own words whenever possible
C. The most abnormal laboratory finding
D. The final medical impression
Answer: B
Rationale: The chief complaint should reflect the patient's primary reason for seeking care using
their own words.
3. Which diagnostic error results from relying too heavily on the first impression?
A. Availability bias
B. Confirmation bias
C. Anchoring bias
D. Outcome bias
Answer: C