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NSG 6020 Midterm Exam Latest Already Graded
A+ Health Assessment South University
1. Forwhich of the following patients would acomprehensive health history be
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appropriate?
A) Anewpatientwith thechiefcomplaintof —Isprainedmyankle‖
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B) Anestablishedpatientwiththechiefcomplaintof—Ihaveanupperrespiratory
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infection‖
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C) Anewpatientwiththechiefcomplaintof—Iamheretoestablishcare‖
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D) Anewpatientwiththechiefcomplaintof—Icutmyhand‖
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Ans: C
Feedback:
Thispatientishereto establish care,and because sheisnewto you, acomprehensive health
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history is appropriate.
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2. Thecomponents of the health historyinclude all of thefollowing except which one?
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A) Reviewof systems z zz
B) Thorax and lungs zz zz
C) Presentillness z
D) Personaland social items z zz zz
Ans: B
Feedback:
Thethorax and lungs are partofthephysical examination,notpartofthe health history.
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The others answers are all part of a complete health history.
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3. Isthefollowing information subjectiveor objective?
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Mr.M. hasshortness ofbreath thathaspersisted forthepast10 days;it isworsewith activity
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and relieved by rest.
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A) Subjective
B) Objective
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Ans: A
Feedback:
Thisisinformationgiven bythepatientaboutthecircumstances ofhischief complaint. It
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does not represent an objective observation by the examiner.
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4. Isthefollowing information subjectiveor objective?
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Mr.M. has a respiratory rate of 32 and apulse rateof 120.
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A) Subjective
B) Objective
Ans: B
Feedback:
Thisisameasurement obtainedbytheexaminer, so it is considered objective data.
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Thepatient is unlikely to beable to givethis information to the examiner.
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5. The following information is recorded in the health history: —The patient has had
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abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes.
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The severity is 7 to 9 on a scale of 1 to 10. It is accompanied bynausea and vomiting. It is
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located in the mid-epigastric area.‖
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Whichof these categories does it belong to? z zz zz zz zz zz zz
A) Chiefcomplaint z
B) Presentillness z
C) Personaland social history z zz zz
D) Reviewof systems z zz
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the present illness.
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The interviewer has obtained the location, timing, severity, and associated
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manifestations of the pain. The interviewer will still need to obtain information
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concerning the quality of the pain, the setting in which it occurred, and the factors that
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aggravateandalleviatethepain. Youwillnoticethatitdoesincludeportionsof the
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pertinent review of systems, but because it relates directlyto the complaint, it is
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included in thehistoryof present illness. zz zz zz z zz zz
6. Thefollowinginformationisrecordedin thehealthhistory:—Thepatientcompleted 8th
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grade.Hecurrentlyliveswith hiswifeandtwo children.Heworkson old carson the weekend.
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He works in a glass factory during the week.‖
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Whichcategory does it belong to? z zz zz zz zz
A) Chiefcomplaint z
B) Presentillness z
P a g e 2 |218
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Distribution of this document is illegal zz zz zz zz zz extra per year? zz zz
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C) Personaland social history z zz zz
D) Reviewof systems z zz
Ans: C
Feedback:
Personal and social history information includes educational level, family of origin,
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current household status, personal interests, employment, religious beliefs, military
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history,andlifestyle(includingdietandexercisehabits;useofalcohol,tobacco,and/ or
zz z z z z z z z z z z z z zz
drugs; and sexual preferences and history).All of this information is documented
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in this example.
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7. Thefollowinginformationisrecordedinthehealthhistory:—Ifeelreallytired.‖
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Whichcategory does it belong to? z zz zz zz zz
A) Chiefcomplaint z
B) Presentillness z
C) Personaland social history z zz zz
D) Reviewof systems z zz
Ans: A
Feedback:
The chief complaint is an attempt to quote the patient's own words, as long as they are
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suitabletoprint. Itisbrief,likeaheadline,and furtherdetailsshould besoughtin the present
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illness section. The above information is a chief complaint.
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8. Thefollowinginformationisrecordedinthehealthhistory:—Patientdenieschest pain,
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palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
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Whichcategory does it belong to? z zz zz zz zz
A) Chiefcomplaint z
B) Presentillness z
C) Personaland social history z zz zz
D) Reviewof systems z zz
Ans: D
Feedback:
Reviewofsystemsdocumentsthepresenceorabsenceofcommonsymptomsrelated to
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each major body system. The absence of cardiac symptoms is listed in the above example.
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9. Thefollowing information is best placed in which category?
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—The patient has had three cesarean sections.‖
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A) Adult illnesses zz
B) Surgeries
C) Obstetrics/gynecology
P a g e 3 |218 zz zz zz z z zz zz
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Distribution of this document is illegal zz zz zz zz zz extra per year? zz zz
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D) Psychiatric
Ans: B
Feedback:
Acesareansectionisasurgicalprocedure.Approximatedatesortheageof the patient at
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the time of the surgery should also be recorded.
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10. Thefollowing information is best placed in which category?
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—Thepatienthadastentplacedintheleftanteriordescendingartery(LAD)in1999.‖
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A) Adult illnesses zz
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
The adult illnesses category is reserved for chronic illnesses, significant hospitalizations,
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significantinjuries,andsignificantprocedures.Astentisamajor procedure but does not
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involve a surgeon.
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11. Thefollowing information is best placed in which category?
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—Thepatientwastreatedforanasthmaexacerbationinthehospitallastyear;the
z z z z z z z z z z z z z
patient has never been intubated.‖ zz zz zz zz
A) Adult illnesses zz
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
This is information about a significant hospitalization and should be placed in the adult
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illnesses section. If the patient is being seen for an asthma exacerbation, you may
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considerplacingthis informationinthepresentillnesssection,becauseitrelates
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tothechief complaint at thatvisit.
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1. Apatientpresents for evaluation of asharp, aching chest pain which increases with
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breathing.Which anatomicareawould you localize thesymptom to? z zz zz zz zz zz zz z zz
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
P a g e 4 |218
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Distribution of this document is illegal zz zz zz zz zz extra per year? zz zz
NSG 6020 Midterm Exam Latest Already Graded
A+ Health Assessment South University
1. Forwhich of the following patients would acomprehensive health history be
z zz zz zz zz zz zz z zz zz zz
appropriate?
A) Anewpatientwith thechiefcomplaintof —Isprainedmyankle‖
z z z zz zz z zz zz z zz z
B) Anestablishedpatientwiththechiefcomplaintof—Ihaveanupperrespiratory
z z z z z z z z z z z z
infection‖
zz
C) Anewpatientwiththechiefcomplaintof—Iamheretoestablishcare‖
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D) Anewpatientwiththechiefcomplaintof—Icutmyhand‖
z z z z z z z z z z z
Ans: C
Feedback:
Thispatientishereto establish care,and because sheisnewto you, acomprehensive health
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history is appropriate.
zz zz zz
2. Thecomponents of the health historyinclude all of thefollowing except which one?
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A) Reviewof systems z zz
B) Thorax and lungs zz zz
C) Presentillness z
D) Personaland social items z zz zz
Ans: B
Feedback:
Thethorax and lungs are partofthephysical examination,notpartofthe health history.
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The others answers are all part of a complete health history.
z z zz zz zz zz zz zz zz zz zz zz
3. Isthefollowing information subjectiveor objective?
zz zz zz zz zz zz
Mr.M. hasshortness ofbreath thathaspersisted forthepast10 days;it isworsewith activity
z zz z zz z zz z zz zz z z z zz z zz z z zz
and relieved by rest.
zz zz zz zz
A) Subjective
B) Objective
P a g e 1 |218
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Downloaded by: Prose1 | zz zz zz zz Want to earn $1.236zz zz zz
Distribution of this document is illegal zz zz zz zz zz extra per year? zz zz
, Stuvia.com - The Marketplace to Buy and Sell your Study Material zz zz zz zz zz zz zz zz zz zz
Ans: A
Feedback:
Thisisinformationgiven bythepatientaboutthecircumstances ofhischief complaint. It
z zz z zz z z z zz z zz z zz zz z z
does not represent an objective observation by the examiner.
zz zz zz zz zz zz zz zz zz
4. Isthefollowing information subjectiveor objective?
zz zz zz zz zz zz
Mr.M. has a respiratory rate of 32 and apulse rateof 120.
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A) Subjective
B) Objective
Ans: B
Feedback:
Thisisameasurement obtainedbytheexaminer, so it is considered objective data.
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Thepatient is unlikely to beable to givethis information to the examiner.
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5. The following information is recorded in the health history: —The patient has had
z z z z z z z z z zz z z
abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes.
zz zz zz zz zz zz zz zz zz zz zz zz zz zz zz zz zz zz
The severity is 7 to 9 on a scale of 1 to 10. It is accompanied bynausea and vomiting. It is
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located in the mid-epigastric area.‖
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Whichof these categories does it belong to? z zz zz zz zz zz zz
A) Chiefcomplaint z
B) Presentillness z
C) Personaland social history z zz zz
D) Reviewof systems z zz
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the present illness.
zz zz zz zz zz zz zz zz zz zz zz zz
The interviewer has obtained the location, timing, severity, and associated
zz zz zz zz zz zz zz zz zz zz
manifestations of the pain. The interviewer will still need to obtain information
zz zz zz zz zz zz zz zz zz zz zz zz
concerning the quality of the pain, the setting in which it occurred, and the factors that
zz zz zz zz zz zz zz zz zz zz zz zz zz zz zz zz
aggravateandalleviatethepain. Youwillnoticethatitdoesincludeportionsof the
z z z z z z z z z z z z z z z zz
pertinent review of systems, but because it relates directlyto the complaint, it is
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included in thehistoryof present illness. zz zz zz z zz zz
6. Thefollowinginformationisrecordedin thehealthhistory:—Thepatientcompleted 8th
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grade.Hecurrentlyliveswith hiswifeandtwo children.Heworkson old carson the weekend.
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He works in a glass factory during the week.‖
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Whichcategory does it belong to? z zz zz zz zz
A) Chiefcomplaint z
B) Presentillness z
P a g e 2 |218
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Distribution of this document is illegal zz zz zz zz zz extra per year? zz zz
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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C) Personaland social history z zz zz
D) Reviewof systems z zz
Ans: C
Feedback:
Personal and social history information includes educational level, family of origin,
zz zz zz zz zz zz zz zz zz zz
current household status, personal interests, employment, religious beliefs, military
zz zz zz zz zz zz zz zz zz
history,andlifestyle(includingdietandexercisehabits;useofalcohol,tobacco,and/ or
zz z z z z z z z z z z z z zz
drugs; and sexual preferences and history).All of this information is documented
zz zz zz zz zz zz zz zz zz zz zz zz
in this example.
zz zz
7. Thefollowinginformationisrecordedinthehealthhistory:—Ifeelreallytired.‖
z z z z z z z z z z z z
Whichcategory does it belong to? z zz zz zz zz
A) Chiefcomplaint z
B) Presentillness z
C) Personaland social history z zz zz
D) Reviewof systems z zz
Ans: A
Feedback:
The chief complaint is an attempt to quote the patient's own words, as long as they are
zz zz zz zz zz zz zz zz zz zz zz zz zz zz zz zz
suitabletoprint. Itisbrief,likeaheadline,and furtherdetailsshould besoughtin the present
z z z zz z z z z z zz zz z zz zz z z zz zz
illness section. The above information is a chief complaint.
zz zz zz zz zz zz zz zz zz
8. Thefollowinginformationisrecordedinthehealthhistory:—Patientdenieschest pain,
z z z z z z z z z z z zz
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
zz zz zz zz zz zz
Whichcategory does it belong to? z zz zz zz zz
A) Chiefcomplaint z
B) Presentillness z
C) Personaland social history z zz zz
D) Reviewof systems z zz
Ans: D
Feedback:
Reviewofsystemsdocumentsthepresenceorabsenceofcommonsymptomsrelated to
z z zz z z z z z z z zz zz
each major body system. The absence of cardiac symptoms is listed in the above example.
zz zz zz zz zz zz zz zz zz zz zz zz zz zz zz
9. Thefollowing information is best placed in which category?
z zz zz zz zz zz zz zz
—The patient has had three cesarean sections.‖
zz zz zz z z zz zz
A) Adult illnesses zz
B) Surgeries
C) Obstetrics/gynecology
P a g e 3 |218 zz zz zz z z zz zz
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Distribution of this document is illegal zz zz zz zz zz extra per year? zz zz
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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D) Psychiatric
Ans: B
Feedback:
Acesareansectionisasurgicalprocedure.Approximatedatesortheageof the patient at
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the time of the surgery should also be recorded.
zz zz zz zz zz zz zz zz zz
10. Thefollowing information is best placed in which category?
z zz zz zz zz zz zz zz
—Thepatienthadastentplacedintheleftanteriordescendingartery(LAD)in1999.‖
z z z z z z z z z z z z z z
A) Adult illnesses zz
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
The adult illnesses category is reserved for chronic illnesses, significant hospitalizations,
zz zz zz zz zz zz zz zz zz zz
significantinjuries,andsignificantprocedures.Astentisamajor procedure but does not
z z z z z z z z z zz zz zz zz zz
involve a surgeon.
zz zz zz
11. Thefollowing information is best placed in which category?
z zz zz zz zz zz zz zz
—Thepatientwastreatedforanasthmaexacerbationinthehospitallastyear;the
z z z z z z z z z z z z z
patient has never been intubated.‖ zz zz zz zz
A) Adult illnesses zz
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
This is information about a significant hospitalization and should be placed in the adult
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illnesses section. If the patient is being seen for an asthma exacerbation, you may
zz zz zz zz zz zz zz zz zz zz zz zz zz zz
considerplacingthis informationinthepresentillnesssection,becauseitrelates
z z z zz z z z z z z z z
tothechief complaint at thatvisit.
z zz zz zz zz zz
1. Apatientpresents for evaluation of asharp, aching chest pain which increases with
z z zz zz zz zz zz zz zz zz zz zz zz
breathing.Which anatomicareawould you localize thesymptom to? z zz zz zz zz zz zz z zz
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
P a g e 4 |218
zz zz zz z z zz zz
Downloaded by: Prose1 | zz zz zz zz Want to earn $1.236 zz zz zz
Distribution of this document is illegal zz zz zz zz zz extra per year? zz zz
