NSG 3160 ACTUAL FINAL QUESTIONS AND
ANSWERS SET A+
✔✔PQRSTU - ✔✔Provocation/Palliative, Quality/Quantity, Region/Radiation, Severity,
Timing, Understanding of the problem.
✔✔Included in Past Health - ✔✔Illnesses, injuries, hospitalizations, surgeries, allergies,
medications, immunizations, and last exams.
✔✔Genogram - ✔✔A three-generation family tree showing hereditary conditions and
patterns.
✔✔Review of Systems (ROS) - ✔✔A head-to-toe review of subjective symptoms the
patient reports in each body system.
✔✔Functional Assessment - ✔✔ADLs, IADLs, nutrition, sleep, coping, relationships,
stress management, and home safety.
✔✔Tool used to assess adolescents - ✔✔HEEADSSS (Home, Education, Eating,
Activities, Drugs, Sexuality, Suicide, Safety).
✔✔Population at risk for polypharmacy - ✔✔Older adults.
✔✔Correct way to record allergies - ✔✔Include the substance and the specific reaction
(e.g., Penicillin—rash).
✔✔Purpose of a mental status assessment - ✔✔To evaluate emotional and cognitive
functioning.
✔✔ABCT acronym - ✔✔Appearance, Behavior, Cognition, Thought processes.
✔✔When to perform a full mental status exam - ✔✔When any abnormal behavior, brain
injury, aphasia, or psychiatric symptoms are observed.
, ✔✔Mini-Mental State Examination (MMSE) - ✔✔30-point test assessing orientation,
registration, attention, recall, and language; < 24 = possible impairment.
✔✔Mini-Cog - ✔✔Three-word recall and a clock-drawing test.
✔✔Delirium, dementia, and depression - ✔✔Delirium = acute/confused, reversible;
Dementia = chronic, progressive; Depression = episodic, mood-related.
✔✔Best way to assess suicide risk - ✔✔Ask directly and privately about thoughts of
self-harm.
✔✔Normal age-related change during mental status assessment - ✔✔Slower response
time but intact cognition.
✔✔Behavior assessment - ✔✔Level of consciousness, facial expression, speech,
mood/affect.
✔✔Finding suggesting cognitive impairment - ✔✔Disorientation to time or place.
✔✔Importance of substance-use screening - ✔✔Early identification improves outcomes
and safety; substance misuse affects nearly all body systems.
✔✔CAGE tool - ✔✔Cut down, Annoyed, Guilty, Eye-opener — two "yes" answers =
possible alcohol problem.
✔✔Preferred screening tool for pregnant women - ✔✔TWEAK (Tolerance, Worried,
Eye-opener, Amnesia, Kut down).
✔✔Difference between AUDIT and AUDIT-C - ✔✔AUDIT = full 10-item test; AUDIT-C =
3-item quick screen for hazardous drinking.
✔✔Substance causing pinpoint pupils and respiratory depression - ✔✔Opioids.
✔✔Alcohol withdrawal symptoms onset - ✔✔4-72 hours (tremor, tachycardia, sweating,
hallucinations, seizures).
✔✔Substances producing red eyes and euphoria - ✔✔Cannabis.
✔✔Classic signs of stimulant (cocaine) use - ✔✔Euphoria, talkativeness, dilated pupils,
tachycardia, ↑ BP.
✔✔Benzodiazepine withdrawal risks - ✔✔Anxiety, tremor, seizure; taper slowly to
prevent complications.
ANSWERS SET A+
✔✔PQRSTU - ✔✔Provocation/Palliative, Quality/Quantity, Region/Radiation, Severity,
Timing, Understanding of the problem.
✔✔Included in Past Health - ✔✔Illnesses, injuries, hospitalizations, surgeries, allergies,
medications, immunizations, and last exams.
✔✔Genogram - ✔✔A three-generation family tree showing hereditary conditions and
patterns.
✔✔Review of Systems (ROS) - ✔✔A head-to-toe review of subjective symptoms the
patient reports in each body system.
✔✔Functional Assessment - ✔✔ADLs, IADLs, nutrition, sleep, coping, relationships,
stress management, and home safety.
✔✔Tool used to assess adolescents - ✔✔HEEADSSS (Home, Education, Eating,
Activities, Drugs, Sexuality, Suicide, Safety).
✔✔Population at risk for polypharmacy - ✔✔Older adults.
✔✔Correct way to record allergies - ✔✔Include the substance and the specific reaction
(e.g., Penicillin—rash).
✔✔Purpose of a mental status assessment - ✔✔To evaluate emotional and cognitive
functioning.
✔✔ABCT acronym - ✔✔Appearance, Behavior, Cognition, Thought processes.
✔✔When to perform a full mental status exam - ✔✔When any abnormal behavior, brain
injury, aphasia, or psychiatric symptoms are observed.
, ✔✔Mini-Mental State Examination (MMSE) - ✔✔30-point test assessing orientation,
registration, attention, recall, and language; < 24 = possible impairment.
✔✔Mini-Cog - ✔✔Three-word recall and a clock-drawing test.
✔✔Delirium, dementia, and depression - ✔✔Delirium = acute/confused, reversible;
Dementia = chronic, progressive; Depression = episodic, mood-related.
✔✔Best way to assess suicide risk - ✔✔Ask directly and privately about thoughts of
self-harm.
✔✔Normal age-related change during mental status assessment - ✔✔Slower response
time but intact cognition.
✔✔Behavior assessment - ✔✔Level of consciousness, facial expression, speech,
mood/affect.
✔✔Finding suggesting cognitive impairment - ✔✔Disorientation to time or place.
✔✔Importance of substance-use screening - ✔✔Early identification improves outcomes
and safety; substance misuse affects nearly all body systems.
✔✔CAGE tool - ✔✔Cut down, Annoyed, Guilty, Eye-opener — two "yes" answers =
possible alcohol problem.
✔✔Preferred screening tool for pregnant women - ✔✔TWEAK (Tolerance, Worried,
Eye-opener, Amnesia, Kut down).
✔✔Difference between AUDIT and AUDIT-C - ✔✔AUDIT = full 10-item test; AUDIT-C =
3-item quick screen for hazardous drinking.
✔✔Substance causing pinpoint pupils and respiratory depression - ✔✔Opioids.
✔✔Alcohol withdrawal symptoms onset - ✔✔4-72 hours (tremor, tachycardia, sweating,
hallucinations, seizures).
✔✔Substances producing red eyes and euphoria - ✔✔Cannabis.
✔✔Classic signs of stimulant (cocaine) use - ✔✔Euphoria, talkativeness, dilated pupils,
tachycardia, ↑ BP.
✔✔Benzodiazepine withdrawal risks - ✔✔Anxiety, tremor, seizure; taper slowly to
prevent complications.
