NURS 629 EXAM 3 LATEST 2024/2025
GUIDE;ACTUAL QUESTIONS AND ANSWERS
SOLVED 100%-(MARYVILLE)
Unit 1: General Assessment & Documentation (Q1–Q15)
1. Which component of the patient history is most likely to reveal the patient’s perception of
their own health?
A. Past medical history
B. Review of systems
C. Chief complaint
D. Health maintenance and health beliefs
The health maintenance/health beliefs section captures the patient’s understanding, values,
and perception of health.
2. A patient reports chest pain. Which question is most important to ask first?
A. “Does the pain radiate to your back?”
B. “When did the pain start?”
C. “What makes the pain better?”
D. “Have you had this before?”
Onset is the first priority in characterizing any pain, especially chest pain, to determine
acuity.
3. Which finding is considered a normal age-related change in older adults?
A. Increased grip strength
B. Decreased hearing for high-frequency sounds
C. Increased pupillary reactivity
D. Increased tongue mobility
Presbycusis is a common age-related high-frequency hearing loss.
4. Which documentation entry best reflects objective data?
A. “Patient seems anxious.”
B. “Patient reports feeling sad.”
C. “Blood pressure 148/92 mm Hg, pulse 96.”
D. “Patient appears to be in pain.”
Objective data are measurable and observable; vital signs are objective.
,5. SATA: Which are components of a comprehensive health history? Select all that apply.
A. Chief complaint
B. Past medical history
C. Family history
D. Review of systems
E. Insurance billing code
All except insurance billing code are standard history components.
6. Which technique is correct when performing percussion?
A. Use the ulnar surface of the hand
B. Use the middle finger of the dominant hand to strike the middle finger of the
nondominant hand
C. Strike with the fingertips
D. Percuss over bony prominences
Indirect percussion uses the middle finger as the plexor and pleximeter.
7. Which patient instruction is appropriate before a fasting lipid panel?
A. “Eat a light breakfast.”
B. “Do not eat or drink anything except water for 9–12 hours.”
C. “Drink only coffee.”
D. “Take your insulin as usual.”
Fasting lipid panels require 9–12 hours of fasting, water allowed.
8. Which is the most appropriate way to ask about alcohol use?
A. “You don’t drink, do you?”
B. “How much do you drink?”
C. “How many days per week do you drink alcohol, and how many drinks on a typical day?”
D. “Do you have a drinking problem?”
Quantifying frequency and amount is nonjudgmental and clinically useful.
9. Which finding is a red flag for immediate referral?
A. Chronic knee pain
B. Intermittent headache relieved by acetaminophen
C. Sudden onset of “worst headache of my life”
D. Seasonal allergies
Thunderclap headache suggests subarachnoid hemorrhage and requires emergency
evaluation.
, 10. Which is the best example of a focused assessment?
A. Full head-to-toe exam for a new patient
B. Cardiovascular and respiratory exam for a patient with chest pain
C. Complete review of systems for an annual visit
D. Developmental screening for a child
A focused assessment addresses the specific presenting problem.
11. Which factor most affects the reliability of a patient’s history?
A. Room temperature
B. Patient’s ability to understand and communicate
C. Time of day
D. Provider’s specialty
Communication and cognition directly affect history accuracy.
12. Which is a normal finding on inspection of the adult abdomen?
A. Visible peristaltic waves
B. Symmetrical, flat or rounded contour
C. Bulging flanks
D. Dilated veins
A symmetrical contour without masses is normal.
13. Which question best assesses functional status in an older adult?
A. “Do you have pain?”
B. “What medications do you take?”
C. “Are you able to bathe, dress, and feed yourself independently?”
D. “When was your last eye exam?”
ADLs assess functional status.
14. Which is the correct order of abdominal assessment?
A. Palpation, percussion, inspection, auscultation
B. Inspection, auscultation, percussion, palpation
C. Auscultation, inspection, palpation, percussion
D. Percussion, palpation, auscultation, inspection
Auscultate before palpation/percussion to avoid altering bowel sounds.
15. Which is a component of the general survey?
A. Deep tendon reflexes
B. Level of consciousness and distress
C. Cranial nerve function
GUIDE;ACTUAL QUESTIONS AND ANSWERS
SOLVED 100%-(MARYVILLE)
Unit 1: General Assessment & Documentation (Q1–Q15)
1. Which component of the patient history is most likely to reveal the patient’s perception of
their own health?
A. Past medical history
B. Review of systems
C. Chief complaint
D. Health maintenance and health beliefs
The health maintenance/health beliefs section captures the patient’s understanding, values,
and perception of health.
2. A patient reports chest pain. Which question is most important to ask first?
A. “Does the pain radiate to your back?”
B. “When did the pain start?”
C. “What makes the pain better?”
D. “Have you had this before?”
Onset is the first priority in characterizing any pain, especially chest pain, to determine
acuity.
3. Which finding is considered a normal age-related change in older adults?
A. Increased grip strength
B. Decreased hearing for high-frequency sounds
C. Increased pupillary reactivity
D. Increased tongue mobility
Presbycusis is a common age-related high-frequency hearing loss.
4. Which documentation entry best reflects objective data?
A. “Patient seems anxious.”
B. “Patient reports feeling sad.”
C. “Blood pressure 148/92 mm Hg, pulse 96.”
D. “Patient appears to be in pain.”
Objective data are measurable and observable; vital signs are objective.
,5. SATA: Which are components of a comprehensive health history? Select all that apply.
A. Chief complaint
B. Past medical history
C. Family history
D. Review of systems
E. Insurance billing code
All except insurance billing code are standard history components.
6. Which technique is correct when performing percussion?
A. Use the ulnar surface of the hand
B. Use the middle finger of the dominant hand to strike the middle finger of the
nondominant hand
C. Strike with the fingertips
D. Percuss over bony prominences
Indirect percussion uses the middle finger as the plexor and pleximeter.
7. Which patient instruction is appropriate before a fasting lipid panel?
A. “Eat a light breakfast.”
B. “Do not eat or drink anything except water for 9–12 hours.”
C. “Drink only coffee.”
D. “Take your insulin as usual.”
Fasting lipid panels require 9–12 hours of fasting, water allowed.
8. Which is the most appropriate way to ask about alcohol use?
A. “You don’t drink, do you?”
B. “How much do you drink?”
C. “How many days per week do you drink alcohol, and how many drinks on a typical day?”
D. “Do you have a drinking problem?”
Quantifying frequency and amount is nonjudgmental and clinically useful.
9. Which finding is a red flag for immediate referral?
A. Chronic knee pain
B. Intermittent headache relieved by acetaminophen
C. Sudden onset of “worst headache of my life”
D. Seasonal allergies
Thunderclap headache suggests subarachnoid hemorrhage and requires emergency
evaluation.
, 10. Which is the best example of a focused assessment?
A. Full head-to-toe exam for a new patient
B. Cardiovascular and respiratory exam for a patient with chest pain
C. Complete review of systems for an annual visit
D. Developmental screening for a child
A focused assessment addresses the specific presenting problem.
11. Which factor most affects the reliability of a patient’s history?
A. Room temperature
B. Patient’s ability to understand and communicate
C. Time of day
D. Provider’s specialty
Communication and cognition directly affect history accuracy.
12. Which is a normal finding on inspection of the adult abdomen?
A. Visible peristaltic waves
B. Symmetrical, flat or rounded contour
C. Bulging flanks
D. Dilated veins
A symmetrical contour without masses is normal.
13. Which question best assesses functional status in an older adult?
A. “Do you have pain?”
B. “What medications do you take?”
C. “Are you able to bathe, dress, and feed yourself independently?”
D. “When was your last eye exam?”
ADLs assess functional status.
14. Which is the correct order of abdominal assessment?
A. Palpation, percussion, inspection, auscultation
B. Inspection, auscultation, percussion, palpation
C. Auscultation, inspection, palpation, percussion
D. Percussion, palpation, auscultation, inspection
Auscultate before palpation/percussion to avoid altering bowel sounds.
15. Which is a component of the general survey?
A. Deep tendon reflexes
B. Level of consciousness and distress
C. Cranial nerve function
