NSG6020 Midterm Exam
Questions and Answers Best
Rated A+ Latest Update 2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, 1. Mr. Patel is a 64-year-old man who was told by another care provider that his liver
isenlarged. Although he is a life-long smoker, he has never used drugs or alcohol
and has no knowledge of liver disease. Indeed, on examination, a liver edge is
palpable 4
centimeters below the costal arch. Which of the following would you do next?
A) Check an ultrasound of the liver
B) Obtain a hepatitis panel
C) Determine liver span by percussion
D) Adopt a “watchful waiting” approach
Ans: C
Feedback:
, A liver edge palpable this far below the costal arch should not be ignored.
Ultrasoundand laboratory investigation are reasonable if the liver is actually
enlarged. Mr. Patel has developed emphysema with flattening of the diaphragms.
This pushes a normal- sized liver below the costal arch so that it appears to be
enlarged. A liver span shouldbe determined by percussing down the chest wall
until dullness is heard. A measurement is then made between this point and the
lower border of the liver to determine its span; 6–12 centimeters in the mid-
clavicular line is normal. Percussion is the only way to assess liver size on
examination, and in this case it saved the
patient much inconvenience and expense.
2. The components of the health history include all of the following except which
one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Feedback:
The thorax and lungs are part of the physical examination, not part of the health
history. The others answers are all part of a complete health history.
3. The following information is recorded in the health history: “I feel really tired.”
Which category does it belong to?
, A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: A
Feedback:
The chief complaint is an attempt to quote the patient's own words, as long as
they are suitable to print. It is brief, like a headline, and further details should be
sought in
the present illness section. The above information is a chief complaint.
4. The following information is recorded in the health history: “Patient denies
chestpain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea.”
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: D
Feedback:
Review of systems documents the presence or absence of common symptoms
relatedto each major body system. The absence of cardiac symptoms is listed in
the above
example.
5. The following information is best placed in which category?
“The patient has had three cesarean sections.”
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Questions and Answers Best
Rated A+ Latest Update 2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, 1. Mr. Patel is a 64-year-old man who was told by another care provider that his liver
isenlarged. Although he is a life-long smoker, he has never used drugs or alcohol
and has no knowledge of liver disease. Indeed, on examination, a liver edge is
palpable 4
centimeters below the costal arch. Which of the following would you do next?
A) Check an ultrasound of the liver
B) Obtain a hepatitis panel
C) Determine liver span by percussion
D) Adopt a “watchful waiting” approach
Ans: C
Feedback:
, A liver edge palpable this far below the costal arch should not be ignored.
Ultrasoundand laboratory investigation are reasonable if the liver is actually
enlarged. Mr. Patel has developed emphysema with flattening of the diaphragms.
This pushes a normal- sized liver below the costal arch so that it appears to be
enlarged. A liver span shouldbe determined by percussing down the chest wall
until dullness is heard. A measurement is then made between this point and the
lower border of the liver to determine its span; 6–12 centimeters in the mid-
clavicular line is normal. Percussion is the only way to assess liver size on
examination, and in this case it saved the
patient much inconvenience and expense.
2. The components of the health history include all of the following except which
one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Feedback:
The thorax and lungs are part of the physical examination, not part of the health
history. The others answers are all part of a complete health history.
3. The following information is recorded in the health history: “I feel really tired.”
Which category does it belong to?
, A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: A
Feedback:
The chief complaint is an attempt to quote the patient's own words, as long as
they are suitable to print. It is brief, like a headline, and further details should be
sought in
the present illness section. The above information is a chief complaint.
4. The following information is recorded in the health history: “Patient denies
chestpain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea.”
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: D
Feedback:
Review of systems documents the presence or absence of common symptoms
relatedto each major body system. The absence of cardiac symptoms is listed in
the above
example.
5. The following information is best placed in which category?
“The patient has had three cesarean sections.”
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
