NSG 6020 MIDTERM EXAM
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTION
1. For which of the following patients would acomprehensive health history be
sf sf sf sf sf sf sf sf sf sf sf
appropriate?
A) Anew patient with the chief complaint of “I sprained my ankle”
sf sf sf sf sf sf sf sf sf sf sf
B) Anestablished patient with thechief complaint of “I have an upper respiratory
sf sf sf sf sf sf sf sf sf sf sf sf
infection”
C) Anew patient with the chief complaint of “I am here to establish care”
sf sf sf sf sf sf sf sf sf sf sf sf sf
D) Anew patient with the chief complaint of “I cutmy hand”
sf sf sf sf sf sf sf sf sf sf sf
Ans: C
Feedback:
This patient is here to establish care, and becauseshe is new to you, a
sf sf sf sf sf sf sf sf sf sf sf sf sf sf
comprehensive
sf
health history is appropriate. sf sf sf
2. Thecomponents of thehealth history include all of the following except which
sf sf sf sf sf sf sf sf sf sf sf sf
sf one?
A) Review of systems sf sf
B) Thorax and lungs sf sf
C) Present illness sf
D) Personal and social items sf sf sf
Ans: B
Feedback:
The thorax and lungs are partof the physical examination, not part of the health
sf sf sf sf sf sf sf sf sf sf sf sf sf sf
history. Theothers answersareallpartofacomplete health history.
s f sf sf sf sf sf sf sf sf sf sf
mailto:https://www.stuvia.com/user/Wisdoms
, 3. Is the following information subjective or objective?
sf sf sf sf sf sf
Mr. M. hasshortness of breath that has persisted for the past 10 days; it is worse
sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf
withactivity and relieved by rest.
sf sf sf sf sf sf
A) Subjective
B) Objective
Ans: A
Feedback:
This is information given by thepatient about the circumstances of his chief
sf sf sf sf sf sf sf sf sf sf sf sf
complaint. Itdoesnotrepresentanobjective observationby theexaminer.
s f sf sf sf sf sf sf sf sf sf
4. Is the following information subjective or objective?
sf sf sf sf sf sf
Mr. M. has arespiratory rate of 32and a pulse rate of 120.
sf sf sf sf sf sf sf sf sf sf sf sf sf
A) Subjective
B) Objective
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, This is a measurement obtained by the examiner, so it is considered objective
sf sf sf sf sf sf sf sf sf sf sf sf
data.
sf
Thepatient is unlikely to be able to give this information to theexaminer.
sf sf sf sf sf sf sf sf sf sf sf sf sf
5. The following information is recorded in the health history: “The patient
sf sf sf sf sf sf sf sf sf sf
sf has hadabdominal pain for 1 week. The pain lasts for 30 minutes at a time;
sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf
sf it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is
sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf
sf accompanied by nausea and vomiting. It is located in the mid-epigastric sf sf sf sf sf sf sf sf sf sf
sf area.”
Which of these categories does it belong to? sf sf sf sf sf sf sf
A) Chiefcomplaint sf
B) Present illness sf
C) Personal and social history sf sf sf
D) Review of systems sf sf
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the
sf sf sf sf sf sf sf sf sf sf
sf present illness. The interviewer has obtained the location, timing, severity,
sf sf sf sf sf sf sf sf sf
sf and associated manifestations of the pain. The interviewer will still need to
sf sf sf sf sf sf sf sf sf sf sf
sf obtain information concerning the quality of the pain, the setting in which it
sf sf sf sf sf sf sf sf sf sf sf sf
sf occurred, and the factors that aggravateandalleviate thepain. Youwill sf sf sf sf sf sf sf sf sf s f sf
noticethat it does include portions ofthepertinent review ofsystems, but
sf sf sf sf sf sf sf sf sf sf sf sf sf
because it relates directly to the complaint, it is
sf sf sf sf sf sf sf sf sf
included in the history of present illness. sf sf sf sf sf sf
mailto:https://www.stuvia.com/user/Wisdoms
, 6. The following information is recorded in the health history: “The patient
sf sf sf sf sf sf sf sf sf sf
sf completed 8th grade. He currently lives with his wife and two children. He
sf sf sf sf sf sf sf sf sf sf sf sf
sf works on old cars onthe weekend. He works in a glass factory during the
sf sf sf sf sf sf sf sf sf sf sf sf sf sf
sf week.”
Which category does it belong to?
sf sf sf sf sf
A) Chiefcomplaint sf
B) Present illness sf
C) Personal and social history sf sf sf
D) Review of systems sf sf
Ans: C
Feedback:
Personal and social history information includes educational level, family of
sf sf sf sf sf sf sf sf sf
sf origin, current household status, personal interests, employment, religious
sf sf sf sf sf sf sf
sf beliefs, military history, andlifestyle (including diet andexercise habits; use of
sf sf sf sf sf sf sf sf sf sf sf
alcohol, tobacco, and/or drugs; and sexual preferences and history).All of this
sf sf sf sf sf sf sf sf sf sf sf sf sf
sf information is documented sf sf
in this example.
sf sf
7. Thefollowing information is recorded in the health history: “I feel really tired.”
sf sf sf sf sf sf sf sf sf sf sf sf
Which category does it belong to?
sf sf sf sf sf
mailto:https://www.stuvia.com/user/Wisdoms
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTION
1. For which of the following patients would acomprehensive health history be
sf sf sf sf sf sf sf sf sf sf sf
appropriate?
A) Anew patient with the chief complaint of “I sprained my ankle”
sf sf sf sf sf sf sf sf sf sf sf
B) Anestablished patient with thechief complaint of “I have an upper respiratory
sf sf sf sf sf sf sf sf sf sf sf sf
infection”
C) Anew patient with the chief complaint of “I am here to establish care”
sf sf sf sf sf sf sf sf sf sf sf sf sf
D) Anew patient with the chief complaint of “I cutmy hand”
sf sf sf sf sf sf sf sf sf sf sf
Ans: C
Feedback:
This patient is here to establish care, and becauseshe is new to you, a
sf sf sf sf sf sf sf sf sf sf sf sf sf sf
comprehensive
sf
health history is appropriate. sf sf sf
2. Thecomponents of thehealth history include all of the following except which
sf sf sf sf sf sf sf sf sf sf sf sf
sf one?
A) Review of systems sf sf
B) Thorax and lungs sf sf
C) Present illness sf
D) Personal and social items sf sf sf
Ans: B
Feedback:
The thorax and lungs are partof the physical examination, not part of the health
sf sf sf sf sf sf sf sf sf sf sf sf sf sf
history. Theothers answersareallpartofacomplete health history.
s f sf sf sf sf sf sf sf sf sf sf
mailto:https://www.stuvia.com/user/Wisdoms
, 3. Is the following information subjective or objective?
sf sf sf sf sf sf
Mr. M. hasshortness of breath that has persisted for the past 10 days; it is worse
sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf
withactivity and relieved by rest.
sf sf sf sf sf sf
A) Subjective
B) Objective
Ans: A
Feedback:
This is information given by thepatient about the circumstances of his chief
sf sf sf sf sf sf sf sf sf sf sf sf
complaint. Itdoesnotrepresentanobjective observationby theexaminer.
s f sf sf sf sf sf sf sf sf sf
4. Is the following information subjective or objective?
sf sf sf sf sf sf
Mr. M. has arespiratory rate of 32and a pulse rate of 120.
sf sf sf sf sf sf sf sf sf sf sf sf sf
A) Subjective
B) Objective
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, This is a measurement obtained by the examiner, so it is considered objective
sf sf sf sf sf sf sf sf sf sf sf sf
data.
sf
Thepatient is unlikely to be able to give this information to theexaminer.
sf sf sf sf sf sf sf sf sf sf sf sf sf
5. The following information is recorded in the health history: “The patient
sf sf sf sf sf sf sf sf sf sf
sf has hadabdominal pain for 1 week. The pain lasts for 30 minutes at a time;
sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf
sf it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is
sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf sf
sf accompanied by nausea and vomiting. It is located in the mid-epigastric sf sf sf sf sf sf sf sf sf sf
sf area.”
Which of these categories does it belong to? sf sf sf sf sf sf sf
A) Chiefcomplaint sf
B) Present illness sf
C) Personal and social history sf sf sf
D) Review of systems sf sf
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the
sf sf sf sf sf sf sf sf sf sf
sf present illness. The interviewer has obtained the location, timing, severity,
sf sf sf sf sf sf sf sf sf
sf and associated manifestations of the pain. The interviewer will still need to
sf sf sf sf sf sf sf sf sf sf sf
sf obtain information concerning the quality of the pain, the setting in which it
sf sf sf sf sf sf sf sf sf sf sf sf
sf occurred, and the factors that aggravateandalleviate thepain. Youwill sf sf sf sf sf sf sf sf sf s f sf
noticethat it does include portions ofthepertinent review ofsystems, but
sf sf sf sf sf sf sf sf sf sf sf sf sf
because it relates directly to the complaint, it is
sf sf sf sf sf sf sf sf sf
included in the history of present illness. sf sf sf sf sf sf
mailto:https://www.stuvia.com/user/Wisdoms
, 6. The following information is recorded in the health history: “The patient
sf sf sf sf sf sf sf sf sf sf
sf completed 8th grade. He currently lives with his wife and two children. He
sf sf sf sf sf sf sf sf sf sf sf sf
sf works on old cars onthe weekend. He works in a glass factory during the
sf sf sf sf sf sf sf sf sf sf sf sf sf sf
sf week.”
Which category does it belong to?
sf sf sf sf sf
A) Chiefcomplaint sf
B) Present illness sf
C) Personal and social history sf sf sf
D) Review of systems sf sf
Ans: C
Feedback:
Personal and social history information includes educational level, family of
sf sf sf sf sf sf sf sf sf
sf origin, current household status, personal interests, employment, religious
sf sf sf sf sf sf sf
sf beliefs, military history, andlifestyle (including diet andexercise habits; use of
sf sf sf sf sf sf sf sf sf sf sf
alcohol, tobacco, and/or drugs; and sexual preferences and history).All of this
sf sf sf sf sf sf sf sf sf sf sf sf sf
sf information is documented sf sf
in this example.
sf sf
7. Thefollowing information is recorded in the health history: “I feel really tired.”
sf sf sf sf sf sf sf sf sf sf sf sf
Which category does it belong to?
sf sf sf sf sf
mailto:https://www.stuvia.com/user/Wisdoms
