NSG 6020 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION

NSG 6020 MIDTERM EXAM
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTION

1. For which of the following patients would a comprehensive health history be
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appropriate?
A) Anew patient with the chief complaint of “I sprained my ankle”
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B) An established patient with the chief complaint of “I have an upper
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respiratory
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infection”
C) Anew patient with the chief complaint of “I am here to establish care”
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D) Anew patient with the chief complaint of “I cut my hand”
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Ans: C
Feedback:
This patient is here to establish care, and because she is new to you, a
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comprehensive
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health history is appropriate. bz bz bz




2. The components of the health history include all of the following except which
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bz one?
A) Review of systems bz bz




B) Thorax and lungs bz bz




C) Present illness bz




D) Personal and social items bz bz bz




Ans: B
Feedback:
The thorax and lungs are part of the physical examination, not part of the health
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, history. The others answers are all part of a complete health history.
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3. Is the following information subjective or objective?
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Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse
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withactivity and relieved by rest.
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A) Subjective
B) Objective
Ans: A
Feedback:
This is information given by the patient about the circumstances of his chief
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complaint. It does not represent an objective observation by the examiner.
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4. Is the following information subjective or objective?
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Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
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A) Subjective
B) Objective
Ans: B
Feedback:




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, This is a measurement obtained by the examiner, so it is considered objective
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data.
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The patient is unlikely to be able to give this information to the examiner.
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5. The following information is recorded in the health history: “The patient
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bz has hadabdominal pain for 1 week. The pain lasts for 30 minutes at a time;
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bz it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is
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bz accompanied by nausea and vomiting. It is located in the mid-epigastric bz bz bz bz bz bz bz bz bz bz




bz area.”
Which of these categories does it belong to? bz bz bz bz bz bz bz




A) Chief complaint bz




B) Present illness bz




C) Personal and social history bz bz bz




D) Review of systems bz bz




Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the
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bz present illness. The interviewer has obtained the location, timing, severity,
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bz and associated manifestations of the pain. The interviewer will still need to
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bz obtain information concerning the quality of the pain, the setting in which it
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bz occurred, and the factors that aggravate and alleviate the pain. You will bz bz bz bz bz bz bz bz bz b z bz




notice that it does include portions ofthe pertinent review of systems, but
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because it relates directly to the complaint, it is
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included in the history of present illness. bz bz bz bz bz bz




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, 6. The following information is recorded in the health history: “The patient
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bz completed 8th grade. He currently lives with his wife and two children. He
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bz works on old cars onthe weekend. He works in a glass factory during the
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bz week.”
Which category does it belong to?
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A) Chief complaint bz




B) Present illness bz




C) Personal and social history bz bz bz




D) Review of systems bz bz




Ans: C
Feedback:
Personal and social history information includes educational level, family of
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bz origin, current household status, personal interests, employment, religious
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bz beliefs, military history, and lifestyle (including diet and exercise habits; use of
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alcohol, tobacco, and/or drugs; and sexual preferences and history).All of this
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bz information is documented bz bz




in this example.
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7. The following information is recorded in the health history: “I feel really tired.”
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Which category does it belong to?
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