NSG 6020 MIDTERM EXAM ‘. ‘. ‘.
QUESTIONS AND ANSWERS WITH COMPLETE ‘. ‘. ‘. ‘.
SOLUTION
‘.
1. Forwhich of the following patients would acomprehensive health history be
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
appropriate?
A) Anew patient with the chief complaint of “I sprained my ankle”
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
B) Anestablished patient with thechief complaintof “I havean upper respiratory
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
infection”
C) Anew patient with the chief complaint of “I am here to establish care”
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
D) Anew patientwith the chief complaint of “I cutmy hand”
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
Ans: C
Feedback:
Thispatient is here to establish care, and becauseshe is new to you, a
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
comprehensive
‘.
health history is appropriate. ‘. ‘. ‘.
2. Thecomponents of thehealth history include all of the following except which
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. one?
A) Reviewof systems ‘. ‘.
B) Thorax and lungs ‘. ‘.
C) Presentillness ‘.
D) Personal and social items ‘. ‘. ‘.
Ans: B
Feedback:
Thethorax and lungs are part of the physical examination, notpart of the health
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
history. Theothersanswersareallpartofacompletehealth history.
‘ . ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
mailto:https://www.stuvia.com/user/Wisdoms
, 3. Is the following information subjective or objective?
‘. ‘. ‘. ‘. ‘. ‘.
Mr. M. hasshortness of breath that has persisted for the past 10 days; it is worse
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
withactivity and relieved by rest.
‘. ‘. ‘. ‘. ‘. ‘.
A) Subjective
B) Objective
Ans: A
Feedback:
This is information given by thepatient about thecircumstances of his chief
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
complaint. Itdoesnot representanobjective observationby theexaminer.
‘ . ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
4. Is the following information subjective or objective?
‘. ‘. ‘. ‘. ‘. ‘.
Mr. M. has arespiratory rateof 32and apulse rateof 120.
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
A) Subjective
B) Objective
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, Thisis ameasurementobtained by theexaminer, so it isconsidered objective
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
data.
‘.
Thepatient isunlikely to beable togive this information to theexaminer.
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
5. The following information is recorded in the health history: “The patient
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. has hadabdominal pain for 1 week. The pain lasts for 30 minutes at a time; it
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. comes and goes.The severity is 7 to 9 on a scale of 1 to 10. It is accompanied
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. by nauseaandvomiting. It is located in the mid-epigastric area.”
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
Whichof these categories does it belong to? ‘. ‘. ‘. ‘. ‘. ‘. ‘.
A) Chiefcomplaint ‘.
B) Presentillness ‘.
C) Personal and social history ‘. ‘. ‘.
D) Reviewof systems ‘. ‘.
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. present illness. The interviewer has obtained the location, timing, severity,
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. and associated manifestations of the pain. The interviewer will still need to
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. obtain information concerning the quality of the pain, the setting in which it
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. occurred, and the factors thataggravateandalleviate thepain. Youwill ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘ . ‘.
noticethatit doesincludeportions ofthepertinent review of systems, but
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
because it relatesdirectly to the complaint, it is
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
included in thehistory of present illness. ‘. ‘. ‘. ‘. ‘. ‘.
mailto:https://www.stuvia.com/user/Wisdoms
, 6. The following information is recorded in the health history: “The patient
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. completed 8th grade. He currently lives with his wife and two children. He
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. works on old cars onthe weekend. He works in a glass factory during the
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. week.”
Whichcategory does it belong to?
‘. ‘. ‘. ‘. ‘.
A) Chiefcomplaint ‘.
B) Presentillness ‘.
C) Personal and social history ‘. ‘. ‘.
D) Reviewof systems ‘. ‘.
Ans: C
Feedback:
Personal and social history information includes educational level, family of
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. origin, current household status, personal interests, employment, religious
‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. beliefs, military history,andlifestyle (including dietandexercisehabits;useof
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
alcohol, tobacco,and/ordrugs; and sexualpreferences and history).All of this
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. information is documented ‘. ‘.
in this example.
‘. ‘.
7. Thefollowing information is recorded in thehealth history:“I feel really tired.”
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
Whichcategory does it belong to?
‘. ‘. ‘. ‘. ‘.
mailto:https://www.stuvia.com/user/Wisdoms
QUESTIONS AND ANSWERS WITH COMPLETE ‘. ‘. ‘. ‘.
SOLUTION
‘.
1. Forwhich of the following patients would acomprehensive health history be
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
appropriate?
A) Anew patient with the chief complaint of “I sprained my ankle”
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
B) Anestablished patient with thechief complaintof “I havean upper respiratory
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
infection”
C) Anew patient with the chief complaint of “I am here to establish care”
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
D) Anew patientwith the chief complaint of “I cutmy hand”
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
Ans: C
Feedback:
Thispatient is here to establish care, and becauseshe is new to you, a
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
comprehensive
‘.
health history is appropriate. ‘. ‘. ‘.
2. Thecomponents of thehealth history include all of the following except which
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. one?
A) Reviewof systems ‘. ‘.
B) Thorax and lungs ‘. ‘.
C) Presentillness ‘.
D) Personal and social items ‘. ‘. ‘.
Ans: B
Feedback:
Thethorax and lungs are part of the physical examination, notpart of the health
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
history. Theothersanswersareallpartofacompletehealth history.
‘ . ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
mailto:https://www.stuvia.com/user/Wisdoms
, 3. Is the following information subjective or objective?
‘. ‘. ‘. ‘. ‘. ‘.
Mr. M. hasshortness of breath that has persisted for the past 10 days; it is worse
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
withactivity and relieved by rest.
‘. ‘. ‘. ‘. ‘. ‘.
A) Subjective
B) Objective
Ans: A
Feedback:
This is information given by thepatient about thecircumstances of his chief
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
complaint. Itdoesnot representanobjective observationby theexaminer.
‘ . ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
4. Is the following information subjective or objective?
‘. ‘. ‘. ‘. ‘. ‘.
Mr. M. has arespiratory rateof 32and apulse rateof 120.
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
A) Subjective
B) Objective
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, Thisis ameasurementobtained by theexaminer, so it isconsidered objective
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
data.
‘.
Thepatient isunlikely to beable togive this information to theexaminer.
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
5. The following information is recorded in the health history: “The patient
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. has hadabdominal pain for 1 week. The pain lasts for 30 minutes at a time; it
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. comes and goes.The severity is 7 to 9 on a scale of 1 to 10. It is accompanied
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. by nauseaandvomiting. It is located in the mid-epigastric area.”
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
Whichof these categories does it belong to? ‘. ‘. ‘. ‘. ‘. ‘. ‘.
A) Chiefcomplaint ‘.
B) Presentillness ‘.
C) Personal and social history ‘. ‘. ‘.
D) Reviewof systems ‘. ‘.
Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. present illness. The interviewer has obtained the location, timing, severity,
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. and associated manifestations of the pain. The interviewer will still need to
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. obtain information concerning the quality of the pain, the setting in which it
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. occurred, and the factors thataggravateandalleviate thepain. Youwill ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘ . ‘.
noticethatit doesincludeportions ofthepertinent review of systems, but
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
because it relatesdirectly to the complaint, it is
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
included in thehistory of present illness. ‘. ‘. ‘. ‘. ‘. ‘.
mailto:https://www.stuvia.com/user/Wisdoms
, 6. The following information is recorded in the health history: “The patient
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. completed 8th grade. He currently lives with his wife and two children. He
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. works on old cars onthe weekend. He works in a glass factory during the
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. week.”
Whichcategory does it belong to?
‘. ‘. ‘. ‘. ‘.
A) Chiefcomplaint ‘.
B) Presentillness ‘.
C) Personal and social history ‘. ‘. ‘.
D) Reviewof systems ‘. ‘.
Ans: C
Feedback:
Personal and social history information includes educational level, family of
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. origin, current household status, personal interests, employment, religious
‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. beliefs, military history,andlifestyle (including dietandexercisehabits;useof
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
alcohol, tobacco,and/ordrugs; and sexualpreferences and history).All of this
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
‘. information is documented ‘. ‘.
in this example.
‘. ‘.
7. Thefollowing information is recorded in thehealth history:“I feel really tired.”
‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘. ‘.
Whichcategory does it belong to?
‘. ‘. ‘. ‘. ‘.
mailto:https://www.stuvia.com/user/Wisdoms
