Nur-634 Midterm 2023 Questions With Complete Solutions

For which of the following patients would a comprehensive health history be appropriate? A. A new patient with the chief complaint of "I sprained my ankle" B. An established patient with the chief complaint of "I have an upper respiratory infection" C. A new patient with the chief complaint of "I am here to establish care" D. A new patient with the chief complaint of "I cut my hand" correct answer: ANS: C Feedback: This patient is here to establish care, and because she is new to you, a comprehensive health history is appropriate. 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 on the weekend. He works in a glass factory during the week." Which category does it belong to? A. Chief complaint B. Present illness C. Personal and social history D. Review of systems correct answer: ANS: C Feedback: Personal and social history information includes educational level, family of origin, current household status, personal interests, employment, religious beliefs, military history, and lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual preferences and history). All of this information is documented in this example Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). She has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't blanch. What would you tell her regarding her rash? A. It is likely to be related to her lupus. B. It is likely to be related to an exposure to a chemical. C. It is likely to be related to an allergic reaction. D. It should not cause any problems. correct answer: ANS: A Feedback: A "palpable purpura" is usually associated with a vasculitis. This is an inflammatory condition of the blood vessels often associated with systemic rheumatic disease. It can cut off circulation to any portion of the body and can mimic many other diseases in this manner. While allergic and chemical exposures may be a possible cause of the rash, this patient's SLE should make you consider vasculitis